HISTORY OF FLIGHT
On June 16, 2001, about 0945 central daylight time,
an experimental exhibition Potez-Air Fouga CM 170, N301FM, piloted by an airline
transport pilot, was destroyed on impact with terrain and post impact fire
following an in-flight break up while maneuvering in runway 21's pattern at La
Crosse Municipal Airport (LSE), near La Crosse, Wisconsin. The business flight
was operating under 14 CFR Part 91. Visual meteorological conditions prevailed
at the time of the accident. No flight plan was on file. The pilot and rear seat
passenger were fatally injured. The local flight originated from LSE about 0938,
and was on the upwind portion of runway 21's pattern at the time of the
accident.
Sponsorship forms for The Deke Slayton Airfest 2001 that was
held on June 16 and 17, 2001 at LSE, listed the "[pilot's name] Fouga Jet" as an
air show performer.
About 0943, the accident airplane was given a
clearance from the LSE Air Traffic Control Tower (ATCT) for a low approach
runway 21.
A Federal Aviation Administration (FAA) Inspector interviewed
the LSE ATCT Chief. The FAA's record of interview with the Chief stated "that
when the aircraft was in front of the tower he first noticed a short vapor trail
coming from the left wing tip and shortly thereafter the wing tip tank
separated."
The airplane's crew chief stated:
Aircraft departed
runway[,] retracted landing gear, made left
turns to remain in the pattern.
Base to final turn was to the left at
[approximately] 60 [degrees] bank
([approximately] 7 [minutes]
after start up) [and] then flew over the runway
followed by a pull
up of less than 2g's. At the [beginning] of the pull up
the left tank
separated from the aircraft.
A retired airline pilot
stated:
Observed aircraft fly over the runway at about 1000'. [Aircraft] may
have started a turn downwind (no abrupt maneuvering). Something
long
[and ] narrow came off the [Aircraft], hit the left v-tail. Shortly the
[right] tail plane came off.
A US Army Parachute Team member
stated:
At approximately midway down the runway the aircraft began a
5 to
10 degrees climb at which point I observed the left wing tip fuel
tank and
what appeared to be a small section of the wing separate
from the aircraft
and smash through the tail section, which also
became separated.
An
Aviation Medical Examiner stated:
Out of the corner of my eye I saw the Fouga
making a pass along
runway 21 at about 300 feet A.G.L [above ground level].
Just before the airplane
passed abeam of me I saw that the left wing tank
had separated and
was falling in an approximately level attitude. It was not
tumbling.
I ... saw the Fouga start to pitch up and all kinds of parts
suddenly
separate upward from the top of it. Some of them were rectangular
in shape. There was also a fuel mist visible streaming upward. The
separation was quite violent. Almost immediately the left wing
separated
upward and sailed upward. The tail surfaces, I think,
separated at about
this time. I'm not sure when the right tank
separated. The fuselage spiraled
upward ball for a little while and
then descended almost vertically. It
impacted almost vertically,
nose down, with the right wing pointing
approximately south.
The FAA Air Show Monitor stated:
The aircraft in
my prospective was about 400 to 600' above the
ground [and] breaking up into
numerous pieces. I could see that it
was a Fouga jet. The aircraft continued
without its left wing and
fell to the ground in a falling leaf manner. The
aircraft dropped out
of sight because of the hangers, that blocked my view.
I heard the
aircraft hit the ground [and] with the engines still running.
The
engines were still running after impact. Then there was black
smoke
rising above the hangers and the engine noise ceased.
PERSONNEL
INFORMATION
The pilot held an airline transport pilot certificate with an
airplane multiengine land rating, commercial privileges for single-engine land
airplanes, and private pilot privileges for single-engine sea airplanes. He was
issued a first-class medical certificate on October 3, 2000, with limitations
for corrective lenses. On the application for that flight physical, the pilot
reported that he had accumulated 3,200 total flight hours and reported he had
flown 100 hours in the past 6 months.
AIRCRAFT INFORMATION
The
accident airplane, N301FM, was a Potez-Air Fouga CM 170, Magister, serial number
240. The CM 170 is an all metal, medium-wing, twin-engine airplane with
retractable tricycle landing gear. It has two tandem cockpits. The tail unit is
v-shaped. Two Turbomeca Marbore VI turbojet engines power the airplane.
Logbooks showed that an annual inspection of the airplane was completed
on March 1, 2001. The logbook entry for that annual inspection revealed that the
airplane accumulated 8,691 hours of total time. The logbook showed that the
right engine, serial number 10060, had accumulated 1,848 hours since overhaul
and the left engine, serial number 10112, had accumulated 1,525 hours since
overhaul.
The airplane can be fitted with wing tip fuel tanks. The CM
170's manual listed two wing tip fuel tank types, a metal 122-liter tank and a
polyester resin 230-liter tank. The manual stated that "a hollow shaft joints
the front section of ribs 1 and 2. This fitting is threaded on the inside, to
receive the front attachment of the tank. ... On aircraft below [number] 200,
the rear attachment of the tank is bolted to a reinforcement plate carried by
rib 1. As of aircraft [number] 200, the rear attachment of the tank, which has
been lengthened, engages in the spool which links ribs 1 and 1A. It is bolted to
rib 1A."
The airplane's special airworthiness certificate showed the
airplane was certified in the experimental category for the purpose of
exhibition. The airplane's experimental operating limitations listed the pilot
as the registered owner. The special airworthiness certificate and the
limitations and were dated January 9, 1998. An excerpt from the limitations
stated:
7. No person may operate this aircraft for carrying persons or
property for compensation or hire.
8. No person may be carried in this
aircraft during the exhibition
of the aircraft's flight capabilities,
performances, or unusual
characteristics at air shows, motion picture,
television, or similar
productions, unless essential for the purpose of the
flight. Passengers
may be carried during flights to and from any event
outlined in the
program letter or during proficiency flying, limited to the
design
seating capacity of the aircraft.
...
10. The person operating
this aircraft shall advise each person
carried of the experimental nature of
this aircraft.
METEOROLOGICAL INFORMATION
At 0953, the LSE
weather was: Wind variable at 3 knots; visibility 10 statute miles; sky
condition clear; temperature 21 degrees C; dew point 12 degrees C; altimeter
30.04 inches of mercury.
WRECKAGE AND IMPACT INFORMATION
An
on-scene investigation was conducted. The fuselage and right wing were found 817
feet from the departure end of runway 21. The fuselage and right wing were found
with a soot like substance on them. The fuselage was found deformed and consumed
by fire. The grass in the area around the fuselage was found charred. The
empennage forward of the v-tail was found deformed and covered with a soot like
substance. Flight control push-pull link-rods were traced and continuity was
established from the cockpits to the flight control surfaces. The left wing was
separated from the fuselage and was located about 30 feet east of runway 21 at
runway 21's intersection with runway 18. Sections of the v-tail were found on
runway 21 where runway 21 and runway 18 intersect. Examination of the left wing
and v-tail did not reveal any soot like discoloration. The left engine exhibited
reverse bending of its compressor blades. The right engine exhibited scoring on
its case along the plane of the turbine rotors. The airplane's wing tip tanks
were found in the grass area between the end of runway 21 and the area where the
fuselage came to rest. Both wing tip tanks had separated from their wings. The
tanks were constructed of a fiberglass like material. See appended photographs
and wreckage diagram.
MEDICAL AND PATHOLOGICAL INFORMATION
An
autopsy was performed on the pilot by the Minnesota Regional Coroner's Office on
June 18, 2001.
The FAA Civil Aeromedical Institute prepared a Final
Forensic Toxicology Accident Report. The report was negative for all the tests
conducted.
TESTS AND RESEARCH
The left and right wing tip tank
forward and rear attachment assemblies were forwarded to the National
Transportation Safety Board's Materials Laboratory for examination. The
laboratory produced Materials Laboratory Factual Report 01-112. See appended
report. Excerpts from the report stated:
FORWARD ATTACHMENT ASSEMBLIES
The
left tip tank forward assembly was fractured ... Examination
of the fracture
in the left tank assembly ... revealed that the fracture
was copper colored,
typical of a brass or bronze component, and that
the fracture was rough in
texture, indicative of an overstress fracture.
No evidence of progressive
cracking was noted on the fracture.
REAR ATTACHMENT ASSEMBLIES
The
rear attachment assemblies consist of (1) a stud that attaches
to and
protrudes from the fiberglass tank surface, (2) a "U" shaped
clevis that is
threaded onto the stud and locked into position with a
jam nut, and (3) a
quick release pin through the two tines of the
clevis. Both of the studs
were fractured flush with the exterior
surfaces of the tip
tanks.
Examination of the fractures through the studs revealed similar
features on the fractures from both tip tanks ... Both fractures
contained two diametrically opposite regions that were lighter in
color
and contained crack arrest positions, typical of reverse
bending fatigue. On
both studs fatigue initiation was from multiple
initiation sites within a
thread root. ... The fatigue cracking on the
studs propagated through
roughly 50 percent of the stud cross
section before final fracture. The
fracture surface of the stud from
the right tank ... contained superficial
rust-colored deposits over
the central portion of the fracture. The total
lack of dark
discoloration on any portion of the fatigue regions indicates
that
the fatigue crack areas were not exposed to the environment for a
significant time, and the relatively rough texture of the fracture
surface within the fatigue regions indicates rapid propagation of
the
cracking.
Examination of the fracture faces of the stud pieces embedded
within the tank structure revealed that the fatigue regions were
on the
upper and lower edges of the stud, based on the assumption
that the slight
curvature of the tank piece was predominantly in the
hoop (circumferential)
direction. Because the orientation of the
tank pieces was not provided, it
was not determined whether the
upper or lower side of the studs contained
the tensile side of the
bending deformation (the side with elongated
threads).
The French aircraft accident investigation authority, the
Bureau Enquetes-Accidents was contacted and asked to search their accident and
incident records for occurrences of tip tank, tail, and wing separations. Three
tip tank incidents were found. They occurred between 1980 and 1994. The aft
mount was found broken in all these incidents. The Bureau did report that
"Aerobatic evolutions were forbidden in the [French Air Force] for aircraft with
230 [liter] tip tanks. The Bureau further reported that there are "no French
registered Fouga aircraft equipped with larger capacity tanks (230
[liter])."
ADDITIONAL INFORMATION
A FAA Inspector interviewed
a witness. That record of interview stated:
There are multiple levels of
sponsorship and her level invited
her to three rides - 1 in the T-6, 1 in
the Golden Knights Aircraft
and 1 in the Fouga. She had taken the ride in
the T-6 on Friday [June 15].
The coroner's report stated that the
accident pilot "was hired by the family and friends of [the passenger] ... to
take her for a ride in a jet as a wedding present."
The parties to the
investigation included the FAA and the aircraft's crew chief. The Bureau
Enquetes-Accidents assigned an Accredited Representative to assist in the
investigation.
The aircraft wreckage and retained
items were released to a representative of the insurance company.