Accident Diamond DA40NG Diamond Star G-CTSB,
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ASN Wikibase Occurrence # 245596
 
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Date:Saturday 12 December 2020
Time:09:26 UTC
Type:Silhouette image of generic DA40 model; specific model in this crash may look slightly different    
Diamond DA40NG Diamond Star
Owner/operator:L3 CTS Airline and Academy Training Ltd
Registration: G-CTSB
MSN: 40.N283
Year of manufacture:2015
Engine model:Austro E4-A
Fatalities:Fatalities: 0 / Occupants: 1
Aircraft damage: Destroyed
Category:Accident
Location:Cranfield Airport (EGTC), Bedfordshire -   United Kingdom
Phase: Take off
Nature:Ferry/positioning
Departure airport:Cranfield Airport (EGTC)
Destination airport:Bournemouth International Airport (BOH/EGHH)
Investigating agency: AAIB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The aircraft, a DA 40 NG (G-CTSB), stalled and struck the ground shortly after takeoff from a height of about 100-200 ft. The pilot survived but sustained serious injuries.

The pilot was seriously injured when the aircraft stalled and then struck the ground shortly after takeoff from a height of about 100-200 ft. It had been loaded with five containers of de-icing fluid, contrary to the approved training organisation’s prohibition on the carriage of cargo and dangerous goods. One container, loaded in the front right footwell close to the flying controls, limited the control stick’s available forward movement.

The aircraft was near its maximum permitted takeoff weight and aft centre of gravity limit when it departed. This, together with the limited control authority available, caused the accident.

The investigation found that aspects of the management of the Approved Training Organisation may have contributed to the accident. The de-icing fluid was probably incorrectly classified by the manufacturer as a non-dangerous good, with incorrect safety information supplied.

One Safety Recommendation is made regarding the use of recording facilities on digital flight instrument systems:

=Safety Recommendation 2022-013
It is recommended that the Civil Aviation Authority promote the use of the recording facility on Garmin 1000 instrument systems and its potential benefits.

Conclusion
The accident was caused by a control restriction preventing sufficient nose down pitch input to properly control the aircraft and avoid stalling. The restriction was caused by an unsecured de-icing fluid container placed in the front right footwell. Four other unsecured containers had been placed on seats and in the rear footwell, with the aircraft near its maximum permitted takeoff weight and aft centre of gravity position.

The de-icing fluid was incorrectly classified by the manufacturer and incorrect safety information was supplied.

Aspects of the approved training organisation’s operational management appear to have influenced behaviour in the organisation, contributing to the circumstances of the accident.

=Damage Sustained to airframe=
Per the AAIB Report "Aircraft destroyed". The CAA agreed with this conclusion, and the registration G-CTSB was cancelled (airframe de-registered) on 9 September 2021

Accident investigation:
cover
  
Investigating agency: AAIB
Report number: AAIB-27059
Status: Investigation completed
Duration:
Download report: Final report

Sources:

1. https://www.pprune.org/accidents-close-calls/637381-da40-crash-cranfield.html
2. https://forums.flyer.co.uk/viewtopic.php?f=1&t=117411
3. https://www.airport-data.com/images/aircraft/001/457/001457723.jpg (photo)
4. https://www.navlost.eu/metar/?icao=EGTC&ts0=2020-12-12&ts1=2020-12-12
5. https://abpic.co.uk/pictures/registration/G-CTSB
6. https://www.bbc.co.uk/news/uk-england-beds-bucks-herts-62265518
7. AAIB 1st Anniversary Statement: https://www.gov.uk/government/news/da40-n2-g-ctsb-anniversary-statement
8. AAIB Final Report: https://assets.publishing.service.gov.uk/media/62c55bab8fa8f54e8fb7dba1/DA_40_NG_G-CTSB_08-22.pdf

Media:

G-CTSB (41765867092)

Revision history:

Date/timeContributorUpdates
13-Dec-2020 13:26 Anon. Added
13-Dec-2020 13:30 harro Updated [Registration, Operator, Location, Narrative]
13-Dec-2020 15:33 Anon. Updated [Registration, Operator, Source]
13-Dec-2020 15:33 harro Updated [Registration, Other fatalities]
13-Dec-2020 15:48 RobertMB Updated [Time, Aircraft type, Cn, Operator, Source, Narrative]
13-Dec-2020 16:49 Aerossurance Updated [Location, Nature, Narrative]
13-Dec-2020 17:21 Anon. Updated [Destination airport, Source, Narrative]
13-Dec-2020 19:03 Dr. John Smith Updated [Source, Embed code, Narrative]
13-Dec-2020 19:54 Anon. Updated [Source, Narrative]
13-Dec-2020 19:58 RobertMB Updated [Nature]
14-Dec-2020 17:47 GG Updated [Narrative]
15-Dec-2020 20:03 Anon. Updated [Narrative]
16-Dec-2020 19:37 Anon. Updated [Narrative]
23-May-2021 15:30 Anon. Updated [Narrative]
28-Jul-2021 14:50 Dr. John Smith Updated [Source, Category]
28-Jul-2021 15:09 Dr. John Smith Updated [Source, Embed code, Narrative]
10-Dec-2021 20:24 Dr. John Smith Updated [Source, Embed code, Narrative]
10-Dec-2021 20:27 Dr. John Smith Updated [Source, Embed code, Narrative]
12-Apr-2022 06:22 Jpit Updated [Narrative]
21-Jul-2022 11:51 harro Updated [Narrative, Accident report]
21-Jul-2022 12:38 Dr. John Smith Updated [Time, Source, Narrative]
21-Jul-2022 12:39 Dr. John Smith Updated [Embed code]
24-Jul-2022 13:06 Dr. John Smith Updated [Source, Embed code]

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