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Accidents · NTSB CEN09FA267 · Final report

Cirrus Design CORP SR22 accident near Mayfield Village, Ohio, April 28, 2009

On April 28, 2009 at about 8:15 pm local time, a Cirrus Design CORP SR22, registered N504MD, was destroyed in an accident during initial climb near Mayfield Village, Ohio (Cuyahoga County airport). It was a business flight under general aviation rules (Part 91). 2 people were killed. The weather was instrument conditions (cloud, fog or low visibility).

The NTSB's probable cause their words, unchanged

The pilot’s failure to maintain control of the airplane while operating in instrument meteorological conditions due to spatial disorientation. Contributing to the accident was the pilot’s inattention to basic aircraft control while attempting to program the autopilot system.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
April 28, 2009 · about 8:15 pm local time
Place
Mayfield Village, Ohio · Cuyahoga County · map
Type
Accident
Injuries
2 people were killed.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Cirrus Design CORP SR22
Registration
N504MD · registry record · serial 2695
Damage
Destroyed
Flight
Business flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The instrument certified airplane climbed into instrument meteorological conditions about 30 seconds after takeoff. Radar track data showed that the airplane entered a right turn shortly after takeoff and entered the cloud base. The airplane remained in that right turn until it completed nearly 1-1/2 complete turns. The airplane rolled out and subsequently climbed 1,500 feet over next 17 seconds. The airspeed decreased to 50 knots and the airplane’s heading abruptly transitioned from the south to the north-northwest which could have represented an aerodynamic stall. The airplane then descended before beginning another climb. The airplane completed two additional descent and climb oscillations with minimum airspeeds of 60 knots and 50 knots, respectively. Maximum pitch angles of 50 degrees nose up and nose down, and bank angles of 75 degrees were recorded during the flight. The duration of the accident flight was approximately 4 minutes and 30 seconds. The airplane impacted a wooded area located about 3 miles from the departure airport and was destroyed by impact forces and a postimpact fire. An examination of the airframe and engine did not revealed preimpact anomalies. No flight display and/or autopilot system faults were recorded during the accident flight. Further review of the flight data did not reveal inconsistencies within the data itself. The data indicated that the pilot initially engaged the autopilot about 5 seconds after lifting off when the airplane was approximately 61 feet above ground level. The autopilot bugs were set to the assigned heading and initial altitude prior to takeoff. However, after takeoff the pilot failed to properly engage the autopilot altitude preselect mode; the altitude hold mode was entered instead. As a result, the altitude and vertical speed bug settings were reset automatically to maintain the airplane’s altitude. At that point, the airplane’s altitude was above that specified by the autopilot bug. Subsequent attempts to engage the vertical speed/altitude pre-select mode caused the system to begin a descent to intercept the inadvertent altitude set in the autopilot. About 1 minute into the flight, the pilot reset the altitude bug above the airplane’s current altitude at that time. The data suggests that the pilot never adequately regained control of the airplane. The pilot purchased the accident airplane about 7 months prior to the accident. He completed visual flight rules transition training at the time he took delivery of the airplane. The training did not include an instrument proficiency check. Prior to the transition training, the pilot reported a total flight time of 1,344 hours, which included 20 hours flight time and 4 hours instrument flight time within the one-year period preceding the training.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Loss of control in flight during initial climb defining event
  2. Collision with terrain or object (not controlled flight into terrain) during uncontrolled descent

The NTSB's findings

  • cause Personnel issues › Psychological › Perception/orientation/illusio › Spatial disorientation › Pilot
  • cause Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
  • factor Personnel issues › Task performance › Use of equip/info › Use of automation › Pilot

Pilot

  • Certificate: private
  • Ratings: multi-engine land; single-engine land; instrument: airplane
  • Flight time: 1,344 hours in all; 1,280 as pilot in command
  • Medical certificate: Class 3 (with waivers/limitations)
  • Seat: left
  • Injury: fatal

The aircraft

  • Airframe total time: 224.1 hours
  • Last inspection: annual inspection, October 7, 2008
  • Maximum gross weight: 3,400 lb
  • Seats: 4
  • Landing gear: fixed
  • Engine: Cont Motor IO-550-N (piston); 0 hours total
  • Fire on the ground

The flight

  • Departed from: CGF Cleveland OH at 8:12 pm
  • Destination: BUF Buffalo NY
  • Flight plan: IFR
  • Runway 06, 5,102 ft by 100 ft

Weather at the time

  • Light: daylight
  • Wind: from 010° at 8 knots
  • Visibility: 4 statute miles
  • Sky: overcast at 200 ft
  • Temperature: 45°F (7°C), dew point 43°F (6°C)
  • Altimeter: 30.37 inHg
  • Observation at 8:16 pm from CGF, 2 miles away

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.