ANC02FA070

NTSB accident investigation · Zawada Super Cuby · Cantwell, AK · July 4, 2002

Accident · FatalField investigationFinal report
Date
July 4, 2002, 14:28 local (22:28 UTC)
Place
Cantwell, AK
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Unknown
Aircraft
N43ZZawada Super Cuby
Weather
Visual (VMC) · Day
Status
Completed · report July 23, 2003
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration
FAA report
20020704016829A
Case key
55185

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's failure to maintain adequate airspeed which resulted in an inadvertent stall, and subsequent collision with terrain. A contributing factor was the pilot's impairment from the effects of prescription painkilling drugs.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightUnknown
Impairment(drugs)Pilot in commandFactor
Airspeed - inadequatePilot in commandCause
Stall - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - mountainous/hilly

Analysis

The private certificated pilot departed with one passenger on a cross-country flight from a private airstrip in a tundra tire-equipped experimental/homebuilt airplane. Family members reported that the purpose of the flight was to show the passenger some Alaskan scenery. When the airplane did not return, the flight was reported overdue. Search personnel located the wreckage near the summit of a mountain pass at 5,000 feet msl, four days later. The airplane struck an area of upsloping rock and snow-covered terrain, in a near vertical attitude, and came to rest within a few feet of the initial ground scar. A postaccident examination of the airplane did not reveal any mechanical malfunctions. A postmortem toxicological examination of the pilot disclosed high levels of tramadol, a prescription painkiller, and paroxetine, a prescription antidepressant. Additionally, the toxicology report was consistent with the use of at least one other prescription painkiller. The pilot had been under treatment for neck and back pain with multiple medications. The pilot's performance and judgment were likely to have been impaired by the effects of the tramadol, particularly in combination with a second prescription painkiller.

Factual narrative

History of flight

On July 4, 2002, at 1428 Alaska daylight time, a tundra tire-equipped experimental/homebuilt, Zawada Super Cuby airplane, N43Z, sustained substantial damage following an in-flight loss of control and subsequent impact with mountainous terrain, about 35 miles west of Cantwell, Alaska. The airplane was being operated as a visual flight rules (VFR) cross-country personal flight when the accident occurred. The private certificated pilot, and the sole passenger, received fatal injuries. Visual meteorological conditions prevailed at the airplane's point of departure, and no flight plan was filed. The flight originated at a private airstrip, located about 8 miles southwest of Wasilla, Alaska, at an estimated time of 1200.

A family member reported to search personnel that prior to leaving the family household, the accident pilot left a note stating his intentions to fly over various glaciers in an area of mountainous terrain within the Denali National Park, Alaska, and then return before dinner time. The family member added that the purpose of the flight was to show the passenger some Alaskan scenery. When the airplane did not return, the flight was reported overdue on July 6, 2002, at 0935.

On July 8, 2002, about 1300, airborne search personnel located the wreckage at the 5,000 foot msl level, approximately 1 mile west of the 5,800 foot summit of Anderson Pass. Anderson Pass is located about 90 miles north of the airplane's departure airstrip.

Personnel information

The pilot held a private pilot certificate with an airplane single-engine land rating. The most recent third-class medical certificate was issued to the pilot on May 31, 2002, and contained the limitation that the holder must wear corrective lenses.

According to the pilot's personal logbook that was located at the accident site, his total aeronautical experience consisted of about 1,418.6 hours. The last entry in the logbook was dated August 17, 2000, at which time the pilot underwent a biennial flight review (BFR).

No current or updated personal flight records were located for the pilot. On the pilot's application for medical certificate, dated May 31, 2002, the pilot indicated that his total aeronautical experience consisted of about 2,050 hours, of which none were accrued in the previous 6 months.

Aircraft information

No airframe or engine records were located for the accident airplane. A friend of the pilot stated that the pilot purchased the Wag-Aero, Super Cuby kit airplane in a partially assembled condition. It was completed by the pilot in Alaska, and registered by the pilot with the Federal Aviation Administration on October 1, 1994.

According to the pilot's friend, at the time of the accident, the airplane and engine had accumulated a total time in service of 725.5 hours, which matched the airplane's recording hour/tachometer reading.

Meteorological information

The closest official weather observation station is located at the Chulitna River Lodge, Chulitna, Alaska, which is located about 30 nautical miles southeast of the accident site. On July 4, 2002, at 1440, an automated weather observation system was reporting, in part: Wind, 350 degrees (true) at 6 knots; visibility, 40 statute miles; clouds, 3,500 feet scattered, 6,000 feet overcast; temperature, 54 degrees F; dew point, 39 degrees F; altimeter, 29.78 inHg.

At 1335, an automated weather observation system at Cantwell, Alaska, located about 35 nautical miles east of the accident site, was reporting in part: Wind, 080 degrees (true) at 5 knots; visibility, 20 statute miles; clouds, 5,000 feet broken, 8,000 feet broken, 20,000 feet overcast; temperature, 54 degrees F; dew point, 46 degrees F; altimeter, 29.79 inHg.

The FAA had no record of the pilot having requested or received a preflight or en route weather briefing.

Communications

No communications were received from the pilot.

Wreckage and impact information

The National Transportation Safety Board (NTSB) investigator-in-charge (IIC) examined the airplane wreckage at the accident site on July 8, 2002. The terrain surrounding the accident site consisted of a large mountain valley oriented about east/west. The east end of the valley, where the wreckage was found, has rising terrain of about 15 degrees sloping up toward a "U" shaped canyon, which leads to the summit of Anderson Pass. The wreckage came to rest near the center of the valley, in an upsloping rock and snow-covered area, adjacent to a small mountain ravine.

All of the airplane's major components were located at the main wreckage area. The airplane's fuselage and cabin came to rest on its left side, with the nose of the airplane oriented on a 275 degree heading. (All headings/bearings noted in this report are oriented toward magnetic north.)

The first observed point of ground contact was a circular-shaped disruption in the snow located about 4 feet forward of the airplane's nose. The disruption in the snow measured about 12 inches deep, and about 5 feet wide.

A single 3-inch deep, by about 12-foot long depression, was visible in the snow, emanating from the center of the circular-shaped disruption in the snow. The 12-foot long disruption in the snow matched the length and shape of the right wing leading edge. Embedded in the snow, along the length of the 12-foot long depression, were small pieces of black paint chips. The airplane's wing leading edges were painted black.

The wings remained attached to the fuselage, but were extensively distorted at the wing to fuselage attach point. Both wing lift struts remained attached to the wings and lower fuselage attach points.

The outboard half of the left wing had spanwise leading edge aft crushing with more crushing evident along the outboard portion of the leading edge. The left wing was pushed aft, and found lying along the left side of the fuselage.

The flight control surfaces remained connected to their respective attach points. Due to the impact damage, the flight controls could not be moved by their respective control mechanisms, but the continuity of the flight control cables was established to the cabin/cockpit area.

The instrument panel was crushed and twisted against the back of the engine firewall. The engine firewall was crushed against the back of the engine accessory case.

The propeller assembly remained connected to the engine crankshaft. One propeller blade exhibited almost 90 degree aft bending about mid-span, and the second propeller blade exhibited about 10 degrees aft bending about mid-span. Both propeller blades had minor leading edge gouging and chordwise scratching.

The engine sustained impact damage to the underside portion of the engine. The muffler was crushed upward against the engine, as was the muffler exhaust tube. The crushed, and folded edges of the muffler exhaust tube did not exhibit any cracking or breaks.

Medical and pathological information

A postmortem examination of the pilot was conducted under the authority of the Alaska State Medical Examiner, 4500 South Boniface Parkway, Anchorage, Alaska, on July 9, 2002. The cause of death for the pilot was attributed to multiple impact injuries. The medical examiner who conducted the postmortem examination noted in part, in his preliminary autopsy report: "While undressing the subject, a pharmaceutical container labeled Ultram 50 mg is found. There are seven (7) oval-shaped white tablets labeled "06/59" within this container."

The Federal Aviation Administration (FAA) Civil Aeromedical Institute (CAMI) conducted a toxicological examination on September 19, 2002. The examination revealed the presence of the following agents in the pilot's blood:

Tramadol (1.61 ug/ml, ug/g)

Hydrocodone (0.28 ug/ml, ug/g)

Dihydrocodeine (amount unspecified)

Paroxetine (0.142 ug/ml,ug/g)

Acetaminophen (2.605 ug/ml, ug/g)

The following

Aircraft

Registration
N43Z
Reported as
Zawada Super Cuby
Category
Airplane, amateur-built
Serial number
588
Engine
Lycoming O-235, 135 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Lawrence E. Erie
Airworthiness certificate
Special, Experimental (Special)
Departed
4A1 · Wasilla, AK
Destination
4A1 · Wasilla, AK

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
54
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
August 17, 2000
Seat
Front
Toxicology
Performed
Flight hours
2,050 total

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 6 knots
Visibility
40 statute miles
Lowest ceiling
6,000 ft overcast
Temperature
54 °F, dew point 37 °F
Altimeter
29.78 inHg
Observed at
PAEC, 30 nm away

Docket · 12

The files NTSB released with the investigation on May 20, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.3 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.