ANC22LA012

NTSB accident investigation · Flight Design Ctls · Hana, HI · January 15, 2022

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
January 15, 2022, 09:55 local (19:55 UTC)
Place
Hana, HI
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N992SAFlight Design Ctls
Defining event
Takeoff: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
FAA, Rotax Aircraft Engines
FAA report
20220115000669A
Case key
104533

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

On this page

Probable cause

The pilot’s exceedance of the airplane’s critical angle of attack during the initial climb, which resulted in an aerodynamic stall and subsequent impact with terrain.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotFlight Design CTLS: 22 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedFlight Design CTLS: 4 casesAll aircraft: 990 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot and pilot-rated passenger completed several takeoffs and landings before departing to their destination. The pilot reported that, during the accident takeoff, the airplane “had no power to climb” and was “sinking.” The airplane descended into trees and impacted terrain in a near-vertical attitude just past the departure end of the runway. The pilot-rated passenger stated that the pilot pitched the airplane “higher than he needed” and “held the high pitch attitude” until the airplane descended into the trees, and pilot-rated witnesses reported that the airplane exhibited an “unusually high” nose-up pitch attitude during the takeoff. Postaccident examination of the engine and engine monitoring system data revealed no evidence of mechanical malfunctions or anomalies that would have precluded normal operation of the engine. Given the passenger and witness statements regarding the airplane’s nose-high pitch attitude, it is likely that the pilot exceeded the airplane’s critical angle of attack during the initial climb after takeoff, resulting in an aerodynamic stall and subsequent impact with terrain.

Factual narrative

On January 15, 2022, about 0955 Hawaii-Aleutian standard time, a Flight Design CTLS light sport airplane, N992SA, sustained substantial damage when it was involved in an accident near Hana, Hawaii. The pilot sustained serious injuries, and the pilot-rated passenger sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that he and the passenger conducted several touch-and-go landings before departing to their destination. During the accident takeoff, the airplane performed normally until about 75 ft above ground level, when the pilot noted that the airplane had “no power to climb” and was “sinking.” The airplane descended into trees and impacted the ground in a near vertical attitude just past the departure end of the runway, resulting in substantial damage to the fuselage and wings. Two pilot-rated witnesses reported that they heard no unusual sounds. The witnesses noticed that the airplane had an “unusually high” nose-up attitude during takeoff. The pilot-rated passenger reported that the pilot pitched the airplane “higher than he needed” and “held the high pitch attitude” until the airplane descended into the trees. A Dynon EMS-D120 engine monitoring system was removed from the airplane and sent for data download at the NTSB Recorders Laboratory. The flight data indicated that, about 40 seconds before impact, the engine RPM increased from idle to maximum RPM and maintained maximum engine RPM to the end of recording. A postaccident examination of the engine was conducted by an accident investigator from the engine manufacturer with oversight provided by an inspector from the Federal Aviation Administration. The examination revealed all spark plugs appeared normal with no anomalies, carburetor main jet was clear of obstruction and floats were within weight limitation. The fuel shut off was operational, and no obstructions observed in the fuel lines. All engine rocker arms, valves, valve springs were intact and operated normally. No anomalies seen with the exhaust system. Gearbox was in good condition and the propeller shaft rotated smoothly. Continuity was established with the crankshaft when the engine was rotated. Thumb compression was observed in all cylinders.

Aircraft

Registration
N992SA
Reported as
Flight Design Ctls
Category
Airplane
Serial number
08-02-06
Built
2008
Airframe hours
825
Engine
Rotax 912ULS SERIES, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental light sport (Special)
Last inspection
100 hour · April 23, 2022 · 35.9 hours before
Departed
HNM · Hana, HI
Destination
OOG · Kahului, HI
Airport
HNM · Hana Airport, runway 26, 3,606 × 100 ft, asphalt
Equipment
Stall warning system

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
70
Injuries
Serious
Certificate
Sport Pilot
Airplane ratings
Single-engine land
Last flight review
March 13, 2014
Seat
Left
Restraint
4-point
Flight hours
500 total · 27 in this make and model · 416 as pilot in command
Role
Pilot-rated passenger
Injuries
Minor
Certificate
Flight instructor
Seat
Right

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Temperature
79 °F, dew point 63 °F
Altimeter
30.04 inHg
Observed at
PHOG, 24 nm away
METAR
PHOG 151954Z 00000KT 10SM FEW050 26/17 A3004 RMK AO2 SLP176 T02610172

Docket · 7

The files NTSB released with the investigation on August 23, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.1 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.