CEN09LA144

NTSB accident investigation · Cox William M Bearhawk · Anahuac, TX · January 29, 2009

Accident · FatalLimited investigationFinal report
Date
January 29, 2009, 15:00 local (21:00 UTC)
Place
Anahuac, TX
Injuries
3 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N3WCCox William M Bearhawk
Defining event
Maneuvering: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report May 11, 2010
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA FSDO, Lycoming Engines
FAA report
20090129000599A
Case key
73287

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

A loss of control in flight for undetermined reasons.

Findings · 2

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.

Not determinedNot determined › Not determined · Unknown/Not determinedCox William M BEARHAWK: 1 caseAll aircraft: 2,247 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 two passengers departed in a single-engine homebuilt airplane for a local sightseeing flight. Several witnesses reported that the airplane was "low" and "wiggling up-and-down or weaving side-to-side". They added that the engine sounded like it was "missing" or making "popping" noise before the airplane then disappeared behind a row of trees. The examination of the engine revealed that the carburetor's venturi throat and throttle plate were sooted and displayed signatures consistent with back-firing up through the induction system. The discharge nozzle was also sooted. Additionally, use of a carburetor icing chart showed the airplane was operating in the general area of "serious to moderate icing at cruise power or serious icing at descent power" at the time of the accident. A review of a video from a camcorder found in the wreckage revealed that the right seat passenger filmed part of the flight leading up to the mishap. A sound spectrum study of the tape revealed that the engine was operating at a constant 2283 rpm until the last 20 seconds of the recording. During the last section of recording the engine speed appeared to fluctuate between 2220 and 2500 rpm; however, it was not determined whether this fluctuation was actually the engine behavior or an induced effected caused by rapid movement of the camera during the recording. It was also noted that the video revealed what appeared to be a routine flight until the last moments of the tape, when the camcorder captured a quick change in the aircraft's bank, pitch (or both). The tape ended prior to the actual accident/impact sequence. Examination of the airframe and engine failed to identify any pre-impact malfunctions.

Factual narrative

HISTORY OF FLIGHT On January 29, 2009, approximately 1500 central standard time, a single-engine, amateur-built airplane, Bearhawk, N3WC, was substantially damaged upon impact with terrain, following a loss of control, about 6 miles south of the Chambers County Airport (T00), Anahuac, Texas. The private pilot and two passengers were fatally injured. The airplane was owned and operated by a private individual. No flight plan was filed and visual meteorological prevailed for the Title 14 Code of Federal Regulations Part 91 personal flight. There were no witnesses to the impact; however, six people in the area reported seeing the airplane just prior to the accident. The first witness reported that the airplane was low and the engine was "sputtering.” The witness added the airplane was "wiggling up-and-down; three or four times, before going straight down behind a row of trees." Two other witnesses reported seeing the airplane about 150 feet above the ground with one of the witnesses reporting that it sounded like the engine was "missing.” Another witness stated that the engine was making "popping" sounds. The final witness described the airplane as "low and weaving side-to-side, and up-and-down …. [then] abruptly took a nose dive." The Federal Aviation Administration (FAA) Inspector, who arrived on scene, reported that the airplane impacted an open field. Airplane damage and ground impact signatures were consistent with the airplane being inverted during the collision with the ground. The fuselage, wings, engine, landing gear, and empennage were located at the crash site. The fuel tanks had been breached, and there was a strong fuel smell in the immediate area. Two aviation handheld GPS units and a Sony Hi8 camcorder were located in the wreckage and turned over to the NTSB Investigator-In-Charge (IIC). PERSONNEL INFORMATION The pilot/owner held a private pilot certificate with a rating for airplane, single-engine land and a mechanic; airframe and powerplant certificate. His most recent FAA third-class medical certificate was issued July 15, 2008. The pilot had accumulated approximately 1,795 total flight hours of flight experience. METEOROLOGICAL INFORMATION At 1350, an automated weather reported station at EFD, approximately 25 nautical miles west of the accident site, reported winds from 360 degrees at 8 knots, visibility 10 miles, few clouds at 25,000 feet, temperature 57 degrees Fahrenheit, dew point 34 degrees Fahrenheit, and a barometric pressure of 30.18 inches of Mercury. At 1452, an automated weather reported station at GLS, approximately 26 nautical miles south of the accident site, reported winds from 350 degrees at 8 knots, visibility 10 miles, a clear sky, temperature 52 degrees Fahrenheit, dew point 38 degrees Fahrenheit, and a barometric pressure of 30.18 inches of Mercury. Use of a carburetor icing chart showed the airplane was operating in the general area of "serious to moderate icing at cruise power or serious icing at descentpower" at the time of the accident. WRECKAGE AND IMPACT INFORMATION The aircraft wreckage was retrieved and transported to a secure site. An examination was conducted by the NTSB IIC with a technical representative from Lycoming aircraft engines, at the salvage facility on 12 February 2009. The cabin area was largely compromised by the impact; the wings had been removed for transport. Both wings appeared slightly crushed from the leading edge to about mid-span. The top wing skins exhibited a "wave effect". The flight control cables to the ailerons, rudder, and elevator were found attached to their respected attach points. Several "salvage cuts" on the various control cables were noted. Continuity to the flaps was established. The instrument panel was largely destroyed by the crash, and contained the "push-pull" controls for the throttle, propeller, and carburetor heat controls. The prop control was found to be out about ½ inch, the throttle control was full in, and the carburetor heat control was broken off. Due to the damage, no determination could be made on the position of the controls prior to impact. No pre-impact anomalies were discovered with the airframe. The airplane was powered by a Lycoming O-540 reciprocating engine, which was equipped with a Hartzell, two-bladed constant speed propeller. As a result of the ground impact, a top section of the engine cowling was formed over the engine. Several of the top sparkplugs were broken in addition to damage to the cylinders pushrod tubes. The propeller remained attached to the crankshaft flange. The crankshaft flange appeared slightly bent. Both magnetos were removed from the engine. The left magneto contained an impulse coupling. When rotated by hand, both magnetos furnished spark to each ignition lead tower. The engine was rotated by hand, a thumb compression was established on each cylinder and continuity to the back engine accessory case was confirmed. The engine cylinders were examined using a borescope. The carburetor and the airbox assembly, which was broken away from engine sump, was examined. The fuel inlet screen was removed, and appeared clean. The carburetor's airbox received minor damage, and the heat gate was free to move between the carb heat "on" and "off" positions freely. The position of the heat gate could not be determined prior to impact. The carburetor was disassembled and examined. It was noted that the venturi throat and throttle plate were sooted and displayed signatures consistent with back-firing up through the induction system to the carburetor. The discharge nozzle was also sooted. The signatures appeared consistent with carburetor icing. MEDICAL AND PATHOLOGICAL INFORMATION The pilot's autopsy was performed, by the Southeast Texas Forensic Center, Inc., DBA: Jefferson County Morgue on January 29, 2009. The Medical Examiner listed the cause of death for the pilot as, "multiple traumatic injuries …." Forensic toxicology was performed on specimens from the pilot bythe FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma. The toxicology report was positive for Azacyclonol. TEST AND RESEARCH One of the GPS units, downloaded by the National Transportation Safety Board's Vehicle Recorder Division Laboratory in Washington, D.C., provided pertinent data which began at 1435:25 CST, and at a latitude/longitude position fix corresponding to the RWJ Airpark (54T) in Baytown, TX. The GPS data shows the airplane's flight departing 54T, heading easterly following the shoreline of Trinity Bay. The final GPS position location fix was recorded at 1443:35 CST and placed the aircraft at N29° 42.698’ and W94° 41.348’ with 828 ft GPS altitude. The last calculated velocity and direction of travel was 130 mph groundspeed with a course of 169° true. The accident site was located approximately three-quarters of a mile from the last GPS position. The camcorder was largely destroyed by the accident; however, the tape (8mm video cassette) received only minor damage and was also sent to the Board's vehicle recorder for review. The tape ended prior to the accident/impact sequence; however, the tape was examined for events leading up to the mishap. The video revealed what appeared to be a routine flight until the last moments of the tape, when the camcorder recorded a quick change in the aircraft's bank, pitch (or both). A sound spectrum study was performed and indicated that the engine was operating at a constant 2283 rpm until the last 20 seconds of the recording. During the last section of recording, the engine speed appeared to fluctuate between 2220 and 2500 rpm; however, it was not determined whether this fluctuation was actually the engine behavior or an induced effected caused by rapid movement of the camera around the cabin, during the recording. The video also disclosed that the person wearing a blue flannel shirt and khaki colored pants was in the left-front seat and the individual wearing light brown colored work pants was in the right-front seat. Additionally, the video reveals that the person seated in the right-front seat was operating the camcorder.

Aircraft

Registration
N3WC
Reported as
Cox William M Bearhawk
Category
Airplane, amateur-built
Serial number
303
Airframe hours
102
Engine
Lycoming O-540 SERIES, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · May 1, 2008
Departed
54T · Baytown, TX
Destination
54T · Baytown, TX

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
67
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
1,795 total · 100 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 34 °F
Altimeter
30.18 inHg
Observed at
EFD, 25 nm away

Docket · 18

The files NTSB released with the investigation on March 4, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.1 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.