CEN09LA277

NTSB accident investigation · Champion 7GCBC · Surrey, ND · May 3, 2009

Accident · FatalLimited investigationFinal report
Date
May 3, 2009, 18:00 local (23:00 UTC)
Place
Surrey, ND
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N5106TChampion 7GCBC
Defining event
Maneuvering-low-alt flying: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed · report December 15, 2009
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA-Fargo FSDO
FAA report
20090503009799A
Case key
73779

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 failure to maintain control of the airplane during an abrupt pull-up maneuver, which resulted in an aerodynammic stall at low altitude.

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 · PilotChampion 7GCBC: 8 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: pitch controlAircraft › Aircraft oper/perf/capability · Incorrect use/operationChampion 7GCBC: 1 caseAll aircraft: 526 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Capability exceededChampion 7GCBC: 2 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

Witnesses stated that the airplane circled a house and descended “close to the ground,” flying at a low altitude along a row of trees. After traveling about one-half mile, the airplane turned right, pitched "upwards and then the nose dipped into the trees.” A postaccident examination of the airframe and engine did not reveal any anomalies consistent with a preimpact failure or malfunction. The pilot had recently started taking fluoxetine, a prescription antidepressant. The medication was unlikely to have resulted in substantial impairment, but the role of the condition for which the medication was prescribed could not be determined.

Factual narrative

HISTORY OF FLIGHT On May 3, 2009, about 1800 central daylight time, a Champion model 7GCBC Citabria, N5106T, piloted by a commercial pilot, was destroyed during an in-flight collision with trees and terrain near Surrey, North Dakota. The flight was being conducted under 14 Code of Federal Regulations Part 91 without a flight plan. Visual meteorological conditions prevailed. The pilot and passenger sustained fatal injuries. The local flight departed Minot International Airport (MOT), Minot, North Dakota, about 1730. A witness stated that he observed the airplane from a field across the road from his house. The airplane was north of his position and traveling south. He reported that it circled his house and descended “close to the ground,” passing his location southbound along a row of trees. After it had traveled about one-half mile, the airplane turned toward the west, pitched "upwards and then the nose dipped into the trees.” A second witness located about one mile northwest of the accident site observed the airplane complete a circle (360-degree turn) and then fly south at a low altitude. The airplane was low enough that he thought that the pilot was spraying a field; although it seemed a little early in the season for spraying. He stated that the airplane subsequently pulled up above the tree line, turned to the right, and disappeared into the tree line. He estimated that the airplane reached a maximum altitude of about 200 feet above ground level. PERSONNEL INFORMATION The pilot held a commercial pilot certificate, with a single-engine land airplane rating. The certificate included a limitation that it was “not valid for carriage of persons for hire in airplanes on cross-country flights of more than 50 nautical miles or at night.” His flight time logbook was not available to the NTSB during the course of the investigation. The pilot was issued a second-class airman medical certificate on March 26, 2009, without limitations. On his application for the medical certificate, the pilot reported a total pilot flight time of 5,145.3 hours, with 556 hours flown during the previous 6 months. He noted his occupation as a self-employed “Farmer/Aerial Applicator” on that application. A search of the Federal Aviation Administration airman database revealed no record of the passenger ever applying for or being issued a pilot certificate. AIRCRAFT INFORMATION The accident airplane was a 1966 Champion model 7GCBC, Citabria, serial number 78. It was powered by a 115-horsepower Lycoming O-235-C1 reciprocating engine. The most recent annual inspection was completed on January 19, 2009, at 1,643 hours total airframe time. METEOROLOGICAL INFORMATION At 1754, weather conditions at Minot International Airport (MOT), located approximately 6 miles west of the accident site, were recorded to be: Winds variable at 4 knots, clear skies, 10 miles visibility, temperature 17 degrees Celsius (C), dew point -02 degrees (C), altimeter 29.92 inches of mercury. WRECKAGE ANDIMPACT INFORMATION The accident site was located in a north-south oriented tree line about 100 feet east of a roadway. The airplane came to rest on an approximate heading of 345 degrees. The forward fuselage (nose and cockpit) came to rest nose down, oriented about 60-degrees relative to the ground. The aft fuselage was buckled near the rear seat and came to rest lying on its right side, with the tip of the right horizontal stabilizer at ground level. The empennage, with the elevator and rudder, remained attached to the fuselage. Flight control continuity from the elevator and rudder to the cockpit was confirmed. The outboard section of the left wing and left aileron had separated from the airframe and were lodged in a tree about 12 feet above the ground. The inboard section of the left wing exhibited leading edge impact damage. The struts were buckled and deformed. The right wing sustained leading impact damage along the entire span. The right wing tip had separated and came to rest near the main wreckage. Discontinuities in the flight control system were consistent in appearance with overload failures. The engine exhibited impact damage to the right, front (#1) cylinder. The remaining cylinders appeared intact. Internal engine continuity was confirmed via crankshaft rotation. Compression was obtained on all cylinders with the exception of the #1 cylinder. The spark plugs exhibited normal wear patterns, and the magnetos produced spark across all leads. Continuity of the engine controls was confirmed. Both propeller blades remained attached to the hub. One blade was bent aft approximately 180-degrees over the span of the blade. The second blade appeared intact. The spinner was deformed. No anomalies consistent with a pre-impact failure or malfunction were observed. MEDICAL AND PATHOLOGICAL INFORMATION The pilot initially survived the accident and was transported to a local hospital for treatment. However, treatment efforts were not successful and the pilot died approximately 6 hours after the accident. An autopsy of the pilot was performed at the North Dakota State Forensic Examiner’s Office in Bismarck, North Dakota, on May 5, 2009. The autopsy report noted the cause of death as “Chest, abdominal & extremity injuries due to airplane crash” and that “There were no other abnormalities of the internal organs which would have caused or contributed to his death.” The Federal Aviation Administration Civil Aero Medical Institute toxicology report stated: 0.19 (ug/mL, ug/g) FLUOXETINE detected in Blood 0.022 (ug/mL, ug/g) FLUOXETINE detected in Urine 0.287 (ug/mL, ug/g) NORFLUOXETINE detected in Blood 0.041 (ug/mL, ug/g) NORFLUOXETINE detected in Urine A family member of the pilot indicated that he had recently started taking fluoxetine, but did not indicate why or specifically when the medication had been prescribed. The pilot’s most recent application for airman medical certificate, dated March 26, 2009, noted “No” to “Do You Currently Use AnyMedication,” and for all items under “Medical History,” including specifically “Mental disorders of any sort; depression, anxiety, etc.”

Aircraft

Registration
N5106T
Reported as
Champion 7GCBC
Category
Airplane
Serial number
78
Airframe hours
1,643
Engine
Lycoming O-235 SERIES, 115 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Standard, Aerobatic; Standard, Normal
Last inspection
Annual · January 19, 2009
Departed
MOT · Minot, ND
Destination
MOT · Minot, ND
Airport
MOT · Minot International

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
43
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Seat
Front
Toxicology
Performed
Flight hours
5,150 total

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 28 °F
Altimeter
29.92 inHg
Observed at
MOT, 8 nm away

Docket · 5

The files NTSB released with the investigation on September 29, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.1 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.