# NTSB CEN09LA543: Sportflight International Astra HKS, N940Z, Bloomfield, IN, August 25, 2009 - Type: NTSB accident investigation - Classification: Accident · Fatal · Limited investigation · Final report - Date: August 25, 2009, 18:21 local (22:21 UTC) - Place: Bloomfield, IN - Coordinates: 39.044445, -87.005554 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=39.0444&lon=-87.0056&mi=10 - Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping) - Defining event: [Maneuvering: Loss of control in flight](https://openairdocs.org/ntsb-events/240) - Highest injury: Fatal - Injuries: 2 fatal - Status: Completed, report April 22, 2010 - Report: Approved by Office Director - NTSB office: Central Region - Parties: Federal Aviation Administration - NTSB case key (mKey): 74598 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN09LA543 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/74598/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=74598 - Page: https://openairdocs.org/ntsb/CEN09LA543 ## Probable cause The pilot's failure to maintain control of the airplane while maneuvering. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Sportflight International ASTRA HKS, 1 case](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=05901H4), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md) - [Performance/control parameters](https://openairdocs.org/ntsb-findings/01062000): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Sportflight International ASTRA HKS, 1 case](https://openairdocs.org/ntsb-findings/01062000/cases.md?model=05901H4), [All aircraft, 1,269 cases](https://openairdocs.org/ntsb-findings/01062000/cases.md) - [Health/Fitness: use of medication/drugs](https://openairdocs.org/ntsb-findings/02013020): Personnel issues › Physical · Pilot; cases with it: [Sportflight International ASTRA HKS, 1 case](https://openairdocs.org/ntsb-findings/02013020/cases.md?model=05901H4), [All aircraft, 73 cases](https://openairdocs.org/ntsb-findings/02013020/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Maneuvering: Loss of control in flight](https://openairdocs.org/ntsb-events/240) (defining event); cases with it: [Sportflight International ASTRA HKS, 1 case](https://openairdocs.org/ntsb-events/240/sequence.md?model=05901H4), [All aircraft, 5,002 cases](https://openairdocs.org/ntsb-events/240/sequence.md) - [Maneuvering: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Sportflight International ASTRA HKS, 1 case](https://openairdocs.org/ntsb-events/470/sequence.md?model=05901H4), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis Witnesses reported that the airplane was flying from north to south over the airport. One witness, who was an instructor and builder of the accident airplane make and model, observed the airplane "initiate a steep climb and then an approximate 60 degree bank turn." He described the bank as "non-sustainable, too much slide." Another witness reported that while maneuvering for the landing, the airplane entered a "hard left bank at low altitude and went into the ground." Witnesses reported the sky was clear and the wind was calm. Postaccident examination of the airplane revealed no anomalies with the airframe or engine. Toxicology test results were consistent with the recent use of diphenhydramine, a sedating and impairing over-the-counter antihistamine often known by the trade name of Benadryl. The extent to which impairment from the medication may have played a role in the accident could not be determined. ## Factual narrative HISTORY OF FLIGHT On August 25, 2009, at 1821 eastern daylight time, a Sportflight International LLC Astra HKS experimental light-sport airplane, N940Z, was destroyed when it impacted terrain while maneuvering near the Shawnee Field Airport (1I3), Bloomfield, Indiana. The sport pilot and passenger were fatally injured. The airplane was registered to and operated by the pilot. Visual meteorological conditions prevailed, and a flight plan was not filed for the 14 Code of Federal Regulations Part 91 personal flight. The flight departed 1I3 at an unknown time. According to witnesses, the airplane was flying from north to south over the airport. One witness, who was an instructor and builder of the accident airplane make and model, observed the airplane "initiate a steep climb and then an approximate 60 degree bank turn." He described the bank as "non-sustainable, too much slide." Another witness reported that while maneuvering for the landing, the airplane entered a "hard left bank at low altitude and went into the ground." The witnesses stated the engine sounded like it was operating normally at the time of the accident. The two occupants were found secured in the airplane with their restraints and were wearing helmets. Local authorities reported the pilot had been flying the airplane with various takeoff and landings since approximately 1700. PERSONNEL INFORMATION The pilot, age 68, held a sport pilot certificate, issued on October 23, 2006, with weight-shift control, land class, privileges. The pilot's personal flight record logbook was not provided for examination. The pilot did not hold a Federal Aviation Administration (FAA) medical certificate, nor was one required to operate a light-sport airplane. An acquaintance of the pilot reported to a FAA inspector that he believed the pilot's total flying experience was about 200 flight hours, and 180 hours in the accident airplane. This acquaintance was also the pilot's instructor in the accident airplane. AIRCRAFT INFORMATION The two-place, weight shift control Astra HKS trike design (serial number A0501010H) airplane was equipped with a 3-blade pusher propeller, tricycle landing gear, and powered by a 60-horsepower HKS 700E engine. The airplane had two seats in a tandem configuration. The airplane was registered to the pilot on September 23, 2006. The airplane logbooks were not located or provided during the investigation. According to manufacturer information, the stall speed for the airplane is 32 miles per hour. METEOROLOGICAL INFORMATION Witnesses reported the sky was clear, the visibility was at least 10 miles, and the wind was calm. COMMUNICATIONS The FAA reported no evidence of any radio communications with the accident pilot. WRECKAGE AND IMPACT INFORMATION The FAA coordinator examined the airplane on scene, and he was assisted by the airplane manufacturer. The airplane came to rest inverted in soybean field approximately 100 feet from the airport perimeter. The initial impact point to themain wreckage measured approximately 40 feet. All structural airframe and engine components were found with the main wreckage. There was no evidence of fire. The airplane wing structure was fractured into several sections. The control cables for the flex wing were intact; however, some cables were cut by emergency personnel. The nose and left landing gear assemblies were separated from the airframe. The fuel tank was compromised and fractured into several sections. The composite front fairing and seat assemblies were fragmented and destroyed. The engine remained partially attached to the airframe. All three propeller blades were separated at the propeller hub. The ballistic recovery system (BRS) chute was found out of the container and the rocket had been discharged. A witness familiar with the airplane reported hearing "a peculiar sound" at impact, which he said was consistent with the rocket discharge. An examination of components revealed evidence of deformation consistent with ground impact. No evidence was noted of pre-impact structural airframe or engine failure. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy was performed on the pilot by the Terre Haute Regional Hospital's Department of Pathology, Terre Haute, Indiana. The autopsy findings indicated the pilot died from multiple blunt force injuries. The autopsy report indicated, "Specimens for Toxicology: Blood (cavity) and Urine." Forensic toxicology was performed on specimens from the pilot by the FAA's Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma. The toxicology report stated evidence of diphenhydramine was detected in the blood (0.011 ug/ml, ug/g). Diphenhydramine, commonly known by the trade name Benedryl, is an over-the-counter antihistamine with sedative effects, often used to treat allergy symptoms. No evidence of ethanol was detected in blood, and no other evidence of drugs was found. ## Aircraft - Registration: [N940Z](https://openairdocs.org/aircraft/N940Z), registered now, S/N A0501010H, built 2005 (OpenAirDocs) - Reported make and model: SPORTFLIGHT INTERNATIONAL LLC ASTRA HKS - Registry model: [Sportflight International ASTRA HKS](https://openairdocs.org/model/sportflight-international-astra-hks) (registry code 05901H4) (OpenAirDocs) - Registry engine: [HKS 700E](https://openairdocs.org/engine/hks-700e) (registry code 33777, 4 cycle) (OpenAirDocs) - Category: Weight-shift - Serial number: A0501010H - Engines: HKS 700E 60 horsepower reciprocating - Damage: Destroyed - Flight: Personal, Part 91 - Operator: Johnson David C - Registered owner: Johnson David C - Airworthiness certificate: Special, Experimental light sport (Special) - Departed: Bloomfield, IN - Destination: Bloomfield, IN ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 68; injuries: fatal; sport pilot; medical: sport pilot; seat: front; toxicology performed; flight hours: 200 total, 180 in this make and model ## Weather - Conditions: Visual (VMC), Day - Wind: 140° at 5 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 81 °F, dew point 63 °F - Altimeter: 30.07 inHg - Observed at: BMG, 19 nm away ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20090825048619A](https://openairdocs.org/incident/20090825048619A), Aug 25, 2009: Sportflight ASTRA HKS, Bloomfield, IN, Destroyed, 2 fatal. Aircraft N940Z, a Sportflight intl LLC astra, was found to be destroyed upon impact approximately 100 feet south of runway 18/36 at Shawnee Field in… ## Docket (8 files) The files NTSB released with the investigation on December 30, 2009, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=74598. 2.6 MB in all. - FAA Witness Summaries (item 1, .PDF, 94 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40322795&FileExtension=.PDF&FileName=FAA%20Witness%20Summaries-Redacted.PDF - FAA Wreckage Diagram (item 2, .PDF, 156 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40322796&FileExtension=.PDF&FileName=FAA%20Wreckage%20Diagram-Master.PDF - FAA Inspector Statement (item 3, .PDF, 65 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40322797&FileExtension=.PDF&FileName=FAA%20Inspector%20Statement-Redacted.PDF - Toxicological Report (item 4, .PDF, 110 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40322799&FileExtension=.PDF&FileName=Toxicological%20Report-Master.PDF - Photo 01 Initial Impact (item 5, .PDF, 595 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40322801&FileExtension=.PDF&FileName=Photo%2001%20%20Initial%20Impact-Master.PDF - Photo 02 Runway to Main Wreckage (item 6, .PDF, 587 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40322802&FileExtension=.PDF&FileName=Photo%2002%20%20Runway%20to%20Main%20Wreckage-Master.PDF - Photo 03 Main Wreckage (item 7, .PDF, 619 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40322803&FileExtension=.PDF&FileName=Photo%2003%20Main%20Wreckage-Master.PDF - Photo 04 Main Wreckage (item 8, .PDF, 353 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40322804&FileExtension=.PDF&FileName=Photo%2004%20%20Main%20Wreckage-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.