CEN10LA463

NTSB accident investigation · Air Tractor AT-802A · Lindsay, NE · August 8, 2010

Accident · FatalLimited investigationFinal report
Date
August 8, 2010, 13:05 local (18:05 UTC)
Place
Lindsay, NE
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N802BGAir Tractor AT-802A
Defining event
Maneuvering-low-alt flying: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report May 30, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards District Office
FAA report
20100808040649A
Case key
76879

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 loss of airplane control for reasons that could not be determined because postaccident examination of the engine did not reveal any anomalies that would have precluded normal operation and evidence was insufficient to definitively establish whether the pilot was impaired or incapacitated.

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.

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 had been spraying fungicide on corn fields when the accident occurred. There were no witnesses to the accident. Examination of the accident site indicated that the airplane had impacted the ground at a high angle and that there was a post-impact fire. Engine examination bore evidence consistent with power being developed at the time of impact. No preimpact malfunctions or failures were found that would have precluded normal operation. Autopsy of the pilot revealed non-ischemic dilated cardiomyopathy, but the severity could not be determined. Since the pilot did not have any known personal physician and there was no evidence that he had ever sought treatment for this condition, it is likely that it had gone undiagnosed. Patients diagnosed with non-ischemic dilated cardiomyopathy who also have significant left ventricular dysfunction are at increased risk for sudden cardiac death. The pilot had a significant risk factor for cardiac arrhythmias, but the fact that he had significant bleeding associated with the injuries due to the accident suggests that he did not experience sudden cardiac death before impact. The possibility of preimpact impairment or incapacitation of the pilot could not be definitively established.

Factual narrative

On August 8, 2010, at 1305 central daylight time, an Air Tractor AT-802A, N802BG, registered to and operated by Alan East Aviation, LLC, was substantially damaged when it impacted terrain while making aerial application maneuvers near Lindsay, Nebraska. The pilot, the sole occupant on board the airplane, was fatally injured. The airplane was owned and operated by Alan East Aviation, LLC, Wichita Falls, Texas. The aerial application flight was being conducted under the provisions of 14 Code of Federal Regulations Part 137 without a flight plan. Visual meteorological conditions prevailed at the time of the accident. The local flight originated from Norfolk, Nebraska, approximately 1150. A farmer saw the airplane spraying fungicide on a 200-acre corn field near Lindsay, about 22 miles southwest of Norfolk. Then he saw the airplane spraying another field about 1 mile east of the previous field. The witness saw the airplane make three spray passes from north to south around 1245. He did not witness the accident. When notified, a Federal Aviation Administration (FAA) inspector from the Lincoln Flight Standards District Office and representatives from Air Tractor and Pratt and Whitney-Canada responded to the accident site. According to the FAA inspector, the main body of wreckage was located between two corn fields approximately 1/2-mile north of the field that was being sprayed. The airplane had impacted the ground at a high nose-down impact angle. The engine and propeller were located on a dirt road just south of the wreckage. There was evidence of a post-impact fire. The flaps were found extended, the degree of flap extension was not determined. According to the Air Tractor representative, the pilot had been a company test pilot for 13 years. His logbook showed 2,450 hours total flight time, and about 948 hours as a production test pilot. He had also logged about 250 hours as an aerial applicator. According to Pratt and Whitney Canada, the engine’s 1st stage compressor blades and shroud, and the 2nd stage power turbine blade tips and shroud displayed heavy circumferential rubbing and scoring. The reduction gearbox propeller shaft coupling webs were fractured in torsion. There was no evidence of pre-impact malfunction or failure. NTSB’s Chief Medical Officer was consulted. According to her factual report, the autopsy revealed dilated non-ischemic cardiomyopathy. The heart weighed 440 grams (gm). Normal cardiac size for a 74-inch male would be less than 355 gm. The coronary arteries had a normal external distribution and were found to have minimal (0-25%) stenosis (all 3 vessels). The atrial ventricular septae was intact and there was severe 4-chamber dilation. The left ventricular free wall measured 1.2 centimeters (cm), the interventricular septum measured 1.2 cm, and the right ventricular free wall measured 0.3 cm. The heart valves were unremarkable. No histologic evaluation was performed. Normal left ventricular wall is up to 1.5 cm and normalright ventricular wall thickness is 0.2- 0.4cm. The toxicology report noted the presence of dextromethorphan, an over-the-counter cough suppressant, in the urine but not in the blood. When taken alone and at recommended doses, dextromethorphan has minimal effects on the nervous system and has not been identified as a safety concern for motor vehicle drivers. It’s metabolite, dextrorphan, was found in both urine and blood.

Aircraft

Registration
N802BG
Reported as
Air Tractor AT-802A
Category
Airplane
Serial number
802A-0364
Airframe hours
183
Engine
Pratt&Whitney-Canada PT6A-60AG, 1,050 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Aerial application · Part 137
Operator
Alan East Aviation LLC
Registered owner
Alan East Aviation LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · April 23, 2010 · 183 hours before
Departed
OFK · Norfolk, NE
Destination
Lindsay, NE

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
41
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
July 7, 2010
Seat
Center
Toxicology
Performed
Flight hours
4,445 total · 70 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 75 °F
Altimeter
29.76 inHg
Observed at
OFK, 16 nm away

Docket · 10

The files NTSB released with the investigation on April 16, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.8 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.