# NTSB CEN10LA463: Air Tractor AT-802A, N802BG, Lindsay, NE, August 8, 2010 - Type: NTSB accident investigation - Classification: Accident · Fatal · Limited investigation · Final report - Date: August 8, 2010, 13:05 local (18:05 UTC) - Place: Lindsay, NE - Coordinates: 41.618057, -97.618614 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=41.6181&lon=-97.6186&mi=10 - Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping) - Defining event: [Maneuvering-low-alt flying: Loss of control in flight](https://openairdocs.org/ntsb-events/240) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report May 30, 2013 - Report: Approved by Office Director - NTSB office: Central Region - Parties: FAA Flight Standards District Office - NTSB case key (mKey): 76879 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN10LA463 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/76879/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=76879 - Page: https://openairdocs.org/ntsb/CEN10LA463 ## 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 NTSB's coded findings; those marked are part of the probable cause. - [Not determined](https://openairdocs.org/ntsb-findings/05000000): Not determined › Not determined · Unknown/Not determined (probable cause); cases with it: [Air Tractor AT-802A, 7 cases](https://openairdocs.org/ntsb-findings/05000000/cases.md?model=0390308), [All aircraft, 2,247 cases](https://openairdocs.org/ntsb-findings/05000000/cases.md) - [Impairment/incapacitation: cardiovascular](https://openairdocs.org/ntsb-findings/02012050): Personnel issues › Physical · Pilot; cases with it: [Air Tractor AT-802A, 1 case](https://openairdocs.org/ntsb-findings/02012050/cases.md?model=0390308), [All aircraft, 69 cases](https://openairdocs.org/ntsb-findings/02012050/cases.md) - [Health/Fitness: predisposing condition](https://openairdocs.org/ntsb-findings/02013035): Personnel issues › Physical · Pilot; cases with it: [Air Tractor AT-802A, 1 case](https://openairdocs.org/ntsb-findings/02013035/cases.md?model=0390308), [All aircraft, 56 cases](https://openairdocs.org/ntsb-findings/02013035/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Maneuvering-low-alt flying: Loss of control in flight](https://openairdocs.org/ntsb-events/240) (defining event); cases with it: [Air Tractor AT-802A, 8 cases](https://openairdocs.org/ntsb-events/240/sequence.md?model=0390308), [All aircraft, 5,002 cases](https://openairdocs.org/ntsb-events/240/sequence.md) - [Uncontrolled descent: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Air Tractor AT-802A, 27 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=0390308), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## 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](https://openairdocs.org/deregistered/N802BG-2012-04-26), registration cancelled 2012-04-26, S/N 802A-0364, built 2010 (OpenAirDocs) - Reported make and model: AIR TRACTOR AT-802A - Registry model: [Air Tractor AT-802A](https://openairdocs.org/model/air-tractor-at-802a) (registry code 0390308) (OpenAirDocs) - Registry engine: [Pratt & Whitney Canada PT6A-67AG](https://openairdocs.org/engine/pratt-whitney-canada-pt6a-67ag) (registry code 52211, turbo-prop) (OpenAirDocs) - Category: Airplane - Serial number: 802A-0364 - Airframe hours: 183 - Engines: Pratt&Whitney-Canada PT6A-60AG 1050 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 ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 41; injuries: fatal; 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 ## 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 20100808040649A](https://openairdocs.org/incident/20100808040649A), Aug 8, 2010: Air Tractor AT-802A, Lindsay, NE, Destroyed, 1 fatal. A representative from Air Tractor was on the scene and concluded from his past experience that the aircraft was maneuvering to make a turn, and during this… ## Docket (10 files) The files NTSB released with the investigation on April 16, 2013, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=76879. 6.8 MB in all. - NTSB Form 6120.1-2, Pilot-Operator Aircraft Accident Report (item 1, .PDF, 604 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40338388&FileExtension=.PDF&FileName=NTSB%20Form%206120.1-2,%20Pilot-Operator%20Aircraft%20Accident%20Report-Redacted.PDF - NTSB's Medical Officer's Factual Report (item 2, .PDF, 273 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40388930&FileExtension=.PDF&FileName=NTSB%27s%20Medical%20Officer%27s%20Factual%20Report-Master.PDF - Weather Reports and Records (item 3, .PDF, 34 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40334949&FileExtension=.PDF&FileName=Weather%20Reports%20and%20Records-Master.PDF - Toxicology Report (item 4, .PDF, 111 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40339405&FileExtension=.PDF&FileName=Toxicology%20Report-Master.PDF - Photo 1 - The secured accident site after the arrival of the police and fire departments. (item 5, .PDF, 1.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40357373&FileExtension=.PDF&FileName=Photo%201%20-%20The%20secured%20accident%20site%20after%20the%20arrival%20of%20the%20police%20and%20fire%20departments.-Master.PDF - Photo 2 - Front view. (item 6, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40357374&FileExtension=.PDF&FileName=Photo%202%20-%20Front%20view.-Master.PDF - Photo 3 - Side view. (item 7, .PDF, 1.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40357375&FileExtension=.PDF&FileName=Photo%203%20-%20Side%20view.-Master.PDF - Photo 4 - Wing flap. (item 8, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40357376&FileExtension=.PDF&FileName=Photo%204%20-%20Wing%20flap.-Master.PDF - Photo 5 - Wing flap and actuator rod. (item 9, .PDF, 641 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40357377&FileExtension=.PDF&FileName=Photo%205%20-%20Wing%20flap%20and%20actuator%20rod.-Master.PDF - Photo 6 - Close-up view of actuator rod. (item 10, .PDF, 519 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40357378&FileExtension=.PDF&FileName=Photo%206%20-%20Close-up%20view%20of%20actuator%20rod.-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.