CEN12LA209

NTSB accident investigation · Walling Vans RV-3 · Larchwood, IA · March 28, 2012

Accident · FatalLimited investigationFinal report
Date
March 28, 2012, 12:30 local (17:30 UTC)
Place
Larchwood, IA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N34WCWalling Vans RV-3
Defining event
Landing-landing roll: Nose over/nose down
Weather
Visual (VMC) · Day
Status
Completed · report October 15, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards District Office
FAA report
20120328003989A
Case key
83240

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's failure to maintain directional control of the airplane after landing.

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.

Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedWalling R A VANS RV-3A: 1 caseAll aircraft: 3,958 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

After landing, the airplane veered off the right side of the runway into an adjacent corn field, where it nosed over and came to rest inverted. The canopy and vertical stabilizer were crushed. A toxicology screen revealed the presence of fluoxetine (Prozac, an antidepressant); norfluoxetine (a metabolite of fluoxetine); and trazodone (a tranquilizer). These drugs carry the warning that they may impair mental and/or physical ability required for the performance of potentially hazardous tasks and are contraindicated for flight. On his most recent application for medical certification, the pilot did not report taking these medications. Although the presence of these medications and the conditions for which they were prescribed posed an increased hazard to flight safety, it could not be determined if the pilot was experiencing any side effects from the medications at the time of the accident. Postaccident examination revealed no evidence of preimpact mechanical malfunctions or anomalies that would have precluded normal operation.

Factual narrative

On March 28, 2012, about 1230 central daylight time, a Walling Vans RV-3, N34WC, collided with terrain shortly after landing on runway 30 at Zangger Vintage Airport (K2VA), Larchwood, Iowa. The private pilot, the sole occupant on board, was fatally injured. The airplane was substantially damaged. The airplane was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations (CFR) Part 91 as a personal flight. Visual meteorological conditions (VMC) prevailed at the time of the accident, and no flight plan had been filed. The local flight had originated from Marv Skie-Lincoln County Airport (KY14), Tea, South Dakota, about 1115. According to the Federal Aviation Administration (FAA) inspector who went to the site, the pilot had landed on runway 30, and the airplane went off the right side of the runway into an adjacent corn field. The airplane's main landing gear became mired in soft earth and the airplane nosed over, coming to rest inverted. The canopy and vertical stabilizer were crushed. The pilot was strapped securely in his seat via a five-point restraint system. The pilot was a 57-year-old physician. He held a third class airman medical certificate, dated February 27, 2012, with no restrictions or limitations. On his application for medical certification, he did not report taking fluoxetine or trazodone. A toxicology screen performed by FAA’s Civil Aerospace Medical Institute (CAMI) indicated 1.509 (ug/mL, ug/g) fluoxetine (Prozac) and 0.866 (ug/mL, ug/g) norfluoxetine were detected in Illiac blood. Fluoxetine and norfluoxetine were also detected in urine. In addition, Trazodone was detected in both Illiac blood and urine. According to CAMI's reference material, Fluoxetine is a prescription antidepressant and is a selective serotonin reuptake inhibitor (SSRI). Its active metabolite is norfluoxetine. The FAA may issue a special issuance of a medical certificate for pilots on this medication after a thorough evaluation and ongoing close follow-up of the condition. Trazodone is a prescription antidepressant that selectively inhibits serotonin uptake. It is contradicted for flying. According to the CAMI's reference material, all reported substances carry the warning: "May impair mental and/or physical ability required for the performance of potentially hazardous tasks (e.g., driving, operating heavy machinery)." According to previous medical certificate applications, the pilot did report a history of anxiety and situational depression while he was in medical school (1994), and he was treated for 12 months with selective serotonin reuptake inhibitors (SSRIs). The condition was eventually resolved and the pilot was found eligible for medical certification in 1997.

Aircraft

Registration
N34WC
Reported as
Walling Vans RV-3
Category
Airplane, amateur-built
Serial number
811-4
Airframe hours
591
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Robert A. Akins
Registered owner
Robert A. Akins
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · February 24, 2012
Departed
KY14 · Tea, SD
Destination
K2VA · Larchwood, IA
Airport
K2VA · Zangger Vintage Airport, runway 30, 3,500 × 100 ft, grass/turf

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
57
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3
Last flight review
March 5, 2012
Seat
Center
Toxicology
Performed
Flight hours
740 total · 2 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 36 °F
Altimeter
30.04 inHg
Observed at
KFSD, 22 nm away

Docket · 14

The files NTSB released with the investigation on August 22, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 780 KB 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.