CEN12LA636

NTSB accident investigation · JDT Mini-Max 1500R · Cameron, MO · September 16, 2012

Accident · FatalLimited investigationFinal report
Date
September 16, 2012, 18:52 local (23:52 UTC)
Place
Cameron, MO
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N3533DJDT Mini-Max 1500R
Defining event
Initial climb: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report October 9, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration - Kansas City FSDO
FAA report
20120916021119A
Case key
85049

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 adequate airspeed during initial climb, which resulted in an aerodynamic stall and spin at a low altitude.

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: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedJDT Mini-Max 1500 R: 1 caseAll aircraft: 1,681 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotJDT Mini-Max 1500 R: 1 caseAll aircraft: 9,295 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

A witness to the accident reported that he was outside his residence when he heard the accident airplane departing to the south. He initially heard the sound of the airplane's engine before he saw the airplane climbing away from the runway at an estimated 45-degree, nose-up pitch attitude. The witness did not perceive any engine anomalies as the airplane climbed to about 350 feet above the ground, where it suddenly rolled right and entered a near-vertical descent into terrain. The postaccident examination of the airplane revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. The witness's description of the airplane's flightpath was consistent with an aerodynamic stall and spin during initial climb.

Factual narrative

The experimental light sport airplane was a 2002 JDT Mini-Max LLC model 1500R, serial number (s/n) 852. A two-stroke, two-cylinder, air cooled, 40-horsepower, Rotax model 447UL engine, s/n 5504279, powered the airplane. The engine was equipped with a three-blade Ivoprop propeller. The single-seat, tail-wheel equipped airplane was constructed of wood and fabric and had a maximum takeoff weight of 630 pounds. According to FAA records, the airplane had already accumulated 195 hours when it received its experimental airworthiness certificate on November 23, 2007, by a designated airworthiness representative. A digital hour meter found in the wreckage indicated that the airplane had accumulated 253 hours total time at the time of the accident. The airplane maintenance records were not located during the on-scene investigation. The Cameron Memorial Airport (EZZ), a public-use airport, located about 2 miles southwest of Cameron, Missouri, was served by a single runway: 17/35 (4,000 feet by 75 feet, concrete). The airport elevation was 1,040 feet mean sea level (msl). According to airport data, there were trees, measuring 23 feet tall, located 1,200 feet from the departure end of runway 17 and 326 feet west of the extended runway centerline. On September 16, 2012, about 1852 central daylight time, an experimental JDT Mini-Max LLC model 1500R light sport airplane, N3533D, was substantially damaged when it collided with terrain shortly after takeoff from the Cameron Memorial Airport (EZZ), Cameron, Missouri. The sport pilot, who was the sole occupant, was fatally injured. The airplane was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 without a flight plan. Day visual meteorological conditions prevailed for the personal flight. The local area flight was originating at the time of the accident. A witness to the accident reported that he was outside his residence when he heard the accident airplane departing to the south. He initially heard the sound of the engine before he spotted the airplane climbing away from runway 17 at an estimated 45-degree nose up pitch attitude. The witness reported that he did not perceive any engine anomalies as the airplane climbed to about 350 feet above the ground, where it suddenly rolled to the right and entered a near vertical descent into terrain. On September 19, 2012, an autopsy was performed on the pilot at the First Call Morgue, located in Kansas City, Kansas. The cause of death for the pilot was attributed to multiple blunt-force injuries sustained during the accident. The FAA Civil Aerospace Medical Institute (CAMI) in Oklahoma City, Oklahoma, performed toxicology tests on samples obtained during the pilot's autopsy. Carbon monoxide, cyanide, and ethanol were not detected. Pseudoephedrine was detected in blood and urine samples. Pseudoephedrine, brand name Sudafed, is a non-sedating over-the-counter medication that is used to relieve nasal congestion andpressure caused by colds, allergies, and hay fever. The closest weather observing station was located at the Midwest National Air Center Airport (GPH), about 28 miles south of the accident site. At 1855, the GPH automatic weather observing station reported: calm wind conditions, clear sky, surface visibility 10 miles, temperature 22 degrees Celsius, dew point 16 degrees Celsius, and an altimeter setting of 29.97 inches of mercury. Astronomical data obtained from the United States Naval Observatory indicated that the local sunset was at 1923, about 31 minutes after the accident, and the end of civil twilight was at 1950. According to Federal Aviation Administration (FAA) records, the accident pilot, age 52, held a sport pilot certificate, issued on October 9, 2010, with airplane single engine land rating. The pilot had never applied for an aviation medical certificate; however, the operation of a light-sport aircraft only required a valid driver's license. A search of FAA records showed no accident, incident, enforcement, or disciplinary actions. The pilot's most recent logbook entry was dated August 12, 2012, at which time he had accumulated 72.8 hours total flight time, of which 38.5 hours were as pilot-in-command. The pilot's first recorded flight in the accident airplane was completed on June 11, 2011. He had accumulated 30 hours in the accident airplane as of the last logbook entry. He had flown 27.5 hours during the past year, 16 hours during the prior 6 months, and 10 hours during previous 90 days. There was no record that the pilot had flown during the 30 day period before the accident flight. All of the flight time accumulated during the previous year had been completed in the accident airplane. A postaccident investigation, completed by FAA inspectors, confirmed that all airframe structural components were located at the accident site. The main wreckage was located about 94 feet north of the runway end and about 27 feet east of the runway edge. The entire wreckage was contained within an area comparable to the lateral dimensions of the aircraft. The lack of a wreckage debris path was consistent with a near vertical impact angle. A portion of a wing leading edge rib was found embedded into the ground. The angle between the rib and the surrounding terrain was about 75 degrees. Elevator and rudder flight control continuity was established from the control surfaces to their associated cockpit controls. Aileron flight control continuity could not be established due to damage; however, all observed separations were consistent with overstress failure. Both wing fuel tanks appeared undamaged and were about 1/2 full. The airframe examination revealed no evidence of mechanical malfunctions or anomalies that would have precluded normal operation. The engine remained partially attached to the fuselage; however, the carburetor and fuel pump had separated from the engine. Internal engine and valve train continuity was confirmed as the enginecrankshaft was rotated. Compression and suction were noted on both cylinders in conjunction with crankshaft rotation. The spark plugs were removed and exhibited features consistent with normal engine operation. All three composite propeller blades remained attached to the metal hub assembly and exhibited damage consistent with ground impact. The engine examination revealed no evidence of mechanical malfunctions or anomalies that would have precluded normal operation.

Aircraft

Registration
N3533D
Reported as
JDT Mini-Max 1500R
Category
Airplane
Serial number
852
Built
2002
Airframe hours
253
Engine
Rotax 447UL, 40 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
David D. King
Registered owner
David D. King
Airworthiness certificate
Special, Experimental light sport (Special)
Departed
EZZ · Cameron, MO
Destination
EZZ · Cameron, MO
Airport
EZZ · Cameron Memorial Airport, runway 17, 4,000 × 75 ft, concrete
Equipment
Handheld GPS

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
52
Injuries
Fatal
Certificate
Sport Pilot
Airplane ratings
Single-engine land
Medical
Sport pilot
Last flight review
October 9, 2010
Seat
Single
Toxicology
Performed
Flight hours
72.8 total · 30 in this make and model · 38.5 as pilot in command · 10 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 61 °F
Altimeter
29.96 inHg
Observed at
GPH, 28 nm away

Docket · 15

The files NTSB released with the investigation on September 16, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.3 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.