CEN13FA066

NTSB accident investigation · Brian P North RAF SE5A Replica · Watkins, CO · November 21, 2012

Accident · FatalField investigationFinal report
Date
November 21, 2012, 13:58 local (20:58 UTC)
Place
Watkins, CO
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N17SEBrian P North RAF SE5A Replica
Defining event
Approach-VFR pattern downwind: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report July 23, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration, Continental Motors, Incorporated
FAA report
20121121027409A
Case key
85645

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 pilot’s loss of airplane control and inadvertent stall while attempting to return for landing.

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.

Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedBrian P North RAF SE5A REPLICA: 1 caseAll aircraft: 1,269 casesProbable cause
Temp/humidity/pressureEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeBrian P North RAF SE5A REPLICA: 1 caseAll aircraft: 7 cases

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 requested to return to the airport for a full stop landing. According to a witness, the airplane appeared to be in a slow, labored climb in an abnormally high pitch attitude about 300 feet above the ground on the downwind leg in the traffic pattern. The airplane then entered a spiral descent while approaching the turn to base and impacted the ground about 0.7 miles north of the runway threshold; a postimpact fire ensued. Examination of the airplane and engine did not reveal any anomalies that would have precluded normal operation. The slow flight and high pitch followed by a spiral descent are indicative of an aerodynamic stall.

Factual narrative

HISTORY OF FLIGHT On November 21, 2012, about 1358 mountain standard time, a Brian P. North RAF SE5A replica experimental airplane, N17SE, owned by the pilot, was substantially damaged after impacting terrain near Watkins, Colorado. The certificated private pilot, the sole occupant, was fatally injured. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91, with no flight plan filed. Visual meteorological conditions prevailed. The flight departed Front Range Airport (FTG), Denver, Colorado, about 1355. While departing from Runway 26 at FTG, witnesses noticed the airplane climbing at a slow rate. On the downwind leg of the traffic pattern, witnesses noticed the airplane attempting to climb with a high pitch attitude. The pilot requested to return for a full stop landing from the air traffic control tower, due to “climb performance”. Witnesses observed the airplane enter a spiral descent while approaching the turn to base point of the pattern. The airplane impacted in a fallowed wheat field about 0.7 miles north of the Runway 26 threshold, and a post impact fire ensued. PERSONNEL INFORMATION The pilot, age 72, held a private pilot (foreign based) certificate with an airplane single-engine land rating. On May 3, 1999, the pilot was issued a Class 3 limited medical (foreign based) certificate, which required corrective lenses be worn. A review of records indicates the pilot had flown a total of 491 hours and 7 hours in the accident airplane. A friend of the pilot, who assisted with preflight actions on the day of the accident, stated that the pilot was in good health, both physically and mentally. AIRCRAFT INFORMATION The accident airplane was initially assembled by the pilot in the United Kingdom in 2008. After shipping the airplane to the United States and reassembling at FTG, an airworthiness certificate was issued by the Federal Aviation Administration (FAA) on May 17, 2012. Prior to the accident, the airplane flew four times at FTG, twice by the pilot and twice by his friend. The airplane had accumulated a total of 12 hours prior to the accident. The airplane was equipped with a 100-horsepower Continental Motors O-200A engine. The engine had accumulated 1,523 hours prior to being installed on the airplane and 12 hours after installation. METEOROLOGICAL INFORMATION The weather observing station at FTG reported the following conditions at 1350: wind 140 degrees at 5 knots, visibility 50 miles, clear skies, temperature 22 degrees Celsius, dew point minus 10 degrees Celsius, altimeter setting 29.95. Calculated density altitude for these conditions was 7,567 feet. During the four previous flights at FTG, calculated density altitude ranged from about 6,400 to 6,900 feet. The friend of the pilot, who piloted two of these four flights, stated that climb performance during these previous flights was satisfactory, with a climb rate between 400 and 450 feet per minute. WRECKAGE AND IMPACT INFORMATION The airplaneimpacted in a fallowed wheat field in a near vertical nose down spiral based on witness observations. On impact, the airplane continued to twist, coming to rest upright about 15 feet from the initial impact point, where the airplane caught fire and was destroyed. Located in the nose impact ground scar were fragmented propeller pieces. Propeller warping and tracking were not able to be examined due to impact damage. Flight control continuity was confirmed to all flight control surfaces. The engine was examined at a recovery location. The crankshaft was rotated by hand and mechanical continuity was established between the crankshaft and the camshaft; all of the rocker arms were observed to operate. A borescope inspection was performed on all the cylinders, with no signs of distress or abnormalities with any of the cylinder walls, pistons, or valves. All of the spark plugs were removed from the engine and displayed normal characteristics when compared to Champion Aviation Service Manual AV6-R. The #2 and #4 sparkplugs were oil soaked which was consistent with the orientation of the engine while at rest. It was noted that the #3 cylinder sparkplug electrodes appeared grayer in color when compared to the rest of the sparkplugs. The carburetor was disassembled and visually inspected; although thermally damaged, no abnormalities were noted. The oil filter was removed and cut open; the internal components sustained thermal damage, but exhibited no signs of metal deposits in the filter pleats. Due to the severity of thermal damage to the magnetos, the magneto internal and magneto engine timing was unable to be determined. Examination of the airframe, engine and propeller did not reveal any anomalies associated with a pre impact failure or malfunction. MEDICAL AND PATHOLOGICAL INFORMATION On November 28, 2012, an autopsy was performed on the pilot by the Adams & Broomfield Counties Coroner. The autopsy noted severe whole body burns and also identified that 3 vessels of the heart had 50% to 60% narrowing, but the heart muscle was unremarkable. The cause of death was attributed to whole body burns. The FAA's Civil Aeromedical Institute in Oklahoma City, Oklahoma, performed toxicology tests on the pilot. Zopiclone, which is a prescription medication used in the treatment of insomnia, was detected in the urine and also at trace levels in the blood. No other drugs or ethanol were detected.

Aircraft

Registration
N17SE
Reported as
Brian P North RAF SE5A Replica
Category
Airplane, amateur-built
Serial number
PFA 020-13793
Airframe hours
12
Engine
Continental Motors O-200A, 100 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Operator
Brian P. North
Registered owner
Brian P. North
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · November 1, 2011 · 4 hours before
Departed
KFTG · Watkins, CO
Destination
KFTG · Watkins, CO
Airport
KFTG · Front Range Airport, Colorado, runway 26, 8,000 × 100 ft, asphalt

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
72
Injuries
Fatal
Certificates
Foreign, Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
August 19, 2011
Seat
Single
Toxicology
Performed
Flight hours
491 total · 7 in this make and model · 1 in the last 90 days · 1 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 5 knots
Visibility
50 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 14 °F
Altimeter
29.95 inHg
Observed at
KFTG, 1 nm away

Docket · 6

The files NTSB released with the investigation on May 8, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 325 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.