CEN15LA432

NTSB accident investigation · Rans S18 · Shattuck, OK · September 29, 2015

Accident · FatalLimited investigationFinal report
Date
September 28, 2015, 19:25 local (Sep 29, 2015, 00:25 UTC)
Place
Shattuck, OK
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
UNREGRans S18
Defining event
Enroute-climb to cruise: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed · report June 29, 2016
Report
Approved by Office Director
NTSB office
Central Region
Parties
Oklahoma City FSDO
Case key
92077

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 noncertificated pilot’s failure to maintain control of the unregistered airplane during initial climb and his subsequent exceedance of the airplane’s critical angle-of-attack, which resulted in a stall/spin.

Findings · 4

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.

Experience/qualifications: qualification/certificationPersonnel issues › Experience/knowledge · PilotAll aircraft: 280 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Capability exceededAll aircraft: 990 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAll aircraft: 9,295 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedAll aircraft: 1,681 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

The noncertificated pilot was conducting a personal flight in the noncertificated experimental, amateur-built airplane. The pilot had flown to the grass airstrip along with two other pilots, who were flying ultralight trike aircraft. One of the trike pilots reported that each pilot conducted two or three landings at the grass airstrip. The two trike pilots then taxied their aircraft to the northeast end of the airstrip to prepare to depart for the final takeoff. The accident airplane was faster than the trikes and departed while the trike pilots were still taxiing, so they did not see the accident airplane again, and no one witnessed the accident. The trike pilot stated that he believed that the accident airplane might have initially departed to the west, that he and the other trike pilot had departed to the southeast, and that it is possible that the accident pilot was turning his airplane to join them when the accident occurred. The airplane wreckage was subsequently located in a nearby field, and it was oriented to the southeast. The postaccident examination of the wreckage indicated that the airplane impacted terrain in a steep nose-down attitude consistent with a stall/spin. The examination of the airframe, engine, and propeller revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. Further, no evidence was found indicating that any medical conditions or substances contributed to the accident. It is likely that the pilot was turning to the southeast after departure and then failed to maintain airplane control and exceeded the airplane's critical angle-of-attack, which resulted in a stall/spin.

Factual narrative

On September 28, 2015, about 1925 central daylight time, an experimental, amateur-built Rans S18 airplane, sustained substantial damage when it impacted a field 2 miles east of Shattuck, Oklahoma. The pilot, the sole occupant, received fatal injuries. The unregistered airplane was owned and operated by the non-certificated pilot. Visual meteorological conditions prevailed at the time of the accident and no flight plan was filed. The flight departed about 1923 from a grass airstrip located approximately .5 miles east of the accident site, and was en route to Gage Airport (GAG), Gage, Oklahoma, located 5 miles northeast of the accident site. The pilot of the accident airplane had flown to the grass airstrip along with two ultra-light trike aircraft. One of the trike pilots reported that each aircraft did two or three landings at the grass airstrip. On the final takeoff from the airstrip, the two trike pilots were taxiing their aircraft to the northeast end of the airstrip to prepare to depart. The accident airplane was faster than the trikes and departed while they were still taxiing so they did not see the accident airplane again. The trike pilot stated that he believed that the accident airplane might have departed to the west initially. The two trike aircraft departed to the southeast once airborne. The trike pilot stated that perhaps the accident pilot was making a turn to join the two trike aircraft when the accident occurred. No one witnessed the accident. Another witness reported that he drove by the grass airstrip about 1920 and saw three aircraft on the ground at the airstrip. When he drove by the airstrip about 1925, he saw the wreckage of the accident airplane in the field. The on-site examination of the wreckage revealed that the impact heading was to the southeast. The leading edges of the wings exhibited aft crushing and buckling. The nose of the fuselage exhibited aft and upward crushing. The tail boom was buckled about mid-span. The empennage exhibited minimal damage. The flight controls exhibited continuity from the cockpit controls to the control surfaces. The visual examination of the engine and gearbox revealed no preimpact anomalies. The three-bladed composite propeller remained attached to the engine gearbox. One blade was broken off about 12 inches from the propeller hub. Another blade was shattered about mid-span to the end of the blade. The chambered side of the third blade was delaminated and separated from the rest of the blade. The accident pilot was not certificated. A witness reported that the accident pilot started flying about two years before the accident. He stated that the accident pilot purchased the non-certificated airplane in a trade and flew it about 2-3 times a month – typically in the morning or late evening. He stated that the airplane was a good running airplane and that the engine ran like a "champ". No pilot logbook or aircraft maintenance records were obtained during the investigation. The autopsy ofthe pilot was performed at the Office of the Chief Medical Examiner, Oklahoma City, Oklahoma, on September 29, 2015. The cause of death was "multiple trauma due to a motor vehicle accident – ultra light pilot." A Forensic Toxicology Fatal Accident Report was prepared by the FAA Civil Aerospace Medical Institute. Atenolol was detected in the urine and blood. No carbon monoxide was detected in the blood. The test for cyanide was not performed. 22 (mg/dL, mg/hg) ethanol was detected in the blood and 20 (mg/dL, mg/hg) ethanol was detected in the urine. Atenolol is a beta blocker used to treat hypertension and abnormally fast heart rhythms. At 1853, the surface weather observation at GAG was: wind 140 degrees at 4 kts; 10 miles visibility; sky clear; temperature 28 degrees C; dew point 12 degrees C; altimeter 29.90 inches of mercury.

Aircraft

Registration
UNREG
Reported as
Rans S18
Category
Airplane, amateur-built
Serial number
None
Engine
Rotax 582, 65 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
David Kelln
Registered owner
David Kelln
Airworthiness certificate
Special, Experimental (Special)
Departed
None · Shattuck, OK
Destination
GAG · Gage, OK
Airport
None · Grass Airstrip
Equipment
None

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
37
Injuries
Fatal
Seat
Front
Restraint
4-point
Toxicology
Performed

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 54 °F
Altimeter
29.89 inHg
Observed at
GAG, 5 nm away

Docket · 5

The files NTSB released with the investigation on May 12, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.4 MB in all.