# NTSB CEN16FA331: Stemme S10 VT, N5021, Telluride, CO, August 24, 2016

- Type: NTSB accident investigation
- Classification: Accident · Fatal · Field investigation · Final report
- Date: August 24, 2016, 14:10 local (20:10 UTC)
- Place: Telluride, CO
- Coordinates: 37.893333, -107.833335
- Nearby events: https://openairdocs.org/map.md?lat=37.8933&lon=-107.8333&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Defining event: [Enroute: Miscellaneous/other](https://openairdocs.org/ntsb-events/900)
- Highest injury: Fatal
- Injuries: 2 fatal
- Status: Completed, report May 24, 2018
- Report: Approved by Office Director
- NTSB office: Central Region
- Parties: US MotorGlider Inc, Rotech Flight Safety Inc., Stemme AG, FAA Flight Standards
- NTSB case key (mKey): 93883
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN16FA331
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/93883/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=93883
- Page: https://openairdocs.org/ntsb/CEN16FA331

## Probable cause

The pilot's encounter with a downdraft that exceeded the climb performance of the powered glider and resulted in his inability to maintain clearance from the trees. Contributing to the accident was the pilot's decision to fly near building clouds and rain shower activity.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Stemme S10-VT, 3 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=1130872), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md)
- [Aircraft capability: climb capability](https://openairdocs.org/ntsb-findings/01061010): Aircraft › Aircraft oper/perf/capability · Capability exceeded (probable cause); cases with it: [Stemme S10-VT, 1 case](https://openairdocs.org/ntsb-findings/01061010/cases.md?model=1130872), [All aircraft, 183 cases](https://openairdocs.org/ntsb-findings/01061010/cases.md)
- [Info processing/decision: decision making/judgment](https://openairdocs.org/ntsb-findings/02041520): Personnel issues › Action/decision · Pilot (probable cause); cases with it: [Stemme S10-VT, 2 cases](https://openairdocs.org/ntsb-findings/02041520/cases.md?model=1130872), [All aircraft, 3,098 cases](https://openairdocs.org/ntsb-findings/02041520/cases.md)
- [Ceiling/visibility/precip](https://openairdocs.org/ntsb-findings/03035000): Environmental issues › Conditions/weather/phenomena · Effect on operation (probable cause); cases with it: [Stemme S10-VT, 1 case](https://openairdocs.org/ntsb-findings/03035000/cases.md?model=1130872), [All aircraft, 65 cases](https://openairdocs.org/ntsb-findings/03035000/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Enroute: Miscellaneous/other](https://openairdocs.org/ntsb-events/900) (defining event); cases with it: [Stemme S10-VT, 2 cases](https://openairdocs.org/ntsb-events/900/sequence.md?model=1130872), [All aircraft, 1,556 cases](https://openairdocs.org/ntsb-events/900/sequence.md)
- [Enroute: Other weather encounter](https://openairdocs.org/ntsb-events/400); cases with it: [Stemme S10-VT, 1 case](https://openairdocs.org/ntsb-events/400/sequence.md?model=1130872), [All aircraft, 1,127 cases](https://openairdocs.org/ntsb-events/400/sequence.md)
- [Uncontrolled descent: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Stemme S10-VT, 4 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=1130872), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md)

## Analysis

The pilot was conducting a local sightseeing flight at the time of the accident. A witness reported seeing the powered glider climbing out after takeoff and the engine "sounded perfect." He subsequently heard the sound of a "strained engine" similar to a propeller-driven airplane maneuvering during aerobatic flight. Shortly afterward, the sound of the engine stopped. A second witness observed the powered glider fly by with the engine running. It subsequently went out of sight below the tree line. Shortly afterward, he heard a loud noise that he initially attributed to work going on in the area. However, with thoughts of the low flying glider, he decided to drive to a nearby ridge where he observed the accident site. A postaccident examination and engine test run did not reveal any anomalies consistent with a preimpact failure or malfunction. Witness statements and satellite imagery indicated that building cumuliform clouds were present near the accident site. Weather radar data depicted a rain shower over the site about the time of the accident that appeared to be dissipating. With dissipating rain shower activity, the glider was in a favorable area for the existence of downdrafts. It is likely that the pilot encountered a downdraft that exceeded the maximum climb performance of the powered glider.

## Factual narrative

The pilot purchased the glider in July 2004. A review of the available maintenance records revealed that the most recent entry, dated September 20, 2012, was unsigned. The entry noted the completion of an annual inspection at airframe and engine total times of 1,824.2 hours and 496.3 hours, respectively. On August 24, 2016, about 1410 mountain daylight time, a Stemme Gmbh S10-VT self-launching (powered) glider, N5021, was substantially damaged during an in-flight collision with trees and terrain near Telluride, Colorado. The pilot and passenger sustained fatal injuries. The glider was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a local sightseeing flight. Visual meteorological conditions prevailed for the flight, which was not operated on a flight plan. The flight originated from the Telluride Regional Airport (TEX), Telluride, Colorado, about 1315. A witness reported seeing the powered glider climbing out from TEX. The engine "sounded perfect" at a constant power setting at the time. About 15 minutes later, he heard the sound of a "strained engine." It sounded as if there was a "strain on the propeller," similar to a propeller-driven airplane maneuvering during aerobatic flight. About 15 seconds later, the sound of the engine stopped. He subsequently overheard radio communications of mountain staff personnel responding to a downed aircraft. A second witness observed the powered glider fly by with the engine running. His co-worker commented that the glider seemed to be flying unusually low. It subsequently went out of sight below the tree line. About 10 seconds later, they heard a loud noise, which they initially attributed to work going on in the area. However, with thoughts of the low flying glider, he decided to drive to a nearby ridge where he observed the accident site. He reported the accident to the local authorities. The Montrose Memorial Hospital Division of Forensic Pathology, Montrose, Colorado, performed an autopsy under the order of the San Miguel County Coroner's Office, and attributed the pilot's death to multiple traumatic injuries sustained in the accident. Toxicology testing performed by the FAA's Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma, was negative for all drugs in the testing profile. No carbon monoxide or ethanol was detected in blood specimens. One witness reported light rain and steady surface wind about 8 mph from the northeast about the time of the accident. He stated that there was no thunderstorm activity in the immediate area; however, there was thunderstorm activity across the valley to the north and closer to the airport. Another witness reported that "dark rain clouds" began building near the site about 1 hour before the accident. Satellite imagery depicted growing cumuliform clouds near the accident site that were moving southeastward at the time. The cloud-top heights over the accident site were about 18,000 feet mean sealevel (msl). Weather radar data depicted a rain shower over the site about the time of the accident. The rain shower activity was moving south-southeast and appeared to be dissipating. With dissipating rain shower activity directly above the site at the time of the accident, the glider was in a favorable region for downdrafts. No Significant Meteorological Information (SIGMET) advisories were in effect for the site at the time of the accident. An Airmen's Meteorological Information (AIRMET) advisory for mountain obscuration due to clouds and mist was in effect at the time of the accident. A full weather study is available in the docket for this accident case. The pilot's logbook was not available to the NTSB and, as a result, his flight experience could not be determined. The pilot did not hold a current Federal Aviation Administration airman medical certificate, nor was one required to operate a glider. In February 1998, on his most recent application for a medical certificate, the pilot reported a total civilian flight time of more than 4,000 hours. No subsequent applications were on file. The pilot provided 30-minute and 1-hour sightseeing flights from TEX. Advertisement flyers were available at the TEX fixed based operator. The pilot maintained a website advertising the sightseeing flights. The powered glider came to rest within a small cluster of trees about 5 miles south-southeast of KTEX at an elevation of 11,200 feet. The vicinity of the accident site consisted of mountainous terrain, densely wooded areas, and small meadows. The terrain gradually sloped downhill toward the north/northwest from the accident site. The elevations of ridgelines to the east and south of the site exceeded 12,500 feet. A postaccident examination and engine test run were conducted by the NTSB investigator-in-charge with the assistance of technical representatives from the airframe and engine manufacturers. The examination and engine run did not reveal any anomalies consistent with a preimpact failure or malfunction.

## Aircraft

- Registration: [N5021](https://openairdocs.org/deregistered/N5021-2019-01-31), registration cancelled 2019-01-31, S/N 11-010, built 1997 (OpenAirDocs)
- Reported make and model: STEMME GMBH & CO S10 VT
- Registry model: [Stemme S10-VT](https://openairdocs.org/model/stemme-s10-vt) (registry code 1130872) (OpenAirDocs)
- Registry engine: [Amateur-built UNKNOWN ENG](https://openairdocs.org/engine/amateur-built-unknown-eng) (registry code 99999) (OpenAirDocs)
- Category: Glider
- Serial number: 11-010
- Year built: 1997
- Engines: Rotax 914 115 horsepower reciprocating
- Damage: Substantial damage
- Flight: Business, Part 91
- Airworthiness certificate: Standard, Utility
- Departed: TEX, Telluride, CO
- Destination: TEX, Telluride, CO
- Airport: TEX, Telluride Regional

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 64; injuries: fatal; commercial; airplane ratings: single-engine land; seat: left; restraint: 4-point; toxicology performed; flight hours: 4,000 total, 700 in this make and model

## Weather

- Conditions: Visual (VMC), Day
- Wind: calm
- Visibility: 10 statute miles
- Lowest ceiling: 9,000 ft broken
- Temperature: 61 °F, dew point 39 °F
- Altimeter: 30.42 inHg
- Observed at: TEX, 5 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 20160824007179A](https://openairdocs.org/incident/20160824007179A), Aug 24, 2016: Stemme Gmbh & Co S10-VT, Telluride, CO, Destroyed, 2 fatal. 24 Aug 2016: pilot recorded on tex camera system departing at 1315L. Report of aircraft accident by Telluride ski resort personnel on or about 1345. Aircraft…

## Docket (18 files)

The files NTSB released with the investigation on May 2, 2018, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=93883. 66.2 MB in all.

- Witness Statements (item 1, .PDF, 160 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462911&FileExtension=.PDF&FileName=Witness%20Statements-Master.PDF
- Statement - Previous Passenger (item 2, .PDF, 51 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462912&FileExtension=.PDF&FileName=Statement%20-%20Previous%20Passenger-Master.PDF
- Statement - Airport Employee (item 3, .PDF, 90 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462913&FileExtension=.PDF&FileName=Statement%20-%20Airport%20Employee-Master.PDF
- Statements - Friend/Colleague of Pilot (item 4, .PDF, 55 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462914&FileExtension=.PDF&FileName=Statements%20-%20Friend%2FColleague%20of%20Pilot-Master.PDF
- Aircraft Examination Summary (item 5, .PDF, 103 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462915&FileExtension=.PDF&FileName=Aircraft%20Examination%20Summary-Master.PDF
- Weather Study Report (item 6, .PDF, 3.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462916&FileExtension=.PDF&FileName=Weather%20Study%20Report-Master.PDF
- Weather - Attachment 1 (item 7, .GIF, 4.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462917&FileExtension=.gif&FileName=Weather%20-%20Attachment%201-Master.gif
- Weather - Attachment 2 (item 8, .GIF, 20.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462918&FileExtension=.gif&FileName=Weather%20-%20Attachment%202-Master.gif
- Global Positioning System (GPS) Device - Specialist's Factual Report (item 9, .PDF, 500 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462919&FileExtension=.PDF&FileName=Global%20Positioning%20System%20(GPS)%20Device%20-%20Specialist%27s%20Factual%20Report-Master.PDF
- Engine Turbo Control Unit (TCU) Data (item 10, .PDF, 6.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462920&FileExtension=.PDF&FileName=Engine%20Turbo%20Control%20Unit%20(TCU)%20Data-Master.PDF
- Maintenance Records - Airframe (item 11, .PDF, 11.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462921&FileExtension=.PDF&FileName=Maintenance%20Records%20-%20Airframe-Master.PDF
- Maintenance Records - Engine (item 12, .PDF, 11.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462922&FileExtension=.PDF&FileName=Maintenance%20Records%20-%20Engine-Master.PDF
- Maintenance Records - Airworthiness Directives (item 13, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462923&FileExtension=.PDF&FileName=Maintenance%20Records%20-%20Airworthiness%20Directives-Master.PDF
- Maintenance Records - Separate Entries (item 14, .PDF, 2.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462924&FileExtension=.PDF&FileName=Maintenance%20Records%20-%20Separate%20Entries-Master.PDF
- Toxicological Report - Pilot (item 15, .PDF, 122 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462925&FileExtension=.PDF&FileName=Toxicological%20Report%20-%20Pilot-Master.PDF
- Accident Site Photos (item 16, .PDF, 6 photos, 3.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462926&FileExtension=.PDF&FileName=Accident%20Site%20Photos-Master.PDF
- Advertisement for Glider Rides (item 17, .PDF, 151 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462927&FileExtension=.PDF&FileName=Advertisement%20for%20Glider%20Rides-Master.PDF
- Release of Aircraft Wreckage, NTSB Form 6120.15 (item 18, .PDF, 162 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462928&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-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.

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