# NTSB CEN17FA053: Aircraft Mfg & Design CH601XL Slsa, N4218, Marengo, IL, December 10, 2016 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: December 9, 2016, 18:19 local (Dec 10, 2016, 00:19 UTC) - Place: Marengo, IL - Coordinates: 42.225555, -88.627502 - Nearby events: https://openairdocs.org/map.md?lat=42.2256&lon=-88.6275&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Defining event: [Enroute-cruise: Loss of control in flight](https://openairdocs.org/ntsb-events/240) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report March 14, 2018 - Report: Approved by Office Director - NTSB office: Central Region - Parties: FAA, Continental Motors - NTSB case key (mKey): 94487 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN17FA053 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/94487/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=94487 - Page: https://openairdocs.org/ntsb/CEN17FA053 ## Probable cause A loss of control in flight for reasons that could not be determined because no anomalies consistent with a preimpact failure or malfunction were identified during the investigation. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Not determined](https://openairdocs.org/ntsb-findings/05000000): Not determined › Not determined · Unknown/Not determined (probable cause); cases with it: [Aircraft Mfg & Design CH601XL SLSA, 1 case](https://openairdocs.org/ntsb-findings/05000000/cases.md?model=060005L), [All aircraft, 2,247 cases](https://openairdocs.org/ntsb-findings/05000000/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Enroute-cruise: Loss of control in flight](https://openairdocs.org/ntsb-events/240) (defining event); cases with it: [Aircraft Mfg & Design CH601XL SLSA, 1 case](https://openairdocs.org/ntsb-events/240/sequence.md?model=060005L), [All aircraft, 5,002 cases](https://openairdocs.org/ntsb-events/240/sequence.md) - [Enroute-cruise: Unknown or undetermined](https://openairdocs.org/ntsb-events/000); cases with it: [Aircraft Mfg & Design CH601XL SLSA, 1 case](https://openairdocs.org/ntsb-events/000/sequence.md?model=060005L), [All aircraft, 1,703 cases](https://openairdocs.org/ntsb-events/000/sequence.md) ## Analysis The light sport pilot decided to conduct a night cross-country flight in his light sport airplane even though he was not current to act as pilot-in-command at night. Radar data depicted the airplane departing after sunset and proceeding along the intended route of flight. The last radar contact was at 3,500 ft above mean sea level (msl), about 2,600 ft above ground level, about 0.5 mile from the accident site. There were no witnesses to the accident, and the wreckage was located the following morning in a plowed field along the intended route of flight about 12.6 nautical miles from the departure airport. The impact damage to the airframe was consistent with the airplane impacting the terrain while inverted. A postaccident examination of the airframe and engine did not reveal any anomalies consistent with a preimpact failure or malfunction. The pilot's sport pilot certificate did not authorize him to fly at night. In conjunction with his private pilot training, he had an expired 90-day endorsement for night flight that was dated about 14 months before the accident. It is possible that the pilot became spatially disoriented and lost control of the airplane; however, given that the pilot had been flying at night and that there were no mechanical anomalies identified during the investigation, the reason for the loss of control could not be determined. ## Factual narrative The pilot purchased the light sport airplane from the factory when it was manufactured in 2008. Maintenance logbook records showed that the airplane's wings were modified in June 2010 in accordance with the manufacturer's safety alert dated November 7, 2009. The maintenance logbooks showed that the last annual inspection was performed on September 2, 2016, at an airplane total time of 263.8 hours. The last entry in the logbook was a battery replacement on November 9, 2016, at an airplane total time of 280.3 hours. The pilot's wife was the passenger during the last flight logged in the pilot's logbook, which occurred about 2 weeks before the accident. She stated that she was not aware of any anomalies with the airplane at that time. The airplane was fueled with 12 gallons of 100LL aviation fuel on December 6, 2016. It is unknown if the airplane was flown between the time it was fueled and the accident flight. On December 9, 2016, about 1819 central standard time, an Aircraft Manufacturing and Design, LLC, Zodiac CH601XL SLSA, light sport airplane, N4218, impacted terrain following a loss of control in Marengo, Illinois. The sport pilot was fatally injured, and the airplane was destroyed. The airplane was registered to and operated by the pilot under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91 as a personal flight. Night visual meteorological conditions prevailed for the flight, which was not operating on a flight plan. The flight originated from the Poplar Grove Airport (C77), Poplar Grove, Illinois, about 1812, with an intended destination of the Schaumburg Regional Airport (06C), Schaumburg, Illinois. The pilot planned to fly from C7 to 06C, a distance of about 38 nautical miles, to attend an Experimental Aircraft Association (EAA) chapter holiday party. The pilot did not arrive at the party. The wreckage was discovered about 0730 the following morning. There were no communications between air traffic control and the pilot. The airport surveillance radar (ASR) located at the Rockford International Airport, Rockford, Illinois, showed the airplane departing C77 and proceeding on a course toward 06C. The airplane climbed to an altitude of 3,700 ft above mean sea level (msl). The last radar return showed the airplane at an altitude of 3,500 ft msl about 0.5 miles northwest of the accident site. The airplane came to rest in a plowed cornfield. The site was 12.6 miles southeast of C77 along the direct route between C77 and 06C. An autopsy of the pilot was performed at the McHenry County Coroner's Office, Woodstock, Illinois, on December 12, 2016. The pilot's death was attributed to multiple injuries sustained in the accident. Toxicology testing performed by the FAA Bioaeronautical Research Sciences Laboratory, Oklahoma City, Oklahoma, was negative for carbon monoxide, cyanide, and ethanol. The testing was negative for drugs in the testing profile except that atorvastatin which was detected in the liver. Atorvastatin, commonlyknown as Lipitor, is used to treat elevated cholesterol and is generally considered to be non-impairing. Official sunset on the night of the accident was at 1622. The moon was 46° above the horizon at the time of the accident. The pilot held a sport pilot certificate that was issued on November 30, 2012. The pilot's logbook contained entries from July 22, 2008 through November 26, 2016. The pilot had logged total flight time of 274 hours, all of which was in the accident airplane. Of these hours, 189 hours were logged as pilot-in-command and 9.5 hours as night flight time. The pilot's last logged 0.5 hours of night flight on November 14, 2016. The pilot's logbook contained a night flight endorsement dated October 1, 2015. The pilot's last flight review was completed on October 21, 2016. The pilot had been taking flight instruction toward his private pilot certificate. He had passed the private pilot written knowledge examination on September 15, 2016. Title 14 CFR section 61.315 states that the holder of a sport pilot certificate may not act as pilot in command of a light sport aircraft at night. Title 14 CFR 61.87 (o)(3) states that a student pilot may not operate an aircraft in solo flight at night unless that student pilot has received "an endorsement in the student's logbook for the specific make and model aircraft to be flown by an authorized instructor who gave the training within the 90-day period preceding the date of the flight." A Garmin GPSMAP, a Dynon EFIS-D100 electronic flight instrument system and a Dynon EMS-D120 engine monitoring system were recovered from the wreckage and sent to the NTSB Recorders Laboratory, Washington DC, for examination and download. Both the Garmin GPSMAP and the associated SD card sustained impact damage. The non-volatile memory (NVM) chip that stores track history was cracked. The chip was repaired; however, data could not be retrieved. The SD Card was cracked and the NVM component was missing. The Dynon EFIS-D100 sustained significant impact damage. The NVM chip was intact. Minor pin damage was repaired, and the chip was successfully downloaded. However, historical data was not found on the chip because either the logging function was turned off or, the firmware version did not support data logging. The Dynon EMS-D120 sustained significant impact damage. The NVM chip was repaired and about 16 recorded historical sessions were downloaded. There was no recorded geographical data that matched either C77 or the accident site, indicating that data from the accident flight was not recorded. The airplane came to rest inverted on a magnetic heading of 15°. The wings and tail were folded up and over the cockpit and engine. There was an impact crater under the engine, which was partially buried in the frozen ground. Most of the wreckage was located at the main impact location. The left main landing gear was located about 190 ft southeast of the main wreckage; a piece of the lower right-wing skin was located about100 ft southeast of the main wreckage; and a leather satchel belonging to the pilot was located about 500 ft south of the main wreckage. A postaccident examination was conducted by the National Transportation Safety Board (NTSB) investigator-in-charge, and Federal Aviation Administration (FAA) inspectors, with the assistance of a representative of the engine manufacturer. The examination did not reveal any anomalies consistent with a preimpact failure or malfunction. The observed damage to the airframe was consistent with the airplane impacting the terrain while inverted. A detailed summary of the examination is included in the docket associated with the investigation. ## Aircraft - Registration: [N4218](https://openairdocs.org/deregistered/N4218-2019-01-18), registration cancelled 2019-01-18, S/N 601-068S, built 2008 (OpenAirDocs) - Reported make and model: AIRCRAFT MFG & DESIGN LLC CH601XL SLSA - Registry model: [Aircraft Mfg & Design CH601XL SLSA](https://openairdocs.org/model/aircraft-mfg-design-ch601xl-slsa) (registry code 060005L) (OpenAirDocs) - Registry engine: [Continental O-200A](https://openairdocs.org/engine/continental-o-200a) (registry code 17404, 4 cycle) (OpenAirDocs) - Category: Airplane - Serial number: 601-068S - Year built: 2008 - Airframe hours: 263.8 - Engines: CONT MOTOR O-200A 100 horsepower reciprocating - Damage: Destroyed - Flight: Personal, Part 91 - Airworthiness certificate: Special, Special light-sport (Special) - Last inspection: Annual, September 2, 2016 - Departed: C77, Poplar Grove, IL - Destination: 06C, Schaumburg, IL - Equipment: Stall warning system, Handheld GPS, Electronic primary flight display, Electronic multifunction display ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 63; injuries: fatal; sport pilot; airplane ratings: single-engine land; medical: class 3, with waivers/limitations; last flight review October 21, 2016; toxicology performed; flight hours: 274 total, 274 in this make and model, 189 as pilot in command, 16.8 in the last 90 days, 4.6 in the last 30 days ## Weather - Conditions: Visual (VMC), Night - Wind: 260° at 4 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 19 °F, dew point 10 °F - Altimeter: 30.53 inHg - Observed at: RFD, 24 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 20161209022099A](https://openairdocs.org/incident/20161209022099A), Dec 9, 2016: Aircraft Mfg & Design LLC CH601XL SLSA, Marengo, IL, Destroyed, 1 fatal. On December 9, 2016 at approximately 18:10 CST, N4218 departed from poplar grove airport (C77) enroute to schaumburg regional airport (06C). At 18:19 CST the… ## Docket (17 files) The files NTSB released with the investigation on February 22, 2018, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=94487. 23.9 MB in all. - Airframe and Engine Examination (item 1, .PDF, 94 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460289&FileExtension=.PDF&FileName=Airframe%20and%20Engine%20Examination-Master.PDF - Electronic Devices - Specialist's Factual Report (item 2, .PDF, 4 photos, 388 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460290&FileExtension=.PDF&FileName=Electronic%20Devices%20-%20Specialist%27s%20Factual%20Report-Master.PDF - Cockpit Display (Dynon EFIS-D100) - Specialist's Factual Report (item 3, .PDF, 180 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460291&FileExtension=.PDF&FileName=Cockpit%20Display%20(Dynon%20EFIS-D100)%20-%20Specialist%27s%20Factual%20Report-Master.PDF - Cockpit Display (Dynon EMS-D120) - Specialist's Factual Report (item 4, .PDF, 3.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460292&FileExtension=.PDF&FileName=Cockpit%20Display%20(Dynon%20EMS-D120)%20-%20Specialist%27s%20Factual%20Report-Master.PDF - Cockpit Display (Dynon EMS-D120) - Attachment 1 - Tabular Data (CSV) (item 5, .CSV, 3.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460293&FileExtension=.csv&FileName=Cockpit%20Display%20(Dynon%20EMS-D120)%20-%20Attachment%201%20-%20Tabular%20Data%20(CSV)-Master.csv - Radar Data Plots (item 6, .PDF, 82 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460294&FileExtension=.PDF&FileName=Radar%20Data%20Plots-Master.PDF - Google Earth Image (item 7, .PDF, 170 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460295&FileExtension=.PDF&FileName=Google%20Earth%20Image-Master.PDF - SAIB CE-10-08 and AMD Safety Alert (item 8, .PDF, 7.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460296&FileExtension=.PDF&FileName=SAIB%20CE-10-08%20and%20AMD%20Safety%20Alert-Master.PDF - FAA Special Review Team Report (item 9, .PDF, 830 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460297&FileExtension=.PDF&FileName=FAA%20Special%20Review%20Team%20Report-Master.PDF - Fuel Receipt (item 10, .PDF, 133 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460298&FileExtension=.PDF&FileName=Fuel%20Receipt-Master.PDF - Witness Statements (item 11, .PDF, 90 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460299&FileExtension=.PDF&FileName=Witness%20Statements-Master.PDF - Pilot Logbook Endorsement (item 12, .PDF, 54 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460300&FileExtension=.PDF&FileName=Pilot%20Logbook%20Endorsement-Master.PDF - Release of Aircraft Wreckage, NTSB Form 6120.15 (item 13, .PDF, 216 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460301&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-Master.PDF - Maintenance Records (item 14, .PDF, 4.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460302&FileExtension=.PDF&FileName=Maintenance%20Records-Master.PDF - Toxicological Report (item 15, .PDF, 292 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460303&FileExtension=.PDF&FileName=Toxicological%20Report-Master.PDF - Statement of Party Representatives to NTSB Investigation (item 16, .PDF, 352 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460304&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Master.PDF - Photos (item 17, .PDF, 13 photos, 2.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460305&FileExtension=.PDF&FileName=Photos-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. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.