CEN18FA004

NTSB accident investigation · Aero Vodochody L39C · Vernon, TX · October 8, 2017

Accident · FatalField investigationFinal report
Date
October 8, 2017, 13:00 local (18:00 UTC)
Place
Vernon, TX
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N580LLAero Vodochody L39C
Defining event
Maneuvering-low-alt flying: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report May 29, 2019
Report
Approved by Office Director
NTSB office
Central Region
FAA report
20171008011519A
Case key
96157

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

An in-flight loss of control and collision with terrain for reasons that could not be determined based on the available information.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAero Vodochody L39C: 2 casesAll aircraft: 9,295 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedAero Vodochody L39C: 3 casesAll aircraft: 1,269 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedAero Vodochody L39C: 1 caseAll aircraft: 2,247 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 commercial pilot of the jet trainer airplane departed on a local personal flight and flew for about an hour before returning to the airport. Witnesses saw the airplane make a high-speed pass over the runway at low altitude. Some thought the pilot may have been conducting a go-around. The airplane then entered a steep left bank, estimated to vary between 45° and 90°, then impacted the ground. The airplane was destroyed by impact and a postcrash fire, which precluded a thorough examination of its systems, including the flight controls; however, the engine displayed signatures of power production at the time of impact. Toxicology testing and autopsy of the pilot did not detect any impairing substances or identify significant physiological issues that may have resulted in incapacitation. It is likely that the pilot experienced an in-flight loss of control while maneuvering at low altitude; however, the reason for the loss of control could not be determined based on the available information.

Factual narrative

The airplane was manufactured in Czechoslovakia in 1984. It was designed as a training aircraft for Warsaw Pact countries. The airplane was equipped with an Ivchenko AI-25-TL turbofan engine, rated at 3,792 lbs of thrust. The most recent condition inspection of the airplane and engine was completed on August 8, 2017, at an airframe and engine total time of 1,440.5 and 894.7 hours, respectively. At that time, the engine had accrued 107.7 hours since last overhaul. The transponder, altimeter, and encoder were also checked and re-certified. On October 8, 2017, about 1257 central daylight time, an Aero Vodochody L39C, N580LL, collided with terrain 1/2 mile south of Wilbarger County Airport (F05), Vernon, Texas. The commercial pilot was fatally injured and the airplane was destroyed. The airplane was owned and operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed at the time of the accident, and no flight plan was filed for the local personal flight, which originated from F05 about 1153. There were eight witnesses to the accident, and their accounts of the sequence of events varied. All the witnesses agreed that the airplane made a pass over runway 20; estimates of the airplane's altitude varied from 50 to 300 ft above ground level. One witness thought the airplane may be conducting a go-around. The airplane then made a sharp left bank; witnesses estimated the bank angle between 45° and 90°. Two witnesses thought that the pilot was trying to do a "barrel roll." One witness stated that the airplane entered an inverted attitude and "spun to the ground"; other witnesses stated that the left wing hit the ground before the airplane impacted terrain. Another witness, who was driving north along the highway adjacent to the airport, saw the airplane fly by at low altitude. He stated that the airplane's nose came up slightly and that it entered a steep left bank such that, "you could see the whole profile." He then saw a fireball and black smoke. A GoPro camera was recovered from the wreckage and sent to NTSB's Vehicle Recorders Division. The GoPro had a 64GB internal microSD card that was catastrophically damaged during the accident; the data was unrecoverable. The Office of the Chief Medical Examiner, Tarrant County, Texas, performed an autopsy on the pilot. The pilot's death was attributed to "multiple traumatic injuries due to (an) airplane crash." The toxicology report was negative for ethanol and drugs. Carbon monoxide tests could not be performed. Although thermal injuries were present, the trachea showed no soot deposition. The FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma, performed toxicology testing on specimens of the pilot. Testing revealed 24 (mg/dL) ethanol in muscle tissue; however, putrefaction of the samples was noted, and the ethanol was likely from sources other than ingestion. Additionally, ondansetron was detected in liver andmuscle tissue. Ondansetron (Zofran) is a non-sedating serotonin 5-HT3 receptor antagonist used mainly as an antiemetic to treat nausea and vomiting. The 1255 automated observation at F05 recorded wind from 210° at 14 knots, 10 miles visibility, clear skies, temperature 28°C, dew point 6°C, and an altimeter setting of 29.70 inches of mercury. The pilot held a commercial pilot certificate with ratings for airplane single- and multi-engine land and instrument airplane. He also held a type rating in the Aero Vodochody L39. His second-class Federal Aviation Administration airman medical certificate, dated August 25, 2017, contained the restriction, "Must wear corrective lenses." On the application for that medical certificate, the pilot estimated that he had accrued 1,124 total hours of flight experience, 17 hours of which were accrued in the previous six months. The on-scene investigation revealed a 40-ft long ground scar, consistent with the left wing contacting the ground, which led to a 50-ft long crater. The airplane broke apart, leaving a 580-ft long debris path aligned on a 170° magnetic heading. There was evidence of a flash fire of the surrounding grass likely ignited by vaporized fuel. The airplane itself was fragmented and burned. The right wing separated, and the aileron was missing. The left wing was destroyed. The empennage was identified. The engine compressor showed signatures consistent with rotation followed by sudden stoppage. The guide vanes were broken or crushed, and there was scoring of the engine case. Flight control continuity could not be established due to impact damage, but pushrod movement was identified when the elevators and rudder were moved by hand.

Aircraft

Registration
N580LL
Reported as
Aero Vodochody L39C
Category
Airplane
Serial number
432921
Built
1984
Airframe hours
1,441
Engine
Ivchenko AI-25TL, 3,792 lbs thrust, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · August 8, 2017
Departed
F05 · Vernon, TX
Destination
F05 · Vernon, TX
Airport
F05 · Wilbarger County, runway 20, 5,099 × 100 ft, asphalt
Equipment
Electronic primary flight display, Electronic multifunction display, Auto-pilot, ADS-B, Onboard weather

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
56
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Front
Restraint
4-point
Toxicology
Performed
Flight hours
1,124 total · 8 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 14 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 43 °F
Altimeter
29.70 inHg
Observed at
KF05, 5 nm away

Docket · 6

The files NTSB released with the investigation on April 5, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.1 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.