CEN18FA242

NTSB accident investigation · Champion 7GCAA · Arthur, NE · June 29, 2018

Accident · FatalField investigationFinal report
Date
June 29, 2018, 12:45 local (18:45 UTC)
Place
Arthur, NE
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N9026LChampion 7GCAA
Defining event
Maneuvering-low-alt flying: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report July 8, 2019
Report
Approved by Office Director
NTSB office
Central Region
Parties
Lycoming Engines, Flight Standards District Office
FAA report
20180629008879A
Case key
97644

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 pilot's failure to recover from a spin 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 · PilotChampion 7GCAA: 5 casesAll aircraft: 9,295 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Capability exceededChampion 7GCAA: 1 caseAll aircraft: 1,269 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedChampion 7GCAA: 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, who was experienced in aerobatics, coordinated with a friend to perform a flyover of a cattle branding event. Before departing on the flight, the pilot informed his father and that he was feeling very ill and nauseated during the previous flight that day due to in-flight turbulence and informed his friend at the branding event that he may not be able to perform the flyover. The pilot subsequently flew to the cattle branding event and commenced aerobatic maneuvers, which included a loop and rolling maneuver followed by a climb in a vertical pitch attitude. The airplane subsequently rolled left and entered a left-turning spin, which continued to ground contact. Examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation, and autopsy and toxicology testing of the pilot identified no evidence of physiological impairment or incapacitation. Although the pilot had reported some symptoms before departing on the flight, the nature of his illness was not diagnosed, and no evidence of illness was identified on autopsy. It is possible that the pilot's undefined symptoms or illness may have contributed to the accident; however, without further evidence, it could not be determined whether or to what extent his symptoms may have affected his ability to recover from the spin maneuver.

Factual narrative

The two-seat, high-wing, fixed-gear airplane was manufactured in 1970 and was equipped with a Lycoming O-320-A2B engine and a McCauley two-blade, all-metal, fixed pitch propeller. On October 2, 2017, the airplane underwent an annual inspection at an airframe total time of 6,507 hours and 2,194 hours since engine overhaul. The accident occurred about 26 hours after this inspection. On June 29, 2018, about 1245 mountain daylight time, a Champion 7GCAA airplane, N9026L, impacted terrain while maneuvering near Arthur, Nebraska. The commercial pilot was fatally injured, and the airplane was substantially damaged. The airplane was registered to and was being operated by Last Pass Aviation as a Title 14 Code of Federal Regulations Part 91 personal flight. Day visual meteorological conditions existed in the area of the accident, which departed without a flight plan from Thomas County Airport (TIF), Thedford, Nebraska, about 1115. The pilot was performing aerobatic maneuvers at a cattle branding event. A witness reported that, following a loop and rolling maneuver, the airplane began to climb in a vertical attitude. The airplane subsequently rolled left and made a series of left-turning spins as it descended to ground contact. The Regional West Medical Center Pathology Department, Scottsbluff, Nebraska, performed an autopsy on the pilot. The cause of death was blunt force injuries. Toxicology testing performed at the FAA Forensic Sciences Laboratory was negative for drugs and alcohol. The pilot, age 28, held a commercial pilot certificate with airplane single- and multi-engine land and instrument ratings, and a flight instructor certificate with airplane single- and multi-engine and instrument ratings. On June 26, 2018, the pilot was issued a Federal Aviation Administration (FAA) second-class medical certificate with a restriction for corrective lenses. The pilot had recently started training for agricultural application operations and had flown about 30 hours in an Air Tractor AT502 airplane. According to an insurance application from March 2018, the pilot reported that he had 1,100 hours of aerobatic flight experience in the accident airplane make and model. Most of this experience occurred while instructing spin, aerobatic, and upset recovery training at a flight school in California. The pilot's logbook was not available for review. Before departing on the accident flight, the pilot informed his father that he had been feeling very ill and nauseated during the previous flight that day due to significant in-flight turbulence. Because of this issue, the pilot informed a friend at the cattle branding event that he might not be able to perform the flyover. The airplane impacted a grassy meadow with no evidence of postimpact ground fire. Both wings were upright and exhibited significant crushing and deformation. The empennage was twisted to the left, with the outer edge of the left elevator resting near the left aileron. The engine was partially buried atan approximate 30° angle in relation to the surrounding terrain. The left gear strut was significantly deformed. The propeller remained attached to the engine. One of the propeller blades, which was buried into the ground, was nearly straight with minimal damage or polishing. The other propeller blade, which was out of the ground, was twisted aft about 180° and displayed polishing and chordwise gouges. The flight control surfaces remained attached to their respective airframe attach points and the horizontal and vertical stabilizers were not damaged. Flight control cable continuity was confirmed to all flight control surfaces with no anomalies noted. Examination of the engine revealed normal power train continuity. Thumb compression and suction were observed on all four cylinders and a borescope inspection revealed no anomalies with the pistons, cylinder barrels, cylinder heads, valves, or valve seats. The spark plugs exhibited a dark gray color and the electrodes exhibited normal wear patterns. The magnetos sparked normally at all leads during rotation. The carburetor bowl was impact damaged with no fuel present. The fuel gascolator screen, carburetor screen, and oil pickup were clear of contaminants. The engine exhaust system was impact damaged; the heat muff was intact with no cracks or exhaust erosion. Examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation.

Aircraft

Registration
N9026L
Reported as
Champion 7GCAA
Category
Airplane
Serial number
215-70
Built
1970
Airframe hours
6,517
Engine
Lycoming O-320-A2B, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Aerobatic; Standard, Normal
Last inspection
Annual · October 2, 2017 · 26 hours before
Departed
TIF · Thedford, NE
Destination
AIA · Alliance, NE
Equipment
None

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
28
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
February 15, 2018
Seat
Front
Restraint
4-point
Toxicology
Performed
Flight hours
3,200 total · 1,100 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 68 °F
Altimeter
29.77 inHg
Observed at
KOGA, 28 nm away

Docket · 4

The files NTSB released with the investigation on May 14, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 451 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.

Other investigations on N9026L · 1

Matched to the same aircraft by N-number and date.