CEN19FA144

NTSB accident investigation · Vans RV6 · Chillicothe, OH · May 18, 2019

Accident · FatalClass 2 · FieldFinal report
Date
May 18, 2019, 12:45 local (16:45 UTC)
Place
Chillicothe, OH
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N596JBVans RV6
Defining event
Enroute: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 2
NTSB office
Central Region
Parties
Federal Aviation Administration, Van's Aircraft, Continental Motors
FAA report
20190518004819A
Case key
99446

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 maintain control of the airplane following an intermittent loss of engine power during cruise flight that resulted in him impacting trees. The reason for the loss of engine power could not be determined based on the available information.

Findings · 5

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.

Not determinedNot determined › Not determined · Unknown/Not determinedBass Jerry VANS RV6A: 1 caseAll aircraft: 2,247 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBass Jerry VANS RV6A: 1 caseAll aircraft: 9,295 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeBass Jerry VANS RV6A: 1 caseAll aircraft: 933 casesProbable cause
Engine (reciprocating)Aircraft › Aircraft power plant · MalfunctionBass Jerry VANS RV6A: 1 caseAll aircraft: 497 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedBass Jerry VANS RV6A: 1 caseAll aircraft: 1,269 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 pilot departed an experimental, amateur-built airplane on a cross-country flight in day visual meteorological conditions. A witness near the accident site said the airplane "engine slowed or stalled," then the engine "refired" and subsequently "stalled" Again. He then observed the airplane in a left bank turn and the engine sounded "wide open" until the airplane impacted trees and terrain. Examination of the wreckage did not reveal any preimpact mechanical anomalies that would have precluded normal operation. The airplane's full authority digital engine control (FADEC) system components were operational. Although toxicology testing detected ethanol, its presence could be attributed to postmortem production. During a flight review a few weeks before the accident, the pilot told a flight instructor that he previously had trouble with the airplane's ignition system. The flight instructor reported that there were no ignition issues during the flight review. Based on the available information, it is likely that the airplane had intermittent engine issues, which could not be replicated during postaccident examination and testing. When the engine lost power, the pilot did not maintain airplane control and impacted trees and terrain.

Factual narrative

According to the flight instructor who conducted the pilot's flight review, the pilot indicated that he previously had trouble with the accident airplane's engine ignition system but that it was working properly at that time. The flight instructor did not notice any problems with the engine ignition during the flight review. The airplane was equipped with a full authority digital engine control (FADEC) system, which controlled the ignition spark and fuel mixture in the engine. On May 18, 2019, about 1245 eastern daylight time, a Vans RV6A experimental, amateur-built airplane, N596JB, was destroyed when it was involved in an accident near Chillicothe, Ohio. The pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The airplane departed Pickaway County Memorial Airport (CYO), Circleville, Ohio, about 1235 and was destined for Pike County Airport (EOP), Waverly, Ohio. According to a witness near the accident site, the airplane "engine slowed or stalled," then the engine "refired" and subsequently "stalled" Again. He observed the airplane in a left bank turn and stated that the engine sounded "wide open" until the crash. The Montgomery County Coroner's Office, Dayton, Ohio, performed an autopsy on the pilot. The autopsy listed the pilot's cause of death as multiple trauma . Toxicology testing performed at the FAA Forensic Sciences Laboratory indicated that the samples sustained putrefaction and ethanol was detected in muscle, liver, and lung tissue. No tested-for substances were detected in the liver. The pilot's last third-class FAA medical certificate was issued to him on February 6, 2017, with no limitations and expired on February 28, 2019. According to information from the FAA, the pilot completed the BasicMed comprehensive medical examination checklist on December 13, 2017, completed the BasicMed course on February 27, 2018, and satisfied the requirements for BasicMed. A review of the pilot's logbook showed that he completed a flight review on April 24, 2019. One accident FADEC master power control (MPC) was destroyed and one sustained minor damage; it and the speed sensor were shipped to the engine manufacturer, and found the MPC was operationally capable of producing spark at each spark plug tower. The manufacturer connected the speed sensor to a testing system and it operated correctly when a metal target was moved near its sensors. The airplane wreckage came to rest in a wooded area about 145° and 12 nautical miles from Ross County Airport (RZT). During the on-scene investigation, investigators found fragments of the airplane in both a tree trunk that had been separated about 30 ft above ground level and in the branches of the upper portion of the separated tree. The rear section of the fuselage and empennage came to rest about 57 ft and 70° from the separated tree, and the engine came to rest about 33 ft and 70° from the separated tree. The engine cowling, canopy, wings,and forward portion of the fuselage were highly fragmented and found in the branches of trees and on the ground between the separated tree and the empennage. Tree leaves near the empennage exhibited an appearance consistent with blight. The rudder cables were traced from the rudder to the rear section of the fuselage. Elevator flight control continuity was traced from its servo at the rear portion of the fuselage aft to its control surface. All separations in flight control tubing were consistent with overload. The engine control cable was fragmented and was not able to be traced. The engine speed sensor also exhibited minor damage. The engine was disassembled and no preimpact anomalies were observed.

Aircraft

Registration
N596JB
Reported as
Vans RV6 (A)
Category
Airplane, amateur-built
Serial number
24723
Built
2000
Airframe hours
830
Engine
Mattituck TMXOF-360, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · September 4, 2018
Departed
CYO · Circleville, OH
Destination
EOP · Waverly, OH

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
90
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Sport pilot, Without waivers/limitations
Last flight review
April 24, 2019
Seat
Left
Restraint
4-point
Toxicology
Performed
Flight hours
1,967 total

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 10 knots
Visibility
10 statute miles
Temperature
81 °F, dew point 61 °F
Altimeter
29.96 inHg
Observed at
RZT, 12 nm away

Docket · 20

The files NTSB released with the investigation on October 9, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 24.5 MB in all.

Witness statements - diagramItem 1 · PDF · 1 page · 728 KBWitness statement - m. wrightItem 2 · PDF · 1 page · 315 KBMemorandum for record a�� communication summary -- c. palmer CFIItem 3 · PDF · 1 page · 64 KBMemorandum for record a�� communication summary -- j. farington, witness at ctoItem 4 · PDF · 1 page · 58 KBAir traffic control - radar data plotsItem 5 · PDF · 11 pages · 1.8 MBAir traffic control - radar data - csvItem 6 · CSV · 4 KBAir traffic control - radar data - kmlItem 7 · KMZ · 4 KBMiscellaneous information - pilot logbook excerptItem 8 · PDF · 4 pages · 1.8 MBMaintenance records - logbook excerptItem 9 · PDF · 3 pages · 1.3 MBPhotos - on sceneItem 10 · PDF · 20 pages · 20 photos · 4.0 MBMiscellaneous information - continued airwothiness excerptsItem 11 · PDF · 6 pages · 45 KBPhotos - fadec mpc and speed sensor examItem 12 · PDF · 10 pages · 10 photos · 3.3 MBMiscellaneous information - testing results -- fadecItem 13 · PDF · 5 pages · 3.7 MBMaps or charts of accident areaItem 14 · PDF · 3 pages · 4.8 MBWeather reports and recordsItem 15 · PDF · 8 pages · 46 KBToxicological reportItem 16 · PDF · 1 page · 372 KBStatement of party representatives to NTSB investigation - ContinentalItem 17 · PDF · 1 page · 587 KBStatement of party representatives to NTSB investigation - vansItem 18 · PDF · 1 page · 1.4 MBRelease of aircraft wreckage, NTSB form 6120.15Item 19 · PDF · 1 page · 84 KBEvidence control formItem 20 · PDF · 1 page · 81 KB

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 N596JB · 1

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