CEN19FA278

NTSB accident investigation · Grumman G164 · Hays, KS · August 20, 2019

Accident · FatalField investigationFinal report
Date
August 20, 2019, 09:15 local (14:15 UTC)
Place
Hays, KS
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N3631ZGrumman G164
Defining event
Maneuvering-low-alt flying: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed · report May 19, 2020
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA
FAA report
20190820013909A
Case key
100100

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 exceedance of the airplane's critical angle of attack, which resulted in an aerodynamic stall.

Findings · 3

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.

Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedSchweizer G-164B: 2 casesAll aircraft: 990 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedSchweizer G-164B: 1 caseAll aircraft: 1,681 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotSchweizer G-164B: 7 casesAll aircraft: 9,295 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 was performing an agricultural application flight, and the airplane was observed departing a private airstrip to the east toward a field west of the airstrip. The airplane impacted terrain in a steep, nose-down attitude. A postimpact fire ensued. There were no witnesses to the accident. Impact signatures and twisting of the wreckage were indicative of a nose-low spin, consistent with an aerodynamic stall . Flight control continuity could not be verified due to fire damage, but no anomalies were noted with the airframe and engine that would have precluded normal operation. The pilot's toxicology tests results showed no drug or alcohol use. Thus, it is likely that aerodynamic stall resulted from the pilot allowing the airplane to exceed its critical angle of attack during a turn.

Factual narrative

On August 20, 2019, at 0915 central daylight time, a Grumman-Schweizer G164-B airplane, N3631Z, impacted terrain near Hays, Kansas. The commercial pilot was fatally injured, and the airplane was destroyed by impact forces and postimpact fire. The airplane was owned and operated by Werth Aerial Spraying Inc. as a Title 14 Code of Federal Regulations Part 137 agricultural application flight. Visual meteorological conditions prevailed, and no flight plan was filed for the local flight, which originated from the operator's private airstrip. According to a family member, the purpose of the flight was to apply chemicals to a neighbor's field west of the pilot's private airstrip. The family member observed the airplane departing the airstrip to the east and then turned away from the airplane. She did not see the airplane after it departed or for the remainder of the flight. The airplane impacted terrain 0.7 mile northeast of the airstrip. There were no witnesses to the accident. The District Coroner, 23rd Judicial District of Kansas, performed an autopsy on the pilot. His cause of death was thermal injuries and carbon monoxide inhalation. Toxicology testing performed at the Federal Aviation Administration Forensic Sciences Laboratory was negative for ethanol, carbon monoxide, and all tested drugs. The airplane impacted a gravel road that was oriented east to west and an adjacent ditch. All wreckage was located within about 50 ft of the initial impact point, and ground scars were oriented on a 292° heading. The wings were oriented along an east-west direction, and the top of the wings faced south. The metal tube frame of the fuselage and empennage were oriented toward the north-northwest with the vertical and horizontal stabilizers rotated to the west. The engine was separated from the fuselage and located abeam the tail. The airplane's attitude at impact and impact angle could not be determined from the available evidence, but the damage to the wreckage and the orientation of the wreckage in relation to the initial impact point were consistent with an impact at a steep angle. A post-impact fire consumed most of the fuselage, cockpit, and inboard sections of the left and right wings. Flight control continuity was established from the ailerons, rudder, and elevators to the cockpit. Control continuity could not be established within the cockpit due to fire damage to the flight controls. The engine had separated from the main wreckage The propeller and throttle control levers were found in the full forward position. The mixture control lever was found near the full aft position. Engine control cables were continuous from their respective control levers to the engine firewall. The control cables terminated forward of the engine firewall in a manner consistent with overload. A teardown of the engine was performed, and no anomalies were found that could have led to a loss of engine power. The propeller spinner was removed, and both propeller blades were foundto be in a low pitch position. One blade was bent aft about 90° near the midpoint of the blade. Gouges were present on the leading edge of the blade. The other blade was straight and exhibited leading edge gouging and polishing and chordwise scratches. Examination of the airframe and engine revealed no anomalies that would have precluded normal operation.

Aircraft

Registration
N3631Z
Reported as
Grumman G164 (B)
Category
Airplane
Serial number
765B
Built
1985
Airframe hours
2,616
Engine
Pratt and Whitney R-985-AN-14B, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Aerial application · Part 137
Operator
Werth Aerial Spraying Inc
Registered owner
Werth Aerial Spraying Inc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · April 6, 2019
Departed
Hays, KS
Destination
Hays, KS
Airport
N/A · Werth Private Airstrip

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
70
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Single
Toxicology
Performed
Flight hours
18,616 total

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 70 °F
Altimeter
29.92 inHg
Observed at
KHYS, 9 nm away

Docket · 9

The files NTSB released with the investigation on March 25, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.4 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.