CEN20FA003

NTSB accident investigation · Lancair Legacy · Bixby, MO · October 6, 2019

Accident · FatalClass 3 · FieldFinal report
Date
October 6, 2019, 08:49 local (13:49 UTC)
Place
Bixby, MO
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N10LGLancair Legacy
Defining event
Enroute: VFR encounter with IMC
Weather
Instrument (IMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Continental Motors, FAA Flight Standards District Office, FAA Flight Stanndards District Office
FAA report
20191006016939A
Case key
100368

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 continued visual flight rules flight into instrument meteorological conditions, which resulted in a loss of control due to spatial disorientation.

Findings · 7

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.

Ceiling/visibility/precip: low ceilingEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionN10lg Partners LANCAIR LEGACY: 1 caseAll aircraft: 190 casesProbable cause
Ceiling/visibility/precip: low visibilityEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionN10lg Partners LANCAIR LEGACY: 1 caseAll aircraft: 175 casesProbable cause
Ceiling/visibility/precip: drizzle/mistEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionN10lg Partners LANCAIR LEGACY: 1 caseAll aircraft: 18 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedN10lg Partners LANCAIR LEGACY: 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 on a visual flight rules (VFR) cross-country flight into marginal VFR weather conditions, and likely encountered instrument flight rules (IMC) conditions shortly thereafter. Radar data indicated that the airplane was flying south-southwest between 2,300 ft mean sea level (msl) and 2,800 ft msl, then entered a descent to about 1,525 ft msl before initiating a climbing, 270° left turn. Witnesses near the accident site reported a thick, low cloud cover and estimated that the airplane was flying within a few hundred feet of the ground. Radar contact with the airplane was lost at a groundspeed of 42 kts and altitude of 1,975 ft msl about 24 minutes after departure. Examination revealed no evidence of any pre-impact mechanical malfunctions or failures that would have precluded normal airplane and engine operation. Although the pilot was instrument rated and the airplane was equipped for instrument flight, there was no evidence in the pilot's logbook to indicate that he was instrument current or proficient. There was no record of the pilot receiving preflight weather information from an official source. It is likely the pilot’s lack of instrument currency and proficiency with his VFR flight into IMC conditions resulted in disorientation. The radar track data, sound witness reports, and wreckage distribution is are consistent with a loss of control and the restricted visibility conditions were conducive to the development of spatial disorientation.

Factual narrative

On October 6, 2019, at 0849 central daylight time, an experimental, amateur-built Lancair Legacy airplane, N10LG, was destroyed when it was involved in an accident near Bixby, Missouri. The private pilot was fatally injured. The airplane operated as Title 14 Code of Federal Regulations Part 91 personal flight. The pilot flew the airplane from Texas to Missouri three days earlier to attend the Lancair Owners and Builder Organization's annual meeting; the accident occurred on the return flight. According to the Federal Aviation Administration (FAA), there was no record of the pilot obtaining a weather briefing or filing a flight plan before his departure. Radar information showed the airplane depart about 0825 and establish a south-southwesterly heading at altitudes between about 2,300 ft mean sea level (msl) and 2,800 ft msl. About 0846, the airplane began a descent and reached a minimum altitude about 1,525 ft msl about 0849. Over the next minute, the airplane entered a climbing, 270° left turn and slowed to a speed of about 42 kts before radar contact was lost at 0849:49, at an altitude of 1,975 ft msl. A witness about 3 miles from the accident site heard a single-engine airplane and reported that the engine sounded as though it was "revving high." He stated that it was "a bad day to be flying" because of the thick cloud cover and mist. He estimated that when the airplane passed over him, it was a few hundred feet above the ground or lower, and that he could not see it due to the low, thick cloud cover. Another witness said that she heard a low-flying airplane and then the sound of impact. She described the weather as being overcast and "very low clouds." She added that, if the pilot had been below the clouds, "he would have been flying very low, nearly at tree top at the top of the hills." The Civil Air Patrol received an emergency locator transmitter (ELT) signal and began an aerial search. The wreckage was located about 1615 about 5 miles south of Bixby, Missouri, in the Mark Twain National Forest. Toxicology testing performed by FAA's Forensic Sciences Laboratory found 54 mg/dL and 18 mg/dL ethanol in muscle and brain tissue, respectively. Putrefaction was noted. No drugs were detected in liver tissue. The 0751 weather observation at Lambert-St. Louis International Airport (STL), located 7 miles east of the departure airport, included wind from 020° at 7 knots, 10 miles visibility, scattered clouds at 3,700 ft above ground level (agl), a broken ceiling at 2,000 ft agl, temperature 17°C, dew point 9°C, and an altimeter setting of 30.13 inches of mercury. About the same time, the weather at Waynesville-St. Robert Regional Airport-Forney Field (TBN), Fort Leonard Wood, Missouri, located about 60 miles west of the accident site, included wind from 030° at 6 knots, 10 miles visibility, an overcast ceiling of 2,000 ft agl, temperature 15°C, dew point 10°C, and an altimeter setting of 30.12 inches of mercury. The cloud ceiling was reported in theremarks section as 1,900 ft agl. The pilot held four Repairman- Experimental Aircraft Builder certificates. A partial copy of the pilot's logbook contained entries from October 22, 2018, to September 23, 2019 and indicated that the pilot had logged 108.6 hours in the accident airplane. During that time period, the pilot recorded .5 hrs actual instrument experience in September 2018. The airplane impacted heavily-wooded terrain in a flat attitude on a magnetic heading of 263°. Although there were some broken branches in the area, no trees had been toppled. The right wing separated 90° forward at the spar carry-through. The left wing remained attached. The empennage was displaced to the right but remain attached to the fuselage. The engine remained attached but was displaced to the left. The 3-blade metal propeller separated from the crankshaft and was located next to the engine. One blade was relatively straight, the second blade was bent, and the third blade displayed s-bending and 90-degree chordwise scratches on both the cambered and flat surfaces. The propeller spinner was crushed to the right but remained attached to the hub. Examination of the airframe and engine revealed no anomalies that would have precluded normal operation.

Aircraft

Registration
N10LG
Reported as
Lancair Legacy
Category
Airplane, amateur-built
Serial number
L2K-343
Built
2018
Engine
Continental IO-550-N, 350 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · October 17, 2019
Departed
1HO · Creve Coeur, MO
Destination
88R · Spicewood, TX
Equipment
Electronic primary flight display, Electronic multifunction display, ADS-B

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
65
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
4-point
Toxicology
Performed
Flight hours
1,590 total · 1,590 in this make and model · 33 in the last 90 days

Weather

Conditions
Instrument (IMC) · Day
Wind
300° at 7 knots
Visibility
10 statute miles
Lowest ceiling
1,500 ft overcast
Temperature
61 °F, dew point 59 °F
Altimeter
30.12 inHg
Observed at
KFAM

Docket · 16

The files NTSB released with the investigation on March 25, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 36.8 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.