CEN21FA424

NTSB accident investigation · Boeing A75 · Delta, CO · September 17, 2021

Accident · FatalClass 3 · FieldFinal report
Date
September 17, 2021, 08:00 local (14:00 UTC)
Place
Delta, CO
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N19BBBoeing A75
Defining event
Maneuvering-aerobatics: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20210917015839A
Case key
103896

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The pilot’s loss of control during an aerobatic maneuver, resulting in the airplane impacting terrain.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBoeing A75: 4 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: pitch controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBoeing A75: 1 caseAll aircraft: 526 casesProbable cause
Performance/control parameters: yaw controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBoeing A75: 1 caseAll aircraft: 149 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 took off and proceeded to an area northeast of the airport where he began performing aerobatic maneuvers. Witnesses reported that the airplane began a loop maneuver and, at the top of the loop while inverted, the airplane entered a flat spin. They observed the airplane recover from the spin. The airplane then gained altitude and entered another loop. At the top of that loop, while inverted, the airplane entered another flat spin, but this time the pilot did not recover. The airplane descended to impact with rugged terrain. The witnesses reported that the engine could be heard running during the descent to the point of impact. A postaccident examination revealed no preaccident failures or malfunctions with the airplane that would have precluded normal operation. The pilot had used the sedating antihistamine diphenhydramine, which has a potential to cause cognitive and psychomotor slowing and drowsiness. There was insufficient evidence to determine whether the pilot was experiencing impairing diphenhydramine effects at the time of the crash, and no specific evidence that pilot impairment contributed to the crash.

Factual narrative

According to an acquaintance of the pilot, who also witnessed the accident, he and the pilot flew the airplane to AJZ a few days before the accident flight. The acquaintance stated that the airplane operated normally. On September 17, 2021, about 0800 central daylight time, a Boeing A75 airplane, N19BB, was substantially damaged when it was involved in an accident near Delta, Colorado. The pilot sustained fatal injuries. The flight was operated under the provisions of Title 14 Federal Code of Regulations Part 91 as a personal flight. The airplane took off from runway 3 at Blake Field Airport (AJZ), Delta, Colorado. Two witnesses observed the airplane climb out and begin aerobatic maneuvers about 5 miles to the northeast of AJZ. Both witnesses reported that the airplane began a loop maneuver, and at the top of the loop while inverted, the airplane entered a flat spin. They observed the airplane recover from that spin. The airplane then gained altitude and they observed the airplane begin another loop maneuver. At the top of that loop, while inverted, the airplane entered another flat spin, but this time the pilot did not recover. The airplane impacted rugged, sloped terrain about 5 miles to the northeast of AJZ. First responders located the airplane wreckage and notified authorities. There were no radio or distress calls heard from the pilot. The witnesses reported that the engine could be heard running during the descent to the point of impact. The Pathology Group, P.C., Grand Junction, Colorado, performed the pilot’ s autopsy as authorized by the Delta County Coroner’s Office, Delta, Colorado. According to the pilot’s autopsy report, his cause of death was multiple blunt force injuries, and his manner of death was accident. The autopsy did not identify significant natural disease. The Federal Aviation Administration Forensic Sciences laboratory performed toxicology testing of postmortem specimens from the pilot. Diphenhydramine, famotidine, desloratadine, and pseudoephedrine were detected in cavity blood and urine. The wreckage was found resting inverted on a 45-degree sloped hill. The fuselage was oriented downslope and crushed inward from impact forces. The engine was partially separated from its mounts. The empennage section was bent rearward, the upper wings were bent upward, and lower wings were separated from their respective mounting braces, consistent with a flat impact. One blade of the two-bladed propeller had no damage while the other blade was bent aft 45o with no twisting. Flight control continuity was confirmed from the cockpit to all flight control surfaces. The engine throttle control was found in the idle position. Engine rotation continuity (compression resistance) was confirmed. The smell of fuel was present. The airplane was not equipped with inverted fuel or oil supply systems.

Aircraft

Registration
N19BB
Reported as
Boeing A75 (NO SERIES)
Category
Airplane
Serial number
75-293
Built
1940
Airframe hours
4,872.7
Engine
Pratt & Whitney R985-AN1, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Friendshuh Timothy G
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 17, 2021
Destination
Same as departure
Airport
AJZ · Delta County Airport Blake Field

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
55
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Rear
Restraint
4-point
Toxicology
Performed
Flight hours
1,104 total · 71 in this make and model · 54 in the last 90 days · 37 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
59 °F, dew point 28 °F
Altimeter
30.22 inHg
Observed at
KAJZ, 4 nm away
METAR
KAJZ 171355Z Auto 08003KT 10SM 15/M02 A3022 RMK A02 T01471023

Docket · 6

The files NTSB released with the investigation on August 23, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.2 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.