- Date
- March 31, 2022, 11:00 local (16:00 UTC)
- Place
- Kerrville, TX
- Injuries
- 1 fatal
- Damage
- Substantial damage
- Phase of flight
- Taxi
- Aircraft
- N21BSMooney M20E
- Defining event
- Taxi-from runway: Medical event
- Weather
- Visual (VMC) · Day
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 3
- NTSB office
- Central Region
- Parties
- FAA FSDO
- FAA report
- 20220331004482A
- Case key
- 104866
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 sudden cardiac event, which resulted in incapacitation, uncontrolled taxi after landing, and collision with a stationary parked airplane.
Findings · 1
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.
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
After a local flight, the airplane landed, and a witness saw the airplane taxi over a grass-covered area and then onto the ramp at a higher-than-normal speed. The airplane struck a parked airplane, and the left wing became wedged underneath the empennage of the parked airplane. Airport personnel responded and discovered that the pilot was slumped over the flight controls and unresponsive. Emergency responders attempted CPR, but the pilot did not recover and was transported to a hospital where he was declared deceased. The airplane’s left wing sustained substantial damage. Examination of the airplane’s flight control, brake systems, and related systems did not reveal any mechanical anomalies that would have precluded normal operations. The pilot’s cause of death was atherosclerotic and hypertensive cardiovascular disease in association with obesity; the manner of death was reported as natural. There was significant cardiovascular disease identified by the autopsy without evidence of significant trauma. His cardiovascular conditions placed him at increased risk for a sudden cardiac event. Given the medical findings and the circumstances of this accident, it is likely that the pilot’s incapacitation from a sudden cardiac event caused the accident.
Factual narrative
On March 31, 2022, about 1100 central daylight time, a Mooney M20E airplane, N21BS, was substantially damaged when it was involved in an accident near Kerrville, Texas. The pilot sustained fatal injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. After a local flight, the airplane landed at the Kerrville Municipal Airport (ERV). A witness saw the airplane taxi at a high speed, and it seemed to be out of control. The witness saw the airplane taxi over a grass-covered area and then onto the ramp. The airplane struck the empennage of a parked airplane (a Rockwell Commander, N25CE). The left wing of the Mooney became wedged underneath the empennage of the Rockewell Commander. Airport personnel responded and discovered that the unresponsive pilot was slumped over the flight controls. Medical personnel based on the airport began CPR, but the pilot did not respond. The pilot was transported to a hospital where he was declared deceased. The airplane’s left wing sustained substantial damage. Examination of the airplane’s flight control and brake systems did not reveal any anomalies that would have precluded normal operations. The engine exhaust system was found normal and intact. The Commander’s right horizontal stabilizer also sustained substantial damage. The pilot’s most recent Basic Med certificate was dated August 18, 2020. His third-class medical certificate expired in 2018. His most recent third-class medical examination was on August 31, 2016. During this examination, the pilot reported that he was taking medications for high cholesterol, high blood pressure, and low thyroid function. An autopsy on the pilot was performed by the Travis County Medical Examiner, Austin, Texas. The cause death was atherosclerotic and hypertensive cardiovascular disease in association with obesity, and the manner of death was natural. Toxicology testing performed by the Travis County medical examiner’s office was positive for the high blood pressure medication amlodipine in the pilot’s femoral blood. This substance is generally considered non-impairing. Toxicology testing performed by the Federal Aviation Administration’s (FAA) Forensic Sciences laboratory detected amlodipine and propafenone in the pilot’s heart blood and liver tissue. Propafenone is used to treat life-threatening irregular heartbeats; the medication itself can cause a new irregular heartbeat and increase the risk of death. The use of propafenone would require FAA review and approval.
Aircraft
- Registration
- N21BS
- Reported as
- Mooney M20E
- Category
- Airplane
- Serial number
- 21-1173
- Built
- 1975
- Airframe hours
- 3,948
- Engine
- Lycoming IO360 SER A&C, 200 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · February 14, 2022
- Departed
- ERV · Kerrville, TX
- Destination
- Same as departure
- Airport
- ERV · Kerrville Municipal Airport
- Equipment
- 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
- 71
- Injuries
- Fatal
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Medical
- BasicMed
- Seat
- Left
- Restraint
- 3-point
- Toxicology
- Performed
- Flight hours
- 3,975 total · 3,975 in this make and model · 6 in the last 90 days · 3 in the last 30 days · 1 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 30° at 3 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 63 °F, dew point 36 °F
- Altimeter
- 29.95 inHg
- Observed at
- KERV
- METAR
- KERV 311555Z AUTO 03003KT 10SM CLR 17/02 A2995 RMK AO2 T01720024
Docket · 6
The files NTSB released with the investigation on February 8, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.4 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.