CEN22LA297

NTSB accident investigation · Cub Crafters CC18-180 · Air Force Academy, CO · July 1, 2022

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
July 1, 2022, 12:25 local (18:25 UTC)
Place
Air Force Academy, CO · Landing to runway 16R
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N469AKCub Crafters CC18-180
Defining event
Approach-VFR go-around: 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 Denver FSDO
FAA report
20220701011569A
Case key
105408

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 failure to maintain airplane control during the go-around, which resulted in impact with terrain. Contributing to the accident was the pilot’s impairment from the effects of alcohol consumption.

Findings · 6

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 · PilotCub Crafters CC18-180: 8 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: yaw controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedCub Crafters CC18-180: 1 caseAll aircraft: 149 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedCub Crafters CC18-180: 7 casesAll aircraft: 3,958 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 glider tow pilot had completed one flight and was returning to the airport following the second tow of the day. The pilot reported that, during the approach, he encountered a meteorological effect and the airplane drifted to the left and the pilot decided to initiate a go-around. As the airplane was accelerating during the go-around, it started “turning/yawing” even though the pilot was trying to accelerate straight and level. The pilot surmised this was from the same meteorological effect that initially pushed the airplane left. The pilot noticed that the airplane seemed to yaw to the right, the airplane began descending, touched down, and came to rest inverted in a grass field, resulting in substantial damage to both wings and the empennage. The pilot admitted to first responders that he had consumed alcohol earlier that morning. The pilot was evaluated at a hospital, where he was diagnosed with alcohol intoxication based on a serum ethanol test result of 0.079 g/dL collected about one hour after the accident. It is likely that the pilot was experiencing impairing effects of ethanol at the time of the accident. It is unknown whether ethanol’s impairing effects were worsened by altitude effects (the field elevation of the airport was about 6,500 ft above mean sea level); however, it is likely that ethanol effects increased the pilot’s risk of making serious errors and diminished his ability to effectively maintain airplane control. Thus, pilot impairment from effects of alcohol consumption likely contributed to the accident.

Factual narrative

On July 1, 2022, about 1225 mountain daylight time, a Cub Crafters CC18-180 airplane, N469AK, sustained substantial damage when it was involved in an accident at the U.S. Air Force Academy, Colorado. The pilot sustained minor injury. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 glider tow flight. The airplane was owned, operated, and maintained by Akima Logistics Services LLC, a federal government contractor. The airplane was part of a fleet used to tow gliders for the U.S. Air Force Academy cadet glider flight training program. Civilian pilots are employed to operate the airplanes. On the day of the accident, the pilot reported for duty to assume the afternoon shift around 1145 and received the daily safety brief from the lead tow pilot. The accident occurred following the pilot’s second glider tow of the day. The pilot classified the approach to runway 16R as normal and stated that he was preparing for a wheel landing. The pilot reported that he encountered “meteorological conditions I hadn’t seen/felt before,” and the airplane began to “drift quickly left” “more forcibly than normal turning tendencies.” The pilot decided to initiate a go-around. As the airplane accelerated during the go-around, it started “turning/yawing” even though the pilot was trying to accelerate straight and level. The pilot surmised this was from the same meteorological effect that initially pushed the airplane left, and he classified it as a “wind vane effect.” The pilot noticed that the airplane seemed to yaw to the right without the wing drop characteristics of an aerodynamic stall. The airplane began descending, touched down, and came to rest inverted in a grass field. The glider tow rope remained attached to the airplane. The pilot egressed from the airplane via the cockpit door without further incident. The airplane sustained substantial damage to both wings and the empennage. The pilot reported that there were no preimpact mechanical malfunctions or failures with the airframe or the engine that would have precluded normal operation. First responders provided medical treatment to the pilot at the accident site. The first responders reported that they smelled alcohol on the pilot’s breath in the ambulance. The pilot admitted to first responders that he had consumed alcohol earlier that morning. The pilot’s evaluation upon arrival at the local hospital included a clinical serum ethanol test that was collected at 1324 and showed a serum ethanol level of 0.079 g/dL. The physician’s note documented that first responders reported that the pilot smelled like alcohol and had been drinking 8 hours before the flight. The physician documented that the pilot admitted to drinking alcohol the night before the accident date but could not state the amount that he had consumed or when he had stopped drinking, although the pilot felt that it had been more than 8 hours before flying. The physician documented alcohol intoxication among the pilot’svisit diagnoses. The FAA Forensic Sciences Laboratory performed toxicological testing of leftover specimens from the pilot’s postaccident hospital care that found ethanol at 0.057 g/dL in the pilot’s blood. The pilot’s employer subjected him to a non-Department of Transportation (DOT) breath alcohol test following the accident. According to records of this test, the test was performed at 1702, and was negative. The pilot’s employer also subjected him to a non-DOT urine drug test following the accident. According to records of this test, it was collected at 1707. A medical review officer verified the urine drug test results, reporting the test as negative for tested-for substances.

Aircraft

Registration
N469AK
Reported as
Cub Crafters CC18-180 (NO SERIES)
Category
Airplane
Serial number
CC18-0088
Built
2018
Airframe hours
1,934.7
Engine
Lycoming Engines O-360-C1G, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Glider tow · Part 91
Operator
Akima Logistics Services LLC, doing business as Akima Logistics Services LLC
Registered owner
Akima Logistics Services LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 14, 2022 · 59.2 hours before
Flight plan
Military VFR
Airport
AFF · Usaf Academy Afld, runway 16R, 4,500 × 40 ft, asphalt
Equipment
Electronic multifunction display, Stall warning system, ADS-B, Data recorder, Electronic flight bag or handheld device

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
50
Injuries
Minor
Certificates
Flight instructor, Airline transport, Commercial, Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
June 19, 2022
Seat
Front
Restraint
4-point
Toxicology
Performed
Flight hours
5,496 total · 70 in this make and model · 4,540 as pilot in command · 288 in the last 90 days · 88 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
77 °F, dew point 48 °F
Altimeter
30.25 inHg
Observed at
KAFF, 1 nm away
METAR
KAFF 011827Z VRB03KT 10SM FEW050 SCT080 BKN250 25/09 A3025 RMK AO2A SLP153 /ACFT/MSHP/ $

Docket · 12

The files NTSB released with the investigation on November 29, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 19.2 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.