- Date
- July 1, 2022, 15:00 local (20:00 UTC)
- Place
- Sturgeon Bay, WI · Runway 2 at SUE
- Injuries
- 1 minor
- Damage
- Substantial damage
- Phase of flight
- Landing
- Aircraft
- N23RSPitts S1
- Defining event
- Landing-flare/touchdown: Loss of control on ground
- Weather
- Visual (VMC) · Day
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 4 - Basic report with no Prelim publish
- NTSB office
- Central Region
- Parties
- FAA Milwaukee FSDO
- FAA report
- 20220701011549A
- Case key
- 105416
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 landing, which resulted in a runway excursion and nose over. Contributing to the accident was the pilot’s inadequate preflight inspection and the pilot’s lack of flight control system knowledge.
Findings · 5
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
The pilot reported that during landing touchdown with all three wheels “down,” and the airplane “tracking fine,” he removed his feet from the lower rudder pedal bars to apply braking via the upper braking pedal bars. The pedals then fell rearward toward the pilot and his right foot got wedged between the lower rudder pedal bar and the upper braking pedal bar. The pilot reported this action caught him by surprise and he applied “heavy” right rudder, thinking it was braking application. The airplane departed the right side of the runway, nosed over, and came to rest inverted in the grass next to the runway. The airplane sustained substantial damage to the top right wing and the empennage. The pilot reported there were no preimpact mechanical malfunctions or failures with the airplane that would have precluded normal operation. The pilot reported that he had recently purchased the airplane and did not know that the rudder pedal return springs were not installed. The investigation revealed that the airplane was previously modified for aerobatic competition with the addition of a large rudder and that due to cockpit spacing limitations, the rudder pedal return springs could not be installed. The pilot concluded that the accident could have been prevented by performing a “very thorough” inspection and understanding all the modifications made to the airplane before flying it.
Aircraft
- Registration
- N23RS
- Reported as
- Pitts S1 (S)
- Category
- Airplane, amateur-built
- Serial number
- 8-0035
- Built
- 1981
- Airframe hours
- 608
- Engine
- Lycoming Engines IO-360 Series, 180 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Special, Experimental (Special)
- Last inspection
- Annual · June 1, 2022
- Departed
- UNU · Juneau, WI
- Destination
- Same as departure
- Airport
- SUE · Door County Cherryland, runway 02, 4,000 × 75 ft, concrete
- Equipment
- Handheld GPS
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
- 73
- Injuries
- Minor
- Certificate
- Commercial
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 3, With waivers/limitations
- Last flight review
- March 17, 2022
- Seat
- Single
- Restraint
- 5-point
- Flight hours
- 2,500 total · 50 in this make and model · 2,500 as pilot in command · 3 in the last 90 days · 2 in the last 30 days · 2 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 170° at 8 knots, gusting 14
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 72 °F, dew point 52 °F
- Altimeter
- 29.95 inHg
- Observed at
- KSUE, 1 nm away
- METAR
- KSUE 011956Z AUTO 17008G14KT 120V180 10SM CLR 22/11 A2995 RMK AO2 SLP140 T02170106
Docket · 3
The files NTSB released with the investigation on August 5, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.6 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.