CHI02FA294

NTSB accident investigation · Aviat S-2C · Sheridan, IN · September 25, 2002

Accident · FatalField investigationFinal report
Date
September 25, 2002, 17:08 local (22:08 UTC)
Place
Sheridan, IN
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N116PSAviat S-2C
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 2003
Report
Approved by Office Director
Parties
Federal Aviation Adminstration, Textron Lycoming
FAA report
20020925037989A
Case key
55775

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 failure to maintain adequate altitude and airspeed while performing an aerobatic maneuver. Contributing factors were the pilot-in-command exceeding the aircraft weight and balance, and his inadequate preflight planning/preparation.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightManeuvering
Airspeed - inadequatePilot in commandCause
Stall/spin - encounteredPilot in command
Altitude/clearance - inadequatePilot in commandCause
Preflight planning/preparation - inadequatePilot in commandFactor
Aircraft weight and balance - exceededPilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The Aviat Pitts S-2C was seen performing a tail slide when it fell backwards and entered an inverted spin from an altitude of about 2,500 feet above ground level. A witness stated that the airplane had been making smoke during aerobatics, but not during the tail slide. The airplane climbed to about 2,000 feet (AGL) and fell over on its back. He added, "There is no question that the aircraft was on its back." The airplane began spinning and turned 6 times before it appeared to begin to recover. He estimated that if the airplane had an additional 1,000 feet, it would have made a safe recovery. He also stated that there was engine noise. The front seat pilot had experience competing in aerobatic contests and the rear seat pilot was a certified flight instructor who provided aerobatic instruction to pilots in the accident airplane. Both pilots were equipped with emergency parachutes and were found with their restraint harnesses secured. The emergency parachute owner's manual states that pilots should know and rehearse their emergency procedures and mentally organize their bailout procedures. The airplane's canopy was with the wreckage and in the locked position. The flight originated in an over weight aft center of gravity configuration about 15 minutes before the accident. Examination of the flight control system and engine revealed no anomalies which would have precluded normal operation.

Factual narrative

History of flight

On September 25, 2002, at 1708 central daylight time, an Aviat Pitts S-2C, N116PS, operated by Fly Aerobatic, was destroyed on impact with terrain during an aerobatic flight near Sheridan, Indiana. Visual meteorological conditions prevailed at the time of the accident. The 14 CFR Part 91 local flight was not operating on a flight plan. The certified flight instructor (CFI) and private pilot were fatally injured. The flight originated from the Indianapolis Terry Airport (TYQ), Indianapolis, Indiana, about 1650.

Another CFI, employed at Fly Aerobatic, stated that the accident airplane had a usable fuel capacity of 23 gallons and would leave full on every flight. He heard the CFI ask for the fuel truck prior to the accident flight. He stated that he was friends with both pilots. He stated that he was flying in the area but did not witness the accident and estimated that the accident airplane was about 2,500 feet above ground level (AGL) performing a tail slide. He communicated a farewell to the CFI and turned towards TYQ as the accident airplane was in a vertical climb.

A witness stated that the airplane had been making smoke during aerobatics, but not during the tail slide. The airplane climbed to about 2,000 feet (AGL) and fell over on its back. He added, "There is no question that the aircraft was on its back." The airplane began spinning and turned 6 times before it appeared to begin to recover. He estimated that if the airplane had an additional 1,000 feet, it would have made a safe recovery. He also stated that there was engine noise.

A witness reported observing the airplane perform aerobatic maneuvers adjacent to the accident site for approximately five minutes prior to the accident. He stated that the airplane climbed to approximately 1,500 - 2,000 feet AGL in a "pure vertical maneuver" which ended in a tail slide. The airplane then fell backwards towards the ground for approximately 200 feet and began to spin inverted for approximately 6-10 turns. He stated that the "pilots were struggling with power trying to overcome the spin (stall)." He added that the airplane broke out of the "stall-spin."

Personnel information

The front seat pilot, age 48, held a private pilot certificate with a airplane single engine land rating issued on February 7, 1984. Copies of his pilot logbooks were provided to the National Transportation Safety Board by the attorney representing his estate. The last logbook page is dated from October 16, 1998 to June 17, 2001, with a page total of 14.2 hours and a previous page amount forwarded of 1,806.8 hours. The previous page is dated from June 1995 to May 20 (no year listed) with a page total of 23.8 hours. All of the entries on both of these pages were in aircraft listed as Pitts S1S and Pitts S2A. In June 16, 1995 and July 21, 1995, he competed in two aerobatic contests. The last logbook entry was the only entry listing a flight in the accident airplane during a local "aero" flight with the rear seat pilot. The flight duration was 3 hours. His last biennial flight review was on December 11, 1998, in a Pitts S-2B.

He was issued a third class medical certificate on February 6, 2001 with the following limitation; "must have available glasses for near vision." The pilot reported his weight to be 172 lbs on his airman medical certificate application.

The rear seat pilot, age 56, held a commercial pilot certificate with airplane single engine land and instrument airplane ratings. He was issued an initial CFI certificate with an airplane single engine rating on December 5, 2001, at a total flight time of 4,119 hours. Copies of his pilot logbooks were provided to the Safety Board by the attorney representing his estate. The last logbook page is dated from July 21, 2001 to September 7, 2001, with a page total of 93.1 hours. The previous page's amount forwarded and page total are 4,272.02 hours and 53.3 hours. On September 28, 2000, he recieved his last biennial flight review. On December 2, 2001, he last received an endorsement relating to Federal Aviation Regulation (FAR) 61.183(I). FAR 61.183 (I) is an endorsement indicating that the applicant is competent and possesses instructional proficiency in stall awareness, spin entry, spins, and spin recovery procedures after providing the applicant with flight training in those training areas in an airplane or glider, as appropriate, that is certificated for spins.

He was issued a second class medical certificate on December 21, 2001, with the following limitation: "holder shall wear lenses that correct for distant vision." The CFI reported his weight to be 230 lbs on his airman medical certificate application.

Aircraft information

The 1999 Aviat Aircraft Inc. Pitts S-2C, serial number (S/N) 6020, was a normal and aerobatic category two-place airplane powered by a 260-horsepower Lycoming AEIO-540-D4A5, S/N L-26723-48A, engine. The airplane and engine were last inspected during an annual inspection dated August 5, 2000, at a tachometer time of 283.9 hours. A smoke oil system was also installed at that time.

The S-2C has a total fuel capacity of 29 gallons (24 gallons at Fuselage Station (FS) 81.32 and 5 gallons at FS 81.75) or a total usable fuel capacity of 28 gallons.

The maximum certified weights in the normal and aerobatic category for the Pitts S-2C are 1,700 lbs. The S-2C has a length of 213 inches and center of gravity limits for both categories are as follows:

Forward: Fuselage station FS 86.35 at 1,475 lbs or less, with straight line variation to FS 88.5 at 1,700 lbs.

Aft: FS 90.20 at 1,700 lbs or less, with straight line variation to FS 90.5 at 1,625 lbs.

The airplane had a standard empty weight and center of gravity 1,268.4 lbs and 82.1 inches.

The Pitts S-2C Airplane Flight Manual lists the FS locations for the following:

Fuel Main 81.32 inches

Fuel Aux: 81.75 inches

Pilot Forward: 105.15 inches

Pilot Rear: 136.5 inches

Baggage: 157.81inches

Wreckage and impact information

The airplane was resting upright in a corn field with all the wing and control surfaces attached to the fuselage. The airplane did not display any lateral bending or longitudinal displacement of the wings. There were undamaged corn stalks standing between the upper and lower wings of the airplane. The canopy was found lying next to the fuselage with the latching mechanism in the locked position.

Examination of the engine confirmed valve train continuity and thumb compression when the engine was rotated by hand. There were no metallic debris in the oil filter element. Disassembly of the engine driven fuel pump revealed no anomalies. Electrical continuity of both magnetos was confirmed.

Examination of the flight controls confirmed continuity from the control surfaces to each seat location.

No baggage or ballast was found in the aft baggage area.

The tachometer showed 333.2 hours.

Medical and pathological

Autopsies of the pilot and CFI were performed at the Indiana University School of Medicine on September 26, 2002.

The Federal Aviation Administration’s Final Toxicology Fatal Accident Report of the pilot indicated 0.051 (ug/ml, ug/g) diphenhydramine was detected in blood and diphenhydramine was present in urine.

The Federal Aviation Administration’s Final Toxicology Fatal Accident Report of the CFI was negative for all substances tested.

Survival factors

Both pilots had their restraints on and were equipped with Strong Enterprises Para-Cushion Seat Model 304 emergency parachutes. The Model 304 parachute has a weight with canopy of 17 lbs.

The owner's manual for the parachute states under System Function, "The total time for deployment and how far you travel from pulling the ripcord to a full open canopy depends very much on your airspeed. Generally, opening times are from 2 to 3 seconds and the distance fallen would be from 150 to 300 fee

Aircraft

Registration
N116PS
Reported as
Aviat S-2C
Category
Airplane
Serial number
6020
Airframe hours
49.3
Engine
Lycoming AEIO-540-D4A5, 260 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Registered owner
Fly Aerobatic
Airworthiness certificate
Standard, Aerobatic; Standard, Normal
Last inspection
Annual · August 5, 2000 · 283.9 hours before
Departed
TYQ · Indianapolis, IN
Destination
TYQ
Airport
TYQ · Indianapolis Terry Airport, runway 36, 5,500 × 100 ft, asphalt

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
48
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Front
Toxicology
Performed
Role
Flight instructor
Age
56
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land
Seat
Rear
Toxicology
Performed

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 52 °F
Altimeter
30.11 inHg
Observed at
EYE, 22 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.