CHI07LA238

NTSB accident investigation · Swanson Aventura II · Lakewood, WI · July 28, 2007

Accident · FatalLimited investigationFinal report
Date
July 28, 2007, 12:47 local (17:47 UTC)
Place
Lakewood, WI
Injuries
1 fatal, 1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N914JSSwanson Aventura II
Weather
Visual (VMC) · Day
Status
Completed · report April 30, 2008
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20070728020419A
Case key
66345

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 excessive pull up, his not maintaining airspeed, and the inadvertent stall resulting in the loss of control. A factor contributing to the accident was the trees.

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.

Abrupt maneuverTakeoff - initial climb
Object - tree(s)Factor
Pull-up - excessivePilot in commandCause
Loss of control - in flightTakeoff - initial climb
Airspeed - not maintainedPilot in commandCause
Stall/spin - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

A witness said he saw the pilot make two attempts to take off from a lake. On the third attempt, the witness said the airplane pulled up sharply, leveled off momentarily , and then the left wing "dipped," and the airplane "dropped" and struck trees and then the ground. An examination of the airplane revealed no anomalies.

Factual narrative

On July 28, 2007, about 1247 central daylight time, an experimental amateur-built amphibious Swanson Aventura II airplane, N914JS, sustained substantial damage on impact with trees and terrain near Lakewood, Wisconsin. The personal flight was operating under 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed at the time of the accident. No flight plan was on file. The pilot sustained fatal injuries and the passenger received serious injuries. The flight was originating from Lake John, near Lakewood, Wisconsin, at the time of the accident.

A witness reported to a Federal Aviation Administration (FAA) Inspector that he saw the airplane on the southwest side of the lake start a takeoff roll and abort its takeoff due to a boat. The airplane returned to its starting spot and started another takeoff roll. The airplane aborted this takeoff when it encountered the wake from the boat. The airplane maneuvered into a cove at the northeast end of the lake and started to take off from there. The available takeoff distance from that location was shorter. The witness indicated that the airplane pulled up sharply to clear the trees, leveled off briefly, the left wing "dipped," and the airplane "dropped." The airplane was found with its engine still running.

At 1154, the recorded weather at the Ford Airport, near Iron Mountain/Kingsford, Michigan, was: Wind 250 degrees at 6 knots; visibility 10 statute miles; sky condition clear; temperature 28 degrees C; dew point 9 degrees C; altimeter 30.05 inches of mercury.

FAA inspectors examined the wreckage on-scene. The examination revealed no pre-impact anomalies.

The FAA Civil Aerospace Medical Institute prepared a Final Forensic Toxicology Accident Report. The report stated:

0.579 (ug/mL, ug/g) MIDAZOLAM detected in Liver

MIDAZOLAM NOT detected in Blood

0.064 (ug/mL, ug/g) MIDAZOLAM detected in Kidney

0.04 (ug/mL, ug/g) MIDAZOLAM detected in Spleen

NAPROXEN detected in Blood

LIDOCAINE detected in Blood

EPHEDRINE detected in Blood.

Aircraft

Registration
N914JS
Reported as
Swanson Aventura II
Category
Airplane, amateur-built
Serial number
AP2A0063
Engine
Rotax 912ULS, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Jeffrey R. Swanson
Airworthiness certificate
Special, Experimental (Special)
Departed
Lakewood, WI

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
Fatal
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Toxicology
Performed
Flight hours
650 total

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 48 °F
Altimeter
30.04 inHg
Observed at
IMT, 30 nm away

Docket · 2

The files NTSB released with the investigation on April 16, 2008, on NTSB’s docket system: statements, records, photos and specialists’ reports. 154 KB 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.