# NTSB CHI08LA191: Drochak Aventura II, N621CD, Flushing, MI, July 15, 2008 - Type: NTSB accident investigation - Classification: Accident · Fatal · Limited investigation · Final report - Date: July 15, 2008, 10:08 local (14:08 UTC) - Place: Flushing, MI - Coordinates: 43.052501, -83.804725 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=43.0525&lon=-83.8047&mi=10 - Phase of flight: [Initial climb](https://openairdocs.org/ntsb-phases/350) (OpenAirDocs' grouping) - Defining event: [Initial climb: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report December 29, 2009 - Report: Approved by Office Director - Parties: FAA Detroit FSDO - NTSB case key (mKey): 68748 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CHI08LA191 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/68748/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=68748 - Page: https://openairdocs.org/ntsb/CHI08LA191 ## Probable cause A loss of engine power for undetermined reasons. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Not determined](https://openairdocs.org/ntsb-findings/05000000): Not determined › Not determined · Unknown/Not determined (probable cause); cases with it: [Drochak Clifford AVENTURA II, 1 case](https://openairdocs.org/ntsb-findings/05000000/cases.md?model=05621OG), [All aircraft, 2,247 cases](https://openairdocs.org/ntsb-findings/05000000/cases.md) - [Object/animal/substance: tree(s)](https://openairdocs.org/ntsb-findings/03022020): Environmental issues › Physical environment · Contributed to outcome; cases with it: [Drochak Clifford AVENTURA II, 1 case](https://openairdocs.org/ntsb-findings/03022020/cases.md?model=05621OG), [All aircraft, 933 cases](https://openairdocs.org/ntsb-findings/03022020/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Initial climb: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) (defining event); cases with it: [Drochak Clifford AVENTURA II, 1 case](https://openairdocs.org/ntsb-events/341/sequence.md?model=05621OG), [All aircraft, 3,820 cases](https://openairdocs.org/ntsb-events/341/sequence.md) - [Uncontrolled descent: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Drochak Clifford AVENTURA II, 1 case](https://openairdocs.org/ntsb-events/470/sequence.md?model=05621OG), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis The amateur-built, experimental amphibian airplane had just departed the grass airstrip. About 100 feet above ground level just beyond the departure end of the airstrip, the engine lost power. Seconds later, the airplane impacted a tree and the ground in a left wing down, nose low attitude. Inspection of the propeller revealed no evidence of rotation at the time of impact. The fuel tank contained about 8 gallons of fuel. Flight control continuity was established. The engine rotated and an engine run was conducted and it operated. The inspection of the airframe and fuselage revealed no preexisting anomalies. The reason for the loss of engine power was not determined. ## Factual narrative On July 15, 2008, at 1008 eastern daylight time, an amateur-built, experimental Drochak Aventura II amphibian airplane, N621CD, was destroyed when it impacted trees and terrain after a loss of engine power during takeoff climb from Dalton Airport (3DA), Flushing, Michigan. The pilot received fatal injuries. The 14 Code of Federal Regulations Part 91 personal flight was departing from runway 27 on a local flight. Visual meteorological conditions prevailed at the time of the accident. No flight plan was filed. A witness reported that he saw the airplane heading westbound from the airport at about 100 feet above ground level (agl), and then it entered a left turn to the south. The airplane made another left bank, and then it made a sudden nose dive into the ground. Other witnesses interviewed made similar statements. One of the hangars located at 3DA was equipped with a security system that consisted of four video cameras and an area microphone. The cameras were aimed at the side of the ramp and taxiway adjacent to the grass runway. The cameras captured four different views of the accident flight. The security system captured the following information: 1. At 10:07:46, takeoff power was applied. The airplane was not in sight. 2. At 10:08:00 to 10:08:07, camera 4 showed the airplane after liftoff as it flew over the runway and then went out of view. The engine noise could be heard. 3. At 10:08:06, cameras 1 and 3 showed a shadow of the airplane as it flew over the runway. The engine noise could be heard. 4. At 10:08:08 to 10:08:18, camera 2 showed the shadow of the airplane as it appeared over the runway, and then was seen departing the end of the runway. The shadow of the airplane was seen turning left over the trees. The engine noise could be heard. 5. At 10:08:19, the engine sound quit. 6. At 10:08:23, the airplane was heard crashing into tress. The 60-year-old pilot held a private pilot’s certificate. He was operating as a sport pilot, and was not required to possess a current Federal Aviation Administration (FAA) medical certificate. He had a total of about 209 flight hours with about 41 hours in the make and model of the accident airplane. The airplane was a two seat amateur-built, experimental Drochak Aventura II amphibian airplane with a 100-horsepower Rotax 912 ULS engine. The last conditional maintenance inspection was in July 2007, and it had flown 47 hours since the inspection. The stall speed in the clean configuration was about 42 mph and about 30 mph in the landing configuration. The airplane had two throttle control handles. The throttle handle for the left seat pilot was located on the left side of the cockpit. The throttle handle for the right seat pilot was located on the right side of the cockpit. The distance from the center of the cockpit to the throttle located on the right side of the cockpit was about 20.5 inches. The throttles on the carburetors were spring loaded to the full open position if the throttle linkage was disconnected. The airplane collided with a tree and impacted the front lawn of a house just west of the road that bordered the west side of the airport. The wreckage of the entire airplane was confined to the initial impact site. The nose of the amphibian’s fuselage was crushed aft and was broken at the cockpit’s instrument panel. The engine was mounted aft of the airplane’s high wing. The engine, engine mounts, and wing spars and struts exhibited forward buckling, and had compromised the cockpit space. The leading edge of the left wing was crushed aft and the left wing spar was broken. The right wing remained intact with no leading edge damage. The empennage exhibited no impact damage. The flight control cables exhibited continuity from the flight controls to the flight control surfaces. The three bladed composite propeller remained attached to the engine. One blade was straight and appeared undamaged. The second blade was straight but had received impact damage about mid-span. The third blade was broken 12-15 inches from the propeller hub. None of the propeller blades exhibited leading edge gouges or chordwise scratching. The engine was separated from the fuselage during recovery of the wreckage to a hangar facility. The engine was rotated by hand and no internal damage was noted. An engine run was conducted and it operated. There was an 18-gallon fuel tank located behind the pilots’ seats. The fuel tank was not ruptured and about 8 gallons of fuel remained. Both switches for the dual electronic ignition were found in the OFF position. It was not determined if a first responder had turned the switches to OFF. None of the first responders remembered setting the switches to OFF. The pilot’s throttle handle, handle strap, throttle control tube, and a portion of the left wing spar were sent to the National Transportation Safety Board’s Materials Laboratory for examination. The inspection of the wing spar revealed that the fracture occurred in an area of the wing spar containing a hole with a smooth bore. The region around the fracture had evidence of plastic deformation, and the fracture surfaces had a 45-degree angle shear lip. The plastic deformation and 45-degree shear lip are consistent with a ductile fracture due to tension and bending overstress. There was no indication of preexisting damage that initiated the fracture. The throttle control assembly was manufactured by pressing steel inserts into each end of an aluminum tube. The end of the throttle control tube that had been connected to the throttle hand strap was found with the insert separated from the tube. The steel inserts had a crosswise hole drilled through them so that once pressed into the tube, they could be secured in place by pressing a dimple into the tube, from the exterior, in alignment with the crosswise hole in the insert. A tension test, to evaluate the pull out strength of the insert, was conducted on the intact end of the throttle control tube. The maximum force recorded during the tensile test was 1,191 pounds, after which the force gradually decreased until the entire insert had been extracted from the tube. After the tensile test, it was observed that the insert from the intact end of the control tube was slightly different that the one that was found separated from the tube. Both inserts had the same diameter but the one from the intact side was slightly shorter. The insert that was pulled out during the test had a square shoulder around the crosswise hole while the insert that was found separated from the tube had a chamfer around the circumference of the crosswise hole. The location of the crosswise hole with respect to the outboard end of the insert was slightly different (0.02 inch). The inspection of the throttle hand strap revealed that it exhibited plastic deformation, which was consistent with multiple applied forces from various directions as exhibited by the compound angle bends. First responders reported that the pilot initially survived the accident, but was not responsive. The time of death was 1118. An autopsy was conducted on July 16, 2008, by the Genesee County Medical Examiner, Flint, Michigan. The stated cause of death was “Blunt Force Injuries Due to an Airplane Crash.” The toxicology report was negative for all substances tested. ## Aircraft - Registration: [N621CD](https://openairdocs.org/deregistered/N621CD-2008-09-12), registration cancelled 2008-09-12, S/N AA2A0130, built 2007 (OpenAirDocs) - Reported make and model: Drochak Aventura II - Registry model: [Drochak Clifford AVENTURA II](https://openairdocs.org/model/drochak-clifford-aventura-ii) (registry code 05621OG) (OpenAirDocs) - Registry engine: [Rotax 912ULS series](https://openairdocs.org/engine/rotax-912uls-series) (registry code 55572, 4 cycle) (OpenAirDocs) - Category: Airplane, amateur-built - Serial number: AA2A0130 - Airframe hours: 47 - Engines: Rotax 912ULS 100 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: Clifford Drochak - Registered owner: Clifford Drochak - Airworthiness certificate: Special, Experimental (Special) - Last inspection: Condition, July 21, 2007, 47 hours before - Departed: 3DA, Flushing, MI - Airport: 3DA, Dalton Airport, runway 09, 1,633 × 150 ft, grass/turf ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 60; injuries: fatal; private; airplane ratings: single-engine land; medical: sport pilot; seat: left; toxicology performed; flight hours: 209 total, 41 in this make and model ## Weather - Conditions: Visual (VMC), Day - Wind: 210° at 8 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 73 °F, dew point 54 °F - Altimeter: 30.09 inHg - Observed at: FNT, 6 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 (OpenAirDocs). - [Accident 20080715843679A](https://openairdocs.org/incident/20080715843679A), Jul 15, 2008: Amtr AVENTURAII, Flushing, MI, Substantial damage, 1 fatal. (-23) Approximately 1415Z aircraft was taking off from runway 27 at 3DA. Aircraft was headed west south west when an undetermined lack of power caused the… ## Docket (24 files) The files NTSB released with the investigation on August 25, 2009, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=68748. 47.3 MB in all. - Materials Laboratory 15 - Factual Report (item 1, .PDF, 798 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40314621&FileExtension=.PDF&FileName=Materials%20Laboratory%2015%20-%20Factual%20Report-Master.PDF - Record of Interviews (item 2, .PDF, 179 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317690&FileExtension=.PDF&FileName=Record%20of%20Interviews-Master.PDF - Michigan State Police Report (item 3, .PDF, 223 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317691&FileExtension=.PDF&FileName=Michigan%20State%20Police%20Report-Master.PDF - Mt. Morris Township Police Report (item 4, .PDF, 102 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317692&FileExtension=.PDF&FileName=Mt.%20Morris%20Township%20Police%20Report-Master.PDF - Security Video Information (item 5, .PDF, 20 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317792&FileExtension=.PDF&FileName=Security%20Video%20Information-Master.PDF - Statement Concerning Pilot's Training (item 6, .PDF, 67 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317794&FileExtension=.PDF&FileName=Statement%20Concerning%20Pilot%27s%20Training-Master.PDF - Accident Timeline From Security Video (item 7, .PDF, 65 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317694&FileExtension=.PDF&FileName=Accident%20Timeline%20From%20Security%20Video-Master.PDF - Map of Area (item 8, .PDF, 42 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317696&FileExtension=.PDF&FileName=Map%20of%20Area-Master.PDF - Information About the Accident From Ken Williams (item 9, .PDF, 12.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317700&FileExtension=.PDF&FileName=Information%20About%20the%20Accident%20From%20Ken%20Williams-Master.PDF - Airplane Kit Builder's Plans (item 10, .PDF, 3.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317704&FileExtension=.PDF&FileName=Airplane%20Kit%20Builder%27s%20Plans-Master.PDF - Release of Aircraft Wreckage, NTSB Form 6120.15 (item 11, .PDF, 49 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317793&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-Master.PDF - Photo 1. View of Wreckage from the Street (item 12, .PDF, 3.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317706&FileExtension=.PDF&FileName=Photo%201.%20%20View%20of%20Wreckage%20from%20the%20Street-Master.PDF - Photo 2. View of Front of Wreckage (item 13, .PDF, 2.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317707&FileExtension=.PDF&FileName=Photo%202.%20%20View%20of%20Front%20of%20Wreckage-Master.PDF - Photo 3. Right Side of Fuselage (item 14, .PDF, 3.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317708&FileExtension=.PDF&FileName=Photo%203.%20%20Right%20Side%20of%20Fuselage-Master.PDF - Photo 4. Right Side of Empennage (item 15, .PDF, 1.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317709&FileExtension=.PDF&FileName=Photo%204.%20%20Right%20Side%20of%20Empennage-Master.PDF - Photo 5. Left Side of Empennage (item 16, .PDF, 2.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317710&FileExtension=.PDF&FileName=Photo%205.%20%20Left%20Side%20of%20Empennage-Master.PDF - Photo 6. Engine, Propeller, and Left Wing (item 17, .PDF, 2.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317711&FileExtension=.PDF&FileName=Photo%206.%20%20Engine,%20Propeller,%20and%20Left%20Wing-Master.PDF - Photo 7. Engine, Propeller, and Left Wing (item 18, .PDF, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317712&FileExtension=.PDF&FileName=Photo%207.%20%20Engine,%20Propeller,%20and%20Left%20Wing-Master.PDF - Photo 8. Left Wing (item 19, .PDF, 2.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317713&FileExtension=.PDF&FileName=Photo%208.%20%20Left%20Wing-Master.PDF - Photo 9. Cockpit (item 20, .PDF, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317714&FileExtension=.PDF&FileName=Photo%209.%20%20Cockpit-Master.PDF - Photo 10. Cockpit and Left Side of Fuselage (item 21, .PDF, 3.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317715&FileExtension=.PDF&FileName=Photo%2010.%20%20Cockpit%20and%20Left%20Side%20of%20Fuselage-Master.PDF - Photo 11. Left Wing Spar Fracture (item 22, .PDF, 2.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317716&FileExtension=.PDF&FileName=Photo%2011.%20%20Left%20Wing%20Spar%20Fracture-Master.PDF - Photo 12. ELT Battery (item 23, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317717&FileExtension=.PDF&FileName=Photo%2012.%20%20ELT%20Battery-Master.PDF - Photo 13. Instrument Panel (item 24, .PDF, 2.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317718&FileExtension=.PDF&FileName=Photo%2013.%20%20Instrument%20Panel-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.