CHI94FA140

NTSB accident investigation · Vavra, Martin A. Rebel 300 · Wonderlake, IL · April 23, 1994

Accident · FatalField investigationFinal report
Date
April 23, 1994, 10:35 local (15:35 UTC)
Place
Wonderlake, IL
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N12MVVavra, Martin A. Rebel 300
Weather
Visual (VMC) · Day
Status
Completed · report February 14, 1995
Report
Approved by Office Director
FAA report
19940423009009A
Case key
9376

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

Fatigue and catastrophic failure of the main wing spar resulting from the designer's excessive, unverified estimate of the strength of the spar cap material and the manufacturer's failure to attain the specified strength during the production process.

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.

Airframe/component/system failure/malfunctionManeuvering
Wing,spar - fatigue
Wing,spar - failure,total
Acft/equip,inadequate designOwner/builderCause
Inadequate quality controlManufacturerCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

A witness to the accident, who was a professional pilot and an aerobatic judge certified by the International Aerobatic Club (IAC), stated the flight originated as a practice aerobatic session. He reported that the right wing folded while the airplane was positively loaded to 6 to 7 G's. Investigation revealed the main wing spar upper cap strip failed in fatigue. Tests disclosed that the strength of the composite carbon fiber material was significantly lower than the design specification due to high porosity, excessive fiber waviness, and low fiber volume.

Factual narrative

History of flight

On April 23, 1994, about 1035 central daylight time, an experimental Rebel 300 airplane, N12MV, was destroyed during aerobatic maneuvers at the Galt Wondelake Airport in Wonder Lake, Illinois. The solo private pilot sustained fatal injuries.

The personal flight originated about 1030 and was conducted under 14 CFR Part 91. A flight plan was not filed for the local flight and visual meteorological conditions prevailed.

A witness to the accident, who was a professional pilot and an aerobatic judge certified by the International Aerobatic Club (IAC), stated the flight originated as an aerobatic practice session to calibrate the airplane sighting device which is used to visually obtain precision vertical flight for aerobatic competition.

The pilot had performed three or four entries to the center of the aerobatic box at an estimated altitude of 1700 feet AGL. He performed a smooth, consistent radius, 90 degree vertical pull each time to evaluate the sighting device.

The witness, who was judging the airplane's performance at the time of the accident, wrote in his statement that, "On approximately the fourth or fifth vertical pull...as the nose was pitching up through approximately 30 to 40 degrees nose up, the right wing was observed to fail and at the same time the still attached left wing caused an immediate right hand roll of the aircraft. The visual perception of the breakage can be best assimilated to clapping your hands over your head." He stated the engine sounded like it was at full power. The right wing separated and made a "paddle wheel descent." He reported the right wing section impacted about 300 feet north east of the of the center of the aerobatic box. The remainder of the airplane impacted approximately 4000 feet north. The witness estimated the acceleration force on the airplane at the time of the accident was 6 to 7 G's.

Personnel information

The pilot, according to the President of the International Aerobatic Club, had advanced through the IAC four categories of proficiency. He had flown aerobatic competitions for about ten years, averaging four to five competitions per year, and was certified in the unlimited category. The most recent entry in the pilot's log was dated May 15, 1993. His total logged flying time was 1170.3 hours.

Aircraft information

N12MV, a Vavra Rebel 300, an amateur built airplane owned by the accident pilot was registered on April 21, 1993, and issued a special airworthiness certificate on May 12, 1993. The airplane was built from a kit manufactured by the former Akro Designs, Inc. of Aurora, Colorado.

Aerodrome information

At the time of the accident, the pilot was flying in an aerobatic practice area established on the eastern edge of the Galt Airport.

Wreckage and impact information

The NTSB on scene investigation began April 28, at 1030 central daylight time. The wreckage had been moved into a T-hanger at the Galt Airport. Examination of the accident site revealed a crater in a level, grassy field about 20 feet by eight feet, oriented in a northerly direction. The depth at the deepest part, near the northern edge, was about five feet. Clumps of earth were scattered north of the crater for about 50 feet in a fan shaped pattern.

Examination of the wreckage revealed the right wing was mostly intact with a 12 inch strip of the aft, inboard, upper wing skin missing. A semi-circular line of clear, fragmented plexiglass was impregnated in the upper skin from the vicinity of the spar outward and aft for several feet. The main wing spar was fractured several inches inboard of the right fuselage side. Examination of the surrounding spar revealed multiple inclusions in the adhesive which bonds the main wing spar to the wing skins.

The wing attach bolt and surrounding spar structure were intact. The wing carry through spar was repositioned next to the right wing spar revealing a V-shaped fracture area about four inches inboard of the right fuselage side. Several pieces of spar material from the fracture were located, however, several sections were not found.

The right forward wing attach fitting was intact with a three inch section of fuselage tubing still attached. The right aft wing attach fitting was delaminated from the aft wing spar with a six inch section of fuselage tubing attached to it. The upper end of each tube was bent outboard.

The fuselage structure in the wing carry through area was reconstructed. The welded steel tubing which comprised the rectangular wing mounting structure was fractured into many small sections. The left dog bone link and bolts were intact. The right dog bone link was fractured near the center where it was bent upward. The bolts were intact. Both dog bone links had black abrasions on the lower surface.

The left wing was fragmented into multiple pieces. The forward fuselage and cockpit area were fragmented into many short sections of bent and fractured steel tubing. The aluminum, fuselage mounted fuel tank was ruptured. The empennage aft of the elevator bell crank was intact.

Examination of flight control continuity, including the elevator bellcrank linkages, revealed no evidence of preimpact malfunction. All three blades of the composite propeller were fractured near the hub. Visual inspection of the engine revealed no evidence of preexisting malfunction.

Examination of the instrument panel revealed two needles on the G meter were captured at +6.5 G's. The negative G needle was captured at +2.5 G's. The airspeed indicator needle was captured at 239 miles per hour.

Survival aspects

Photographs taken at the accident scene by an FAA inspector revealed the pilot was wearing a backpack type emergency parachute and was wearing a five point aerobatic restraint system. A witness, who was in radio contact with the accident airplane, reported that he made constant radio transmissions to encourage egress and stated he believed the pilot "was incapacitated when the wing folded".

Medical and pathological information

The pilot had a current third class medical certificate with no limitations. The FAA airman medical record contained no remarkable medical history. The report of autopsy remarked no preexisting disease.

The autopsy was performed by the McHenry County Coroner in Woodstock, Illinois on April 25, at 0845.

Toxicological testing was performed by the Armed Forces Institute of Pathology (AFIP) in Washington, DC and by AIT Laboratories (AIT) in Indianapolis, Indiana. AFIP tests were negative for all tests conducted, including the examination of liver and kidney specimens for the presence of ethanol by headspace gas chromatography at a cutoff of 20 mg/dL. AIT tests were negative for all tests conducted except for examination of liver tissue which resulted in positive for caffeine, and 0.0826% (W/V) ethanol.

At the request of the NTSB investigator, AIT reexamined the liver tissue and gastric contents for the presence of ethanol which resulted in .095% and .028% (W/V) respectively. Further investigation revealed the specimens were transported at ambient temperatures from Woodstock, Illinois to Indianapolis, Indiana. Michael A. Evans, Ph.D., the director of AIT Laboratories wrote in his laboratory report: "Review of both the case history and the data from analysis of specimens in this case indicate that the presence of ethanol in the above specimens is due to microbial fomentation (sic) processes".

Tests and research

Weight and balance data was recovered from the airplane. An estimated 42 pounds of fuel were on board. The pilot's weight was listed on his most recent medical certificate. The aircraft gross weight was calculated.

Aircraft 1,146 Fuel 42 Pilot 175 ____________________ Total 1,363 p

Aircraft

Registration
N12MV
Reported as
Vavra, Martin A. Rebel 300
Category
Airplane, amateur-built
Serial number
S-89-0022
Engine
Lycoming AEIO-540-D4B5, 325 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Martin A. Vavra
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · May 12, 1993

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
42
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Center
Toxicology
Performed
Flight hours
1,170 total · 1,170 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 13 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
59 °F, dew point 25 °F
Altimeter
30.00 inHg
Observed at
RFD, 34 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.