CHI95LA185

NTSB accident investigation · Christen Industries S-2B · Elgin, IL · June 17, 1995

Accident · Serious injuriesLimited investigationFinal report
Date
June 17, 1995, 17:49 local (22:49 UTC)
Place
Elgin, IL
Injuries
2 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N260RGChristen Industries S-2B
Weather
Visual (VMC) · Day
Status
Completed · report November 15, 1996
Report
Approved by Office Director
FAA report
19950617020539A
Case key
9914

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 incapacitation due to alcohol and drugs which led to a loss of consciousness.

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 flightCruise
Aircraft control - uncontrolledPilot in commandCause
Incapacitation(alcohol)Pilot in commandCause
Use of inappropriate medication/drugPilot in command
Incapacitation(drugs)Pilot in commandCause
Incapacitation(loss of consciousness)Pilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

About 10 minutes after departing an airport following an aerobatic demonstration by the pilot, the airplane collided with the ground in a level attitude. The pilot stated that he lost consciousness. The hospital's toxicological examination of the pilot's blood showed 284 mg/dl of alcohol (0.248% bac). The faa's civil aeromedical institute toxicology report showed 288.000 mg/dl ethanol in the blood (0.288% bac) and 280.000 mg/dl of ethanol in the urine. Additionally, the report stated that the pilot had 0.100 mcg/ml diazepam (valium) and 0.114 mcg/ml nordiazepam in the blood. Diazepam and nordiazepam are anti-anxiety agents, muscle relaxants, and anti-convulsants, and are not approved for use while flying.

Factual narrative

On June 17, 1995, at 1749 central daylight time (cdt), a Christen Pitts S-2B, N290RG, piloted by a commercial pilot, was destroyed during a collision with the ground and subsequent fire. Visual meteorological conditions prevailed at the time of the accident. The personal 14 CFR Part 91 flight was not operating on a flight plan. The pilot and passenger received serious injuries. The flight departed Crystal Lake, Illinois, at 1730 cdt.

According to the pilot's statement on NTSB Form 6120.1/2, he lost consciousness about ten minutes after departing the airport following an aerobatic demonstration. He said he recalled colliding with the ground and trying to get free of the airplane. Witnesses observed the airplane bank left and right before it made a steep descent toward the ground.

N290RG's wreckage trail was on an approximate heading of 135 degrees magnetic. The airplane's main landing gear tire produced two imprints onto a newly seeded farm field. About 400 feet after the tire imprints the airplane came to rest and caught fire. Examination of the airframe revealed no pre-collision failures. Flight control system continuity was established from the cockpit to each control surface. Aileron control cables had been separated, the ends of these cables were broomed and strand ends exhibited necking. Fire damage to the engine was extensive. Mechanical continuity of its major components was established.

During an interview with an FAA Principal Operations Inspector (POI) the pilot stated he must have fallen asleep. The POI asked the pilot if he had consumed any alcoholic beverages during the day. The pilot said he had not. The pilot's wife was a passenger in the airplane. She said she was not aware of any problem with the pilot or airplane before the accident. The POI asked the passenger if the pilot had consumed any alcoholic beverages. She said she did not think he had consumed any before, or after, the air show. The passenger said the pilot had appeared totally exhausted after the air show.

Hospital records for the injured pilot showed that a chemistry- toxicological examination was performed. The results of the blood test revealed 284 MG/DL of alcohol. This sample was taken at 1833 cdt on June 17, 1995.

Blood and urine samples for the pilot were examined by the FAA's Civil Aero Medical Institute in Oklahoma City, Oklahoma. Their report showed the pilot had 288.000 (mg/dl) Ethanol detected in the blood and 280.000 (mg/dl) ethanol detected in the urine. Diazepam (0.100 ug/ml, ug/g) was detected in the blood and 0.114 (ug/ml, ug/g) of Nordiazepam was also detected in the blood. Both drugs were also detected in the urine sample.

Aircraft

Registration
N260RG
Reported as
Christen Industries S-2B
Category
Airplane
Serial number
5168
Airframe hours
330
Engine
Lycoming AEI0-540, 260 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Clyde L. Goranson
Airworthiness certificate
Standard, Aerobatic
Last inspection
Annual · January 4, 1995 · 30 hours before
Departed
3CK · Crystal Lake, IL
Destination
JOT · Joliet, IL

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
51
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Rear
Toxicology
Performed
Flight hours
6,369 total · 700 in this make and model · 6,262 as pilot in command · 33 in the last 90 days · 17 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 12 knots
Visibility
12 statute miles
Lowest ceiling
None
Altimeter
30.00 inHg
Observed at
DPA, 10 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.