ERA09LA230

NTSB accident investigation · Champion 7HC · Centre, AL · April 4, 2009

Accident · FatalLimited investigationFinal report
Date
April 4, 2009, 12:47 local (17:47 UTC)
Place
Centre, AL
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N8560EChampion 7HC
Defining event
Takeoff: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report April 22, 2010
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Cessna, Birmingham FSDO
FAA report
20090404007949A
Case key
73597

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The pilot's inability to maintain aircraft control during climb due to an improperly installed rudder pedal control tube.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Flight control system: rudder control systemAircraft › Aircraft systems · Incorrect service/maintenanceChampion 7HC: 1 caseAll aircraft: 93 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleChampion 7HC: 1 caseAll aircraft: 1,269 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

Witnesses reported that during takeoff the airplane climbed to approximately 20 to 50 feet, rolled to the left into a steep bank angle, and then descended and collided with powerlines and a house. Examination of the airplane by an FAA inspector revealed that the right rudder pedal control tube was missing the rod attachment bolt, retainer nut, and cotter pin. According to the airplane manufacturer the push pull tube system discovered during the examination was not installed at the factory and no record of the install was located in the airframe logbooks. Examination of the engine, additional flight control system components, and the aircraft structure revealed no evidence of preimpact mechanical failure or malfunction.

Factual narrative

On April 4, 2009, at about 1247 central daylight time, a Champion 7HC, N8560E collided into a private home near the Centre Municipal Airport, Centre, Alabama. The private pilot was killed, and the airplane was substantially damaged by post-crash fire. The personal flight was operated under the provisions of 14 Code of Federal Regulations (CFR) Part 91, and no flight plan was filed. Visual meteorological conditions prevailed at the time of the accident. The flight was originating at the time of the accident. According to witnesses, the airplane was departing from the runway, climbed to approximately 20 to 50 feet, and made a hard left bank. The airplane then struck power lines, trees, and crashed into a house. The airplane erupted in flames and the pilot was observed lying outside of the airplane. The pilot, age 52, held a private pilot certificate with ratings for airplane single engine land and sea. His certificate was issued on July 2, 2003. The pilot's last medical examination was on July 4, 2007, for a third-class medical certificate with limitations for corrective lenses. The pilot reported 2,150 flight hours on his last medical application. The two seat, high-wing, fixed gear airplane that was manufactured in 1959. It was powered by a Lycoming O-290 140-hp engine and equipped with a two-bladed Sensenich propeller. Review of the aircraft logbook pages revealed that the last annual inspection was conducted on December 19, 2008, at a total time of 2,013.95 hours. Examination of the wreckage by an Federal Aviation Administration (FAA) inspector revealed that the airplane travel approximately 1,000 feet down the runway before becoming airborne and colliding with the house adjacent the runway. The fabric that covered the airframe was consumed by fire. The remainder of the fuselage was melted, and exhibited impact damage. Examination of the flight control system revealed that the airplane was equipped with a push pull tube rudder control system. The right rudder pedal control tube was missing the rod attachment bolt, retainer nut, and cotter pin. The examination of the engine and system components by the FAA inspector revealed no evidence of a preimpact mechanical malfunction. Review of the logbooks did not reveal any maintenance of the rudder control system. In a telephone conversation with the airplane manufacturer, American Champion, they stated that this model airplane did not come from the factory with a push pull tube rudder system. The system installed in the airplane was a cable type system, and that operators sometimes change this. Review of the logbooks did not reveal this alteration. An autopsy was performed on the private pilot on April 7, 2009, by the Alabama Department of Forensic Sciences, Huntsville, Alabama, as authorized by the coroner of Cherokee County; the cause of death was reported as “94% total body surface burns". Forensic toxicology was performed on specimens from the pilot by the FAA Bioaeronautical Sciences ResearchLaboratory, Oklahoma City, Oklahoma. The toxicology report stated no ethanol was detected in vitreous, and no cyanide was detected in blood. Diphenhydramine was detected in the liver; 0.05 (ug/ml, ug/g) of diphenhydramine was detected in blood; 34 (ng/mL, ng/g) of fentanyl was detected in the liver; 12 (ng/mL, ng/g) of fentanyl was detected in blood; 0.94 (ug/mL, ug/g) of lorazepam was detected in the liver; 0.175 (ug/mL, ug/g) of lorazepam was detected in blood; 0.223 (ug/mL, ug/g) of midazolam was detected in the liver; 0.011 (ug/mL, ug/g) of midazolam was detected in blood; 0.385 (ug/ml, ug/g) of morphine was detected in the kidney; and 0.02 (ug/ml, ug/g) of morphine was detected in blood. According to the Chief Investigator of Cherokee County, Alabama, the medications found in the FAA toxicology report were administered in a clinical setting and are consistent with the injuries described in the autopsy report.

Aircraft

Registration
N8560E
Reported as
Champion 7HC
Category
Airplane
Serial number
7HC-9
Airframe hours
2,013
Engine
Lycoming 0-290 SERIES, 140 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 19, 2008
Departed
C22 · Centre, AL
Destination
PYP · Centre, AL
Airport
C22 · Centre Municipal Airport, runway 09, 3,401 × 80 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
52
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Front
Toxicology
Performed
Flight hours
2,150 total

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 48 °F
Altimeter
30.02 inHg
Observed at
GAD

Docket · 12

The files NTSB released with the investigation on November 5, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.0 MB 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.