ERA11LA496

NTSB accident investigation · Aero Adventure Zephyr II · Sylacauga, AL · September 18, 2011

Accident · FatalLimited investigationFinal report
Date
September 18, 2011, 17:21 local (22:21 UTC)
Place
Sylacauga, AL
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N3577FAero Adventure Zephyr II
Defining event
Takeoff: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report March 27, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20110918020819A
Case key
81823

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 a heart attack during takeoff, which led to an in-flight loss of airplane control.

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.

Performance/control parametersAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleAero Adventure ZEPHYR II: 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

During climb after takeoff, the experimental light sport airplane made an extreme right bank and descended nose-down into a grassy area adjacent to the runway. Although the pilot had recently modified the elevator trim, the in-flight upset was not a pitch upset, and examination of the wreckage revealed no preimpact mechanical malfunctions. The pilot's most recent Federal Aviation Administration (FAA) third-class medical certificate was issued about 8 years prior to the accident. A few months before the accident, the pilot had applied for another FAA third-class medical certificate; however, it was deferred by the FAA due to the pilot’s history of coronary artery disease, hypertension, lymphoma, and diabetes. The pilot's autopsy subsequently revealed that he suffered a fatal heart attack during the attempted takeoff.

Factual narrative

On September 18, 2011, about 1721 central daylight time, an amateur-built, experimental light sport (E-LSA) Aero Adventure Zephyr II airplane, N3577F, operated by a private individual, was substantially damaged when it impacted terrain during takeoff from Sylacauga Municipal Airport (SCD), Sylacauga, Alabama. The certificated private pilot was fatally injured. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the planned local flight. According to a Federal Aviation Administration (FAA) inspector, the pilot had removed pontoons from the airplane and installed a tricycle landing gear. To compensate for the subsequent tail-heavy condition, the pilot utilized an elevator trim tab extension; however, for the accident takeoff, the extension was left in the pilot's hangar and not installed on the airplane. During takeoff roll on runway 27, as the airplane became airborne, it nosed over and impacted a grassy area to the right, between the runway and taxiway. The airplane came to rest in the grassy area in a nose-down attitude. The FAA inspector added that a witness, who was watching airplanes from behind the airport fence, reported the accident law enforcement. The witness observed the accident airplane take off normally and climb out; however, the left wing then went straight up and right wing dropped suddenly. The airplane impacted the ground along the right side of the runway. Another FAA inspector examined the wreckage and confirmed flight control continuity from the cockpit control stick to all flight control surfaces. He did not attempt to start the engine as the fuel bowl was damaged during impact; however, he rotated the propeller by hand and confirmed continuity throughout the engine. The pilot, age 63, held a private pilot certificate, with ratings for airplane single-engine land, airplane multiengine land, and instrument airplane. He also held an LSA repairman certificate. The pilot's most recent FAA third-class medical certificate was issued on October 27, 2003. The pilot applied for another third-class medical certificate on May 9, 2011; however, the medical application was deferred for review due to a history of coronary artery disease, hypertension, lymphoma, and diabetes. At that time, the pilot reported a total flight experience of 2,500 hours. The pilot and aircraft logbooks were not recovered. An autopsy was performed on the pilot on September 21, 2011, by the University of Alabama, Department of Pathology, Birmingham, Alabama. Review of the autopsy report revealed, "Based on his clinical history and autopsy findings, he had an acute myocardial infarction leading to fatal arrhythmia, which likely led to the plane crash." Toxicological testing was performed on the pilot by the FAA Bioaeronautical Science Research Laboratory, Oklahoma City, Oklahoma. Review of the toxicology report revealed: "Metoprolol detectedin Urine Metoprolol detected in Blood (Cavity) Ticlopidine detected in Urine Ticlopidine detected in Blood (Cavity)… Glucose NOT detected in Vitreous 3000 (mg/dl ) Glucose detected in Urine 4.8 (%) Hemoglobin A1C detected in Blood (Cavity)"

Aircraft

Registration
N3577F
Reported as
Aero Adventure Zephyr II
Category
Airplane
Serial number
Z21991F
Engine
Rotax 582, 65 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Abbott Timothy Ralph
Registered owner
Abbott Timothy Ralph
Airworthiness certificate
Special, Experimental light sport (Special)
Departed
SCD · Sylacauga, AL
Destination
SCD · Sylacauga, AL
Airport
SCD · Sylacauga Municipal Airport, runway 27, 5,390 × 100 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
63
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Front
Toxicology
Performed
Flight hours
2,500 total

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 59 °F
Altimeter
30.15 inHg
Observed at
ALX, 15 nm away

Docket · 9

The files NTSB released with the investigation on January 26, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.7 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.