ERA12FA387

NTSB accident investigation · Phillips William L Challenger · Plant City, FL · June 9, 2012

Accident · FatalField investigationFinal report
Date
June 9, 2012, 11:26 local (15:26 UTC)
Place
Plant City, FL
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N2571TPhillips William L Challenger
Defining event
Approach-VFR pattern final: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report April 10, 2013
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA Tampa FSDO
FAA report
20120609011379A
Case key
83903

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 non-certificated pilot’s loss of control during approach and landing. Contributing to the accident was the pilot’s lack of both total and recent flight experience.

Findings · 4

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.

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

According to the airport manager, the purpose of the flight was for the pilot/owner to get “one last flight” in the airplane before he sold it. The pilot had experienced health issues and undergone surgery in the years prior to the accident, and had not flown the airplane in about 1 year. The manager watched the entire flight and described the takeoff as “normal.” The first landing approach was “fast and long,” and the pilot performed a go-around and entered the traffic pattern for a second approach. The manager and other witnesses stated that the airplane descended on the base leg of the traffic pattern to about 500 feet, and that the airplane turned and aligned with the runway. During the descent on final approach, the airplane pitched up, leveled off, descended, and pitched up multiple times with corresponding changes in engine power. The airplane “wandered” to the west and was briefly flying parallel to the runway as it headed toward the witnesses on the grass apron and the hangars on the west side of the field. The airplane then pitched up, the nose dropped, and the airplane impacted the ground in a nose-down attitude of about 25-30 degrees. During the descent and at ground contact, the engine was running “at cruise power,” according to the airport manager. The engine continued to run after the accident, and first responders had to pull one of the carburetors from its mount in order to stop the engine. The 79 year-old pilot/owner had never obtained a pilot certificate. Over the 60 years that he documented his flight time, the pilot reported 122 total flight hours. The accident airplane was purchased almost 20 years before the accident but was not registered until 5 years before the accident. At the time of the accident, the airplane had accumulated 19 total airframe hours.

Factual narrative

HISTORY OF FLIGHT On June 9, 2012, at 1126 eastern daylight time, a Phillips Challenger II, N1279T, was substantially damaged during collision with terrain while maneuvering for landing at Blackwater Airpark (9FD2), Plant City, Florida. The pilot/owner was fatally injured. Visual meteorological conditions prevailed, and no flight plan was filed for the local flight that departed 9FD2 about 1110. The personal flight was conducted under the provisions of 14 CFR Part 91. According to the airport manager, the purpose of the flight was for the pilot/owner to get “one last flight” in the airplane before he sold it. The pilot had experienced health issues and undergone surgery in the years prior to the accident, and had not flown the airplane in approximately one year. The manager watched the entire flight, and described the takeoff as “normal” with no problems noted. The first landing approach was “fast and long,” and the pilot performed a go-around and entered the traffic pattern for another approach. The manager and other witnesses stated the airplane descended on the base leg of the traffic pattern to about 500 feet, and then the airplane turned and aligned with the runway. During the descent on final approach, the airplane pitched up, leveled off, descended, and pitched up multiple times with corresponding changes in engine power. They observed as the airplane “wandered” to the west,and was briefly flying parallel to the runway as it headed towards their location on the grass apron and the hangers on the west side of the field. The airplane pitched up, the nose dropped, and the airplane imapcted the ground in a nose-down attitude of about 25-30 degrees. During the descent and at ground contact, the engine was running “at cruise power.” The engine continued to run after the accident, and first responders had to pull one of the carburetors from its mount in order to stop the engine. PERSONNEL INFORMATION According to Federal Aviation Administration (FAA) records, the pilot did not hold a pilot certificate. He most recently held a student pilot certificate, which expired April 30, 2009. A review of his logbooks revealed that he first logged an entry in 1952; he last logged an entry in 2006, and had accrued 122 total hours of flight experience as of that date. His most recent third-class FAA medical certificate was issued in November 2007. The pilot did possess a valid driver’s license. AIRCRAFT INFORMATION According to FAA and maintenance records, the airplane was purchased in 1993 and certificated in 2007, and was registered to the pilot/owner. It was a two-place, high wing, single-engine airplane, with fixed landing gear. According to the airplane’s maintenance records, the most recent condition inspection was completed on June 5, 2012, at 19 total aircraft hours. METEOROLOGICAL INFORMATION At 1115, the weather conditions reported at Plant City Municipal Airport (PCM), about 7 miles north of the accident site, included winds from 160 at 3 knots.There was a broken cloud ceiling at 5,000 feet and 8,500 feet. Visibility was 10 miles; the temperature was 30 degrees C, the dew point 24 degrees C, and the altimeter setting was 30.02 inches of mercury. WRECKAGE AND IMPACT INFORMATION The wreckage was examined at the site, and all major components were accounted for at the scene. The wreckage path was oriented 030 degrees magnetic, and was approximately 180 feet in length. The initial impact point was on the west side of the north/south runway, and the ground scar crossed the runway on an approximate 30-degree angle. The airplane came to rest upright on the east side of the runway. Fragments associated with the nose landing gear and nose enclosure were scattered along the wreckage path. The bottom of the fuselage was crushed upwards, and the fore and aft cabin structure was folded in on the cockpit area. The engine support structure was collapsed, and the engine rested on the bottom of the airframe. Control continuity was established from the cockpit to the flight control surfaces. Examination of the two-bladed wooden propeller revealed that both blades were fractured and splintered near the propeller hub. Splintered fragments of the propeller were scattered along the wreckage path. The examination did not reveal any defects or anomalies that would have precluded normal operation of the airplane. MEDICAL AND PATHOLOGICAL INFORMATION The Hillsborough County Medical Examiner Department, Tampa, Florida, performed the autopsy on the pilot. The autopsy revealed the pilot died from blunt injuries to the head and neck. The FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma, performed forensic toxicology on specimens from the pilot. No carbon monoxide, cyanide, or ethanol, were detected in the specimens tested. The following Tested-for-Drugs were detected: Atenolol detected in Blood (Cavity) - Atenolol (Tenormin®) is a prescription synthetic, beta1-selective (cardioselective) adrenoreceptor blocking agent used to treat high blood pressure, and cardiovascular disease. Atenolol detected in Urine Clonidine detected in Urine – Clonidine (Catapres®) is a prescription centrally-acting alpha-agonist hypotensive agent used to treat high blood pressure. This centrally-acting medication has side effects including dizziness and fatigue. According to the FAA, clonidine use was a disqualifying condition for the issuance of a medical certificate. A review of the autopsy report as well as statements from the pilot’s wife and his acquaintances revealed the pilot’s medical history included: Coronary artery disease (Blocked / narrowed coronary arteries) Myocardial infarction (old heart attack) at apex of heart Implanted pacemaker Aortic valve replacement Mitral valve repair Stage III renal failure (moderate reduction in the filtering capability of the kidneys) High blood pressure Stroke The pilot’s pacemaker logbook did not record any arrhythmias on the day of the accident. It could not bedetermined to what degree the pilot’s general health, or use of medication, affected his performance during the accident flight.

Aircraft

Registration
N2571T
Reported as
Phillips William L Challenger
Category
Airplane
Serial number
CH20970
Airframe hours
19
Engine
Rotax 503, 52 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Phillips William L
Registered owner
Phillips William L
Airworthiness certificate
Special, Experimental light sport (Special)
Last inspection
Condition · June 5, 2012 · 0 hours before
Departed
9FD2 · Plant City, FL
Destination
9FD2 · Plant City, FL
Airport
9FD2 · Blackwater Creek Ultralight Fl, runway 36, 2,300 × 150 ft, grass/turf

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
80
Injuries
Fatal
Certificate
Student
Seat
Front
Flight hours
122 total · 20 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 3 knots
Visibility
10 statute miles
Lowest ceiling
5,000 ft broken
Temperature
86 °F, dew point 75 °F
Altimeter
30.02 inHg
Observed at
KPCM, 8 nm away

Docket · 9

The files NTSB released with the investigation on February 11, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.1 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.