ERA15FA139

NTSB accident investigation · Adams Donald L DA1 · Sebring, FL · March 2, 2015

Accident · FatalField investigationFinal report
Date
March 2, 2015, 11:50 local (16:50 UTC)
Place
Sebring, FL
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N797AAdams Donald L DA1
Defining event
Initial climb: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report June 9, 2016
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20150302002809A
Case key
90799

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

A partial loss of engine power for reasons that could not be determined based on the available evidence.

Findings · 1

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.

Not determinedNot determined › Not determined · Unknown/Not determinedAdams Donald E DA1: 1 caseAll aircraft: 2,247 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

The private pilot, who was also the owner/builder of the experimental amateur-built airplane, had just taken off for a personal flight. Witnesses reported hearing "spitting and sputtering" engine noise as they observed the airplane descending from a low altitude. The pilot subsequently performed an off-airport landing about 1 mile south of the airport. During the landing, the fuel tank was compromised, and a postcrash fire ensued, which destroyed the cockpit and consumed the propeller and all of the fuselage fabric coverings forward of the empennage. Based on this evidence, it is likely that the engine experienced a loss of power shortly after takeoff, which resulted in the need for an off-airport landing. Postaccident examination of the airplane, which included disassembly of its converted 75-horsepower automobile engine, did not reveal evidence of any preimpact mechanical malfunctions or failures; however, fire damage destroyed the fuel tank, fuel lines, carburetor, and fuel filter. According to a friend of the pilot, the accident flight was the airplane's first flight since it was damaged after experiencing a loss of engine power during takeoff about 2 years before the accident. The airplane's maintenance logbooks were not located, and its maintenance and operational history could not be verified. The reason for the partial loss of engine power could not be determined based on the available evidence. Toxicology testing of the pilot detected several previously unreported medications, and an autopsy identified hypertensive and atherosclerotic heart disease; however, it is unlikely that symptoms from the pilot's heart disease or the effects of any of the detected medications impaired his ability to respond to the emergency.

Factual narrative

The single-engine, fixed-gear airplane, serial number 01, was issued an experimental special airworthiness certificate by the FAA on July 7, 2009. Its construction was based on a Sonerai homebuilt airplane kit, and it was powered by a converted Volkswagen 75-horsepower automobile engine, equipped with a Sterba wood propeller. The fuselage was constructed of steel tubing with fabric covering and the wings were constructed of aluminum. The pilot's wife not able to locate the airplane's maintenance records, nor were they observed in the hangar where the airplane was kept. On March 2, 2015, about 1150 eastern standard time, an experimental amateur-built Adams DA1, N797A, owned and operated by a private individual, was substantially damaged during an off-airport landing and subsequent postcrash fire, shortly after takeoff from the Sebring Regional Airport (SEF), Sebring, Florida. The private pilot was fatally injured. Visual meteorological conditions prevailed and no flight plan had been filed for the personal flight that was conducted under the provisions of 14 Code of Federal Regulations Part 91. The airplane was built by the pilot and based at SEF. According to a friend of the pilot, about 2 years prior to the accident, the pilot was flying the airplane when it experienced a loss of engine power just after takeoff, due to a clogged fuel filter. The pilot landed back on the runway and the airplane sustained a propeller strike. The accident flight was the airplane's first flight since that incident. Recent maintenance included replacing the fuel filter and converting the airplane from a tailwheel to tricycle landing gear configuration. Witnesses near the accident site reported hearing a "spitting and sputtering" engine as they observed the airplane descending from a low altitude. The pilot was able to land the airplane on grass about 1 mile south of SEF; however, after landing a postcrash fire erupted and destroyed the cockpit before the pilot could exit the airplane. An autopsy was performed on the pilot by the Office of the District 10 Medical Examiner, Winter Haven, Florida. The autopsy report identified hypertensive and atherosclerotic heart disease and indicated the cause of death was due to the postcrash fire. Toxicological testing performed on the pilot by the FAA Bioaeronautical Science Research Laboratory, Oklahoma City, Oklahoma, was positive for the following: "0.665 (ug/ml, ug/g) Citalopram detected in Blood Citalopram detected in Liver Desloratadine detected in Blood Desloratadine detected in Urine Ephedrine detected in Urine Ephedrine NOT detected in Blood Loratadine detected in Blood 0.368 (ug/mL, ug/g) N-Desmethylcitalopram detected in Blood N-Desmethylcitalopram detected in Liver Pseudoephedrine detected in Blood Pseudoephedrine detected in Urine Tamsulosin detected in Blood Tamsulosin detected in Urine" A weather observation taken at SEF, at 1155, reported: wind from 130 degrees at 6 knots, 10 statute miles visibility, scatteredclouds at 3,400 and 4,000 feet, temperature 26 degrees Celsius (C), dew point temperature 17 degrees C, and an altimeter setting of 30.28 in-Hg. The pilot, age 76, held a private pilot certificate with ratings for airplane single-engine land and instrument airplane. The pilot's logbook were not recovered. He reported 1,950 hours of total flight experience, with 40 hours accumulated during the preceding 6 months, on his most recent application for a Federal Aviation Administration (FAA) third-class medical certificate, which was issued on November 10, 2014. In addition, at that time, he reported no chronic medical conditions and no medication use. The airplane touched down on the ground, and slid for about 75-feet on a magnetic heading about 070 degrees before it came to rest upright, adjacent to a canal, behind a residence. All major portions of the airplane were located at the accident site. The right aileron, nose landing gear, and wooden propeller fragments were located along a ground scar leading to the main wreckage. The fuel tank, which was located aft of the engine firewall and in front of the cockpit area was compromised during the off-airport landing. A postcrash fire destroyed the cockpit, and consumed the propeller and all fuselage fabric coverings forward of the empennage, which was undamaged. The right wing sustained impact damage to the tip and forward outboard leading edge corner. In addition, the right wing inboard trailing edge corner was deformed diagonally approximately 1-foot. The inboard 4 feet of the left wing was consumed to the spar and the majority of the wing was fire damaged. Flight control continuity was confirmed from the cockpit controls to the rudder and elevator control surfaces. The respective left and right aileron connections were displaced consistent with impact damage. The airplane's entire fuel system, which included the fuel tank, the carburetor and fuel filter were consumed by fire. The engine was also fire damaged, and could not be rotated. Subsequent disassembly of the engine at SEF, which included examination of all cylinders, pistons, rocker arms, valves, and spark plugs did not reveal any evidence of preimpact mechanical malfunctions.

Aircraft

Registration
N797A
Reported as
Adams Donald L DA1
Category
Airplane, amateur-built
Serial number
01
Built
2009
Engine
Volkswagen, 75 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Departed
SEF · Sebring, FL
Destination
SEF · Sebring, FL
Airport
SEF · Sebring Rgnl
Equipment
Unknown

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
76
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Rear
Restraint
3-point
Toxicology
Performed
Flight hours
1,950 total · 50 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 6 knots
Visibility
10 statute miles
Temperature
79 °F, dew point 63 °F
Altimeter
30.28 inHg
Observed at
SEF, 1 nm away

Docket · 6

The files NTSB released with the investigation on May 26, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.0 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.