ERA15LA130

NTSB accident investigation · Robertson James F Velocity STD/RG E · Sebastian, FL · February 13, 2015

Accident · Serious injuriesLimited investigationFinal report
Date
February 13, 2015, 09:00 local (14:00 UTC)
Place
Sebastian, FL
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N112THRobertson James F Velocity STD/RG E
Defining event
Initial climb: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report January 5, 2016
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20150213003319A
Case key
90723

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 loss of airplane control after takeoff, which resulted in collision with terrain. Contributing to the accident was the pilot’s failure to properly secure the cabin door and trim the airplane for takeoff, which resulted in the cabin door opening and the nose pitching up suddenly at liftoff.

Findings · 6

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 · Not attained/maintainedRobertson James F VELOCITY STD/RG-E: 1 caseAll aircraft: 1,269 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · PilotRobertson James F VELOCITY STD/RG-E: 1 caseAll aircraft: 792 casesProbable cause
Doors: passenger/crew doorsAircraft › Aircraft structures · Incorrect use/operationRobertson James F VELOCITY STD/RG-E: 1 caseAll aircraft: 86 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeRobertson James F VELOCITY STD/RG-E: 1 caseAll aircraft: 933 cases

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 pilot had recently purchased the experimental, amateur-built airplane. He received 3.6 hours of familiarization training in another airplane by the same manufacturer during the 2 days before the accident while maintenance and inspections were performed on his airplane. Once the work was completed, the pilot departed on the accident flight. Witnesses reported that, immediately after rotation, they observed the right cabin door open. The airplane briefly maintained the runway heading and then began a "slow, lingering" left turn. One witness described the engine sound as increasing and decreasing between idle and full power. The airplane rolled left, then wings level, then left again before it descended to the ground. The airplane impacted trees near the airport perimeter; the right wing separated, and the fuselage was substantially damaged. Immediately after the accident, the pilot reported that he was taking off and that "the door blew open." The pilot subsequently reported that the airplane "pitched up violently" on takeoff and would not respond to nose-down pitch trim. Examination of the airplane revealed flight control continuity from the cockpit area to the flight control surfaces. The latch mechanism on the right cabin door was found intact and fully functional. The pitch trim was found in a nearly full nose-up setting, and, when activated, the pitch trim motor ran through its full range at its normal rate. The pilot reported that there were no mechanical deficiencies with the airplane that would have precluded normal operation.

Factual narrative

On February 13, 2015, about 0900 eastern daylight time, an experimental amateur-built Velocity STD/RG-E, N112TH, was substantially damaged during collision with terrain after takeoff from Sebastian Municipal Airport (X26), Sebastian, Florida. The private pilot/owner was seriously injured. Visual meteorological conditions prevailed, and no flight plan was filed for the personal flight, which was conducted under the provisions of Title 14 Code of Federal Regulations Part 91.According to the chief pilot of Velocity Aircraft, the airplane was recently purchased by the pilot. The sale was brokered by the previous owner, and the airplane was flown to the Velocity facility for a conditional inspection, the installation of new door latches, and delivery to the new owner. The pilot was provided with 3.6 hours of familiarization training in a Velocity company airplane over the two days prior to the accident. The accident flight was witnessed by the chief pilot and others, and their descriptions of the event were consistent throughout. The airplane departed runway 28 after a ground roll of approximately 1,000 feet and passing the intersection of runway 05/23. Immediately after rotation, the witnesses watched the right cabin door open. The airplane maintained runway heading briefly, then began a "slow, lingering" left turn back towards runway 05. One witness described the engine sound as increasing and decreasing between idle and full power. The airplane would alternately roll left, then wings level, and roll left again before it ultimately descended to ground contact south of runway 05. The airplane impacted trees near the airport perimeter, where the right wing separated and the fuselage was substantially damaged. Immediately after the accident, a responding police officer asked the pilot what happened. The pilot reported that he was taking off, and when the airplane reached about 50 feet, at approximately 80-90 knots, "the door blew open." In a subsequent interview with a Federal Aviation Administration (FAA) aviation safety inspector, the pilot said the airplane "pitched up violently" on takeoff, and wouldn't respond to nose-down pitch trim. Examination of the airplane by the FAA inspector revealed that control continuity could be established from the flight control surfaces on the left wing to the cockpit area and from the flight control surfaces in the right wing to the break. The control stick was broken off in the cockpit. The latch mechanism on the right cabin door was found intact and fully functional. The pitch trim was found in a nearly full nose-up setting. Electrical power was applied, and when activated the pitch trim motor ran through its full range at its "normal" rate. The pilot held a private pilot certificate with ratings for airplane single-engine land and instrument airplane. Examination of his logbook revealed 935 total hours of flight experience, of which 9 hours were in the accident airplane make and model. His most recent FAA thirdclass medical certificate was issued on January 31, 2015. The airplane was manufactured in 2007 and was equipped with a Superior IO-360 series, 180 hp, reciprocating engine. The airplane's most recent conditional inspection was completed on December 16, 2014 at 79 total aircraft hours.

Aircraft

Registration
N112TH
Reported as
Robertson James F Velocity STD/RG E
Category
Airplane, amateur-built
Serial number
SRE042
Built
2007
Airframe hours
79
Engine
Superior IO-360, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Andrew J. Liptak
Registered owner
Andrew J. Liptak
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · December 16, 2014
Departed
X26 · Sebastian, FL
Destination
CPC · Whiteville, NC
Airport
X26 · Sebastian Municipal, runway 28, 3,199 × 75 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
72
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3
Last flight review
September 28, 2012
Seat
Left
Restraint
3-point
Flight hours
935 total · 9 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 48 °F
Altimeter
30.15 inHg
Observed at
VRB, 10 nm away

Docket · 5

The files NTSB released with the investigation on November 23, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.8 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.

Other investigations on N112TH · 1

Matched to the same aircraft by N-number and date.