ERA15LA339

NTSB accident investigation · Evolution Revo · Laconia, NH · September 5, 2015

Accident · FatalLimited investigationFinal report
Date
September 5, 2015, 15:38 local (19:38 UTC)
Place
Laconia, NH
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N2264XEvolution Revo
Defining event
Maneuvering-low-alt flying: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report June 29, 2016
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20150905021379A
Case key
91927

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 sport pilot’s improper decision to operate the weight-shift-control aircraft at low altitude and his subsequent failure to maintain control of the aircraft, which resulted in a subsequent collision with terrain.

Findings · 3

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotEvolution REVO: 8 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedEvolution REVO: 1 caseAll aircraft: 1,310 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

Review of GPS information revealed that the sport pilot/owner of the weight-shift-control aircraft completed one left circuit over a beach at a low altitude. During a second circuit, the aircraft was about 100 ft or less above the ground for several minutes before it descended and impacted the backyard of a residence. Examination of the wreckage, which included a successful test run of the engine, did not reveal any preimpact mechanical malfunctions.

Factual narrative

On September 5, 2015, about 1538 eastern daylight time, a special-light-sport, weight-shift-control Evolution Aircraft Revo, N2264X, was substantially damaged when it impacted the backyard of a residence, following a loss of control while circling a nearby beach at low altitude in Laconia, New Hampshire. The sport pilot was fatally injured. The aircraft was registered to and operated by a private individual as a personal flight conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the local flight that departed Laconia Municipal Airport (LCI), Laconia, New Hampshire, about 1530.Several witnesses reported that the aircraft circled very low over the beach and looked like it was going to land. It then banked sharply left and descended nose-down near a residence. Two of the witnesses reported a sputtering or loss of engine noise, while five witnesses reported continuous or an increase in engine noise. The wreckage came to rest inverted. Examination of the wreckage by a Federal Aviation Administration (FAA) inspector revealed substantial damage to both wings and the fuselage. The pilot's four-point restraint system remained intact. The inspector noted that fuel remained in the two carburetor fuel bowls and in the single-fuel tank. He was able to rotate the propeller by hand, confirm valve train continuity and attain thumb compression on all cylinders. Under the direction of the FAA inspector, a mechanic subsequently recovered the aircraft and was able to verify control continuity. Once he replaced a water pump that had sustained impact damage, he was able to successfully test-run the engine on the airframe. Review of the sport pilot's logbook revealed that he had accumulated about 102 hours of flight experience; of which, 91 hours were in the same make and model as the accident aircraft. About 7 of the hours were flown during the 30-day period preceding the accident. Additionally, the sport pilot had recently ferried the accident aircraft from Florida to New Hampshire, but had not recorded that trip in his logbook. Review of the NTSB database revealed that the sport pilot was involved in a landing accident in the same make and model aircraft on April 20, 2014. The probable cause of that accident was his failure to maintain control during a go-around (ERA14CA203). The two-seat, high-wing, fixed tricycle gear, weight-shift-control aircraft, serial number 000594, was manufactured in 2013 and issued a special-light-sport airworthiness certificate by the FAA. It was powered by a Rotax 912ULS, 100-horsepower engine, equipped with three-blade composite propeller. The aircraft logbooks were not recovered and no determination could be made regarding the aircraft's most recent inspection. The aircraft was equipped with an electronic flight information system (EFIS), which was retained and forwarded to the NTSB Vehicle Recorder Laboratory, Washington, DC. Data weresuccessfully downloaded from the EFIS and plotted. Although no engine data were recovered, a GPS plot of the accident flight was generated. Review of the plot revealed that the aircraft departed LCI at 1530, climbed to an altitude about 1,300 feet above ground level (agl), and flew west for about 1 minute. It then turned north and paralleled the shore of Lake Winnipesaukee, descended to about 300 feet agl, where it remained for the majority of the flight. The aircraft completed one left circuit near a beach uneventfully. During a second, wider left circuit, the aircraft descended to about 100 feet agl or less over the lake, where it remained until impacting the backyard of the residence approximately 2 minutes later. The pilot succumbed to his injuries on September 6, 2015 and an autopsy was not performed; however, the New Hampshire Medical Examiner's report noted the cause of death as "Complications of Blunt Head Trauma." Toxicological testing was performed on the pilot by the FAA Bioaeronautical Science Research Laboratory, Oklahoma City, Oklahoma. Review of the test results revealed: "Etomidate detected in Blood Metoprolol detected in Blood" Etomidate was consistent with emergency treatment the pilot received in the hospital and Metoprolol was an antihypertensive that was not impairing. The recorded weather at LCI, at 1535, included wind from 190 degrees at 4 knots, visibility 9 miles and clear sky.

Aircraft

Registration
N2264X
Reported as
Evolution Revo (NO SERIES)
Category
Weight-shift
Serial number
000594
Built
2013
Engine
Rotax 912ULS, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Panuski William R
Registered owner
Panuski William R
Airworthiness certificate
Special, Experimental light sport (Special)
Departed
LCI · Laconia, NH
Destination
LCI · Laconia, NH
Airport
LCI · Laconia Municipal Airport
Equipment
Electronic multifunction display

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
69
Injuries
Fatal
Certificate
Sport Pilot
Airplane ratings
Single-engine land
Medical
Sport pilot
Seat
Front
Restraint
4-point
Toxicology
Performed
Flight hours
102 total · 91 in this make and model · 38 in the last 90 days · 7 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 4 knots
Visibility
9 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 50 °F
Altimeter
30.20 inHg
Observed at
LCI, 2 nm away

Docket · 12

The files NTSB released with the investigation on May 10, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.9 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 N2264X · 1

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