ERA16LA028

NTSB accident investigation · Schumacher Lancair Super ES · Pascagoula, MS · October 26, 2015

Accident · FatalLimited investigationFinal report
Date
October 26, 2015, 12:37 local (17:37 UTC)
Place
Pascagoula, MS
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N817PRSchumacher Lancair Super ES
Defining event
Enroute: Windshear or thunderstorm
Weather
Instrument (IMC) · Day
Status
Completed · report June 12, 2018
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA FSDO
Case key
92242

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 pilot's failure to maintain airplane control after encountering convective shower activity. Contributing to the accident was the pilot's decision to continue flight into an area of known adverse weather.

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.

Info processing/decision: decision making/judgmentPersonnel issues › Action/decision · PilotAll aircraft: 3,098 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAll aircraft: 9,295 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedAll aircraft: 1,269 casesProbable cause
Convective weather: thunderstormEnvironmental issues › Conditions/weather/phenomena · Effect on operationAll aircraft: 100 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 pilot of the experimental, amateur-built airplane departed on a visual flight rules cross-county flight toward an area of convective activity and instrument meteorological conditions. There was no record that the pilot obtained an official weather briefing for the flight. However, the wife of one of the passengers reported that, before takeoff, the pilot told her husband that he intended to fly along the coast to avoid "the worst of the weather," indicating that the pilot had at least some knowledge of the en route weather conditions. Overlaying the airplane's radar flight path on a weather surveillance radar image showed that the airplane flew along the leading edge of light intensity echoes and was approaching an area of heavy intensity echoes when radar contact was lost. The airplane's radar targets ended over the ocean. Fragmented debris from the airplane was subsequently recovered from the water and surrounding beaches. Given the limited amount of wreckage and its severely fragmented condition, no useful information pertaining to the preimpact mechanical condition of the airplane could be obtained from the recovered wreckage. However, the fragmentation of the wreckage is consistent with the airplane impacting the water in an uncontrolled descent, and, based on the flight track and weather data, it is likely that the pilot lost control of the airplane after encountering convective shower activity. Review of the pilot's personal medical records revealed a history of medical conditions and prescribed medications, some of which were potentially impairing, that were not reported to the Federal Aviation Administration during his most recent third-class medical certificate examination. However, because the pilot's body was not recovered, no autopsy or toxicology testing were performed, and it could not be determined whether the pilot's medical conditions or his use of impairing medications contributed to the accident.

Factual narrative

On October 26, 2015, about 1237 central daylight time, an experimental, amateur-built Lancair Super ES, N817PR, was destroyed when it impacted the Gulf Coast waters of the Mississippi Sound near Pascagoula, Mississippi. The bodies of the commercial pilot and two passengers were not recovered and are presumed fatally injured. The airplane was owned and operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91. The airplane departed from Gulfport-Biloxi International Airport (GPT), Gulfport, Mississippi, about 1220, and was destined for Summerville Airport (DYB), Summerville, South Carolina. Visual meteorological conditions prevailed at the departure airport, and no flight plan had been filed. According to information obtained from a Federal Aviation Administration (FAA) inspector and witnesses, the airplane was based at Monroe Regional Airport (MLU), Monroe, Louisiana. In addition, the pilot rented a hangar for the airplane at South Arkansas Regional Airport, El Dorado, Arkansas. Earlier on the day of the accident, the pilot flew to Ruston, Louisiana (RSN) to pick up one passenger and then to GPT to pick up the second passenger. According to the wife of one of the passengers, the pilot was flying the passengers to South Carolina to attend a business meeting. Before departure from GPT, the pilot stated to air traffic controllers that he intended to take some pictures in the local area and then continue to "Daytona Beach." The controller subsequently stated "D-Y-B is that where you're going?" and the pilot replied "affirmative." The airplane departed from runway 14 at GPT, made a left turn to the northeast at the Gulfport shoreline, and climbed to an altitude of 2,000 ft mean sea level (msl). About 1226, the pilot requested and was approved to terminate air traffic control flight following. There were no further communications between the pilot and air traffic control. After the pilot terminated flight following, the airplane's transponder code changed to 1200, and the pilot made a right turn to the southeast. The last recorded radar target with an associated altitude was at 1234:37, at an altitude of 2,800 ft msl. Additional primary radar targets consistent with the airplane continued to about 1237; they showed the airplane turn to the northeast and ended with the airplane located over the Mississippi Sound, about 10 miles south of the Trent Lott International Airport (PQL), Pascagoula, Mississippi. The airplane's estimated groundspeed over the last 45 seconds of the primary target data was about 160 knots. Fragmented debris associated with the airplane was subsequently found on a beach located about 9 miles northwest of the last radar target and along additional coastal areas. The debris included the rudder and a substantial portion of the vertical stabilizer. A section of the empennage was located in the water about 3 miles northwest of the last radar target. The recovered wreckage was severely fragmented, andsignificant portions of the airplane, including the engine and propeller were not recovered (see figure 1). The recovered debris was examined by an FAA inspector; however, given the limited wreckage and its condition, the inspector was not able to determine the preimpact mechanical condition of the airplane. Figure 1. Airplane Wreckage in Hangar. The registration number N817PR was visible on the recovered wreckage. A search of the FAA aircraft registry database revealed that the registration number N817PR was not assigned to any airplane. A pilot operating handbook with the registration number N808PX was located among the recovered debris. A representative from the pilot's family confirmed that the airplane had been previously registered as N808PX. FAA records revealed that N808PX was issued a special airworthiness certificate in the experimental category on October 9, 2003, and it was purchased by the pilot through a limited liability company in August 2006. The four-seat, fixed-landing gear, composite airplane was equipped with a 310-horsepower Continental IO-550 engine. According to maintenance records, the airplane's most recent condition inspection was performed on March 17, 2015. At that time, the airplane had been operated for about 640 hours. The weather reported at PQL at 1237 included wind from 110° at 15 knots with 25-knot gusts, visibility 4 statute miles in light rain and mist, scattered clouds at 800 ft above ground level (agl), ceiling broken at 1,200 ft agl, overcast at 2,100 ft agl, temperature 23°C, dew point 22°C, and an altimeter setting of 29.73 inches of mercury. There were active weather advisories for convective activity and instrument meteorological conditions for the area around the airplane's last known position. The wife of one of the passengers reported that she spoke with her husband while the airplane was on the ground at GPT, and he told her that the pilot intended to fly along the coast to avoid "the worst of the weather." Overlaying the airplane's flight track on a photograph of the Mobile, Alabama, weather surveillance radar at 1235 (see figure 2) shows that the airplane flew along the leading edge of echoes of 5 to 15 dBZ (light intensity echoes) and was approaching an area of echoes from 40 to 50 dBZ (heavy intensity echoes) when radar contact was lost. Figure 2. Weather Surveillance Radar with Radar Flight Track Overlay.There was no record that the pilot obtained an official weather briefing for the accident flight. It could not be determined if the pilot obtained weather information from any additional sources. The pilot held a commercial pilot certificate with ratings for airplane single-engine land and instrument airplane. The pilot's logbook was not located. An airplane flight log was recovered from a seatback that was found on a beach. Several of the pages were water damaged, and the most recent page showed 13 flights recorded by the pilot between June 28, 2015, and September 16, 2015, which totaled57.3 flight hours. The pilot reported 4,441 hours of total flight experience on his most recent application for an FAA third-class medical certificate, which was issued on September 26, 2014. He reported no chronic medical conditions and no recent medications to the FAA at that time. Review of personal medical records for the pilot revealed a history of rheumatoid arthritis, hypertension, high cholesterol, and a mood disorder. In 2013, he had a diagnosis of severe coronary artery disease that required stents to reopen the left anterior descending coronary artery. He had a narrowing of the opening to that vessel that was not amenable to stenting and had persistent angina. In addition, he had heartburn and bleeding in his gastrointestinal tract diagnosed in January 2015. At the time of the accident, his prescribed medications that are not generally considered impairing were miralax, naproxen, prednisone, ranexa, esomeprazole, losartan, metoprolol, isosorbide, atorvastatin, donepezil, lamotrigine, and leflunomide. Prescribed medications that are potentially impairing were carbamazepine, cyclobenzaprine, tizanidine, clonazepam, and alprazolam. No autopsy or toxicology testing was performed as the pilot's body was not recovered.

Aircraft

Registration
N817PR
Reported as
Schumacher Lancair Super ES
Category
Airplane, amateur-built
Serial number
ES106
Built
2003
Airframe hours
640
Engine
Continental IO-550-N10, 310 horsepower, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · March 17, 2015
Departed
GPT · Gulfport, MS
Destination
DYB · Summerville, SC
Equipment
Unknown

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
68
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Flight hours
4,441 total

Weather

Conditions
Instrument (IMC) · Day
Wind
110° at 15 knots, gusting 25
Visibility
4 statute miles
Lowest ceiling
1,200 ft broken
Temperature
73 °F, dew point 72 °F
Altimeter
29.72 inHg
Observed at
PQL, 9 nm away

Docket · 7

The files NTSB released with the investigation on May 14, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.9 MB in all.