ERA19FA066

NTSB accident investigation · Eipper Quicksilver · Fredericksburg, VA · December 14, 2018

Accident · FatalField investigationFinal report
Date
December 14, 2018, 07:40 local (12:40 UTC)
Place
Fredericksburg, VA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N350FTEipper Quicksilver
Defining event
Approach-VFR pattern crosswind: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed · report June 3, 2020
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA FSDO
FAA report
20181214018589A
Case key
98770

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 exceedance of the airplane's critical angle of attack, which led to an aerodynamic stall while turning in the traffic pattern at low altitude.

Findings · 2

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 parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedSimmons Thomas S MXLII SPORT: 1 caseAll aircraft: 990 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 commercial pilot was operating an experimental amateur-built airplane on a personal flight in the airport traffic pattern. Video and audio recovered from an airframe-mounted camera, along with track data recorded by two onboard GPS receivers, revealed that, during the initial climb, the throttle was reduced, and then increased back to climb engine power for the upwind and crosswind legs of the traffic pattern. As the airplane turned toward the downwind leg at an altitude of about 300 feet, the throttle was reduced, increased briefly, and then was reduced again to what sounded consistent with an idle setting. The video and GPS track data showed that rather than aligning with the downwind leg of the traffic pattern, the airplane continued in a tightening, steepening, left turn with the engine at idle power. The airplane's last GPS-recorded position was over the accident site. The GPS data also showed that the airplane's groundspeed during the turn was near the airplane's published/placarded stall speeds. Just before ground impact, the video camera recorded a "pop" sound consistent with activation of the airplane's ballistic recovery system parachute. Postaccident examination of the airframe and engine revealed no preimpact mechanical anomalies that would have precluded normal operation. The pilot had purchased the airplane about 3 months before the accident. At the time of purchase, the airplane had an open-cockpit, tubular-framed configuration. The pilot subsequently enclosed the open cockpit using PVC tubing, sheets of plexiglass, and zip ties. The investigation could not determine whether the cockpit modifications affected the handling and stall characteristics of the airplane. These modifications notwithstanding, the GPS data showed that the airplane was operating at or near its stall speed, had entered a tight left turn, and had likely encountered an aerodynamic stall before it descended to ground impact.

Factual narrative

According to Federal Aviation Administration (FAA) records, the airplane was manufactured from a kit and purchased by the pilot in September 2018 from the builder. It had a high-wing, tubular-framed, open-cockpit configuration. The Rotax 582, 64-horsepower engine was mounted above the wing and drove a fixed-pitch propeller aft of the trailing edge of the wing in a pusher configuration. The manufacturer of the Quicksilver MXL II kit published a stall speed (Vs) for the airplane model of 32 mph (27 knots). A placard affixed to the accident airplane listed the stall speed at 27 mph (24 knots). The accident pilot purchased the airplane from the builder in September 2018. According to witness statements, photographs, and the airport surveillance video, the accident pilot had enclosed the cockpit. He affixed, using zip ties, a frame of PVC tubing to the airplane's tubular aluminum structure, and sheets of plexiglass were affixed to the PVC tubing to form the windshield and hinged doors attached on both sides of the cockpit. The "digital tach & hourmeter" located in the airplane at the scene indicated 411 aircraft hours. The maintenance records for the airplane were not recovered. According to the previous owner and builder of the airplane, the most recent conditional inspection was completed in May 2018. At the time of the sale, 407 hours had accrued on the hourmeter. On December 14, 2018, at 0740 eastern standard time, an experimental amateur-built Quicksilver MXL II, N350FT, was substantially damaged after it impacted terrain near Shannon Airport (EZF), Fredericksburg, Virginia. The commercial pilot was fatally injured. Visual meteorological conditions prevailed, and no flight plan was filed for the local flight, which originated around 0738. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. Airport surveillance video depicted the accident airplane as it took off from runway 24 at EZF, and showed a flight path consistent with the upwind, and crosswind legs of the traffic pattern before the airplane flew out of the camera's view. Track data downloaded from two GPS receivers recovered from the accident site depicted a ground track consistent with that on the video. The track data showed that the initial climb and crosswind leg were flown at a groundspeed of about 50 knots. The airplane reached a GPS altitude of 322 ft and a groundspeed of about 51 knots before the airplane began to turn to the left. The left turn continued from the crosswind to downwind legs. At that point, the airplane should have been parallel with the runway, but instead the radius of the turn continued to tighten. The airplane descended to 285 ft and slowed to a groundspeed of 29 knots, which was the airplane's last recorded GPS position; at that time, the airplane was above the accident site. An airframe-mounted video camera recovered at the accident site captured the airplane taxiing and departing on the accident flight. Theengine sounds that were recorded indicated that it was running smoothly on the ground and during flight through multiple power changes. During the initial climb, the throttle was reduced from climb power and then was increased back to climb power for the upwind and crosswind legs of the traffic pattern. As the airplane turned toward the downwind leg, the throttle was reduced, increased briefly, and reduced again to a sound consistent with the idle setting. The video also showed that the airplane continued in a tightening, steepening, left turn with the engine at idle power. Just before ground impact, a "pop" sound, consistent with activation of the airplane's ballistic recovery system (BRS) parachute, was recorded. The Virginia Department of Health, Office of the Chief Medical Examiner, Richmond, Virginia, performed an autopsy of the pilot and determined the cause of death as "blunt force trauma." The FAA Forensic Sciences Laboratory performed toxicological testing on the pilot. The test results were negative for the presence of carbon monoxide, drugs, and alcohol. At 0735, weather recorded at EZF included an overcast ceiling at 7,000 ft, visibility 10 miles, and calm winds. The temperature was 1° C, the dew point was 1° C; and the altimeter setting was 30.42 inches of mercury. According to Federal Aviation Administration (FAA) records, the pilot held a commercial pilot certificate with ratings for airplane single-engine land and instrument airplane. Examination of the pilot's logbook revealed the pilot had logged 342.4 total hours of flight experience. The most recent flight logged was 1.1 hours on September 10, 2018 in a Diamond DA-20 airplane. The pilot had not logged any flight experience in the accident airplane. The airplane came to rest in a nose-down attitude on flat terrain, and all major components were accounted for at the scene. The wreckage path from the initial ground scar to the main wreckage was 27 ft long and was oriented along a magnetic heading of 115°. The BRS parachute was partially deployed and remained attached to the airframe by a steel cable with a bridle loop around the main structural beam (root tube) beneath the engine. The cable was traced from the bridle loop, through multiple wraps around the engine driveshaft and propeller flange, to the parachute. The expended ballistic parachute rocket and deployment bag were located 105 ft northwest of the main wreckage. The airplane rested on the leading edges of both wings, which were uniformly crushed in a chordwise direction. The tail, elevators, and rudder were intact and mostly undamaged with the empennage tubing bent forward over the cockpit area. All lifting and flight control surfaces remained attached to the airframe. The airframe tubing displayed bends and fractures consistent with impact and overstress failure. Flight control continuity was confirmed from the flight controls to all flight control surfaces. The engine was largely undamaged. The wooden propeller wasshattered about 8 inches outboard of the hub on one blade and was fractured spanwise on the other blade. Propeller fragments at the accident site displayed concave, leading-edge damage consistent with the dimensions of the BRS steel cable. Further examination of the engine found that the carburetor float bowls displayed some internal corrosion and debris and that the vent lines were obstructed. For a test run, the obstructed vent lines remained, but the fuel lines were replaced because they were found to be "old." The engine, after being placed in a test stand, started on the first pull of the rope starter. The engine ran smoothly and continuously at multiple power settings without interruption for several minutes. At the completion of the test run, the throttle was reduced quickly, and the engine transitioned to idle power smoothly before the engine was stopped with the engine controls. After a replacement propeller was installed, the engine was manually rotated at the propeller, and continuity was confirmed throughout. Examination of the airframe and engine revealed no preimpact mechanical anomalies that would have precluded normal operation.

Aircraft

Registration
N350FT
Reported as
Eipper Quicksilver (MXLII)
Category
Airplane, amateur-built
Serial number
0936
Built
2008
Airframe hours
411
Engine
Rotax 582, 64 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · May 30, 2018 · 4 hours before
Departed
EZF · Fredericksburg, VA
Destination
EZF · Fredericksburg, VA
Airport
EZF · Shannon, runway 24, 2,999 × 100 ft, asphalt
Equipment
Handheld GPS, Airframe parachute, Video recording device

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
34
Injuries
Fatal
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
342.3 total · 4 in this make and model · 1.1 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
7,000 ft overcast
Temperature
34 °F, dew point 34 °F
Altimeter
30.42 inHg
Observed at
KEZF

Docket · 12

The files NTSB released with the investigation on May 12, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.9 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.