ERA19FA154

NTSB accident investigation · Wheeler Express Series 2000 · Cleveland, NC · April 22, 2019

Accident · FatalClass 3 · FieldFinal report
Date
April 22, 2019, 09:15 local (13:15 UTC)
Place
Cleveland, NC
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N625JWheeler Express Series 2000
Defining event
Maneuvering: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA CLT FSDO, Continental Aerospace Technologies
FAA report
20190422003249A
Case key
99295

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 loss of control and impact with terrain while maneuvering.

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.

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 departed in the experimental amateur-built airplane in visual meteorological conditions for a flight to another airport for an avionics upgrade. Shortly after departure, a witness reported that he heard an airplane’s engine and that, when he saw the airplane it quickly rolled inverted. Another witness located close to the accident site reported that he saw the airplane heading straight down. He heard loud engine noises that changed pitch, and then the airplane fell below a tree line and did not reappear. The disposition of the wreckage was consistent with the airplane impacting terrain with significant energy and at a steep vertical angle. All the airplane’s major components were accounted for at the accident site and examination of the airframe and engine revealed no evidence of any preaccident mechanical malfunctions or failures that would have precluded normal operation. The airplane’s manual contained a statement warning against performing aerobatics in the airplane, and specifically warned that the airplane would rapidly build speed when in a nose down attitude. Based on the witness statements that describe maneuvers (the airplane rolling inverted) and a steep descent toward the ground prior to the accident, it is possible that the pilot was maneuvering the airplane before losing control and impacting the ground in a rapid descent. Based on the results of postmortem toxicological testing, the pilot was taking the sedating antihistamine diphenhydramine. This over the counter drug carries the warning that use may impair mental and/or physical ability required for the performance of potentially hazardous tasks. Compared to other antihistamines, diphenhydramine causes marked sedation. However, no blood was available for testing, and the investigation was unable to determine if the pilot had impairing levels of the potentially impairing medication diphenhydramine in his body around the time of the accident. It is likely that some or all of the ethanol identified by the toxicological testing was from sources other than ingestion.

Factual narrative

HISTORY OF FLIGHT On April 22, 2019, about 0915 eastern daylight time, an experimental, amateur-built Wheeler Express Series 2000, N625J, was destroyed when it was involved in an accident near Cleveland, North Carolina. The pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the airplane owner, the pilot planned to depart Statesville Regional Airport (SVH), Statesville, North Carolina, and fly the airplane to Twin Lakes Airport (8A7), Mocksville, North Carolina, for an avionics upgrade. The pilot departed SVH at 0901. The owner stated that he watched the airplane depart runway 28, travel west, and then turn back to the east before he lost sight of it. Around 0900, a witness who was located 4.5 miles northeast of SVH reported that he heard an airplane’s engine. When he saw the airplane, he could see that the right wingtip was down. The airplane then rolled quickly inverted while heading eastward. A second witness located 1 mile east of the accident site stated that around 0910, he saw what he thought might be a radio-controlled airplane heading straight down, that he heard loud engine noises that changed pitch. The airplane then fell below the tree line and did not reappear. He later realized that he might have witnessed the accident when he heard that an airplane had crashed. The accident airplane’s owner arrived at 8A7 about 1040, and the airplane had not arrived. He made several phone calls to the pilot without success. He returned to SVH to see if the pilot had returned while other pilots at 8A7 departed in airplanes to search the area. At 1300, the Federal Aviation Administration (FAA) issued an alert notice for the missing airplane, which was found in a field 4 hours later. AIRPLANE INFORMATION The Owner’s Flight Manual, Maneuver Limits, stated that: Aerobatics that may impose high loads should not be attempted. The important thing to remember in flight maneuvers is that the airplane is very clean aerodynamically and will build speed with the nose down…Intentional spins are prohibited. WRECKAGE AND IMPACT INFORMATION All the airplane’s major components were found at the accident site. Both wings were highly fragmented and were found on the right and left side of the main wreckage near their mounting locations. The wings were detached from the fuselage, and both flaps and ailerons had completely separated. The upper and lower wing skins were fragmented, and pieces were found near the main wreckage. The empennage was displaced upward and forward and had come to rest slightly aft of the main wreckage. The rudder, vertical stabilizer, and horizontal stabilizer were fragmented. Control continuity was confirmed from all flight control surfaces to their respective cockpit controls through overload breaks and fractures. The cockpit throttle control assembly was separated, and the throttle control lever was found extended fully aft in the closed (idle) position, and thethrottle shaft handle was bent about 90° in the direction of the instrument panel. The cockpit mixture control assembly was found in the full-forward, full-rich mixture position. The engine crankcase was broken in multiple locations with significant impact-related damage on the front of the crankcase. The six cylinders remained attached to the engine; however, the Nos. 5 and 6 cylinders were only partially attached. All the engine accessory components were separated from the crankcase except for the fuel pump, oil pump, and starter adapter. One of the magnetos and most of the throttle and fuel metering assembly were not found. The propeller hub remained intact and displayed impact damage. Two of the three propeller blades were broken from the hub; one of the propeller blades was not found. The propeller blade that remained attached to the hub displayed significant S-bending, twisting, and leading-edge gouging. A large portion of the blade tip was separated and found in the impact crater. The remaining propeller blade had broken from the hub at the propeller blade shank, and a portion of the tip was separated. The blade displayed twisting deformation as well as leading-edge gouging. Both airplane entry door locking assemblies were found with their locking pins in the closed/locked position. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy of the pilot was performed by the Office of Chief Medical Examiner, Raleigh, North Carolina. The cause of death was multiple blunt force injuries. Toxicology testing of the pilot’s tissue specimens performed at the FAA's Bioaeronautical Sciences Laboratory detected 0.053 grams per heptagram of ethanol in muscle tissue samples but not in the liver tissue. The over the counter pain medication naproxen, commonly marketed as Aleve, was detected in the muscle and liver. The over the counter heartburn medication ranitidine, commonly marketed as Zantac, was detected in the muscle. Diphenhydramine, commonly marketed as Benadryl, is available over the counter in many products used to treat colds, allergies, and insomnia, and was detected in muscle and liver. No blood was available for testing.

Aircraft

Registration
N625J
Reported as
Wheeler Express Series 2000 (No Series)
Category
Airplane, amateur-built
Serial number
990009-M
Built
2002
Airframe hours
268
Engine
TCM IO-550-N, 310 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · February 1, 2019 · 4 hours before
Departed
SVH · Statesville, NC
Destination
8A7 · Mocksville, NC
Equipment
Auto-pilot, Stall warning system, Electronic multifunction display, Onboard weather

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
66
Injuries
Fatal
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
17,040 total · 15 in this make and model · 80 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 46 °F
Altimeter
30.20 inHg
Observed at
SVH, 18 nm away

Docket · 9

The files NTSB released with the investigation on December 2, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.1 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.