ERA19FA275

NTSB accident investigation · Vans RV 8 · Stroudsburg, PA · September 17, 2019

Accident · FatalClass 3 · FieldFinal report
Date
September 17, 2019, 12:18 local (16:18 UTC)
Place
Stroudsburg, PA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N7TLVans RV 8
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 FSDO, Lycoming
FAA report
20190917023089A
Case key
100284

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 control of the airplane for undetermined reasons.

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.

Not determinedNot determined › Not determined · Unknown/Not determinedCimino James L RV-8: 1 caseAll aircraft: 2,247 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCimino James L RV-8: 1 caseAll aircraft: 9,295 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedCimino James L RV-8: 1 caseAll aircraft: 1,269 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 and pilot-rated passenger were conducting a demonstration flight for the passenger, who was interested in purchasing a share of the airplane. Multiple witnesses heard the airplane's engine shortly after takeoff. Two of the witnesses thought that the airplane was performing aerobatics due to variations in engine power sounds. Another witness stated that the airplane’s engine was running smoothly right before he heard it impact terrain. Air traffic control radar information indicated that the airplane was flying about 1,600 ft above ground level shortly before the accident. The last air traffic control radar return, about 11 seconds before the data ended, indicated that the airplane was traveling at a groundspeed of 191 knots. The airplane impacted a wetlands area and was found embedded in 6 ft of mud. The wreckage was heavily fragmented, consistent with a high-speed impact. Examination of the wreckage revealed no anomalies with the airframe or engine that would have precluded normal operation, and damage signatures and witness accounts indicated that the engine was producing power at the time of the accident. The tandem-configuration airplane was equipped with a control stick in the front and back seats; however, the back seat, where the pilot-rated passenger was seated, was not equipped with a throttle control or rudder pedals. According to the builder/co-owner of the airplane, the pilot was known do some low-g aerobatics such as aileron rolls, although he was unsure if the pilot planned to do aerobatics during the accident flight. Toxicology testing of the pilot's kidney and muscle tissue was positive for ethanol. While some or all of the identified ethanol could be from postmortem production, there was not enough information to conclude that with any certainty. However, the levels were well below the regulatory cut off and it was unlikely that effects from ethanol contributed to the events in this accident. The circumstances of the accident are consistent with the pilot’s loss of control and subsequent impact with terrain; however, the reason for the loss of control could not be determined based on the available information.

Factual narrative

On September 17, 2019, at 1218 eastern daylight time, an experimental, amateur-built Vans RV-8 airplane, was destroyed when it was involved in an accident near Stroudsburg, Pennsylvania. The private pilot and the pilot-rated passenger were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the Pennsylvania State Police, the pilot was giving a demonstration flight of the airplane to the pilot-rated passenger, who was interested in buying a share of the airplane. The flight departed Pegasus Air Park (50PA), Stroudsburg, Pennsylvania, about 1215 and was intended to be a 30-minute local flight. When the airplane did not return, the pilot's family reported the airplane missing. The airplane was located the following day in wetlands on private property about 3 miles east-northeast of the airport. A review of radar data provided by the Federal Aviation Administration (FAA) revealed a target at 1216:20 on an easterly heading about 2.3 miles east of 50PA. At that time, the target was moving at a ground speed of 113 knots at an altitude about 1,300 ft above ground level (agl). The target continued east before it made a left 180° turn to the west at 1217:27 at an altitude of 1,700 ft agl and a ground speed of 122 knots. Over the next 24 seconds, the target continued west and accelerated to a ground speed of 199 knots and descended to 1,600 ft agl. At 1218:06, about 11 seconds later, radar contact was lost. At that time, the airplane’s heading was 258° and its ground speed was 191 knots. The altitude was not recorded. A witness was inside his home about 1/4-mile from the accident site when he heard the airplane's engine. He said it was "very loud, much louder than normal" and sounded as if it was at "maximum" power. The witness thought that the airplane was conducting aerobatics due to the continuous high-power and "different engine sounds" and that it stayed overhead versus flying from one direction to another. The witness said that the sound of the engine lasted 15 to 30 seconds before it abruptly ceased, followed a few seconds later by a "thud." The witness was uncertain if the airplane had crashed and went outside to see if he could see smoke. When he did not see any, he figured that the "thud" may have been from the highway or local rock quarry, and he went back inside his home. The witness then texted his neighbor at 1223 that he thought he heard an airplane crash. A second witness stated that he was in his front yard about 1/3-mile from the accident site when he heard the airplane doing maneuvers. He said that it sounded like an airplane that performs at an airshow and heard what sounded like the pilot applying and reducing power. The sound of the airplane stayed in the area and lingered for several minutes before the sound of the engine just "stopped." The witness did not hear an impact. A third witness, who lived less than 1/2-mile from the accident site, stated that he hadjust stepped out onto the back deck of his home at 1218 when he heard the airplane. He described the engine sound as “loud” and “smooth” and stated that it stopped with a “zonk” sound. According to the builder/co-owner of the airplane, the pilot was known do some low-g aerobatics such as aileron rolls. He stated that he was unsure if the pilot planned to do any aerobatics during the accident flight, but that he would “not be surprised” if he did. He stated that, when rolling the airplane to the right, the airplane’s nose tended to “drop fast” after about 90° of roll unless the nose was raised high enough before entering the roll. He also stated that when he rolled the airplane, he only rolled it to the left. An autopsy of the pilot was conducted by Forensic Pathology Associates. The cause of death was determined to be "multiple blunt force injuries." Toxicology testing performed at the FAA Forensic Sciences Laboratory identified ethanol and atenolol in the pilot's kidney and muscle tissue. An autopsy of the pilot-rated passenger was conducted by Forensic Pathology Associates. The cause of death was determined to be "multiple blunt force injuries." Toxicology testing performed at the FAA Forensic Sciences Laboratory identified ethanol in the pilot-rated passenger's muscle tissue. The pilot held a private pilot certificate with ratings for airplane single-engine land and instrument airplane. His last FAA third-class medical certificate was issued on October 16, 2018. A review of the pilot's logbooks revealed entries between 1991 and 2017. There were large gaps in time in between each logbook. The pilot's total flight experience was about 1,614.9 hours, of which 170.8 hours were in the accident airplane. The pilot reported a total of 1,845 total flight hours at his last medical. The passenger held an airline transport pilot certificate with a rating for airplane multi-engine land, with commercial privileges for airplane single-engine land and sea. His last FAA first-class medical certificate was issued on October 5, 2018. The airplane was located about 1/4-mile northwest of the last recorded radar return. It impacted heavily-wooded wetlands on private property in a nose-down attitude and was embedded in 6 ft of mud. The airplane was extensively fragmented and there was no post-impact fire. All major components of the airplane and engine were recovered from the accident site. The only items not initially recovered were sections of the canopy frame, the glare shield, and the canopy itself. An additional search of the impact area produced more sections of the canopy frame and the canopy. The canopy's locking mechanism/handle was in the wreckage and found in the closed/latched position. The metal post onto which the canopy's locking hook secured was found in the wreckage and appeared undamaged. Although the airplane was heavily fragmented, flight control continuity was established from the flight control surfaces to the cockpit area. The airplane wasequipped with a control stick in the front and back seats; however, the back seat did not have a throttle or rudder pedals installed. Both control sticks were broken from their respective base. The rudder cables were still attached to the pilot's rudder pedals. The front cockpit was heavily fragmented and crushed aft. All cockpit instrumentation was damaged. The throttle quadrant had separated but the throttle was found full forward, the propeller control was about 3/4 forward, and the mixture control was in the full rich position. Both wings remained attached to the center carry-through spar and exhibited extensive leading edge impact damage. The right wing was fragmented, and the flap remained attached to the inboard section of wing. The outboard section of the wing and the aileron separated in one section, and the wing tip had separated in sections. The left wing sustained extensive impact damage, but an 8-ft section remained attached at the carry-through spar. The spar was partially folded under itself. The flap and aileron both separated from the wing. The outboard section of wing exhibited leading edge impact damage; the tip had separated and was fragmented. The top section of the aft fuselage behind the aft cockpit area separated in an approximate 8-ft section. The canopy track was visible and still in place. The canopy sliding block was in place and found positioned on the most forward section of the canopy rail, consistent with the canopy having been in the closed position. The block moved freely on the track rail. The tail section included both horizontal stabilizers, elevators, the vertical stabilizer, and rudder. All of their respective counterweights were accounted for. Both horizontal stabilizers exhibited impact damage and were displaced aft. The vertical stabilizer/rudder was attached to the airframe, but became separated during recovery of the wreckage. The two-bladed propeller remained attached to the engine. Both blades exhibited rearward bending, chordwise scratching, leading edge gouges, and curled tips. The engine sustained impact damage and the crankcase was cracked. The No. 2 cylinder was displaced, several cooling fins were broken, and the oil sump was impact-separated. All accessories, except the vacuum pump, were found separated from the engine. These accessories included the engine-driven fuel pump, the left and right magnetos, the propeller governor, the fuel servo, and the oil filter assembly. The engine would not rotate when force was applied to the propeller. A lighted borescope inspection revealed large amounts of mud, water, and debris in each cylinder. Each of the cylinder's valves were intact with varying amounts of corrosion present. The top sparkplugs were removed and exhibited light corrosion and color consistent with normal wear per the Champion check-a-plug chart. The lower plugs were sheared off at the threaded portion of the plug and could not be removed from the cylinder. All exhaust and inductionpipes were also sheared off or missing from the engine and the time of the exam. Both magnetos produced spark when rotated utilizing a cordless drill at all points. Examination of the airplane and engine revealed no preimpact mechanical anomalies that would have precluded normal operation at the time of impact.

Aircraft

Registration
N7TL
Reported as
Vans RV 8 (Undesignat)
Category
Airplane, amateur-built
Serial number
80039
Built
2001
Airframe hours
473.6
Engine
Lycoming IO-360-JC, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · November 14, 2017
Departed
50PA · Stroudsburg, PA
Destination
50PA · Stroudsburg, PA
Airport
50PA · Pegasus Air Park
Equipment
Unknown

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
65
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
November 29, 2018
Seat
Front
Restraint
4-point
Toxicology
Performed
Flight hours
1,614.9 total · 170.8 in this make and model
Role
Pilot-rated passenger
Age
34
Injuries
Fatal
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Rear
Restraint
4-point
Toxicology
Performed

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 43 °F
Altimeter
30.20 inHg
Observed at
MPO, 12 nm away

Docket · 12

The files NTSB released with the investigation on September 2, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.3 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.