ERA20FA003

NTSB accident investigation · Champion 7ECA · Pembroke Pines, FL · October 5, 2019

Accident · Serious injuriesClass 3 · FieldFinal report
Date
October 5, 2019, 16:09 local (20:09 UTC)
Place
Pembroke Pines, FL
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N2561GChampion 7ECA
Defining event
Maneuvering: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20191005008789A
Case key
100367

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 relinquish the airplane controls to the instructor during a power-off stall maneuver, which prevented the instructor’s recovering from the stall.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotChampion 7ECA: 19 casesAll aircraft: 9,295 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

During a training flight, the pilot receiving instruction “froze on the controls” during a demonstration of a power-off stall. He did not respond to the flight instructor’s commands to release the controls, and the instructor was unable to overpower the pilot’s control inputs. The airplane remained in a stall condition, descended, impacted marshland, and sustained substantial damage to the wings and forward fuselage. The airplane’s altitude at the start of the descent was not captured by radar data; however, the airplane had previously been flying at altitudes of 100 to 500 ft mean sea level in the practice area about 1.5 minutes before radar altitude data was lost.

Factual narrative

On October 5, 2019, at 1609 eastern daylight time, a Champion 7ECA, N2561G, was substantially damaged after it impacted marshland in the Florida Everglades near Pembroke Pines, Florida. The flight instructor and commercial pilot sustained serious injuries. The instructional flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. According to the flight instructor, prior to the departure, he briefed the pilot receiving instruction about the plans for the flight. This included performing stalls and “falling leaf maneuvers,” followed by landing practice at Miami-Opa Locka Executive Airport (OPF), Opa Locka, Florida. After the briefing, they boarded the airplane and departed from North Perry Airport (HWO), Hollywood, Florida, about 1555 to the west toward a local practice area in the Florida Everglades. Radar data obtained from the Federal Aviation Administration (FAA) that was consistent with the accident airplane’s track revealed that the airplane departed HWO and flew westerly at altitudes between 1,500 and 1,800 ft above mean sea level (msl). After it reached the Everglades, it continued to the west and descended to altitudes varying between about 100 and 400 ft. About 3.5 nautical miles west of the Everglades shoreline, at an altitude of about 400 ft and groundspeed of about 90 knots, the airplane began a level turn to the left. During the turn, the altitude varied between 400 and 500 ft, and the groundspeed varied between 90 and 100 knots. As the airplane completed a 180° of turn, the radar system was no longer able to track the airplane’s altitude. The radar continued to track the position of the airplane for another 1.5 minutes as it flew in a southeasterly direction until radar contact was lost at 1608, about ½-mile southwest of the accident site. The flight instructor reported that during a basic power-off stall demonstration, the pilot receiving instruction “froze on the controls with the elevator in the full up position.” The instructor was “unable to overpower him and push the controls forward to break the stall.” The pilot “did not respond to any of [his] commands to ‘let go of the controls’ [and] as a result he held us in the stalled condition until we impacted the Everglades in a slightly nose low and slightly right-wing-low attitude.” The flight instructor further reported that there were no mechanical anomalies with the airplane that would have precluded normal operation. The commercial pilot was not available for an interview in the weeks following the accident due to his injuries. He did not respond to subsequent requests for information or return the NTSB Pilot/Operator accident reporting form. Toxicology testing was performed at the FAA Forensic Sciences Laboratory. The results were negative for alcohol and drugs of abuse for the pilot and flight instructor. Examination of the wreckage revealed that the airplane came to rest upright, leaning towards the left and partially submerged in water.All major components of the airplane were present at the accident site. The airplane sustained substantial damage to the left wing, which was separated from the fuselage at the root and remained largely intact. The right wing was partially separated at the root, with leading edge damage at the tip and forward of the aileron. The right wing was bent upward and downward along its span, forward of the aileron. It was also crushed from top and bottom along most of its length. According to FAA airman records, the flight instructor held an airline transport pilot certificate with ratings for airplane multi-engine land and rotorcraft-helicopter. He held commercial pilot privileges for airplane single and multi-engine land, single and multi-engine sea, glider, and rotorcraft-gyroplane. He held instructor ratings for airplane single- and multiengine, helicopter, gyroplane, instrument airplane, and instrument helicopter. He reported 15,400 hours of total flight experience, of which 2,000 were in the same make and model as the accident airplane. Of those, 1,700 hours were as an instructor. According to FAA airman records, the pilot receiving instruction held a commercial pilot certificate with ratings for airplane single-engine land and instrument airplane. An undated resume indicated he had accrued a total of 343 hours of flight experience. The FAA Flying Handbook (FAA-H-8083-3B) recommends “stalls be practiced at an altitude that allows recovery no lower than 1,500 feet AGL for single-engine airplanes, or higher if recommended by the [pilot operating handbook].”

Aircraft

Registration
N2561G
Reported as
Champion 7ECA (No Series)
Category
Airplane
Serial number
439
Built
1967
Airframe hours
4,100
Engine
Lycoming O-235-C1, 115 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
N3542w
Registered owner
N3542w
Airworthiness certificate
Standard, Aerobatic; Standard, Normal
Last inspection
Annual · January 1, 2019
Departed
HWO · Hollywood, FL
Equipment
None

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
Flight instructor
Age
61
Injuries
Serious
Certificates
Airline transport, Commercial, Flight instructor
Airplane ratings
Multi-engine sea, Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
May 28, 2019
Seat
Rear
Restraint
4-point
Toxicology
Performed
Flight hours
15,400 total · 2,000 in this make and model · 5,200 as pilot in command · 120 in the last 90 days · 40 in the last 30 days · 4 in the last 24 hours
Role
Pilot-rated passenger
Age
24
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Unknown
Seat
Front
Restraint
4-point
Toxicology
Performed
Flight hours
343 total · 137 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 15 knots, gusting 22
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 72 °F
Altimeter
29.90 inHg
Observed at
HWO, 12 nm away

Docket · 8

The files NTSB released with the investigation on November 18, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.3 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.