ERA20FA029

NTSB accident investigation · Pavel Tango2 · Cedartown, GA · November 4, 2019

Accident · FatalClass 3 · FieldFinal report
Date
November 4, 2019, 12:00 local (17:00 UTC)
Place
Cedartown, GA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N875FVPavel Tango2
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
FAA report
20191104020829A
Case key
100521

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 loss of control of the gyroplane for reasons that could not be determined based on available evidence.

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 · PilotPavel Vagner TANGO2: 3 casesAll aircraft: 9,295 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedPavel Vagner TANGO2: 1 caseAll aircraft: 2,247 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 was performing a test flight to mitigate a vibration in the gyroplane. When the pilot did not return within the expected timeframe a friend alerted authorities and went to look for him. The wreckage was located about 2.5 miles from the departure airport in a cotton field where it came to rest inverted about 15 ft beyond the initial impact point. Examination of the wreckage revealed that there were no anomalies with the gyroplane that would have precluded normal operation prior to the accident. Toxicology testing identified sertraline and its metabolite desmethylsertraline, atorvastatin, and metoprolol in blood and urine. The pilot’s medications were unlikely to have resulted in impairment and therefore most likely did not contribute to the accident The pilot’s autopsy revealed severe coronary artery disease with a previous stent and severe ongoing stenosis in the left anterior descending coronary artery. While there was no obvious scar, no microscopic evaluation of the heart muscle was performed, so whether there was evidence of previous or ongoing ischemia could not be determined. However, the severity of his coronary artery disease placed him at increased risk of an acute cardiac event that could have resulted in sudden chest pain, shortness of breath, palpitations, or fainting, any of which could have been acutely impairing or incapacitating. But in this case, there is no available operational information; therefore, whether effects from the pilot’s coronary artery disease contributed to this accident could not be determined.

Factual narrative

On November 4, 2019, about 1200 eastern standard time, an experimental amateur-built Tango2 gyroplane, N875FV, was substantially damaged when it was involved in an accident near Cedartown, Georgia. The pilot was fatally injured. The flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91 as a test flight. According to a friend of the pilot, the pilot was performing a test flight to mitigate a vibration in the gyroplane. The friend watched the pilot add fuel to the gyroplane, check the oil, and perform part of the preflight inspection before the friend continued working on other things around his hangar. The friend then watched the gyroplane takeoff, fly out of sight, and noted no issues with the gyroplane. He knew that the flight test would last about 15 minutes, so after 30 minutes had passed, he alerted authorities and went to look for the pilot. The wreckage was located later that day around 1330. The Office of the Medical Examiner, Atlanta, Georgia, performed the autopsy on the pilot. The autopsy report indicated that the cause of death for the pilot was multiple blunt force injuries. In addition, severe coronary artery disease was found with a metal stent in the proximal right coronary artery (<20% residual stenosis), native left anterior descending coronary artery with 80% stenosis, and 60% stenosis of the left circumflex coronary artery. The remainder of the heart exam was unremarkable; there was no obvious evidence of myocardial infarction, but no microscopic examination was carried out. No other natural disease was identified. Toxicology testing of the pilot was performed at the FAA Forensic Sciences Laboratory. Fluid and specimens tested negative for ethanol. Amlodipine, Metoprolol, and Atorvastatin were detected in the fluid. Fluid specimens tested positive for 108 (ng/mL, ng/g) of Sertraline and 191 (ng/mL, ng/g) of desmethylsertraline. Sertraline is a prescription antidepressant often marketed with the name Zoloft. Atorvastatin is a prescription cholesterol lowering medication often marketed as Lipitor. Metoprolol is a blood pressure lowering prescription medication that also helps protect against heart attacks. The pilot did not possess a Federal Aviation Administration medical certificate, nor was he required to have one. According to a friend of the pilot, he had about 200-300 hours of flight time. The main wreckage was located in a cotton field, at an elevation of 853 ft above mean sea level, about 2.5 miles from the departure airport. The gyroplane impacted the field and then came to rest inverted about 15 ft beyond the initial impact point. The debris path was oriented on about a 270° magnetic heading. All major components of the gyroplane were located in the vicinity of the main wreckage. There was no evidence of postimpact fire, and an odor of fuel was noted at the accident site. Flight control continuity was verified from the rudder pedals to the rudder and from the cyclic to the main rotormast. Throttle control continuity was verified from the throttle control to the engine. The main rotor mast was impact-damaged and bent aft. The main rotor would rotate 360° when moved by hand, and the pitch and roll pivot bolts were secure. The main rotor drive gear where the main rotor brake contacted the gear was examined and minor wear was noted. One of the main rotor blades was impact separated and located about 15 ft from the main wreckage and the cap was impact separated. The separated blade exhibited impact damage, was bent in the aft direction, and rotational scoring was noted. The other rotor blade remained partially attached to the main rotor head. It was bent in the positive direction, exhibited rotational scoring, the cap remained attached, and was partially bent aft. The two shims that were added to each blade to reduce the pitch angle of the main rotor blades were located in the vicinity of the wreckage. The engine was examined and no anomalies were noted that would have prevented normal operation or production of power. The vibration tester unit, which was a handheld device, that was being used by the pilot during the flight was not located. However, the cables and sensors remained attached to the airframe and rotor head. Two of the three connection points remained intact, and the third connection point was separated. In addition, the excess cable was located in the aft seat.

Aircraft

Registration
N875FV
Reported as
Pavel Tango2
Category
Gyroplane, amateur-built
Serial number
19019
Built
2019
Airframe hours
4.8
Engine
Yamaha 8GL-01, 130 horsepower, reciprocating
Damage
Substantial damage
Flight
Flight test · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · October 20, 2019 · 5 hours before
Departed
4A4 · Cedartown, GA
Destination
4A4 · Cedartown, GA
Airport
4A4 · Polk County Airport- Cornelius
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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
63
Injuries
Fatal
Certificate
Sport Pilot
Medical
Sport pilot
Seat
Front
Restraint
4-point
Toxicology
Performed
Flight hours
300 total

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point 39 °F
Altimeter
30.26 inHg
Observed at
PUJ, 14 nm away

Docket · 8

The files NTSB released with the investigation on November 2, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.9 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.