# NTSB ERA20LA149: Pipistrel Italia Sinus 912 LSA, N6263R, Marathon, FL, April 9, 2020 - Type: NTSB accident investigation - Classification: Accident · Fatal · Class 3 · Limited · Final report - Date: April 9, 2020, 17:00 local (21:00 UTC) - Place: Marathon, FL - Coordinates: 24.719444, -81.058609 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=24.7194&lon=-81.0586&mi=10 - Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping) - Defining event: [Maneuvering: Aerodynamic stall/spin](https://openairdocs.org/ntsb-events/241) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed - Report: Approved by Office Director - Investigation class: Class 3 - NTSB office: Eastern Region Aviation - Parties: Rotech Flight Safety Inc., FAA/FSDO - NTSB case key (mKey): 101159 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ERA20LA149 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/101159/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=101159 - Page: https://openairdocs.org/ntsb/ERA20LA149 ## Probable cause The pilot’s loss of control of the motorized glider, which resulted in an aerodynamic stall and collision with a residential home and postimpact fire. The reason for the loss of control could not be determined due to the condition of the wreckage. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Performance/control parameters: airspeed](https://openairdocs.org/ntsb-findings/01062010): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Pipistrel Italia S R L SINUS 912 LSA, 2 cases](https://openairdocs.org/ntsb-findings/01062010/cases.md?model=06001B6), [All aircraft, 1,681 cases](https://openairdocs.org/ntsb-findings/01062010/cases.md) - [Not determined](https://openairdocs.org/ntsb-findings/05000000): Not determined › Not determined · Unknown/Not determined (probable cause); cases with it: [Pipistrel Italia S R L SINUS 912 LSA, 1 case](https://openairdocs.org/ntsb-findings/05000000/cases.md?model=06001B6), [All aircraft, 2,247 cases](https://openairdocs.org/ntsb-findings/05000000/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Maneuvering: Aerodynamic stall/spin](https://openairdocs.org/ntsb-events/241) (defining event); cases with it: [Pipistrel Italia S R L SINUS 912 LSA, 1 case](https://openairdocs.org/ntsb-events/241/sequence.md?model=06001B6), [All aircraft, 1,529 cases](https://openairdocs.org/ntsb-events/241/sequence.md) ## Analysis The pilot of the motor glider performed a preflight inspection, departed the airport, and remained in the local area conducting maneuvers. Witnesses observed the glider about a mile from the airport and reported hearing unusually loud noises coming from it and, subsequently, a laboring engine. The glider had the appearance of wobbling; the engine surged and sputtered, and the glider then made a sharp left turn and the nose dropped. The glider's airframe ballistic parachute deployed shortly before the impact with a residential home and a postimpact fire ensued. It is likely that the glider entered an aerodynamic stall and an entry phase of a spin prior to impact. It is also likely that, despite the pilot’s attempt to pull the airframe parachute, it was not deployed at a sufficient altitude to arrest the descent. The airframe was destroyed by post-impact fire, which precluded an examination of the flight control system. Examination of the engine did not reveal any preimpact anomalies that would have precluded normal operation. Toxicology testing detected three potentially impairing substances in the pilot’s specimens. The sedating antihistamine diphenhydramine was detected in his blood and not quantified by one laboratory and not detected in iliac blood by another laboratory. While diphenhydramine is known to cause sedation, the level detected in the pilot’s blood appears to be well below therapeutic levels. Although no absolute threshold for impairment exists, any psychomotor effects from such a low diphenhydramine level would likely have been insignificant. The motion sickness medication meclizine was also detected but not quantified in the pilot’s blood. While meclizine can cause drowsiness, it’s also likely that any effects would have been minor at low concentrations detected. Duloxetine was detected at therapeutic levels in the pilot’s blood. The medication and conditions for which it is prescribed can impair the mental or physical ability to perform complex tasks. However, based on the operational evidence, the pilot appeared to have been intentionally testing the glider and took actions, although too late, to deploy the parachute. Thus, it is unlikely that effects from the pilot’s use of diphenhydramine, duloxetine, and meclizine were factors in the accident. ## Factual narrative A review of the records found in the pilot’s vehicle revealed that the airplane had a total time of 20 hours. A glider endorsement was found that was dated a month prior. A container was found in the back of the pilot’s vehicle that contained what a Federal Aviation Administration inspector said appeared to be automotive fuel. The fuel was checked for debris and contamination, and none was found. Meteorological Information and Flight Plan Conditions at Accident Site: Visual (VMC) Condition of Light: Day Observation Facility, Elevation: MTH,5 ft msl Distance from Accident Site: 1 Nautical Miles Observation Time: 16:53 Local Direction from Accident Site: 45° Lowest Cloud Condition: Clear Visibility 10 miles Lowest Ceiling: None Visibility (RVR): Wind Speed/Gusts: 9 knots / Turbulence Type Forecast/Actual: None / None Wind Direction: 290° Turbulence Severity Forecast/Actual: N/A / N/A Altimeter Setting: 29.9 inches Hg Temperature/Dew Point: 31°C / 23°C Precipitation and Obscuration: No Obscuration; No Precipitation Departure Point: Marathon, FL (MTH ) Type of Flight Plan Filed: None On April 10, 2020, at 1700 eastern daylight time, a Pipistrel Italia SRL Sinus 912 LSA, N6263R, was destroyed when it was involved in an accident near Marathon, Florida. The pilot was fatally injured. The glider was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the airport manager at the Marathon International Airport (MTH), Marathon, Florida, the pilot arrived at the airport and was seen on surveillance video conducting a preflight inspection of the motor glider. After the pilot completed the inspection, he taxied to the runway and departed at an undetermined time. The manager further reported that the pilot was flying over the airport and in the local area most of the day. About 1600, he heard the pilot on the airport's common traffic advisory frequency reporting that he was at 7,000 ft and circling the airport. That was the last radio transmission he heard from the pilot. Two witnesses stated that they heard an unusually loud noise and as they looked around, they saw the accident glider to the north and determined that was where the noise was coming from. The witnesses were south of the airport and could hear the engine "laboring" and saw the glider wobbling in the air. The glider then made a “sharp left turn" and then the engine started to "surge, sputter" and before it lost power completely. The nose of the glider "dropped down", and, about a second before impacting a house, the glider's airframe ballistic parachute deployed. A postimpact fire ensued. According to the autopsy performed by The District 16 Medical Examiner’s Office, Marathon, Florida, the determined cause of death was multiple blunt force trauma, and the manner of death was accident. Toxicology testing detected diphenhydramine in the pilot’s bile, liver tissue, and blood; one laboratory did not detect diphenhydramine in his iliac blood. Duloxetine wasdetected in his blood at 43 ng/mL and his liver tissue. Meclizine and the non-impairing medications amlodipine and sildenafil were detected in the blood and liver tissue. The airframe was destroyed by post impact fire which precluded the investigation from determining flight control continuity. Postaccident examination of the engine did not reveal any preimpact anomalies that would have precluded normal operation. ## Aircraft - Registration: [N6263R](https://openairdocs.org/aircraft/N6263R), registered now, S/N 998 SNM 912 LSA, built 2020 (OpenAirDocs) - Reported make and model: Pipistrel Italia SRL Sinus 912 LSA - Registry model: [Pipistrel Italia S R L SINUS 912 LSA](https://openairdocs.org/model/pipistrel-italia-s-r-l-sinus-912-lsa) (registry code 06001B6) (OpenAirDocs) - Registry engine: [Rotax 912ULS series](https://openairdocs.org/engine/rotax-912uls-series) (registry code 55572, 4 cycle) (OpenAirDocs) - Category: Airplane - Serial number: 998 SNM 912 LSA - Year built: 2020 - Airframe hours: 19.5 - Engines: Rotax 912UL2-01 58 horsepower reciprocating - Damage: Destroyed - Fire: On-Ground - Flight: Personal, Part 91 - Airworthiness certificate: Special, Special light-sport (Special) - Departed: MTH, Marathon, FL - Destination: MTH, Marathon, FL - Airport: MTH, The Florida Keys Marathon Intl, runway 25, 5,008 × 100 ft, asphalt - Equipment: Unknown ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 66; injuries: fatal; private; airplane ratings: single-engine land; medical: class 3, unknown; restraint: 3-point; toxicology performed; flight hours: 126.9 total, 31 in this make and model, 31 in the last 90 days ## Weather - Conditions: Visual (VMC), Day - Wind: 290° at 9 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 88 °F, dew point 73 °F - Altimeter: 29.90 inHg - Observed at: MTH, 1 nm away ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20200409009359A](https://openairdocs.org/incident/20200409009359A), Apr 9, 2020: Pipistrel Italia S R L SINUS 912 LSA, Marathon, FL, Destroyed, 1 fatal. N6263R, a powered glider LSA, crashed into a house after departing Marathon, FL airport. The aircraft crashed into an unoccupied house located [privacy data… ## Docket (9 files) The files NTSB released with the investigation on August 26, 2022, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=101159. 18.8 MB in all. - Memorandum for record airport manager email and statement (item 1, PDF, 1 page, 130 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13311348&FileExtension=pdf&FileName=Memorandum%20for%20Record%20LA149%20airport%20manager%20email%20and%20statement-Rel.pdf - Video surveillance summary (item 2, PDF, 1 page, 70 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13235251&FileExtension=pdf&FileName=ERA20LA149%20surveillance%20video%20transcription-Rel.pdf - Video file- taxi to take off (item 3, MP4, 11.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13234367&FileExtension=mp4&FileName=Taxiway%20to%20runway%20and%20take%20off-Rel.mp4 - Video file- take off (item 4, MP4, 4.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13234227&FileExtension=mp4&FileName=Take%20off%20-Rel.mp4 - Witness statements (item 5, PDF, 1 page, 128 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13224746&FileExtension=pdf&FileName=Memorandum%20for%20Record%20LA149%20witness%20statements-Rel.pdf - Memorandum of engine exam (item 6, PDF, 4 pages, 139 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13217189&FileExtension=pdf&FileName=Memorandum%20Of%20Record%20engine%20examination%20LA149-Rel.pdf - Maintenance records (item 7, PDF, 10 pages, 2.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13983729&FileExtension=pdf&FileName=Logbook%20excerpts%20LA149_Redacted-Rel.pdf - Toxicological report (item 8, PDF, 1 page, 187 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13232761&FileExtension=pdf&FileName=Tox%20report%20LA149_Redacted-Rel.pdf - Medical factual report (NTSB) (item 9, PDF, 3 pages, 256 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13233059&FileExtension=pdf&FileName=ERA20LA149_Marathon_FL_Medical_Factual_FINAL_020422-Rel.pdf From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.