ERA21FA239

NTSB accident investigation · Schweizer SGS 1-35 · Wurtsboro, NY · June 6, 2021

Accident · FatalClass 3 · FieldFinal report
Date
June 6, 2021, 12:49 local (16:49 UTC)
Place
Wurtsboro, NY
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N2878HSchweizer SGS 1-35
Defining event
Initial climb: 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
20210606014829A
Case key
103217

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 low-altitude release from tow for reasons that could not be determined, and his subsequent exceedance of the glider’s critical angle of attack while returning to the runway, which resulted in an aerodynamic stall and impact with terrain.

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.

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 accident flight was the pilot’s first flight in the glider make/model, and he indicated to the wing runner that he was “hesitant” about the flight. Witness statements and recorded data indicated that, just after takeoff, the glider released from the tow plane about 170 ft above ground level, while in a 25° right turn over the runway departure end. The glider continued the right turn and stalled about 1.4 seconds later, impacting airport property 13 seconds after the stall. Examination of the wreckage did not reveal any preimpact mechanical malfunctions. Toxicology testing revealed the presence of the sedating antihistamine diphenhydramine in cardiac blood and urine, indicating that the pilot had taken some allergy, cold, or sleep-aid medication before the accident. Even considering two-to-three-fold postmortem redistribution of diphenhydramine, the concentration in the pilot’s blood appeared to be at therapeutic levels. Compared to other antihistamines, diphenhydramine causes marked sedation; impaired cognitive and psychomotor performance may also be observed. While the impairing medication diphenhydramine was detected, it is unlikely that the effects from the pilot’s use of diphenhydramine contributed to this accident. Although the reason for the pilot’s release from tow at low altitude could not be determined, the accident is consistent with his failure to maintain airspeed during the turn back to the runway, which resulted in an aerodynamic stall and impact with terrain.

Factual narrative

Review of data downloaded from an onboard device revealed that the accident flight, including the tow, lasted about 1 minute. The glider was towed for approximately 45 seconds until it released at 1248:51.0 while in a 25° right turn about 170 ft agl over the runway 23 departure end. The glider stalled approximately 1.4 seconds later, at 1248:52.4 and impacted airport property about 1249:5.0. On June 6, 2021, about 1249 eastern daylight time, a Schweizer SGS 1-35 glider, N2878H, was substantially damaged when it was involved in an accident near Wurtsboro, New York. The private pilot was fatally injured. The glider was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the towplane pilot, the accident pilot owned the glider, and the accident flight was his first flight in the glider. The wing runner who helped launch the glider reported that the accident pilot stated that he was hesitant, as it was his first flight in the glider. During initial climb from runway 23, about 100 to 200 ft above ground level (agl), the glider pilot released the tow rope and began a 45° bank right turn back toward the airport. About 90° through the turn, the nose dropped straight down. The glider started to pull up but was still about 60° nose down when it impacted a ramp area, slid across a taxiway, and came to rest on a grass area between the taxiway and runway. A different pilot flew the accident glider the previous day and reported that it flew well. An autopsy was performed on the pilot by the Westchester County Medical Examiner’s Office, Valhalla, New York. The cause of death was multiple blunt force injuries. Toxicology testing performed by the Federal Aviation Administration (FAA) Bioaeronautical Sciences Laboratory. The testing detected the sedating antihistamine diphenhydramine in the pilot’s cardiac blood at 112 nanograms per milliliter (ng/mL) and in his urine. The anesthetic drug ketamine and its metabolite, norketamine, were detected in the pilot’s cardiac blood and urine; ketamine is used in resuscitation. Ibuprofen, commonly marketed as Advil, was also detected in the pilot’s cardiac blood and urine. Diphenhydramine is a sedating antihistamine (commonly marketed as Benadryl) and is available over the counter in many products used to treat colds, allergies, and insomnia. Diphenhydramine carries the warning that use of the medication may impair mental and physical ability to perform potentially hazardous tasks, including driving or operating heavy machinery. The therapeutic range is 25 to 100 ng/mL, and it has a half-life of 3 to 4 hours. Diphenhydramine undergoes postmortem distribution and central levels may be two to three times higher than peripheral levels. FAA provides guidance on wait times before flying after using this medication; post-dose observation time is 60 hours, and the medication is not for daily use. The glider came to rest upright, oriented south, about 100 feet east of the initial impact point.The wings and empennage remained attached, while the fuselage partially separated in a downward direction, just aft of the wings. The cockpit area was crushed, and the control stick separated consistent with impact forces. The canopy frame remained attached to the fuselage, but the windscreen had shattered. Flight control continuity was established from the cockpit to the flaps, ailerons, elevator, and rudder. The preimpact position of the flaps could not be determined. The tow release mechanism functioned normally when tested. The tow rope and its attachment hardware were intact.

Aircraft

Registration
N2878H
Reported as
Schweizer SGS 1-35
Category
Glider
Serial number
58
Built
1977
Airframe hours
2,152
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 20, 2020
Airport
N82 · Wurtsboro-Sullivan County, runway 23, 3,591 × 60 ft, asphalt
Equipment
Handheld GPS

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
64
Injuries
Fatal
Certificate
Private
Seat
Single
Restraint
4-point
Toxicology
Performed
Flight hours
215 total · 0 in this make and model · 10 in the last 90 days · 5 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 61 °F
Altimeter
30.03 inHg
Observed at
KMGJ, 10 nm away
METAR
KMGJ 061654Z AUTO 24009KT 10SM CLR 31/16 A3003 RMK AO2 SLP166 T03110161

Docket · 8

The files NTSB released with the investigation on May 26, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.5 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.

Other investigations on N2878H · 1

Matched to the same aircraft by N-number and date.