ERA21FA355

NTSB accident investigation · American Champion 8KCAB · Rhine, GA · September 12, 2021

Accident · FatalClass 3 · FieldFinal report
Date
September 12, 2021, 09:30 local (13:30 UTC)
Place
Rhine, GA · Airplane came to rest in the tree line of a open field
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N390PEAmerican Champion 8KCAB
Defining event
Maneuvering-low-alt flying: Low altitude operation/event
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Lycoming Engines
FAA report
20210912015639A
Case key
103839

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

A collision with trees during a low-altitude aerobatic maneuver for unknown 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 determinedAmerican Champion 8KCAB: 3 casesAll aircraft: 2,247 cases
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedAmerican Champion 8KCAB: 3 casesAll aircraft: 1,310 cases

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

A witness, who was a friend of the pilot, stated the pilot had mentioned feeling dizzy and nauseous while performing aerobatics during a flight earlier on the day of the accident and landed due to vomiting. Later that same day, the pilot departed his private airstrip and headed to a nearby field where the witness was located with the intention of searching for birds. While the witness was in the field, the pilot flew past him and circled for a second pass. During the second pass, the pilot descended below the tree line and initiated an aileron roll. However, the pilot abruptly stopped the maneuver halfway through and the aircraft flew into the trees at full engine power. The airplane sustained impact damage to the fuselage, while the instrument panel and cockpit were destroyed. Postaccident examination of the flight control system and engine did not reveal any anomalies that would have precluded normal operation. To what degree the pilot’s symptoms of dizziness and nausea from earlier in the day had resolved, persisted, or progressed at the time of the accident flight is unknown. If the pilot was still feeling unwell at the time of the flight, this may have impaired his ability to execute the aileron roll.

Factual narrative

On September 12, 2021, about 0930 eastern daylight time, an American Champion Aircraft 8KCAB, N390PE, was substantially damaged when it was involved in an accident near Rhine, Georgia. The commercial pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. A witness, who was a friend of the pilot, reported that the pilot told him that he felt dizzy, nauseous, and vomited while practicing aerobatics earlier in the day before the accident flight. The pilot landed at a private airstrip and subsequently departed to fly to a nearby field, where the witness was located, to look for birds. While the witness was in the field, the pilot "buzzed" him and flew around for a second pass. During the second pass, the pilot descended the airplane below the tree line and started an aileron roll. However, about halfway through the roll, the pilot abruptly stopped the maneuver, and the airplane flew straight into the trees at full engine power. The airplane came to rest oriented on a magnetic heading of 220°, and all major components of the airplane were located at the accident site. The fuselage, from the firewall to the empennage, exhibited accordion crush and impact damage. The instrument panel and cockpit were destroyed due to the impact. Both wings had separated from the fuselage, while the horizontal stabilizers and vertical stabilizer remained attached to the empennage displaying damage consistent with the impact. Flight control continuity was established from the flight control surfaces to the cockpit controls. The propeller was splintered and broken. Fresh cuts, which were consistent with propeller slash marks, were found on several trees at the accident site. The examination of flight controls and engine revealed no mechanical malfunctions or failures that would have precluded normal operation. The Georgia Bureau of Investigation Division of Forensic Sciences performed the pilot’s autopsy at the request of the Dodge County Coroner. According to the autopsy report, the cause of death was multiple blunt impact injuries, and the manner of death was accident. The Federal Aviation Administration Forensic Sciences Laboratory performed toxicological testing of specimens from the pilot, identifying only tadalafil, in cavity blood and liver. Tadalafil, sometimes marketed as Cialis, is a prescription medication commonly used to treat erectile dysfunction. It may also be used to treat symptoms of a large prostate, or to reduce high blood pressure in the lungs. According to reviewed primary care records, the pilot visited his primary care provider 5 days before the accident, on September 7, 2021, for sore throat and fever. No complaints of cough, nausea, vomiting, dizziness, or other symptoms apart from sore throat and fever were noted.

Aircraft

Registration
N390PE
Reported as
American Champion 8KCAB
Category
Airplane
Serial number
1156-2015
Built
2015
Airframe hours
106
Engine
Lycoming AEIO-390-A1B6, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Aerobatic; Standard, Normal
Last inspection
Annual · January 15, 2021 · 106 hours before
Destination
Same as departure
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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
30
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Restraint
4-point
Toxicology
Performed
Flight hours
2,700 total · 150 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 64 °F
Altimeter
30.23 inHg
Observed at
EZM, 16 nm away
METAR
METAR KEZM 120135Z AUTO 00000KT 10SM CLR 19/18 A3023 RMK AO2 T01940181

Docket · 8

The files NTSB released with the investigation on August 30, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 63.7 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.