ERA22FA384

NTSB accident investigation · MXR Technologies MX2 · Osteen, FL · August 24, 2022

Accident · FatalClass 3 · FieldFinal report
Date
August 24, 2022, 16:39 local (20:39 UTC)
Place
Osteen, FL · in marsh
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N263MXMXR Technologies MX2
Defining event
Maneuvering-aerobatics: 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, Lycoming Engines
FAA report
20220824015009A
Case key
105795

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 loss of airplane control while performing aerobatic maneuvers, which resulted in the airplane entering an inverted flat spin that continued until the airplane impacted terrain.

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.

Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedMXR Technologies MX2: 2 casesAll aircraft: 1,269 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotMXR Technologies MX2: 1 caseAll 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

The accident flight was part of a training and demonstration flight that included a series of aerobatic maneuvers. Flight track data for the accident flight revealed that the airplane departed and maneuvered for about 7 minutes before impacting terrain almost directly under the last data point. No linear ground scar was observed at the accident site, which was indicative of the airplane having descended nearly vertically to ground impact. Additionally, the wreckage was found in an inverted orientation. Examination of the wreckage revealed no evidence of a preimpact mechanical anomaly that would have precluded normal operation of the airplane structure, the flight controls, or the engine. Estimated weight and balance calculations revealed that the airplane’s weight and its aft center of gravity were likely at or near the limit for aerobatic flight. Given the purpose of the flight, the flight track, and the orientation of the wreckage, it is likely that the pilot lost control of the airplane while performing aerobatic maneuvers and that the airplane inadvertently entered an inverted flat spin. A fracture of the elevator torque tube at the aft bulkhead opening corresponded with the elevator control surface being in the full nose up position when the airplane impacted the ground, which would have been a position consistent with the pilot attempting to recover from an inverted flat spin. The airplane’s weight and aft center of gravity likely contributed to the pilot’s inability to recover from the spin. Thus, the inverted flat spin likely continued until the airplane impacted terrain. Toxicology testing revealed subtherapeutic concentration of chlorpheniramine in the pilot’s blood, which likely did not cause significant symptoms. Hydrocodone and its active metabolites (hydromorphone and dihydrocodeine) were detected in the pilot’s urine but not in his blood, so they would not have had any therapeutic effect or side effect. Thus, the detected chlorpheniramine, hydrocodone, hydromorphone, and dihydrocodeine did not contribute to this accident.

Factual narrative

Weight and Balance Calculations Weight and balance calculations were performed using weight and balance documents recovered at the accident site, the actual weights of the occupants (as determined by the medical examiner), and the weight of the parachutes. The weight and balance calculations assumed 5 gallons of fuel in each wing tank and no fuel in the header tank. The calculations revealed that the airplane weighed about 1,850 pounds, which was the maximum allowable takeoff weight for aerobatic maneuvers, and had a CG of 88.61 inches, which was close to the aft CG limit. Aerobatic Maneuvers An aerobatic pilot who flew the accident airplane model and knew the accident pilot provided a written statement in which he stated, in part that “I doubt seriously that [the accident pilot] was doing an intentional inverted spin” and was not sure that the pilot was proficient in inverted normal or flat spins. The pilot indicated that he would not perform any type of inverted spin with fuel in the wing tanks or with “a passenger weighing more than 200 [pounds]” (the weight of the passenger aboard the accident airplane). According to the manufacturer’s website, the MX2 was an all-carbon-fiber two-seat high-performance aerobatic airplane constructed to sustain ± 12 Gs. The maximum aerobatic weight limit was 1,850 pounds, and the aerobatic center-of-gravity range (CG) was between 81.62 and 88.65 inches. According to placards near the fuel tanks, each airplane wing had a capacity of 22 gallons, and the header tank had a capacity of 17 gallons. Two fuel receipts on the day of the accident showed a fuel purchase of 18.9 gallons about 0827 (before the first demonstration flight, which lasted 22 minutes) and 7.5 gallons about 0909 (before the second demonstration flight, which lasted 23 minutes). Video from the fueling area showed the pilot adding fuel to the wing and header tanks during the first fueling of the day and to only the header tank during the second fueling. The pilot did not add fuel immediately before the accident flight. According to an interview with an aerobatic pilot of the accident airplane model, the “Typical Aerobatic Weight and Balance” information in the airplane’s Pilot’s Operating Handbook, and weight and balance forms in the accident pilot’s aerobatic binder, aerobatic flights were conducted with fuel only in the header tank. On August 24, 2022, at 1639 eastern daylight time, an experimental amateur-built MXR Technologies MX2, N263MX, was substantially damaged when it impacted terrain in Osteen, Florida. The private pilot and pilot-rated passenger were fatally injured. The airplane was operated under the provisions of Title 14 Code of Federal Regulations Part 91 as an aerobatic demonstration flight. According to individuals familiar with the purpose of the flight, the accident pilot organized training and demonstration flights for a group of pilots from a foreign air force. The planned flights included two 30-minute flights in the accidentairplane for aerobatic demonstration and upset recovery and prevention training with a flight instructor in a different airplane. The accident flight was the first aerobatic demonstration flight for the pilot-rated passenger and the airplane’s third demonstration flight of the day. During the two previous demonstration flights earlier in the day, pilots had performed Lomcovák, half-Cuban eight, and hammerhead aerobatic maneuvers along with loops and vertical climbs with rolls. Review of Federal Aviation Administration (FAA) flight track data revealed that the airplane departed Spruce Creek Airport (7FL6), Daytona Beach, Florida, at 1632. The airplane flew south and began maneuvering to the east between 2,000 and 5,000 ft mean sea level (msl). The last data point, at 1639, showed the airplane at an altitude of 2,738 ft msl, on a track of 068°, and at a groundspeed of 15 knots. The airplane impacted a wooded marshy area almost directly under the last data point. The Office of the Medical Examiner, District 7, Daytona Beach, Florida, performed an autopsy on the pilot. The autopsy report indicated that his cause of death was multiple blunt force injuries of the head, neck, torso, and extremities. Toxicology testing by the FAA's Forensic Sciences Laboratory detected chlorpheniramine in the pilot’s blood at 17 nanograms per milliliter (ng/mL). Hydrocodone, hydromorphone, and dihydrocodeine were detected in the pilot’s urine at 17 ng/mL, 37 ng/mL, and 16 ng/mL, respectively; these three substances were not detected in the pilot’s blood. Chlorpheniramine is an over-the-counter sedating antihistamine to treat allergy or common cold symptoms. The therapeutic range is 10 to 40 ng/mL, and it has a half-life of 12 to 43 hours. Chlorpheniramine undergoes postmortem redistribution, and central blood levels may be two to three times higher than peripheral blood 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. Hydrocodone is an opioid that is often used in combination with acetaminophen to treat moderate-to-severe pain; one such commonly marketed combination is Vicodin. The therapeutic range is between 10 and 50 ng/mL. As an opioid, hydrocodone carries a warning for its high risk of addiction, abuse, and misuse. Adverse reactions to the central nervous system from hydrocodone include drowsiness, mental clouding, anxiety, and impairment of mental and physical performance. Dihydrocodeine is a commonly found active metabolite of hydrocodone, with an average concentration in blood that is about 29% of the hydrocodone value. Hydromorphone is also an active metabolite of hydrocodone. Dihydrocodeine and hydromorphone have warnings and adverse reactions that are similar to those for hydrocodone. Postcards promoting the accident pilot’s aerobatic experience were recovered from the airplane. The postcards stated in part that the accident pilot had “animpressive competition record flying aerobatics and has finished strongly in every competition he has entered since 2010.” Accident Site Examination The airplane came to rest inverted on a 098° heading. The debris field was limited to within 1 ft of the perimeter of the airplane, and the trees and shrubs near the wreckage were not damaged, both of which were consistent with the airplane impacting the marsh in a near-vertical, inverted, and flat attitude. Airframe and Engine Examination Recovery personnel stated that a total of 10 to 15 gallons of fuel was drained from the wings and that about 0.5 gallons of fuel was drained from the right wing fuel line when the wing was turned upright. The header tank was found breached. The recovered fuel was light blue in color and absent of debris. Examination of the airframe revealed rudder and aileron control continuity that could be traced through cuts made to facilitate recovery. Elevator control continuity was confirmed from the cockpit control column to just aft of the rear pilot seat, where there was a bend fracture about 17 inches aft of the elevator torque tube end fitting, a 40-inch span of torque tube, and another fracture about 20 inches forward of the aft bellcrank. The elevator torque tube was fractured at the aft bulkhead opening, consistent with the elevator control surface in the full nose-up position at the time of impact with the ground. Examination of the fractured elevator torque tube at the National Transportation Safety Board’s Materials Laboratory revealed that the tube fractured in overload due to contact with the airframe structure during impact. Compression and suction were confirmed on all cylinders, and borescope examination of the cylinders revealed no anomalies. Examination of the engine revealed no evidence of any mechanical failures or malfunctions that would have precluded normal operation.

Aircraft

Registration
N263MX
Reported as
MXR Technologies MX2
Category
Airplane, amateur-built
Serial number
3
Built
2006
Airframe hours
467
Engine
Lycoming AEIO-540-X experimental, 400 horsepower, reciprocating
Damage
Substantial damage
Flight
Other work use · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · October 4, 2021
Departed
7FL6 · Daytona Beach, FL
Equipment
ADS-B

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
Pilot
Age
61
Injuries
Fatal
Certificates
Private, Remote
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
February 19, 2021
Seat
Rear
Restraint
4-point
Toxicology
Performed
Flight hours
1,342 total
Role
Pilot-rated passenger
Age
34
Injuries
Fatal
Certificate
Foreign
Medical
Unknown
Seat
Front
Restraint
4-point

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 75 °F
Altimeter
29.95 inHg
Observed at
SFB, 13 nm away
METAR
KSFB 241953Z 08010KT 10SM SCT033 32/24 A2995 RMK AO2 SLP142 T03170239

Docket · 20

The files NTSB released with the investigation on January 30, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 198 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.