ERA22FA391

NTSB accident investigation · Aeronca 7AC · Jacksboro, TN · August 29, 2022

Accident · FatalClass 3 · FieldFinal report
Date
August 29, 2022, 12:50 local (16:50 UTC)
Place
Jacksboro, TN · Off airport property
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N1478EAeronca 7AC
Defining event
Initial climb: Aerodynamic stall/spin
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
20220829015559A
Case key
105818

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 exceedance of the airplane’s critical angle of attack during takeoff, which resulted in an aerodynamic stall and loss of control.

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 parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedAeronca 7AC: 7 casesAll aircraft: 990 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAeronca 7AC: 43 casesAll 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

According to a friend, the pilot had not flown for 20 years, and purchased the accident airplane the day before the accident flight. The pilot’s friend witnessed and recorded video of the accident takeoff, which revealed that the airplane became airborne and entered a slow speed, nose-high climb that continued into a left turn. The airplane then pitched nose-down and began descending while the engine could be heard operating smoothly and continuously to ground contact. The airplane was found in a nose-down position in a field near the runway with significant damage to the engine and cockpit area. All primary flight control surfaces remained attached, and the empennage was bent upward and forward but remained partially attached. The wreckage examination did not reveal evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. Toxicology testing detected diphenhydramine in the pilot’s cavity blood and urine. The concentration of diphenhydramine in cavity blood was reported qualitatively, indicating a level below the laboratory reporting threshold. Given the potential for postmortem redistribution and contamination in cavity blood, it is unlikely that the pilot’s use of diphenhydramine contributed to the accident. The takeoff described by the witness and video appeared consistent with entry into a low altitude aerodynamic stall. The distribution of the wreckage and relatively low energy signatures exhibited by the wreckage at the accident site were also consistent with an aerodynamic stall. Based on this information, it is likely that the pilot exceeded the airplane’s critical angle of attack during the initial climb, which resulted in an aerodynamic stall, loss of control, and impact with terrain.

Factual narrative

On August 29, 2022, about 1250 eastern daylight time, an Aeronca 7AC, N1478E, was destroyed when it was involved in an accident near Jacksboro, Tennessee. The private pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to a friend of the pilot, the pilot purchased the airplane the day before the accident. He flew the airplane from Alabama to Tennessee, and this flight was the pilot’s first in 20 years. She described that on the day of the accident, he wanted to "take it up for a flight." The friend stated that the airplane took off "real early" and the airplane did not use much of the runway. After takeoff, the airplane made a sharp turn to the left and descended below the tree line. She contacted local authorities and waited for their arrival. Review of video footage recorded by the pilot’s friend showed the airplane became airborne and entered a slow speed, nose-high climb that continued into a left turn. The airplane then pitched nose-down and began descending while the engine could be heard operating smoothly and continuously to ground contact. The Regional Forensic Center of Knox County performed the pilot’s autopsy, as authorized by the Campbell County Medical Examiner. According to the pilot’s autopsy report, his cause of death was multiple and massive blunt force injuries, and his manner of death was accident. The Federal Aviation Administration (FAA) Forensic Sciences Laboratory performed toxicological testing of postmortem specimens of the pilot. Diphenhydramine, clopidogrel, and amlodipine were detected in cavity blood and urine. Diphenhydramine is a sedating antihistamine medication widely available over the counter in multiple sleep aids and cold and allergy products. Diphenhydramine can cause cognitive and psychomotor slowing and drowsiness and often carries a warning that it may impair performance of tasks like driving and operating heavy machinery. The typical elimination half-life of diphenhydramine in plasma is about 3 to 14 hours. The FAA states that pilots should not fly within 60 hours of using diphenhydramine, to allow time for it to be cleared from circulation. Clopidogrel is a prescription medication that prevents clotting. It is used to treat patients with previous histories of heart attacks, including those who are managed medically and those who are managed with coronary revascularization, and to reduce the rate of subsequent heart attacks. It is also used to reduce the risk of recurrent strokes in patients who have had previous non-hemorrhagic strokes. Amlodipine is prescription medication commonly used to treat high blood pressure, chronic stable angina, and as part of the medical management of coronary artery disease. The airplane came to rest nose-down in a field adjacent to the runway oriented on a magnetic heading of 023°. Flight control continuity was established to all primary flight control surfaces. The nose of the airplane wascrushed aft to the cockpit, and the engine and avionics instruments were destroyed by impact. The wings remained attached to the fuselage and exhibited impact damage, including accordion-style crush damage along the leading edges. The empennage was bent over the fuselage but remained partially attached. The engine’s crankshaft could not be rotated due to impact damage, and cylinder compression could not be confirmed. The spark plugs were removed for examination, and the electrodes exhibited normal wear and were dark in color when compared to a Champion Check-a-Plug chart, with no evidence of fouling. The left magneto produced spark on all leads, but the right magneto did not produce any spark due to impact damage to the impulse coupling. The oil screen was removed and was free of debris. The carburetor bowl was clean, and the float moved freely. The right side of the engine case, between the cylinders, was impact-fractured with a crack measuring about 6 inches. Fuel was found inside the lines from the fuel pump to the carburetor. The fuel strainer was opened, and the screen was clean and unobstructed. The lever-action pumps functioned normally when operated by hand. The examination of the airframe and engine did not reveal evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation.

Aircraft

Registration
N1478E
Reported as
Aeronca 7AC
Category
Airplane
Serial number
7AC-5041
Built
1946
Engine
Continental A-65-8F, 65 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Destination
Same as departure
Airport
JAU · Colonel Tommy C Stiner Airfield
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
69
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
800 total · 2 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 72 °F
Altimeter
30.16 inHg
Observed at
JAU
METAR
KJAU 291655Z AUTO 00000KT 10SM SCT029 29/22 A3016 RMK A01

Docket · 7

The files NTSB released with the investigation on September 26, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.3 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 N1478E · 1

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