ERA22LA301

NTSB accident investigation · Kolb Firestar · Cleveland, GA · July 8, 2022

Accident · FatalClass 3 · LimitedFinal report
Date
July 8, 2022, 13:05 local (17:05 UTC)
Place
Cleveland, GA · Private Airpark
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N6136YKolb Firestar
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
20220708022739A
Case key
105438

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 failure to maintain control of the airplane on takeoff 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.

Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedGeist Donald R KOLB FIRESTAR II: 1 caseAll aircraft: 990 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedGeist Donald R KOLB FIRESTAR II: 1 caseAll aircraft: 2,247 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 pilot was attempting a soft-field takeoff in his light-sport airplane. A review of surveillance video revealed that, as the airplane began its initial climb, the pitch angle increased, and the airplane entered a steep left bank turn. The airplane turned left about 180° and descended behind trees. The airplane collided with a hangar and terrain before it came to rest in the driveway of a residence. The engine sounded normal from the beginning of the takeoff roll until impact. Postaccident examination of the airframe, engine, and propeller revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. Review of postaccident medical records, including the autopsy data and toxicology reports, revealed no obvious medical issues that would have contributed to the accident. As such, the reason for the pilot’s failure to maintain control of the airplane on takeoff was not determined.

Factual narrative

On July 8, 2022, at 1305 eastern daylight time, an experimental amateur-built Kolb Firestar II airplane, N6136Y, was substantially damaged when it was involved in an accident near Cleveland, Georgia. The pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot/owner held a sport pilot certificate and the airplane was based at the Mountain Airpark (OGE5), Cleveland, Georgia. A review of airpark surveillance video showed the airplane taking off on the grass runway and, as it began its initial climb, the pitch angle increased, and the airplane entered a steep left bank turn. The airplane turned left about 180° and descended behind trees. The airplane collided with a hangar then terrain before it came to rest in the driveway of a residence. The engine sounded normal from the beginning of the takeoff roll until impact. There was no post-impact fire. The airplane was constructed of mostly tube and fabric, and it sustained extensive damage from impact. The cockpit area was crushed. Both wings remained attached to the fuselage but were pushed aft with extensive leading-edge damage. The tail section exhibited minor damage. A Federal Aviation Administration (FAA) inspector responded to the accident site and reported that flight control continuity for the left wing and tail section were established; however, the right aileron was fractured. A section of the right aileron push/pull tube separated from the airplane and was located in the grass near the wreckage. The section of fractured aileron tube was retained and further examined by the National Transportation Safety Board Investigator-in-Charge. Visual examination of the fractured ends of the tube were consistent with overload. The engine sustained impact damage. Compression was achieved on each cylinder when the engine crankshaft was rotated. The fuel, ignition, cooling, and lubrication systems were also examined and no anomalies were observed. The two-bladed propeller remained secured to the engine and both blades exhibited leading edge damage. One of the blades was twisted in its hub due to impact. A postaccident examination of the airframe, engine, and propeller revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. The 79-year-old pilot did not have an FAA medical certificate. He was flying a Light Sport Aircraft, and as such, was medically eligible to fly as a light sport pilot with a valid driver’s license. A review of his pilot logbook revealed the last entry was made on April 8, 2022. At that time, he had logged a total of 245.5 flight hours, of which 17.2 hours were in the accident airplane. Before the date of the last log entry, the last time the pilot flew the accident airplane was in February 2022. According to the autopsy report from the Division of Forensic Sciences, Georgia Bureau of Investigation, Decatur, Georgia, the pilot’s cause of death was multipleblunt force injuries, and the manner of death was an accident. Toxicology testing by the FAA Forensic Sciences Laboratory screened negative for drugs of abuse in the pilot’s hospital admission serum sample. Ketamine was detected in the pilot’s cavity blood and urine; its metabolite norketamine was also detected in his cavity blood and urine. Cetirizine, amitriptyline, and its metabolite nortriptyline were detected in the pilot’s urine, but not in his cavity blood. The high blood pressure medications diltiazem and propranolol, the gastric reflux medication famotidine, and the topical anesthetic pramoxine were detected in the pilot’s cavity blood and urine; these four medications are generally considered non-impairing. Hospital records document the administration of ketamine, diltiazem, propranolol, and famotidine. Thus, these drugs were postaccident findings. The hospital records did not show that the potentially impairing medications amitriptyline or cetirizine were administered at the hospital. The pilot’s wife denied any medication use by the pilot. Amitriptyline is an antidepressant that is also used for chronic nerve pain; it is available by prescription. Amitriptyline has a long half-life—30 to 50 hours. Since this medication was not found in either the pilot’s serum or cavity blood and only trace amounts of amitriptyline and its metabolite nortriptyline were in his urine, the source of the amitriptyline was most likely from blood transfusions received postaccident.

Aircraft

Registration
N6136Y
Reported as
Kolb Firestar (II)
Category
Airplane, amateur-built
Serial number
001
Built
2001
Engine
Rotax 503 DCI, 50 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental light sport (Special)
Destination
Same as departure
Airport
0GE5 · Mountain Airpark, runway 18, 2,500 × 130 ft, grass/turf
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
79
Injuries
Fatal
Certificate
Sport Pilot
Airplane ratings
Single-engine land
Seat
Center
Restraint
4-point
Toxicology
Performed
Flight hours
245.5 total · 17.2 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Temperature
91 °F, dew point 72 °F
Altimeter
30.09 inHg
Observed at
AJR, 9 nm away
METAR
SA 08/07/2022 16:55-> METAR KAJR 081655Z AUTO 00000KT 10SM CLR 33/22 A3009

Docket · 7

The files NTSB released with the investigation on January 4, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.9 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.