ERA24FA391

NTSB accident investigation · Aviat S-1-11B · Chapmansboro, TN · September 23, 2024

Accident · FatalClass 3 · FieldFinal report
Date
September 23, 2024, 13:57 local (18:57 UTC)
Place
Chapmansboro, TN · Cumberland River
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N5111BAviat S-1-11B
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
FAA report
20240923014779A
Case key
195169

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 an aerobatic maneuver, which resulted in the airplane entering an inverted flat spin at an altitude too low for recovery.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAviat S-1-11B: 1 caseAll aircraft: 9,295 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedAviat S-1-11B: 1 caseAll aircraft: 1,269 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 performing aerobatic maneuvers between 400 and 2,000 ft above ground level (agl) in an aerobatic practice box. A witness recorded several videos of the airplane as it flew, including a video that captured the final moments of the flight. In the last few seconds of the video, the airplane entered a climb and completed a 4-point aileron roll. The airplane continued to climb briefly after the roll before continuing out of the camera’s view. ADS-B data showed that the airplane’s altitude for this final maneuver was between 700 and 1,800 ft agl. The airplane reappeared on video in a rapid descent in an orientation consistent with an inverted flat spin. An increase in engine rpm could be heard during the final few seconds of the video and engine noise could be heard throughout the flat spin, even after the airplane disappeared below the tree line. Postaccident examinations of the airframe and engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. Based on the available information, it is likely that the pilot lost control of the airplane while practicing aerobatic maneuvers, and the airplane entered an inverted flat spin at an altitude too low for recovery.

Factual narrative

On September 23, 2024, about 1357 central daylight time, an Aviat Aircraft Inc. S-1-11B airplane, N5111B, was substantially damaged when it was involved in an accident near Chapmansboro, Tennessee. The commercial pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot’s spouse, the pilot was flying that day to practice aerobatic routines in preparation for seeking a qualification to fly in airshow performances. According to FAA ADS-B flight track data, the airplane departed to the southeast from Whifferdill Airport (TN77), Chapmansboro, Tennessee, about 1345. The flight track showed that, after overflying the airport twice, the airplane spent the remainder of the flight about one mile south of the airport in the waivered aerobatic practice box performing low-altitude maneuvers between 400 and 2,000 ft agl. The final ADS-B flight track data point was recorded 12 minutes after takeoff, at 1357. According to a witness who was on a kayak on the Cumberland River about one half mile south of the accident site, the airplane had been performing a variety of aerobatic maneuvers at low altitude. He described that the airplane’s engine sound would go quiet and then “rev” back up during the maneuvering. He recorded several videos of the airplane as it flew, including a video that was about two minutes long that captured the final moments of the flight. In the last few seconds of the video, the airplane entered a climb and completed a 4-point aileron roll. The airplane continued to climb briefly after the roll before continuing out of the camera’s view. Review of ADS-B data showed that the airplane’s altitude for this final maneuver was between 700 and 1,800 ft agl. The airplane reappeared on video in an orientation consistent with an inverted flat spin, rotating slightly nose left, and in a rapid vertical descent toward the river. An increase in engine rpm could be heard during the final few seconds of the video and engine noise could be heard throughout the flat spin, even after the airplane disappeared from view below the tree line. According to FAA registration records, the pilot purchased the airplane on June 3, 2022. An annual inspection was performed shortly before the purchase on April 19, 2022, at tachometer time of 2,398.78 hours. Two annual inspections were performed since the pilot had purchased the airplane; one on July 7, 2023, at 2,408.03 hours, and the most recent inspection on August 15, 2024, at 2,447.29 hours. The airplane had accumulated at least 39.3 hours since it was purchased, and according the to the pilot’s spouse, he was the only person who had flown the plane since the purchase. According to the witness on the river, there was a slight breeze with no significant weather at the time of the accident. Routine surface observations from the surrounding area confirmed that no significant weather, including clouds or precipitation, were present at thetime of the accident. A hurricane was tracking toward the area from the south and was expected to produce rain in the area for the remainder of the week. The pilot’s spouse recalled that the pilot was, “trying to get his first practice flight in before the rain came the next day.” The pilot stored and operated the airplane out TN77, which was a private-use, fly-in community and airport. ADS-B data showed the airplane departed from Runway 15, which was a 2,000 ft turf runway. The Whifferdill practice aerobatics box was active, with an associated NOTAM in effect at the time of the accident. The box was located immediately south of the Whifferdill airport over the Cumberland River, with each of its four boundaries 1 mile in length extending from 500 ft agl to 3,500 ft mean sea level (msl). The airplane impacted shallow water in the Cumberland River about 150 ft from the last observed ADS-B position. The airplane was inverted and partially submerged in the river. A small fuel slick was evident in the water around the wreckage. The wreckage was recovered from the river and transported to a salvage facility for examination. The airplane remained intact except for the canopy, which was not recovered. Flight control continuity was confirmed from the cockpit to all flight control surfaces. The top of the rudder and vertical stabilizer were bent 90° to the right. The top of the airframe exhibited downward crushing, and the bottom of the fuselage structure was relatively free of damage. The landing gear remained intact and sustained little damage. The fuel header tank was breached on impact. The engine remained intact and was free of major impact damage but contained a substantial amount of mud and debris, consistent with being submerged in water. Crankshaft and camshaft continuity and thumb compression, were observed on all cylinders; the top and bottom spark plugs exhibited normal combustion signatures, and the oil filter displayed no evidence of metal contamination. The left magneto produced spark when its input driveshaft was rotated by hand, but the right magneto was too waterlogged to produce a spark. All three propeller blades had splintered and separated near the propeller hub on impact. The Office of the Medical Examiner, District 23, Nashville, Tennessee, performed an autopsy on the pilot. The autopsy report indicated that the cause of death was blunt force injuries of the head, neck, torso, and extremities. Toxicology testing performed by the FAA Forensic Sciences Laboratory on samples of the pilot’s urine detected the high blood pressure medication lisinopril, which was not generally considered impairing.

Aircraft

Registration
N5111B
Reported as
Aviat S-1-11B (NO SERIES)
Category
Airplane
Serial number
4003
Built
1998
Airframe hours
2,447.3
Engine
Barrett Performance AEIO-540 Experimental, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · August 15, 2024
Airport
TN77 · Whifferdill Airport
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
51
Injuries
Fatal
Certificates
Airline transport, Foreign, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Single
Restraint
5-point
Toxicology
Performed
Flight hours
3,968 total

Weather

Conditions
Visual (VMC) · Day
Visibility
4 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 68 °F
Altimeter
29.89 inHg
Observed at
JWN, 15 nm away
METAR
KJWN 231850Z 24007KT 4SM HZ CLR 30/20 A2989

Docket · 14

The files NTSB released with the investigation on April 24, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 55.5 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.