FTW04LA236

NTSB accident investigation · Lancair 360 · Orange, TX · September 10, 2004

Accident · FatalLimited investigationFinal report
Date
September 10, 2004, 14:40 local (19:40 UTC)
Place
Orange, TX
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N163DSLancair 360
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Houston FSDO
FAA report
20040910035389A
Case key
60107

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's failure to maintain adequate airspeed during takeoff resulting in an inadvertent stall and loss of aircraft control.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightTakeoff - initial climb
Airspeed - inadequatePilot in commandCause
Stall - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

A 642-hour pilot departed from an airfield and announced that he would be circling around the traffic pattern to make a low pass. A witness stated that he observed the airplane as it approached the runway with the landing gear extended. The witness described the airplane's speed as "moderate" as it passed over the runway at a height of 50 feet above the ground. As the airplane reached the end of the runway it began to climb at a pitch attitude of approximately 10-15 degrees. As the witness began to enter a building, he looked back toward the departure end of the runway and saw the airplane in a rapid descent. It was approximately 600 feet above the ground, the nose of the airplane was pitched down about 30 degrees, and it was in a 10-15 degree right bank. When the airplane was approximately 100-150 feet above the ground, the witness stated the airplane pitched up (about five degrees) and the wings leveled out, but it still continued to descend. The witness did not hear any engine noise during this time. The nose of the airplane continued to pitch up and it banked slightly to the left as it descended behind a tree line. He then heard the engine "roar to what sounded like full power," followed by the sound of an impact. The pilot's total flight time in the make and model could not be determined; however, it was determined that the pilot had recently purchased the airplane as the registration was still pending.

Factual narrative

On September 10, 2004, approximately 1440 central daylight time, a homebuilt Lancair 360 single-engine airplane, N163DS, was destroyed following a loss of control during takeoff from Orange County Airport (ORG), near Orange, Texas. The non-instrument rated private pilot, sole occupant of the airplane, was fatally injured. The aircraft's registration was pending. Visual meteorological conditions prevailed and a flight plan was not filed for the 14 Code of Federal Regulations Part 91 personal flight. The airplane was operating in the airport's traffic pattern at the time of the accident.

In a written statement, a witness who had administered the pilot's biennial flight review the day before, reported that prior to the flight, the pilot topped-off the airplane's fuel system, and then taxied to Runway 04. He watched the airplane depart and noticed that the landing gear was still extended as the airplane began to climb-out. A few minutes later, the witness heard the pilot make an announcement over the airport's common traffic advisory frequency (CTAF) stating that he intended to execute a low pass over the runway, so he returned his attention back to the airplane.

The witness added that he observed the airplane as it approached the runway with the landing gear extended. The witness described the airplane's speed as "moderate" as it passed over the runway at a height of 50 feet above the ground. As the airplane reached the end of the runway, it began to climb at a pitch attitude of approximately 10-15 degrees. When the airplane was approximately 800 to 1200 feet above the ground, the witness returned to the Fixed Base Operation (FBO), where he was working. As he began to enter the building, he looked back toward the departure end of the runway and saw the airplane in a rapid descent. It was approximately 600 feet above the ground, the nose of the airplane was pitched down about 30 degrees, and it was in a 10-15 degree right bank. When the airplane was approximately 100-150 feet above the ground, the witness stated the airplane pitched up (about five degrees) and the wings leveled out, but it still continued to descend. The witness did not hear any engine noise during this time. The nose of the airplane continued to pitch up and it banked slightly to the left as it descended behind a tree line. He then heard the engine "roar to what sounded like full power," followed by the sound of impact.

Two other witnesses provided statements with similar descriptions of the event.

A Federal Aviation Administration (FAA) inspector, who responded to the accident site, performed an on-scene examination of the airplane. According to the inspector, the airplane came to rest in a field and all major components of the airplane were accounted for at the scene. These components were dispersed in a west-northwesterly heading within a radius of 400 feet from the point of initial impact, which was approximately 18 inches deep.

The 642-hour pilot held a private pilot certificate with a rating for single-engine airplane. The pilot's most recent biennial flight review was satisfactorily completed on September 9, 2004, the day before the accident. His Federal Aviation Administration (FAA) third class medical was issued on September 8, 2004, just two days prior to the accident, with a "holder shall wear corrective lenses" limitation. The pilot's total flight time in the make and model could not be determined; however, it was determined that the pilot had recently purchased the airplane as the registration was still pending.

An autopsy was performed on the pilot by the Jefferson County Medical Examiner on September 11, 2004. The pilot's death was determined to be the result of blunt force injuries to the head and chest.

The FAA's Civil Aeromedical Institute's (CAMI) Forensic and Accident Research Center examined toxicology specimens taken by the medical examiner. Toxicological tests of the specimens were negative for carbon monoxide, cyanide, alcohol, and drugs.

At 1353, the weather observing system at the Southeast Texas Regional Airport, near Beaumont, Texas, approximately 14 nautical miles southwest of the accident site, reported calm winds, visibility nine statute miles, scattered clouds at 5,000 feet, temperature 33 degrees Fahrenheit, dew point 19 degrees Fahrenheit, and a barometric pressure setting of 30.03 inches of Mercury.

Aircraft

Registration
N163DS
Reported as
Lancair 360
Category
Airplane, amateur-built
Serial number
751
Engine
Lycoming IO-360-B, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Departed
KORG · Orange, TX
Flight plan
Unknown
Airport
ORG · Orange County, runway 4, 4,396 × 75 ft, asphalt

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
42
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
September 9, 2004
Seat
Left
Toxicology
Performed
Flight hours
642 total · 515 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
0° at 0 knots
Visibility
9 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 66 °F
Altimeter
30.03 inHg
Observed at
KBPT, 14 nm away

Docket · 5

The files NTSB released with the investigation on October 28, 2004, on NTSB’s docket system: statements, records, photos and specialists’ reports. 312 KB 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 N163DS · 1

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