FTW95LA288

NTSB accident investigation · WSK PZL Mielec PZL-M-18 · Carlisle, AR · July 11, 1995

Accident · FatalLimited investigationFinal report
Date
July 11, 1995, 06:50 local (11:50 UTC)
Place
Carlisle, AR
Injuries
1 fatal, 1 minor; on the ground: 1 minor
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N4609PWSK PZL Mielec PZL-M-18
Weather
Visual (VMC) · Day
Status
Completed · report March 25, 1997
Report
Approved by Office Director
FAA report
19950711048849A
Case key
19490

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 delayed pull-up from a swath run and failed to maintain clearance from the obstruction (grain elevator). A factor relating to the accident was: the pilot's use of medications that were not approved for use while flying.

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.

In flight collision with objectManeuvering - aerial application
Pull-up - delayedPilot in commandCause
Object - building(nonresidential)
Clearance - not maintainedPilot in commandCause
Impairment(drugs)Pilot in commandFactor
Object - wire,static

Analysis

During the 4th swath run of an aerial application flight, the flightpath of the airplane was directly in line with a grain elevator that was near the edge of the field. The pilot initiated a pull-up to clear the elevator; however, the airplane struck the ridge line of the dryer roof on the elevator building. The airplane then went into an uncontrolled descent and impacted a lightning wire and a concrete building. Also, a person on the ground was struck by a brick and received minor injuries. A pathology report of the pilot indicated that he was flying with 'lesions that had an appearance consistent with healing burns.' Toxicology tests of the pilot's blood showed 0.087 mcg/ml Norpropoxyphene, and 0.638 mcg/ml Butalbital (pain medications). Tests of his urine showed 0.787 mcg/ml Norpropoxyphene, 0.394 mcg/ml Butalbital, and 81.1 mcg/ml Acetaminophen (Tylenol). Also, Chlorpheniramine (antihistamine) and Pseudoephedrine (decongestant) were detected in his blood; and Chlorpheniramine, Pseudoephedrine, Ephedrine (decongestant) and Phenylpropanolamine (antihistamine) were detected in his urine. According to an FAA toxicologist, each medication was below a therapeutic level; however, their combined effects would have been additive and may have caused impairment of the pilot. The pain medications and antihistamines are not approved for use while flying.

Factual narrative

On July 11, 1995, at 0650 central daylight time, a WSK-PZL-MIELEC PZL-M-18, N4609P, was destroyed while maneuvering near Carlisle, Arkansas. The commercial pilot was fatally injured and one person on the ground received minor injuries. The airplane was being operated by Almond Flying Service under Title 14 CFR Part 137. Visual meteorological conditions prevailed for the local aerial application flight and a flight plan was not filed. The flight originated from a private airstrip 33 minutes before the accident.

On the enclosed witness statements and the Pilot/Operator Report, the following information was reported. The flight departed at 0617 for spraying a familiar area. During the fourth swath, the flight path was directly in line with a grain elevator located at the approach end of the bean field. Examination of trees and "obstructions disclosed no contact with anything." The pilot "apparently misjudged start of pull up and created an accelerated stall after clearing the elevators." Subsequently the airplane struck the "ridge line of the dryer roof" of the elevator building. The airplane subsequently impacted a concrete building during the uncontrolled descent.

The operator and a Federal Aviation Administration (FAA) inspector examined the accident site and the airplane. Structural damage was found to the roof of the grain dryer elevator and the concrete building. The leading edge of the right wing was found crushed inward toward the wing spar and portions of a lightning wire from the grain elevator was wrapped about the right wing tip. Propeller blades exhibited bending and twisting with scratches and gouges. The inspector stated that a person on the ground was struck by a brick.

The autopsy was performed by the Arkansas State Crime Laboratory at Little Rock, Arkansas. Dr. Salazar, FAA Southwest Regional Flight Surgeon, noted the pathology report indicated "several areas of healing ulceration; these lesions had an appearance consistent with healing burns." Toxicological findings were positive. According to Dr. Canfield of the FAA Civil Aeromedical Institute at Oklahoma City, Oklahoma, the level of "0.087 (ug/ml, ug/g) Norpropoxyphene (Darvocet) detected in blood and 0.787 ug/ml, ug/g) Norpropoxyphene detected in the urine; 0.638 (ug/ml, ug/g) Butalbital (Fioricet) etected in blood and 0.394 (ug.ml, ug/g) Butalbital detected in urine, both pain medications; Chlorpheniramine (antihistimine) detected in blood approximately and urine; Pseudoephedrine (decongestant) detected in urine; Phenylpropanolamine (antihistimine) detected in urine, and 81.100 (ug/ml, ug/g) Acetaminophen detected in urine, are each below therapeutic level." However, "neither Dsarvocet, Fiocet, nor antihistamines are acceptable to the FAA for use while flying." The "combined effect of these medications would be additive and may cause impairment of judgment in the cockpit." In addition, the "underlying medical condition(s) for which the medications were prescribed/purchased, may have contributed to the discomfort or distraction of the pilot."

Aircraft

Registration
N4609P
Reported as
WSK PZL Mielec PZL-M-18
Category
Airplane
Serial number
1Z012-08
Airframe hours
3,464
Engine
PZL Mielec ASZ 621R M18, 986 horsepower, reciprocating
Damage
Destroyed
Flight
Aerial application · Part 137
Registered owner
John A. Almond, Sr.
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · February 22, 1995 · 504 hours before
Departed
4M3

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
41
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Center
Toxicology
Performed
Flight hours
7,149 total · 3,712 in this make and model · 6,583 as pilot in command · 300 in the last 90 days · 120 in the last 30 days · 10 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
5 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 75 °F
Altimeter
30.00 inHg

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 N4609P · 1

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