LAX00LA038

NTSB accident investigation · Smith, Ted Aerostar Aerostar 600 · Avalon, CA · November 21, 1999

Accident · FatalLimited investigationFinal report
Date
November 21, 1999, 10:15 local (18:15 UTC)
Place
Avalon, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N97CCSmith, Ted Aerostar Aerostar 600
Weather
Visual (VMC) · Day
Status
Completed · report May 9, 2001
Report
Approved by Office Director
FAA report
19991121041129A
Case key
47826

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 in-flight loss of control due to physical incapacitation from sudden cardiac death secondary to an acute myocardial infarction.

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 flightManeuvering
Aircraft control - not possiblePilot in commandCause
Incapacitation(cardiovascular)Pilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - water

Analysis

The pilot/owner was performing a post maintenance check flight about 20 miles off shore. He was receiving visual flight advisories from a terminal radar approach facility while in level flight about 4,900 feet msl. Subsequently, the airplane started slowing then descending in a right spiral, and radar contact was lost about 1,000 feet msl. The pilot's body was recovered from the ocean. According to the autopsy report, the pilot had experienced sudden cardiac death secondary to an acute myocardial infarction due to atherosclerotic coronary artery disease. Tramadol, a painkiller not approved by the FAA for flight, was detected in a drug screen and may have masked the chest pain.

Factual narrative

On November 21, 1999, about 1015 hours Pacific standard time, a Smith Aerostar 600, N97CC, descended into the Pacific Ocean near Avalon, California. The airline transport rated pilot, the sole occupant, received fatal injuries. Visual meteorological conditions prevailed for the personal flight. The aircraft, owned and operated by the pilot under the provisions of 14 CFR Part 91, was destroyed in the collision sequence and sank to the ocean bottom. No flight plan was filed for the local area flight, which originated at Fullerton, California, about 0930.

According to a family member, the pilot was accomplishing a post maintenance flight check.

Review of information and radar data provided by the Federal Aviation Administration (FAA) disclosed that the pilot was receiving visual flight advisories from Southern California Terminal Radar Approach Control. At 1015, radar contact was lost on the 200-degree radial of the Seal Beach VOR at 20 miles. Recorded radar data revealed that the mode C return was level at 4,900 feet mean sea level (msl) and exhibited a slowing ground speed. The secondary beacon returns then started a descending right spiral and radar contact was lost at 1,000 feet msl.

The pilot's body was recovered from the ocean and an autopsy was conducted by the Los Angeles County Coroner's office. According to the autopsy report, the pilot had experienced sudden cardiac death secondary to an acute myocardial infarction due to atherosclerotic coronary artery disease. The attesting pathologist opined that the event began from 30 minutes to several hours before the pilot's death. Tramadol, a painkiller not approved by the FAA for flight, was detected in blood and tissue samples submitted for toxicological tests. The pathologist stated that the drug may have masked the chest pain symptoms of the cardiac event.

The aircraft was not recovered. Review of the maintenance records disclosed that on November 5, 1999, the oil was changed on both engines. During engine run-up a "hot" or non-grounding magneto was found on the right engine. A loose "P" lead for grounding the magneto was discovered and reattached. At the same time, a broken exhaust flange was discovered on the No. 6 engine cylinder. Subsequently, the entire exhaust system and a gas temperature probe were replaced on the right engine. According to maintenance records, the last annual inspection occurred on July 16, 1999.

Aircraft

Registration
N97CC
Reported as
Smith, Ted Aerostar Aerostar 600 (AEROSTAR 6)
Category
Airplane
Serial number
600154068
Airframe hours
4,199
Engine
Lycoming TIO-540, 290 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Walter L. Cecil
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 16, 1999 · 1 hours before
Departed
FUL · Fullerton, CA

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
44
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Toxicology
Performed
Flight hours
1,710 total · 851 in this make and model · 100 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 54 °F
Altimeter
30.00 inHg
Observed at
LGB, 20 nm away

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 N97CC · 1

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