LAX04LA213

NTSB accident investigation · Bachman Lancair IV-P · Supai, AZ · May 16, 2004

Accident · FatalLimited investigationFinal report
Date
May 15, 2004, 17:04 local (May 16, 2004, 00:04 UTC)
Place
Supai, AZ
Injuries
4 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N299SDBachman Lancair IV-P
Weather
Visual (VMC) · Day
Status
Completed · report January 31, 2006
Report
Approved by Office Director
Parties
Teledyne Continental Motors, Federal Aviation Administration
FAA report
20040515012919A
Case key
59230

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 loss of aircraft control while in cruise flight for undetermined reasons.

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 flightCruise - normal
Reason for occurrence undeterminedCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The experimental amateur-built pressurized airplane departed cruise flight and entered a steep spiraling descent before impacting the south rim of the Grand Canyon. The wreckage was largely consumed in a post impact ground fire. The pilot was taking his family and friends on a scenic flight over the Grand Canyon. Review of the radar data and air traffic control communications revealed that the airplane flew east over the canyon at 15,500 feet before reversing direction and flying westbound around 16,500 feet. The last four radar returns depict the airplane descending through 16,200, 13,800, 11,300, and 9,100 feet respectively with 12-second separation between returns. Air traffic controllers received no distress calls from the pilot. Post-accident examination of the wreckage could not verify the existence of all flight control surfaces or their continuity due to impact and fire damage, nor could it rule out an airframe failure or any control anomalies. Review of the airplane records and correspondence between the pilot/owner revealed a history of maintenance issues.

Factual narrative

History of flight

On May 15, 2004, at 1704 mountain standard time, an experimental amateur-built Bachman Lancair IV-P, N299SD, impacted terrain in the Grand Canyon near Supai, Arizona. A private individual built the airplane, and it was registered to and operated by the pilot. The private pilot and three passengers sustained fatal injuries. Visual meteorological conditions prevailed, and a flight plan had not been filed for the 14 CFR Part 91 personal flight. The local flight departed the North Las Vegas Airport (VGT), North Las Vegas, Nevada, at 1607.

According to relatives of the victims, the pilot and his family were in Las Vegas because the pilot's son was getting married on the 16th. The pilot's plan was to take his son, his son's fiancé, and the fiancé's best friend for a tour flight over the Grand Canyon the day before his son's wedding.

Communication transcripts obtained from North Las Vegas Air Traffic Control Tower (ATCT) revealed that the pilot requested a visual flight rules (VFR) clearance to the Grand Canyon. The pilot was given a clearance and departed for the Grand Canyon at 1607. The United States Air Force 84th Radar Evaluation Squadron (RADES) radar data depicted a target tracking westbound over the Grand Canyon between 15,500 and 16,000 feet mean sea level (msl) mode C reported altitudes. At 1653, the radar data depicts the target beginning a climb to 16,500 feet and reversing course. The target then began moving eastbound over the canyon between 16,500 and 16,800 feet.

At 1657:21, the pilot contacted the Los Angeles Air Route Traffic Control Center and requested VFR flight following back to North Las Vegas. They instructed the pilot to squawk 1044 on his transponder. At 1658:52, they established radar contact 40 miles northeast of the Peach Springs very high omni-directional radio range navigation facility. The controller asked the pilot to say his altitude, to which the pilot answered 16,500 feet. The controller provided the Grand Canyon altimeter setting of 30.03 inches of mercury, which the pilot repeated at 1659:07. This was the last communication received from the pilot. The last eight mode C returns that provided altitude information indicated the following:

Time Latitude Longitude Altitude Transponder

08.) 1702:16 36:10:42 N 113:00:49 w 16,400 1044

07.) 1702:27 36:10:45 N 113:01:28 w 16,200 1044

06.) 1702:28 36:10:40 N 113:01:34 w 16,100 1044

05.) 1702:37 36:10:48 N 113:02:17 w 16,000 1044

04.) 1702:40 36:10:43 N 113:02:31 w 16,200 1044

03.) 1702:52 36:10:50 N 113:02:55 w 13,800 1044

02.) 1703:04 36:10:52 N 113:02:32 w 11,300 1044

01.) 1703:16 36:10:59 N 113:02:50 w 9,100 1044

Witnesses located within the Grand Canyon National Park told park rangers that they observed the airplane descending at a nose-low pitch attitude, and "spinning or moving in some strange way" before impacting terrain and catching fire. According to one witness, he heard the engine "gear up then slow down repeatedly." Another witness reported hearing the "engine revving at a high rate of speed." Photographs taken just moments following ground impact by one of the witnesses located on the north rim revealed that it exploded upon impact producing a mushroom cloud of smoke.

The accident site was on the south rim of the Grand Canyon at a latitude and longitude of 36 degrees 11 minutes 05 seconds north by 113 degrees 02 minutes 38 seconds west, respectively.

Personnel information

A review of Federal Aviation Administration (FAA) records revealed that the pilot held a private pilot certificate with single engine land and instrument airplane ratings. He was issued his most recent medical certificate (third-class) on January 12, 2004, with a limitation indicating that he must "wear lenses that correct for distant vision and posses glasses that correct for near vision while exercising the privileges of his airman's certificate." According to the application for the 2004 medical certificate, the pilot accumulated a total of 1,900 flight hours, 20 of which were accumulated within the past 6 months. A copy of the pilot's logbook was provided to the National Transportation Safety Board investigator-in-charge (IIC); however, the last entry was dated November 7, 1991. The last flight review endorsement found in the logbook was from 1990.

Aircraft information

The pressurized airplane kit (serial number LIV-370) was sold to the builder on December 7, 1998, and was issued an experimental airworthiness certificate on January 1, 2000, by a Designated Airworthiness Representative (DAR). The amateur-built airplane completed its required 40 hours of flight testing, intended to establish operating limitations, on March 18, 2000 (the airplanes's operating limitations issued during certification indicated that no person may operate an aircraft that has an experimental certificate outside of an area assigned by the Administrator until it is shown that-- (1) The aircraft is controllable throughout its normal range of speeds and throughout all the maneuvers to be executed; and (2) The aircraft has no hazardous operating characteristics or design features).

The airplane was equipped with a 350-horsepower Teledyne Continental Motors TSIO-550-E1B reciprocating engine (serial number 803059), and a composite Whirlwind three-blade propeller. Lancair sold the airplane as a kit (not a fast-build), and the airplane was mostly carbon fiber and fiberglass. According to the airframe maintenance logbook, the airplane was equipped with a Garmin GNC300XL global positioning system, an S-Tec autopilot, a Goodrich stormscope, distance measuring equipment, a Ryan terrain collision avoidance system, a Trimble radio altimeter, and a King KX-165 navigation/communication system.

The following information was obtained from the airplane's maintenance logbooks, correspondence between the pilot/owner and repair facilities, and repair invoices.

The airplane was sold to the pilot in June 2001, and registered to him on October 15, 2001. Prior to the purchase of the airplane, the pilot had Weeldreyer Aviation of Manhattan Beach, California, conduct an aircraft insurance inspection on June 8, 2001. Weeldreyer Aviation utilized their own inspection form for the Lancair IV, and noted some discrepancies on the checklist. On June 15, 2001, the pilot signed an agreement with Weeldreyer Aviation agreeing that they would "perform an inspection and flight testing for the assembled airplane and give flight instruction in the assembled airplane as needed."

In a letter dated July 20, 2001, the pilot/owner indicated that the "items that needed attention" during the June 8, 2001, inspection "have been repaired or are in the process of being repaired." The letter continued by indicating that the pilot had flown the airplane and intended on flying it again on July 21 and 22, 2001, for the purpose of identifying "any other problems which might exist." He added that there was a "problem with maintaining pressurization as the door latch disengaged."

In a letter dated July 26, 2001, the pilot/owner indicated again that the cabin door continued to have problems, and the airplane was unable to maintain pressurization. The pilot then listed additional maintenance squawks that needed attention, some of which are listed below:

- Landing gear did not seem to properly retract.

- Speed brakes did not completely retract on several occasions.

- Vacuum pump suction pressure gage never registered in the "green" range.

- Right flap had insufficient clearance on one of the connecting rods.

- The left elevator's trim tab piano hinge wire was sliding out.

- Fuel line on passenger side in cockpit needed more clearance.

- Windshield on left side appeared to be scratched or cracked.

- Attitude indicator seemed to not be functioning properly, but was "more operational" with the autopilot on.

Sometime following the aforementioned let

Aircraft

Registration
N299SD
Reported as
Bachman Lancair IV-P
Category
Airplane, amateur-built
Serial number
LIV-370
Airframe hours
123.9
Engine
Teledyne Continental TSIO-550-E1B, 350 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Jerry A. Howle
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · February 8, 2003
Departed
VGT · North Las Vegas, NV

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
58
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
1,900 total

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 18 °F
Altimeter
30.02 inHg
Observed at
GCN, 41 nm away

Docket · 38

The files NTSB released with the investigation on October 21, 2005, on NTSB’s docket system: statements, records, photos and specialists’ reports. 21.9 MB in all.

Materials Laboratory 15 - Factual Report 04-143Item 1 · .PDF · 791 KBWitness Statement/Record of ConversationsItem 2 · .PDF · 102 KBWeather Reports and RecordsItem 3 · .PDF · 684 KBTranscripts of Radio CommunicationsItem 4 · .PDF · 381 KBATC Radar DataItem 5 · .PDF · 513 KBReports from Parties to the Investigation (Lancair Review of Wreckage Photos)Item 6 · .PDF · 2.2 MBExcerpts from Pilot LogbookItem 7 · .PDF · 364 KBEngine LogbookItem 8 · .PDF · 384 KBPropeller LogbookItem 9 · .PDF · 74 KBAircraft LogbookItem 10 · .PDF · 625 KBToxicological ReportItem 11 · .PDF · 79 KBStatement of Party Representatives to NTSB InvestigationItem 12 · .PDF · 335 KBOCR - Maintenance InvoicesItem 13 · .PDF · 1.4 MBPhoto 1 Immediately following the accidentItem 14 · .PDF · 586 KBPhoto 2 Immediately following the accidentItem 15 · .PDF · 614 KBPhoto 3 Immediately following accidentItem 16 · .PDF · 617 KBPhoto 4 Immediately following accidentItem 17 · .PDF · 2.3 MBPhoto 5 Aerial view of accident siteItem 18 · .PDF · 578 KBPhoto 6 Sheriff's photograph of accident siteItem 19 · .PDF · 672 KBPhoto 7 Propeller and cowling at accident siteItem 20 · .PDF · 717 KBPhoto 8 Top of fuselage at accident siteItem 21 · .PDF · 701 KBPhoto 9 Wreckage layoutItem 22 · .PDF · 432 KBPhoto 10 Aileron Sections at layoutItem 23 · .PDF · 400 KBPhoto 11 Aileron attach bracketItem 24 · .PDF · 384 KBPhoto 12 Aileron attach bracketItem 25 · .PDF · 410 KBPhoto 13 Autopilot servoItem 26 · .PDF · 419 KBPhoto 14 Flap bellcranksItem 27 · .PDF · 453 KBPhoto 15 Flight control rodsItem 28 · .PDF · 440 KBPhoto 16 Flight control rods and cablesItem 29 · .PDF · 433 KBPhoto 17 Flight control rods and cablesItem 30 · .PDF · 404 KBPhoto 18 WingtipItem 31 · .PDF · 445 KBPhoto 19 Left side of engineItem 32 · .PDF · 418 KBPhoto 20 Right side of engineItem 33 · .PDF · 430 KBPhoto 21 Front of engineItem 34 · .PDF · 434 KBPhoto 22 Left turbocharger sectionsItem 35 · .PDF · 420 KBPhoto 23 PropellerItem 36 · .PDF · 409 KBPhoto 24 Crankshaft fracture surfaceItem 37 · .PDF · 440 KBPhoto 25 Main landing gearItem 38 · .PDF · 442 KB

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.