LAX08FA134

NTSB accident investigation · Extra Flugzeugproduktions-GMBH EA-300/L · Queen Creek, AZ · May 9, 2008

Accident · FatalField investigationFinal report
Date
May 9, 2008, 13:17 local (20:17 UTC)
Place
Queen Creek, AZ
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N133EEExtra Flugzeugproduktions-GMBH EA-300/L
Defining event
Maneuvering-aerobatics: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report August 13, 2009
Report
Approved by Office Director
Parties
Textron-Lycoming, APS Emergency Maneuver Training, Federal Aviation Administration, Extra
FAA report
20080509837949A
Case key
67990

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 loss of aircraft control due to an undetermined rudder malfunction.

Findings · 3

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.

Performance/control parametersAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleExtra Flugzeugbau EA 300/L: 3 casesAll 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 operator noted that the airplane was overdue from a practice upset recovery training flight. Shortly thereafter, the wreckage was located in flat desert terrain about 10 miles east of the airport. The two occupants were located approximately 50 feet from the airplane wreckage and were wearing parachutes. The instructor pilot’s parachute was found to have been activated and partially deployed. The pilot under instruction's parachute had not been activated. Examination of onboard video and audio recordings revealed that the pilot under instruction was seated in the front cockpit and the instructor pilot was seated in the rear cockpit. The crew intended to perform a maneuver that consisted of the first half as a climbing vertical loop with a snap-roll executed at the top, then continue through the back half of the loop. The pilot under instruction, in the front seat, had the controls for this maneuver. At the top of the loop, as the airplane entered into the snap-roll portion of the maneuver, the airplane’s nose dropped and it entered an erect spin. The pilot in the front cockpit stated that something broke. The instructor in the rear cockpit verbalized the recover procedures, then concurred that there was something wrong with the rudder; he released the canopy and gave the command to get out. The pilot in the front cockpit released his harness and moved to sit on the left-hand canopy rail over a period of 14 seconds. It was not until the front pilot was completely out of his seat before the video showed the rear pilot moving to position himself on the left canopy rail, which took 9 seconds. They both fell backwards out of the cockpit nearly simultaneously 23 seconds after the canopy had been released. The estimated altitude that the airplane was at when the crew bailed out was 246 feet above ground level. Multiple examinations of the rudder system did not reveal any evidence of a rudder malfunction or jam.

Factual narrative

History of flight

On May 9, 2008, at 1317 Mountain standard time, an Extra Flugzeugproduktions-und Vertriebs-GmBH EA-300/L, N133EE, collided with desert terrain near Queen Creek, Arizona. The airplane was operated by Aviation Performance Solutions (APS) under Title 14 of the Code of Federal Regulations (CFR) Part 91. The commercial pilot, serving as an instructor, and the airline transport pilot were killed, and the airplane was substantially damaged. Visual meteorological conditions prevailed, and a company flight plan was filed. The flight originated at Phoenix-Mesa Gateway Airport, Phoenix, Arizona, about 1243.

The operator noted that the airplane was overdue from a practice upset recovery training flight. About 1430 the operator and the Mesa Police Air Support located the wreckage in flat desert terrain about 10 miles east of the airport. The two occupants were located approximately 50 feet to the north of the airplane wreckage and were wearing parachutes. The instructor pilot’s parachute was found to have been activated and partially deployed. The pilot under instruction's (PUI) parachute had not been activated. No radio distress call by the aircrew was heard by any agency.

Radar data revealed that at 1313:56 the airplane was on a northeasterly track at 5,600 feet msl. A radar return at 1314:04 placed the airplane at 5,300 feet, in a slight descent. At 1314:15, the radar data showed that the airplane was operating in an area approximately 800 feet across, and the altitude increased to 6,100 feet, then decreased to 2,300 feet. The last radar return was at 1314:46 at an altitude of 2,300 feet. The wreckage was located within a few hundred feet of the last radar return.

The airplane was equipped with video and audio recording equipment; the recordings were recovered by investigators. The end of the video showed the airplane entering a vertical loop, performing a roll at the top of the loop that progressed into a left turning spin. The aircrew then stated that there was something wrong with the rudder control, the canopy opens, and the aircrew proceeded to egress. A full description of the video and audio is included in the Test and Research section of this report.

According to the operator, the purpose of the instructional flight was to practice airplane upset recovery which involved aerobatic maneuvers.

Personnel information

Instructor (Commercial Pilot, Rear Cockpit)

The pilot, age 57, held a commercial pilot certificate with airplane single-engine, multi-engine, and instrument ratings, issued on July 13, 2004. He held a flight instructor certificate issued on November 14, 1984, with ratings for airplane single-engine land and instrument. He also held an airframe and powerplant mechanic certificate, issued on July 13, 2004. The pilot held a second class medical certificate issued on December 12, 2007, with the restrictions that he wear corrective lenses. An examination of the pilot’s logbook revealed that as of May 8, 2007, he had 2,208.6 total hours, 269.2 hours in the Extra 300L, and his biennial flight review was dated 25 April, 2008. The pilot served 6 years in the US Air Force flying F-105's and F-4's, 2 years in the Kansas Air National Guard flying F-4's, had 20 years of experience flying competitive aerobatics, and was the 1995 Arizona State Advance Aerobatics Champion. He had been employed by APS since May 2007, and his primary duties were aerobatic upset recovery and spin instruction.

Pilot Under Instruction (Airline Transport Pilot, Front Cockpit)

The second pilot, age 35, held an Airline Transport Pilot certificate issued on October 12, 2004, with airplane single-engine and multi-engine land ratings, airplane single-engine and multi-engine sea ratings, and held private pilot privileges for rotorcraft-helicopter. The pilot held type ratings for the Bombardier CL604 and the Hawker HS-125. A flight instructor certificate, was issued on February 21, 2007, for single and multi-engine airplane, and instrument airplane. An airframe and powerplant mechanic certificate, was issued on April 16, 1996. The pilot held a first class medical certificate, issued on February 25, 2008, with the limitation that he must wear corrective lenses. On his medical application he indicated that he had 6,100 hours of flight time, and had accumulated 100 hours within the last 6 months. The pilot was employed as a professional pilot, and the training with APS was contracted by his company.

Aircraft information

The tandem seat, low wing, fixed-gear, single-engine, aerobatic airplane, serial number 09, was manufactured in 1995. It was powered by a Lycoming AEIO-540-L1B5, 6-cylinder, fuel injected engine, and equipped with an MT-Propeller 3-bladed constant speed propeller, model MTV-9-B-C/C 200-15. An examination of the maintenance logbooks showed that the most recent 100-hour airframe inspection was completed on April 17, 2008, at 1,734.13 hours total time. A 25-hour inspection was performed on May 1, 2008, at 1763.1 hours total time. A 100-hour inspection on the engine was completed on April 17, 2008; total time on the engine was 2,512.86 hours, time since major overhaul (TSMOH) was 582.3 hours. A 25-hour inspection on the engine was completed on May 1, 2008, TSMOH was 701.33 hours. The most recent inspection on the propeller was an 100-hour inspection on April 17, 2008.

Wreckage and impact

The wreckage was located approximately 10 miles east of the Phoenix-Mesa Gateway Airport, Phoenix, Arizona, in flat desert terrain. The terrain elevation was measured using a GPS receiver as 1,633 feet mean sea level (msl). The terrain was sparsely populated with desert scrub bushes. The airplane was orientated from tail to nose, on a bearing of 112 degrees magnetic. The entire airplane was embedded into the desert floor such that the fuselage was protruding into the air at an approximately 45-degree angle. The wings were attached to the fuselage and in their generally normal position relative to the fuselage. The tail had separated from the empennage and laid approximately 3 feet directly in front of the fuselage. Canopy glass was shattered and was scattered immediately around the wreckage. The canopy frame had come off the fuselage hinge and was in three pieces in the vicinity of the tail section. Both wings exhibited leading edge delamination and paint chipping/pealing along their entire length. The nose and engine of the airplane was removed from a 4 foot by 4 foot, by 22 inch deep indentation in the ground. Aileron spades, elevator, and rudder balance weights were attached to their respective control surface. Four to five larger pieces of canopy glass were located approximately 300 feet to the northwest of the wreckage. Examination of the engine and propeller revealed no evidence of preimpact mechanical malfunction.

Detailed examination of the airplane control system revealed that the right wing aileron control tubes were attached to the bell cranks from the wing root out to the aileron; the control tube at the wing root was buckled and separated. The left aileron control tubes were continuous to the cockpit. The elevator control tube was separated at the bell crank rod end bearing behind the rear cockpit in a fashion consistent with overload. The opposite end of the elevator control tube was separated and bent at the elevator bell crank rod end bearing, consistent with overload. Rudder cable ends were attached to the rudder horn. The rudder cables ran forward from the rudder horn 30.25 inches (right side) and 30.0 inches (left side), both ending in broomstrawed ends at the approximate location where the entire tail separated from the fuselage. The remaining rudder cables were traced forward and found to run through the appropriate guides and pulleys, with the ends attached to airframe structure forward of the rear cockpit pedals. The forward cockpit rudder pedal cables were

Aircraft

Registration
N133EE
Reported as
Extra Flugzeugproduktions-GMBH EA-300/L
Category
Airplane
Serial number
09
Airframe hours
1,734
Engine
Lycoming AEIO-540, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Aviation Performance Solutions
Registered owner
APS Asset Management Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · April 17, 2008
Departed
KIWA · Queens Creek, AZ
Destination
KIWA
Flight plan
Company VFR
Airport
KIWA · Phoenix-Mesa Gateway Airport

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
57
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 25, 2008
Seat
Rear
Toxicology
Performed
Flight hours
2,208 total · 269 in this make and model
Role
Pilot
Age
35
Injuries
Fatal
Certificate
Airline transport
Airplane ratings
Single-engine sea, Multi-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Front
Toxicology
Performed
Flight hours
6,100 total

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 10 knots
Visibility
30 statute miles
Lowest ceiling
20,000 ft broken
Temperature
91 °F, dew point 23 °F
Altimeter
29.75 inHg
Observed at
KIWA, 10 nm away

Docket · 33

The files NTSB released with the investigation on July 14, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.1 MB in all.

On-Board Audio/Video Recording- Group Chairman's Factual ReportItem 1 · .PDF · 127 KBDANTE Calculations-N133EEItem 2 · .PDF · 148 KBWitness StatementsItem 3 · .PDF · 745 KBRadar PlotItem 4 · .PDF · 477 KBExtra 300L- rudder control systemItem 5 · .PDF · 463 KBRecurring AD'sItem 6 · .PDF · 163 KBToxicological Report-PilotItem 7 · .PDF · 58 KBToxicological Report-Second PilotItem 8 · .PDF · 58 KBStatement of Party Representatives to NTSB InvestigationItem 9 · .PDF · 359 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 10 · .PDF · 89 KBWreckage Exam NotesItem 11 · .PDF · 24 KBRadar Data FileItem 12 · .PDF · 10 KBPilot Logbook (Extract)Item 13 · .PDF · 1.8 MBPropeller Logbook (Extract)Item 14 · .PDF · 89 KBAirframe Logbook (Extract)Item 15 · .PDF · 133 KBEngine Logbook (Extract)Item 16 · .PDF · 224 KBPhoto 1-Aircraft Wrekcage, Left SideItem 17 · .PDF · 630 KBPhoto 2-Aircraft Wreckage, Right SideItem 18 · .PDF · 644 KBPhoto 3-Aircraft Wreckage, AftItem 19 · .PDF · 771 KBPhoto 4-Aircraft Wreckage, SuspendedItem 20 · .PDF · 643 KBPhoto 5-Front Cockpit Rudder Pedal, LeftItem 21 · .PDF · 712 KBPhoto 6-Front Cockpit Rudder Pedal, RightItem 22 · .PDF · 630 KBPhoto 7- Rear Cockpit Rudder Pedal, LeftItem 23 · .PDF · 723 KBPhoto 8-Rear Cockpit Rudder Pedal, RightItem 24 · .PDF · 768 KBPhoto 9-Rudder Cable Interconnect, LeftItem 25 · .PDF · 812 KBPhoto 10-Rudder Cable Interconnect, RightItem 26 · .PDF · 733 KBPhoto 11-Rudder Connection, LeftItem 27 · .PDF · 763 KBPhoto 12-Rudder Connection, RightItem 28 · .PDF · 698 KBPhoto 13-Rudder Cables in the TailItem 29 · .PDF · 104 KBPhoto 14-Rudder Cable Fastening, LeftItem 30 · .PDF · 101 KBPhoto 15-Rudder Cable Fastening, RightItem 31 · .PDF · 120 KBAPS Submission (Video DVD)Item 32 · .PDF · 10 KBReports from Parties to the InvestigationItem 33 · .PDF · 254 KB

FAA reports on this event · 1

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