LAX93LA124

NTSB accident investigation · Bertone Challenger II · Boulder City, NV · February 18, 1993

Accident · FatalLimited investigationFinal report
Date
February 18, 1993, 10:05 local (18:05 UTC)
Place
Boulder City, NV
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Unknown
Aircraft
N4391VBertone Challenger II
Weather
Visual (VMC) · Day
Status
Completed · report March 18, 1994
Report
Approved by Office Director
FAA report
19930218004899A
Case key
27927

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 loss of airplane control due to physical impairment as a result of either drugs or other cardiovascular reasons, or both.

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 flightUnknown
Aircraft control - not maintainedPilot in commandCause
Physical impairment(other cardiovascular)Pilot in commandCause
Impairment(drugs)Pilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The pilot had called another pilot on the radio and said that he was 5 mi south of the airport and returning to land. When the pilot did not return, the other pilot took off to search for the pilot. The airplane was located 3 mi south of the airport. Examination of the airplane revealed the airplane impacted the terrain nose first at a 40-45 deg angle. The propeller appeared not to have been turning at impact. An exam of the engine found no mechanical discrepancies. Toxicological results were positive: blood screen - 1026 ng/ml diazepam, 1142 ng/ml nordiazepam; urine screen - methamphetamine, amphetamine, oxazepam, temazepam, and nordiazepam identified. The level of diazepam would indicate that the pilot was taking the tranquilizer valium at a level of at least twice the normal therapeutic concentration. In addition, the autopsy revealed a severe occlusion of the left anterior descending artery, at its origin. The degree of occlusion was sufficient to have caused arrhythmia, infarct or even death at any time.

Aircraft

Registration
N4391V
Reported as
Bertone Challenger II (CHALLENGER)
Category
Airplane, amateur-built
Serial number
20192CW0785
Airframe hours
56
Engine
Hirth 2703, 55 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Frank D. Graham
Registered owner
Frank D. Graham
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Unknown · August 27, 1992 · 15 hours before

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
59
Medical
Expired
Seat
Left
Toxicology
Performed
Flight hours
310 total

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
1,500 ft overcast
Temperature
61 °F

FAA reports on this event · 1

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