LAX94LA160

NTSB accident investigation · American Champion 8KCAB · Marana, AZ · March 12, 1994

Accident · FatalLimited investigationFinal report
Date
March 12, 1994, 10:35 local (17:35 UTC)
Place
Marana, AZ
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N189ACAmerican Champion 8KCAB
Weather
Visual (VMC) · Day
Status
Completed · report November 14, 1994
Report
Approved by Office Director
FAA report
19940312004839A
Case key
28694

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 delayed pullout from a vertical aerobatic maneuver 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.

In flight collision with terrain/waterManeuvering
Maneuver - initiatedPilot in command
Pull-up - delayedPilot in commandCause
Reason for occurrence undetermined

Analysis

The accident was witnessed by several International Aerobatic Club judges, who were grading the pilot's aerobatic routine. The pilot performed the 1994 Intermediate Known Sequence, which was to be followed by a hammerhead turn course reversal to include a 1/4 roll on the up line and a 1/4 roll on the down line. After the hammerhead turn, the aircraft was descending on the vertical line and the witnesses did not see the pilot attempt to pull out until very near the ground when a 10- to 15-degree attitude change was noted. The witnesses said the engine continued at near full power throughout the maneuver to ground impact. All of the aircraft components were accounted for in the wreckage path. The entire flight control system was documented, with no discrepancies noted.

Factual narrative

On March 12, 1994, at 1035 mountain standard time, an American Champion 8KCAB, N189AC, collided with terrain while engaged in aerobatic maneuvers near Marana, Arizona. Visual meteorological conditions prevailed at the time and no flight plan was filed. The aircraft was destroyed in the ground collision sequence and the airline transport pilot, the sole occupant, sustained fatal injuries. The flight originated from the Avra Valley airport on the day of the accident at 1015 hours for a local area aerobatic flight.

The accident was witnessed by several International Aerobatic Club judges, who were grading the pilot's aerobatic routine. According to the witnesses, the pilot performed the 1994 Intermediate Known Sequence, which was to be followed by a hammerhead turn course reversal to include a 1/4 roll on the up line and a 1/4 roll on the down line. After the hammerhead turn, the aircraft was descending on the vertical line and the witnesses did not see the pilot attempt to pull out until very near the ground when a 10- to 15-degree attitude change was noted. The witnesses said the engine continued at near full power throughout the maneuver to ground impact.

According to a Federal Aviation Administration (FAA) inspector, ground scars and the extensively fragmented aircraft wreckage debris were found distributed on the flat desert terrain on a southeast to northwest line. A median bearing line through the ground scars and debris measured about 500 feet in length.

At the request of the National Transportation Safety Board, the aircraft was examined by the holder of an FAA airframe and powerplant mechanic's certificate, who also holds an inspection authorization. According to his written report of the examination, all of the aircraft components were accounted for in the wreckage path. The entire flight control system was documented, with no discrepancies noted.

An autopsy was performed by the Pima County Medical Examiner's Office, with specimens retained for toxicological analysis. The analysis was performed by the FAA Civil Aeromedical Institute, who reported negative results for alcohol and all screened drug substances.

Aircraft

Registration
N189AC
Reported as
American Champion 8KCAB
Category
Airplane
Serial number
721-93
Airframe hours
84
Engine
Lycoming AEIO-360-H1A, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Michael P. Ilyin
Registered owner
Paul E. Shepley
Airworthiness certificate
Standard, Aerobatic
Last inspection
Annual · October 14, 1993 · 84 hours before
Departed
E14 · Avra Valley, AZ

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
53
Certificates
Commercial, Flight engineer, Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Front
Toxicology
Performed
Flight hours
20,000 total · 45 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 4 knots
Visibility
40 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 36 °F
Altimeter
30.00 inHg
Observed at
TUS, 22 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.