MIA97FA175

NTSB accident investigation · Grumman American AA-5B · Avon Park, FL · June 2, 1997

Accident · FatalField investigationFinal report
Date
June 2, 1997, 08:33 local (12:33 UTC)
Place
Avon Park, FL
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N28297Grumman American AA-5B
Weather
Instrument (IMC) · Day
Status
Completed · report April 10, 1998
Report
Approved by Office Director
FAA report
19970602012289A
Case key
38143

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 NTSB’s determination of the probable cause, and any contributing factors.

the pilot's failure to maintain airspeed (Vso) during an approach in instrument flight conditions.

Analysis

The airplane was observed at about 100 to 125 feet in the traffic pattern. Instrument meteorological conditions prevailed. The airplane was observed to make a very steep left turn, lose altitude, and then collide with terrain. Examination of the airframe, flight controls, engine assembly, and accessories, revealed no evidence of a precrash mechanical failure or malfunction. Toxicological testing indicated 0.020 ug/ml desalkylflurazepam in the blood. Desalkylflurazepam is an active metabolite of flurazepam with a long half-life of several days. Flurazepam is a hypnotic agent useful for the treatment of insomnia.

Factual narrative

The factual narrative1,025 words

History of flight

On June 2, 1997, about 0833 eastern daylight time, a Grumman American AA-5B, N28297, registered to a private owner, operating as a 14 CFR personal flight, crashed in the vicinity of Avon Park, Florida. Instrument meteorological conditions prevailed in the area and a visual flight rules flight plan was filed. The aircraft was destroyed. The private pilot and one passenger were fatally injured. The flight originated from Lantana, Florida, about 53 minutes before the accident.

According to the President of Avon Park Jet Center, Inc., the pilot called on UNICOM and reported that they were 10 to 12 miles southeast of Avon Park. The pilot stated that Sebring, Florida, was socked in and requested the Avon Park weather. He informed the pilot that the weather was clear from the east to the northeast, and a thin broken lifting fog was overhead with winds from the south. The pilot stated she would enter left downwind for runway 22. A short time later he observed the airplane to the east south east entering downwind at about 400 feet.

Other witnesses stated the airplane was flying very low, about 100 to 125 feet above the ground, engine running, and was trying to line up with the runway. The airplane made a very steep left turn, lost altitude suddenly, barely missed hitting a metal storage shed on the northeast corner of the property, and impacted the ground.

Personnel information

For additional first pilot information see page 3 of this report.

AIRCRAFT INFORMATION Review of the airframe maintenance records revealed the altimeter system, altitude reporting equipment, and transponder were inspected on August 23, 1996. For additional aircraft information see page 2 of this report.

Meteorological information

The nearest weather reporting facility at the time of the accident was Bartow, Florida, located about 27 miles to the southeast. The 0754 surface weather observation was ceiling 700 broken, 6,000 broken, visibility 3 miles, mist, temperature 76 degrees F, dew point 70 degrees F, wind 260 degrees at 6 knots, and altimeter 29.85 inHg. Instrument meteorological conditions prevailed at the time of the accident.

Review of transcribed communications between the pilot of N28297 and Miami Automated Flight Service Station (MIA-AFSS) revealed the pilot obtained two VFR weather briefings on June 1, 1997, and one VFR weather briefing on June 2, 1997, from Lantana, Florida, to Avon Park, Florida. Weather conditions on the two initial weather briefings prevented a VFR flight on June 1, 1997, and the mid and late morning on June 2, 1997. The pilot called MIA-AFSS on June 2, 1997, at 07:03, and was informed, "you got fairly nice weather all the way this ah clear and high cirrus clouds at ah low pressure ah over georgia at most of those heavy thunderstorms are down in the miami area so it should not impact your flight heading north bound." The briefer informed the pilot that Avon Park did not report and it was to early for Bartow or Lakeland. The pilot requested the Fort Myers weather which was provided. The pilot filed her VFR flight plan at 07:05 and activated the flight plan at 07:40. There was no other known recorded conversations between the pilot of N28297 and MIA-AFSS.

Wreckage and impact information

The wreckage was located in the vicinity of Nu-Lawn Enterprise Inc., Avon Park, Florida.

Examination of the wreckage revealed the airplane collided with the ground in a nose low, left wing down attitude and came to rest on a heading of 065 degrees magnetic. The engine assembly was displaced down and to the right. Torsional twisting, "s" bending, and chordwise scarring was present on both propeller blades. The left wing was compressed aft and separated about 1 foot outboard of the wing root in four sections with leading edge damage extending outboard to the wing tip. The left wing was bent up. The right wing was accelerated forward and the wing tip was bent down. The flaps were in the up position. The left fuel tank was ruptured and there was evidence of browning if vegetation in the immediate vicinity. The right fuel tank was leaking fuel, and about 17 gallons of fuel was present. Examination of the airframe, flight control assembly, engine assembly, and accessories, revealed no evidence of a precrash mechanical failure or malfunction. Continuity of the flight control system was confirmed for pitch, roll, and yaw. All components necessary for flight were present at the crash site.

Medical and pathological information

Postmortem examination of the pilot was conducted on June 3, 1997, by Dr. Alexander Melamud, Chief Associate Medical Examiner, District 10, Bartow, Florida. The cause of death was multiple injuries. Postmortem toxicology studies of specimens from the pilot was performed by the Forensic Toxicology Research Section, Federal Aviation Administration, Oklahoma City, Oklahoma. These studies were negative for alcohol, acidic and neutral drugs. Desalkylflurazepam 0.020 ug/ml was detected in the blood and 0.018 ug/ml was detected in liver fluid.

Review of PDR 51 Edition 1997, Physicians' Desk Reference, states dalmane is a hypnotic agent useful for the treatment of insomnia characterized by difficulty in falling asleep, frequent nocturnal awakenings, and/or early morning awakening. Patients should be cautioned about engaging in hazardous occupations requiring complete mental alertness such as operating machinery or driving a motor vehicle after ingesting the drug, including potential impairment of the performance of such activities which may occur the day following the ingestion of dalmane. Dizziness, drowsiness, light headedness, staggering, ataxia and falling have occurred, particularly in elderly or debilitated persons. Severe sedation, lethargy, disorientation and coma probably indicative of drug intolerance or over dossage have been reported. Desalkylflurazepam is an active metabolite of flurazepam (dalmane), commonly used as a nighttime sleep aid. Flurazepam has a relatively short half-life of 2-3 hours. Desalkylflurazepam has a long half-life of several days.

Test and research

Review of the Pilot's Operating Handbook for the Gulfstream American Model AA-5B reveals the airplane will stall at 56 knots.

Additional information

The wreckage of N28297was released to William Favero, President, Avon Park Jet Center, on June 4, 1997. The right magneto was released to Kevin Twiss, Claims Manager, Phoenix Aviation Managers, on June 10, 1997.

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 flightApproach - vfr pattern - base leg/base to final
Airspeed(vso) - not maintainedPilot in commandCause
Stall - inadvertentPilot in command
In flight collision with terrain/waterApproach - vfr pattern - base leg/base to final

Aircraft

Registration
N28297
Reported as
Grumman American AA-5B
Category
Airplane
Serial number
AA5B0535
Airframe hours
1,867
Engine
Lycoming O-360-A4K, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Frank R. & Frederica Lizak
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · June 1, 1996 · 60 hours before
Departed
LNA · Lantana, FL
Destination
AVO
Flight plan
VFR
Airport
AVO · Avon Park, runway 22, 4,000 × 75 ft, asphalt

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
64
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
705 total · 378 in this make and model · 498 as pilot in command · 37 in the last 90 days · 18 in the last 30 days

Weather

Conditions
Instrument (IMC) · Day
Wind
180° at 6 knots
Visibility
1 statute miles
Lowest ceiling
700 ft broken
Temperature
73 °F, dew point 70 °F
Altimeter
29.00 inHg
Observed at
BOW, 25 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.