NYC04LA035

NTSB accident investigation · Northam RAF 2000 · Nelsonia, VA · November 16, 2003

Accident · FatalLimited investigationFinal report
Date
November 16, 2003, 11:19 local (16:19 UTC)
Place
Nelsonia, VA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N999GCNortham RAF 2000
Weather
Visual (VMC) · Day
Status
Completed · report September 1, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20031116035619A
Case key
58355

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

A loss of control for undetermined reason(s).

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 flightManeuvering
Reason for occurrence undeterminedCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - open field

Analysis

The pilot was observed to initiate a takeoff in his homebuilt gyroplane, and then abort the takeoff. He pulled clear of the runway, and held for about 10 minutes with the engine idling, after which he pulled onto the runway again, and took off. He was next observed about 40 minutes later by a witness who reported that the nose of the gyroplane was oscillating up and down. The oscillations steadied out and the gyroplane disappeared from the view of the witnesses. Additional witnesses saw the gyroplane about 2 miles further long, still flying in the same direction. Three of the witnesses reported the gyroplane was in straight and level fight when it rolled inverted, and descended to the ground. One witness reported the gyroplane made a vertical climb, and reversed course to impact the ground. The main rotor blades exhibited damage consistent with low rotor, and had struck the vertical stabilizer. Marks were also found on the underside of the main rotor blades that were consistent with propeller contact. Flight control continuity was not confirmed due to fire and impact damage. The pilot's total flight experience was in excess of 14,550 hours, which included about 70 hours in make and model.

Factual narrative

On November 16, 2003, at 1119 eastern standard time, a homebuilt RAF 2000 gyroplane, N999GC, was destroyed when it struck the ground in Nelsonia, Virginia. The certificated airline transport pilot was fatally injured. Visual meteorological conditions prevailed for the personal flight that originated from Accomack County Airport (MFV), Melfa, Virginia. No flight plan had been filed for the local flight that was conducted under 14 CFR Part 91.

Personnel at the departure airport reported that the pilot had initiated a takeoff, and then aborted the takeoff for unknown reasons. He pulled clear of the runway and stayed there for about 10 minutes with the engine idling. He then pulled back on the runway and departed about 1028. That was the last he was seen at the airport.

The gyroplane was next observed by a witness, who was located about 2 miles northwest of the accident site. The witness reported that when she first observed the gyroplane, the nose was oscillating up and down. The oscillations smoothed out, and the gyroplane continued in straight and level flight to the southeast. Shortly after the gyroplane disappeared from view, she observed a rising column of black smoke coming from the direction the gyroplane was headed.

Additional interviews of witnesses in the area revealed that three of the witnesses reported that the gyroplane was in level flight when it rolled left to the inverted position, and then descended in a nose down attitude and impacted the ground. One other witness thought that the gyroplane had first pitched up to a near vertical attitude, and then reversed course and impacted the ground in a nose down attitude. The witnesses agreed that the gyroplane burst into flames after the impact.

The examination of the wreckage revealed that both main rotor blades had red paint transfer marks on the top and bottom side of the blades, 67 inches from the end of the blade straps, consistent with the location of the vertical stabilizer. In addition, there were strike marks on underside of both blade tension straps, consistent with the location of the engine propeller.

One main rotor blade was straight, while the other was bent up about 20 degrees at the mid-span location. There was no evidence of rearward bending of the blades.

A portion of the rudder was consumed in the fire. However, the upper portion of the rudder was separated from the aircraft and found outside of the burn area. There was impact damage on the left side of the separated piece.

The gyroplane was equipped with a fixed incident, horizontal stabilizer, which had winglets that were canted 20 degrees outboard of vertical. The condition of the right winglet was consistent with a main rotor blade strike.

Flight control continuity was not confirmed due to impact and fire damage.

In addition, the main mast was separated below the rotor hub, and one propeller blade was found separated from the remainder of the blade.

Re-examination of the impact site revealed that all items found away from the main impact area were light items and subject to lateral movement from wind. The direction of movement of the objects did not match the flight path described by witnesses.

The gyroplane had been modified with the addition of a fixed incident horizontal stabilizer. This was not recommended by the kit manufacturer. However, the experimental airworthiness certificate of the gyroplane did not preclude additions, deletions, or modifications from the original kit design.

The pilot was reported to have accumulated about 70 hours in make and model. This included 20 hours of dual instruction in another RAF 2000, and then 50 hours in his own RAF 2000.

The pilot's flight experience was reported to be in excess of 14,550 hours. He held ratings for airplanes single and multi-engine, and instrument airplane. He did not posses a rotorcraft, gyroplane, category and class rating, nor was he required under existing rules from the Federal Aviation Administration (FAA).

Toxicological testing conducted by the FAA Toxicology Accident Research Laboratory, Oklahoma City, Oklahoma, revealed the following:

17 mg/dl ethanol detected in urine

2 mg/dl acetaldehyde detected in urine

2 mg/dl n-propanol detected in urine

86.36 ug/ml acetaminophen detected in urine

452 ug/ml salicylate detected in urine

No ethanol in lung

No ethanol in brain

The toxicological report also noted that the samples were received in putrefied condition.

The toxicological report received from the State of Virginia reported an alcohol content of 0.01 percent ethanol by volume. In addition, ethanol was not detected in vitreous fluid.

On November 18, 2003, an autopsy was conducted by Wendy Gunther, MD, Assistant Chief Medical Examiner, Tidewater District, State of Virginia.

According to the FAA-H-8083-21 Rotorcraft Flying Handbook, Chapter 21, Gyroplane Emergencies, pilot induced oscillations (PIO) can occur in both the longitudinal and lateral axis. The publication further stated:

"...As with most other rotor-wing aircraft, gyroplanes experience a slight delay between control input and the reaction of the aircraft. This delay may cause an inexperienced pilot to apply more control input than required, causing a greater aircraft response than was desired. Once the error has been recognized, opposite control input is applied to correct the flight attitude. Because of the nature of the delay in aircraft response, it is possible for the corrections to be out of synchronization with the movements of the aircraft and aggravate the undesired changes in attitude. The result is PIO, or unintentional oscillations that can grow rapidly in magnitude...."

"...the stability of a gyroplane is greatly influenced by rotor force. If rotor force is rapidly removed, some gyroplanes have a tendency to pitch forward abruptly. This is often referred to as a forward tumble, buntover, or power pushover. Removing the rotor force is often referred to as unloading the rotor, and can occur if pilot-induced oscillations become excessive, if extremely turbulent conditions are encountered, or the nose of the gyroplane is pushed forward rapidly after a steep climb."

"A power pushover can occur on some gyroplanes that have the propeller thrust line above the center of gravity and do not have an adequate horizontal stabilizer. In this case, when the rotor is unloaded, the propeller thrust magnifies the pitching moment around the center of gravity. Unless a correction is made, this nose pitching action could become self-sustaining and irreversible. An adequate horizontal stabilizer slows the pitching rate and allows time for recovery."

"Since there is some disagreement between manufacturers as to the proper recovery procedure for this situation, you must check with the manufacturer of your gyroplane. In most cases, you need to remove power and load the rotor blades. Some manufacturers, especially those with gyroplanes where the propeller thrust line is above the center of gravity, recommend that you need to immediately remove power in order to prevent a power pushover situation. Other manufacturers recommend that you first try to load the rotor blades. For the proper positioning of the cyclic when loading up the rotor blades, check with the manufacturer."

"When compared to other aircraft, the gyroplane is just as safe and very reliable. The most important factor, as in all aircraft, is pilot proficiency. Proper training and flight experience helps prevent the risks associated with pilot-induced oscillation or buntover...."

Aircraft

Registration
N999GC
Reported as
Northam RAF 2000
Category
Gyroplane, amateur-built
Serial number
H2-02-13540
Airframe hours
50
Engine
Subaru EJ 22, 130 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · July 7, 2003 · 50 hours before
Departed
MFV · Melfa, VA
Destination
MFV

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
51
Injuries
Fatal
Certificates
Flight engineer, Airline transport, Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
March 19, 2003
Seat
Left
Toxicology
Performed
Flight hours
14,550 total · 70 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 9 knots
Visibility
10 statute miles
Lowest ceiling
5,000 ft overcast
Temperature
57 °F, dew point 43 °F
Altimeter
30.22 inHg
Observed at
WAL, 10 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.