NYC04LA178

NTSB accident investigation · Garrett Stephens Akro · Westport, NY · July 26, 2004

Accident · FatalLimited investigationFinal report
Date
July 26, 2004, 16:50 local (20:50 UTC)
Place
Westport, NY
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N45KYGarrett Stephens Akro
Weather
Visual (VMC) · Day
Status
Completed · report July 7, 2005
Report
Approved by Office Director
Parties
FAA FSDO-01
FAA report
20040726016579A
Case key
59743

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The pilot's loss of aircraft control while maneuvering, due to incapacitation, which resulted in a collision with terrain.

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
IncapacitationPilot in commandCause
Aircraft control - not maintainedPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The pilot had approximately 900 hours of total flight experience, and performed aerobatics often. He had been performing aerobatics throughout the day. During the aerobatic routines, the engine noise would cease during a dive, and then return during the recovery. The pilot had completed about 10 minutes of an approximate 15-minute aerobatic routine. The first 10 minutes seemed normal. However, the airplane then performed an unusual maneuver, never seen before, and descended in a spiraling nose down attitude. It did not appear that the pilot attempted to recover from the dive, or jettison the canopy. Witnesses reported that there was no engine noise during the last maneuver. Examination of the wreckage revealed fuel in the fuel tank. There was no forward travel at the accident site, or rotational signatures on the propeller. The pilot's autopsy report revealed that he had severe coronary artery disease, and may have suffered a momentary loss of consciousness, but blood at the scene was consistent with heart action continuing during impact.

Factual narrative

On July 26, 2004, about 1650 eastern daylight time, an amateur built Stephens Akro, N45KY, was substantially damaged during collision with terrain, while maneuvering near Westport, New York. The foreign certificated pilot was fatally injured. Visual meteorological conditions prevailed for the flight that departed Westport Airport (N25), Westport, New York, about 1630. No flight plan was filed for the local personal flight conducted under 14 CFR Part 91.

According to a Federal Aviation Administration (FAA) inspector, witnesses observed the accident airplane performing aerobatics over N25 throughout the day. One witness stated, "...I would hear the engine turn off, the plane would appear to go into a nose dive and at the last possible second I would hear the engine come back on..." The airplane had completed about 10 minutes of an approximate 15-minute aerobatic routine; and the first 10 minutes seemed normal. The airplane then performed an unusual maneuver, never seen before, and descended in a spiraling nose down attitude with no recovery. The witnesses further stated that the pilot performed aerobatics often.

The airplane impacted a field approximately 1/4-mile northwest of the airport. The airplane came to rest in a flat upright attitude, and the engine was imbedded in mud at an approximate 45-degree angle. The FAA inspector observed fuel in the fuel tank. He did not observe any evidence of forward travel at the accident site, or rotational signatures on the propeller. The witnesses reported a lack of engine noise during the spiral. Due to the impact damage to the engine, the inspector did not attempt to rotate the propeller. The inspector further stated that the pilot had been "belted in," and there was no evidence that the pilot attempted to jettison the canopy.

The pilot's autopsy report stated:

"....found was 90% stenosis of the left anterior descending coronary artery. There was cardiac hypertrophy and dilatation, in addition to minimal interstitial fibrosis. There was no evidence of acute myocardial damage, or recent or old myocardial infarction....Due to the changes in the heart, it is possible that the patient may have suffered some type of cardiac seizure or momentary blackout...However, given the amount of blood at the scene and the degree of hemorrhage encountered, it is apparent that heart action was continuing when the patient struck the ground. Findings indicate that the death the due to the accident, per se. The role played by the cardiac changes remain in the realm of speculation."

Review of the Airman's Information Manual revealed:

"Physiologically, humans progressively adapt to imposed strains and stress, and with practice, any maneuver will have decreasing effect. Tolerance to G forces is dependent on human physiology and the individual pilot. These factors include the skeletal anatomy, the cardiovascular architecture, the nervous system, the quality of the blood, the general physical state, and experience and recency of exposure. The pilot should consult an Aviation Medical Examiner prior to aerobatic training and be aware that poor physical condition can reduce tolerance to accelerative forces."

The pilot had accumulated about 900 hours of total flight experience.

Toxicological testing, conducted on the pilot at the FAA Toxicology Accident Research Laboratory, Oklahoma City, Oklahoma, was negative.

Aircraft

Registration
N45KY
Reported as
Garrett Stephens Akro
Category
Airplane, amateur-built
Serial number
45
Airframe hours
478
Engine
Lycoming IO-360, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Jaroslav V Svoboda
Registered owner
Dynavia Inc.
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · November 17, 2003 · 10 hours before
Departed
N25 · Westport, NY
Destination
N25
Airport
N25 · Westport 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
61
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Single
Toxicology
Performed
Flight hours
900 total

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 59 °F
Altimeter
30.12 inHg
Observed at
BTV, 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.