# NTSB NYC04LA178: Garrett Stephens Akro, N45KY, Westport, NY, July 26, 2004 - Type: NTSB accident investigation - Classification: Accident · Fatal · Limited investigation · Final report - Date: July 26, 2004, 16:50 local (20:50 UTC) - Place: Westport, NY - Coordinates: 44.158332, -73.432777 - Nearby events: https://openairdocs.org/map.md?lat=44.1583&lon=-73.4328&mi=10 - Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report July 7, 2005 - Report: Approved by Office Director - Parties: FAA FSDO-01 - NTSB case key (mKey): 59743 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=NYC04LA178 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/59743/pdf - Page: https://openairdocs.org/ntsb/NYC04LA178 ## Probable cause The pilot's loss of aircraft control while maneuvering, due to incapacitation, which resulted in a collision with terrain. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of control - in flight, maneuvering - incapacitation, pilot in command (cause) - aircraft control - not maintained, pilot in command - In flight collision with terrain/water, descent - 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](https://openairdocs.org/deregistered/N45KY-2006-02-21), registration cancelled 2006-02-21, S/N 45, built 1982 (OpenAirDocs) - Reported make and model: Garrett Stephens Akro - Registry model: [Garrett STEPHENS AKRO](https://openairdocs.org/model/garrett-stephens-akro) (registry code 0562733) (OpenAirDocs) - Registry engine: [Lycoming I0360 SER A&C](https://openairdocs.org/engine/lycoming-i0360-ser-a-c) (registry code 41511, reciprocating) (OpenAirDocs) - Category: Airplane, amateur-built - Serial number: 45 - Airframe hours: 478 - Engines: 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 ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 61; injuries: fatal; 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 (OpenAirDocs). - [Accident 20040726016579A](https://openairdocs.org/incident/20040726016579A), Jul 26, 2004: Amtr STEPHENSAKRO, Westport, NY, Destroyed, 1 fatal. (-23) On July 26, 2004, at 1610 eastern daylight time, a stephens akro a single-engine airplane, N45KY, was demolished while maneuvering near Westport, NY. The… From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.