SEA00LA107

NTSB accident investigation · Haessler Cosmo Phase II · Banks, OR · June 17, 2000

Accident · FatalLimited investigationFinal report
Date
June 17, 2000, 12:00 local (19:00 UTC)
Place
Banks, OR
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N9022FHaessler Cosmo Phase II
Weather
Visual (VMC) · Day
Status
Completed · report May 9, 2001
Report
Approved by Office Director
FAA report
20000617006109A
Case key
49468

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 improper installation, i.e., reversed connection, of the rudder control cables resulting in reverse rudder operation and a subsequent stall/spin. A contributing factor was the pilot's intentional design change/addition of a rudder to the aircraft.

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
Maintenance,installation - improperPilot in commandCause
Rudder - reversed
Maintenance,design change - intentionalPilot in commandFactor
Stall/spin - inadvertent
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The pilot/owner assembled the French Cosmos Phase II single-engine, two place, experimentally registered aircraft and then modified the aircraft with the addition of a rudder. During the fourth flight a witness observed the aircraft 'out of control' and turning/descending in a nose-down attitude to ground impact. An acquaintance of the pilot reported that the pilot had confirmed with him in a conversation the day before the accident and following the third flight in the aircraft, that he was experiencing problems with controllability when using the rudder. Specifically, with the application of substantial rudder, the aircraft would initially yaw in the appropriate direction, and then begin a rapid uncommanded roll in the opposite direction (i.e., right roll with left rudder). Post-crash examination by an FAA inspector revealed that the rudder cables were connected opposite to conventional rigging practices, and that when the right rudder was applied at the foot pedals, a left deflection was observed. Additionally, the rudder pedals were observed to be jammed in the full right rudder position (right pedal forward) at the crash site, and the damage to the wing leading edges was consistent with a left spin at ground impact.

Factual narrative

History of flight

On June 17, 2000, approximately 1200 Pacific daylight time, an experimentally certificated homebuilt Haessler Cosmo Phase II "Trike," N9022F, registered to and being operated by a private pilot, was destroyed during an in-flight collision with terrain following a loss of control while maneuvering, about two miles southeast of Banks, Oregon. The pilot was fatally injured. Visual meteorological conditions existed and no flight plan had been filed. The flight, which was personal, was operated under 14CFR91, and originated from a field near the pilot's residence earlier on the morning of the accident.

A witness reported that about noon he heard the noise of an airplane, looked up, and saw the aircraft fly overhead about 150 to 200 feet above ground heading east. The witness stopped following the aircraft but reported that shortly thereafter "...something made me look back up, maybe a change of noise, when I saw the plane it had made a 180 degree change in direction and was already out of control..." He further described the aircraft as being in a nose down attitude during which it made two or three turns, and that he did not hear any noise "...except when the plane went into the dive, the engine revved to high R.P.M.'s..." (refer to STATEMENT CH-I).

Personnel information

According to records maintained by the Federal Aviation Administration (FAA), the pilot (owner/builder) was issued a private pilot certificate with airplane single engine land rating on April 9, 1999. His personal logbook showed his first instructional flight commencing December 15, 1998, and the last flight was entered June 15, 2000. His total logged flight experience was approximately 133 hours of which the majority was in Cessna model 150 and 172 type aircraft.

The first flight in the accident aircraft make/model was logged by the pilot on June 9, 2000 (N9022F) and was for a duration of 0.2 hours. The second flight in the accident aircraft make/model was logged June 13, 2000 (N9022F) and was for a duration of 1.0 hours. The third flight in the accident aircraft make/model was logged June 15, 2000 (N9022F) and was for a duration of 1.4 hours. This flight was the last flight entered in the pilot's logbook.

Aircraft information

The aircraft, which was manufactured by Cosmos, a French company, was assembled and modified by the owner/builder in Oregon. The model was a Phase II generically known as a "Trike." The owner/builder obtained a special airworthiness certificate for the aircraft on June 6, 2000, with an experimental certification. The aircraft was powered by a 65 horsepower Rotax engine equipped with two three-bladed propellers longitudinally stacked and mounted at the rear of the engine and aft of the pilot/passenger seats. The Cosmos Phase II was a tandem seated, two placed aircraft, which, by virtue of its 14 gallon gas tank, weight, and dual seating was not qualified for ultralight status in the United States (refer to ATTACHMENT GI-I). The Phase II was controlled by means of a control bar which allowed the pilot to shift the center of gravity in the same fashion a hang-glider is controlled. This control system did not include a vertical stabilizer or rudder system (refer to ATTACHMENT GI-II).

The owner/builder modified the aircraft with the addition of a vertical stabilizer and controllable rudder at the end of an aluminum tube attached to the structural tube at the aft trailing edge of the wing (longitudinal centerline). According to entries in the owner/builder's flight log and corroborated with his personal flight log, the aircraft had a total 2.6 hours of flight time prior to the accident flight (Refer to ATTACHMENTS AL-I and EL-I).

The aircraft could be broken down into two basic parts by detaching the "trike" portion (i.e., engine, pilot/passenger gondola) from the wing and added rudder assembly. This would necessitate disconnection of the rudder cables either at the rudder pedals or their opposing ends (the attach points at the rudder bellcrank - refer to photograph 5).

Meteorological information

The aviation surface weather observation for the Hillsboro airport, located seven nautical miles east of the accident site, for 1153 hours Pacific daylight time on the date of the accident reported the following:

Sky condition clear, visibility 10 statute miles, winds from 350 degrees magnetic at four knots, temperature 26 degrees C., dew point 12 degrees C., altimeter setting 29.92 inches of mercury.

Wreckage and impact information

The aircraft crashed at the edge of a blackberry field on a narrow dirt/mud lane. The accident site coordinates were estimated to be 45 degrees 35.5 minutes north latitude and 123 degrees 6.0 minutes west longitude (refer to CHART I). The wreckage was confined to a small area and all major components from the aircraft were located at the ground impact site.

The left wing displayed extensive leading edge deformation while the leading edge of the right wing was relatively undamaged (refer to photographs 1 and 2). The gondola or "trike," including the two seats and engine, was observed lying on its left side directly aft of the wing assembly. The two tandem mounted three-blade propellers were observed to have remained attached to the Rotax engine crankshaft and displayed successive blade damage decreasing circumferentially (refer to photograph 3). An aluminum rudder/stabilizer tube, approximately three inches in diameter was observed separated from the wing at its forward end and separated from the rudder panel. This assembly was observed lying on the top of the wing (refer to photograph 3).

The control cables from the rudder bellcrank at the end of the attach tube forward to the rudder pedals were found to be continuous. The rudder pedals were observed to be jammed in the full right rudder position (right pedal forward).

Medical and pathological information

Post-mortem examination of the pilot was conducted by Karen Gunson, M.D., at the facilities of the Oregon State medical Examiner's Office, 301 NE Knott Street, Portland, Oregon, on June 18, 2000.

Toxicological evaluation of samples from the pilot was conducted by the FAA's Toxicology Accident and Research Laboratory, Oklahoma City, Oklahoma. All tests were negative (refer to attached report).

Tests and research

The wreckage was re-examined in detail at a storage facility in Hillsboro, Oregon, where it had been transported to. The examining FAA inspector reported that "...the rudder cables were connected opposite to conventional rigging practices (refer to photographs 4 and 5). When the right rudder was applied at the foot pedals, a left deflection was observed..." (refer to ATTACHMENT FAA-I).

Additionally, the re-examination revealed that the throttle had been relocated from the control bar held by the operator to the foot pedals. The throttle control had been modified so that the top half of the foot pedals were hinged. Foot pressure on the upper hinged portion would then result in an increase of power (refer to ATTACHMENT FAA-I).

Additional information

An acquaintance of the owner/builder provided a statement regarding his earlier conversations relative to the aircraft. He reported in part that he and the owner/builder had a conversation on June 16, 2000, and that he (owner/builder) "...had flown it on Thursday, 15 June 2000, and had experienced problems with controllability when using the rudder. Although the original design of the aircraft did not include a rudder, he had added one at the end of the central boom..."

Additionally, he reported that the owner/builder "...stated that, during his flight on Thursday, 15 June 2000, he experimented with sideslipping while at an altitude of approximately 2000 feet AGL [above ground level] and experienced a problem with rudder control. With 'small' rudder inputs..." "...the aircraft would yaw in the appropriate direction (i.e.

Aircraft

Registration
N9022F
Reported as
Haessler Cosmo Phase II (COSMO PHAS)
Category
Airplane, amateur-built
Serial number
RWH01
Airframe hours
3
Engine
Rotax 582 DC1, 65 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Haessler, Reinhard
Airworthiness certificate
Special, Experimental (Special)
Last inspection
AAIP · June 6, 2000 · 3 hours before
Departed
Portland, OR

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
42
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Front
Toxicology
Performed
Flight hours
133 total · 3 in this make and model · 80 as pilot in command · 3 in the last 90 days · 3 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 54 °F
Altimeter
29.00 inHg
Observed at
HIO, 7 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.