SEA03LA170

NTSB accident investigation · Avid Magnum · Greenwater, WA · August 16, 2003

Accident · FatalLimited investigationFinal report
Date
August 16, 2003, 15:45 local (22:45 UTC)
Place
Greenwater, WA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N2054FAvid Magnum
Weather
Visual (VMC) · Day
Status
Completed · report March 30, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20030816019839A
Case key
57712

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 failure to maintain aircraft control while manuevering for undetermined reasons.

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
Aircraft control - not maintainedPilot in commandCause
Reason for occurrence undetermined
In flight collision with objectDescent - uncontrolled
Object - tree(s)

Analysis

A witness who was staying in a campground in close proximity to the accident site reported hearing a small plane flying in a southerly direction, and as it passed overhead "the engine missed once, and then caught again and continued running as the plane continue south." As the plane continued south the witness stated that he did not hear any additional problems, but the engine appeard to be running somewhat roughly, and as the plane continued further south he assumed everything was ok. Several minutes later he heard sirens moving south. Examination of the wreckage revealed the airplane went down steeply between two trees, there was no fire, and there was a significant fuel spill. Examination of the airframe, flight controls, engine assembly and accessories revealed no evidence of a precrash mechanical failure or malfunction. All components necessary for flight were present at the crash site. An autopsy on the pilot revealed artherosclerosis of coronary arteries, focal, moderate to marked, and atherosclerosis of aorta, mild. "Toxicological tests indicated nordiazepam (0.024 ug/ml) detected in blood, and nordiazpam, oxazepam, and temazepam detected in urine."

Factual narrative

On August 16, 2003, approximately 1545 Pacific daylight time, an Avid Magnum experimental aircraft, N2054F, registered to and being flown by a private pilot, was substantially damaged after impacting terrain while maneuvering near the Ranger Creek Airport, Greenwater, Washington. Visual meteorological conditions prevailed and no flight plan had been filed for the 14 CFR Part 91 personal flight. The pilot was fatally injured. The flight departed the Pierce County Airport (Thun Field), Puyallup, Washington, at 1515.

According to a witness who was staying in a campground in close proximity to the accident site, he heard a small plane flying in a southerly direction over the campground, and as it passed overhead "the engine missed once, and then caught again and continued running as the plane continued south." The witness further reported that he heard the plane continuing on and did not hear any additional problems, but "[the] engine appeared to be running somewhat roughly." The witness stated that he looked up to see if he could see the plane, but tree cover was too thick. The witness further stated "the engine continued to run as the plane continued south, and I assumed everything was ok. Several minutes later I heard sirens moving south."

An FAA inspector, who traveled to the accident site, reported the airplane went down steeply between two trees. The airplane's propeller splintered, and while there was no fire, there was a significant fuel spill.

A post accident examination of the aircraft was conducted by an NTSB Air Safety Investigator. The results of the investigator's examination revealed continuity to all flight controls. Engine rotation was confirmed to the accessory section, compression was developed in each cylinder, and the ignition harness was intact. The mixture, carburetor heat, and throttle controls were in the full forward position. Additionally, one fuel tank was breached with no fuel detected, while there was fuel present in the second fuel tank. The investigator also reported the carburetor had been torn off its mounting flange and was not located.

An autopsy was performed by the Pierce County Medical Examiner's Office, Tacoma, Washington, on August 18, 2003. The cause of the pilot's death was determined to be from "multiple injuries". Included in the Summary Of Case Findings was artherosclerosis of coronary arteries, focal, moderate to marked, and atherosclerosis of aorta, mild. A toxicological report from the FAA's Civil Aeromedical Institute of Oklahoma City, Oklahoma, was negative for carbon monoxide, cyanide, and ethanol. Nordiazepam 0.024 (ug/ml, ug/g) detected in blood; Nordiazpam 0.106 (ug/ml, ug/g) detected in urine; Oxazepam 0.134 (ug/ml ug/g) detected in urine; Temazepam 0.223 (ug/ml ug/g) detected in urine.

Aircraft

Registration
N2054F
Reported as
Avid Magnum
Category
Airplane, amateur-built
Serial number
35M
Airframe hours
36
Engine
Lycoming O-320, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
John A. Harper
Airworthiness certificate
Special, Experimental (Special)
Departed
1S0 · Puyallup, WA
Destination
21W · Greenwater, WA

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
58
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Invalid Medical for flight
Seat
Front
Toxicology
Performed
Flight hours
500 total

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 2 knots
Visibility
25 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 54 °F
Altimeter
30.18 inHg
Observed at
GRF, 50 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.