SEA94LA156

NTSB accident investigation · Burkhart Grob G-109B · Bend, OR · June 27, 1994

Accident · FatalLimited investigationFinal report
Date
June 27, 1994, 15:34 local (22:34 UTC)
Place
Bend, OR
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N109KMBurkhart Grob G-109B
Weather
Visual (VMC) · Day
Status
Completed · report October 31, 1995
Report
Approved by Office Director
FAA report
19940627017119A
Case key
41958

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 impairment of judgment and performance due to drugs, which led to his failure to maintain control of 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
Aircraft control - not maintainedPilot in commandCause
Impairment(drugs)Pilot in commandCause
In flight collision with terrain/waterManeuvering

Analysis

Witnesses observed the motorized glider making low-level steep turns and porpoising-type maneuvers over the pilot's property and near a family member's house. The left wing and nose then dropped, and the glider impacted the ground. Toxicological tests were positive for tetrahydrocannabinol (marihuana) (0.002 ug/ml blood), thc carboxylic acid (marihuana) (0.012 ug/ml blood, 0.158 ug/ml urine), alprazolam (0.035 ug/ml blood), diazepam (0.207 ug/ml blood), and nordiazepam (0.305 ug/ml blood).

Factual narrative

History of flight

On June 27, 1994, at 1534 Pacific daylight time, a motorized Burkhart Grob G-109B, N109KM, collided with the terrain near Bend, Oregon. Visual meteorological conditions prevailed at the time and no flight plan was filed. The glider was substantially damaged and the private pilot, the sole occupant, was fatally injured. The flight had departed from Bend, Oregon, on June 27, 1994, at an unknown time.

Witnesses in the area reported that the glider was seen maneuvering at low levels near a family member's home and over the pilot's property. The glider was observed making a "porpoise" type maneuver before a left banking turn. The nose of the glider dropped and collided with the terrain in a nose and left wing low attitude. One witness stated that she heard a "popping" sound as the glider passed over her house. It then made a sharp U-turn and just cleared trees before visual contact was lost. Seconds later she heard the sound of the crash.

A Federal Aviation Administration Inspector from the Hillsboro, Oregon, Flight Standards District Office was in the area at the time of the accident. The inspector reported that control continuity was established at the accident site before it was moved to Redmond, Oregon.

The engine was inspected and found that one of the wooden propeller blades was broken off at the propeller hub. The other blade remained intact. The pitch of the blade was determined to be in the low pitch or unfeathered position. The crankshaft rotated easily and gear and valve train continuity was established. The oil screen was clean and clear of contaminants. The spark plugs displayed normal operating signatures. The magneto was destroyed. Engine control cable continuity was established from the firewall to the throttle, choke and carburetor heat.

Medical and pathological information

Dr. Roger A. Schneider, Physician/Pathologist, Central Oregon Pathology Consultants, Bend, Oregon, determined that the cause of death was due to massive blunt trauma.

Toxicological samples were taken and analyzed by the Federal Aviation Administration Civil Aeromedical Institute, Oklahoma City, Oklahoma. The tests confirmed positive results of Tetrahydrocannabinol (Marihuana), Tetrahydrocannabinol Carboxylic Acid, Alprazolam, Diazepam and Nordiazepam was detected in the blood and urine. Alpha-hydroxyalprazolam, Oxazepam, Temazepam and Salicylate was detected in the urine.

Aircraft

Registration
N109KM
Reported as
Burkhart Grob G-109B
Category
Glider
Serial number
6356
Engine
AM Flugplatz 174, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Central Oregon Soaring Inc.
Registered owner
Central Oregon Soaring Inc.
Airworthiness certificate
Standard, Normal

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
42
Certificate
Private
Airplane ratings
Single-engine land
Medical
Unknown, Unknown
Seat
Left
Toxicology
Performed
Flight hours
500 total

Weather

Conditions
Visual (VMC) · Day
Visibility
30 statute miles
Lowest ceiling
None

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.