WPR09LA075

NTSB accident investigation · Czech Aircraft Works Sport Cruiser · Casa Grande, AZ · January 6, 2009

Accident · No injuriesLimited investigationFinal report
Date
January 6, 2009, 16:00 local (23:00 UTC)
Place
Casa Grande, AZ
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N797BSCzech Aircraft Works Sport Cruiser
Defining event
Initial climb: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report December 15, 2009
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20090106000319A
Case key
73204

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 NTSB’s determination of the probable cause, and any contributing factors.

The pilot's failure to ensure that the canopy was latched prior to takeoff. Contributing to the accident was the inadequate guidance in the Pilot Operating Handbook regarding canopy procedures.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

The pilot followed the manufacturer’s before-takeoff checklist, but failed to ensure that the canopy was latched prior to takeoff. The canopy of the Special Light Sport category airplane popped open during the initial climb, about 500 feet above ground. The canopy is hinged in front of the cockpit and rotates upward when open. The pilot said that he tried to keep the canopy closed with his free hand but the canopy continued to rise higher and higher. The pilot turned back to the airport and made an off-field landing. Inspection of the canopy latch mechanism revealed no mechanical anomalies, and the canopy latch hooks aligned with the canopy frame latch slots. When the airplane is static, the canopy will remain in the closed position with the canopy lever in the ‘open’ (unlatched) position. By design the canopy latch lever is positioned behind the pilot’s right elbow, and not in direct view when looking forward or at the instrument panel. The manufacturer does not provide a ‘canopy unlatched’ warning device, and the Pilot Operating Handbook does not include a checklist step to check that the canopy is latched. It also it does not provide procedures for the pilot to execute if the canopy is unlatched or becomes unlatched in flight. The ASTM standard that guides Light Sport Aircraft design does not address canopy latching/locking systems or the associated Pilot Operating Handbook information.

Factual narrative

The factual narrative603 words

On January 6, 2009, at 1600 mountain standard time, a Czech Aircraft Works (CZAW) Sport Cruiser, N797BS, made an emergency off field landing after the cockpit canopy popped opened in flight at Casa Grande Municipal Airport, Casa Grande, Arizona. The sport pilot operated the special light sport airplane (S-LSA) under the provisions of Title 14 Code of Federal Regulations, Part 91. The pilot was not injured, and the airplane was substantially damaged. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight originated at Casa Grande a few minutes earlier. The pilot reported to the Safety Board investigator that he performed the 'before flight' checklist before taking off. During the initial climb, about 500 feet above ground, the canopy popped open. The canopy is hinged in front of the cockpit and rotates upward when open. The pilot said he tried to keep the canopy closed with his free hand but the canopy continued to rise higher and higher. The pilot turned back to the airport and made an off field landing next to the airport windsock. The left wing struck a scrub tree, partially separating the wing from the fuselage, and broke the canopy glass. On January 12, 2009, the Safety Board investigator-in-charge examined the airplane. About 90 percent of the canopy glass had been broken out at the time of the exam. The canopy is locked down using two latches, one on each side of the cockpit, which engages the canopy frame. Both latches are engaged using a single lever that is positioned between the cockpit seats on the aft cockpit bulkhead. The lever operates a torque tube that is behind the cockpit seats and extends across the cabin; at each end of the toque tube are push-pull rods that operate the latch hooks. The latch lever is positioned behind the pilot’s right elbow, and is not in direct view when looking forward or at the instrument panel. The latch mechanism exhibited no mechanical damage or misalignment. The canopy hooks aligned with the canopy frame latch slots. The canopy frame was lowered into the closed position and repeatedly latched and unlatched; no mechanical malfunction was encountered over the course of the attempts. It was noted that on the static airplane the canopy will stay in the lowered (closed) position even if the canopy latch is not engaged. The following was noted regarding information included, and not included, in the airplane's "Pilot Operating Handbook" (POH), issued on 12/2007, as revision 2.0: 1. In step #4 of the 'before takeoff' checklist, the POH states 'Cockpit canopy – closed'. The POH does not include a step to check that the canopy is latched [or locked]. 2. The emergency procedures section of the POH does not include a procedure for the pilot to follow if the canopy becomes unlatched during flight. 3. There is no discussion in the POH about the airplane's flight characteristics with an unlatched canopy. Special Light Sport Airplanes are designed and constructed in accordancewith ASTM International standard F2245-07. Standard F2245-07 does not specify requirements for canopy security, or the use of any type of latched/unlatched indicator in the cockpit. The ASTM standard also lists the required information that should be contained in the POH. There is no guidance in the standard indicating that the manufacturer should include information in the POH about canopy security before flight and in flight. A representative of the manufacturer stated that the airplane is fully controllable if the canopy becomes unlatched in flight, and that the canopy will remain slightly open. The relative airflow over the canopy will keep it in a lowered position.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N797BS
Reported as
Czech Aircraft Works Sport Cruiser
Category
Airplane
Serial number
08SC115
Airframe hours
105
Engine
Rotax 912ULS, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Robert A Switzer
Registered owner
Robert A Switzer
Airworthiness certificate
Special, Special light-sport (Special)
Last inspection
AAIP · May 22, 2008
Departed
KCGZ · Casa Grande, AZ
Destination
KFFZ · Falcon Field, AZ
Airport
KCGZ · Casa Grande Municipal Airport, runway 05, 5,200 × 100 ft, concrete

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
73
Injuries
None
Certificate
Sport Pilot
Medical
Sport pilot
Last flight review
November 2, 2008
Seat
Left
Flight hours
58 total · 31 in this make and model · 16 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 25 °F
Altimeter
30.10 inHg
Observed at
KCGZ

Docket · 14

The files NTSB released with the investigation on September 25, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.9 MB in all.

FAA reports on this event · 1

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