WPR10LA293

NTSB accident investigation · Rans Coyote II S6 · Lincoln, CA · June 15, 2010

Accident · FatalLimited investigationFinal report
Date
June 14, 2010, 20:18 local (Jun 15, 2010, 03:18 UTC)
Place
Lincoln, CA
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N1901CRans Coyote II S6
Defining event
Maneuvering: Loss of control in flight
Weather
Visual (VMC) · Dusk
Status
Completed · report May 26, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20100614048799A
Case key
76324

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 adequate airspeed while in a turn, which resulted in an aerodynamic stall and subsequent loss of control. Contributing to the accident was the increased drag on the airplane with the doors removed.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedRans COYOTTE II S6: 1 caseAll aircraft: 1,681 casesProbable cause
Doors: passenger/crew doorsAircraft › Aircraft structures · Not used/operatedRans COYOTTE II S6: 1 caseAll aircraft: 86 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotRans COYOTTE II S6: 1 caseAll aircraft: 9,295 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot removed the doors of his two-seat, 65-horsepower airplane the day before the accident and flew it successfully. The aircraft documentation noted that with the doors removed the airplane’s climb and cruise performance would be reduced. On the day of the accident, the pilot had a passenger with him and the doors of the airplane were still off. A witness reported that the airplane was returning to the airport at 500 feet and made a downwind entry for the runway. There was one airplane in the traffic pattern ahead of the accident airplane. The accident airplane then entered a 35- to 40-degree angle-of-bank left-hand turn, presumably to increase the spacing between aircraft. After the airplane had completed about 180 degrees of turn, it appeared to be traveling slower than normal; the left wing dipped and the airplane entered a descending spiral. The airplane rotated 360 degrees while descending vertically and impacted terrain. During a postaccident examination of the airplane, flight control continuity was confirmed and no preimpact mechanical anomalies were noted.

Factual narrative

HISTORY OF FLIGHT On June 14, 2010, at 2018 Pacific daylight time, a RANS Coyote II S6, N1901C, descended vertically and impacted terrain while in the traffic pattern at Lincoln Regional Airport, Lincoln, California. The private pilot operated the airplane under the provisions of Title 14 Code of Federal Regulations Part 91. The pilot and his passenger were fatally injured, and the airplane was substantially damaged. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight originated at the Lincoln airport about 1930. A pilot who had been flying his airplane at the same time as the accident airplane stated that he knew the accident pilot, and that the flight was the second time the pilot had flown with the doors off the airplane. It was the first time the accident pilot had taken a passenger in the airplane. The witness had just landed his airplane and stated that he had experienced a 10-12 mph wind from the southwest when at 500 feet agl (above ground level), and observed the accident airplane enter the Lincoln airport traffic pattern for runway 15. There was one other airplane ahead of the accident airplane in the pattern at the time. According to the witness, the accident airplane had entered the downwind portion of the traffic pattern for runway 15 at 500 feet, which was lower than the normal 800-foot pattern altitude, and the airplane entered a 35- to 40-degree angle-of-bank left-hand turn. The witness believed that the left-hand turn was meant to increase the spacing between the accident airplane and the other airplane in the pattern. After the airplane had completed about 180 degrees of turn, it appeared to be traveling slower than normal; the left wing dipped and the airplane entered a descending spiral. The airplane rotated 360 degrees while descending vertically and then impacted the ground. PERSONNEL INFORMATION The pilot, age 44, held a private pilot certificate for airplane single-engine land, issued May 7, 2005, and a third-class airman medical certificate issued in January 22, 2008, with no limitations. The pilot’s logbook recorded 379.7 hours of flight time, with the majority of the flight time performed in a Cessna 182. The last entry in the logbook was dated July 1, 2009. There were no entries that documented any flight in the accident airplane. The most recent flight review was dated May 21, 2008. AIRCRAFT INFORMATION The two-seat, high-wing, fixed gear, experimental light sport category airplane, serial number HWM001, was manufactured in 1993. It was powered by a Rotax 582DCDI 65-horsepower engine, equipped with a 3-bladed composite propeller. The aircraft maintenance records were not located and were not examined. The airplane’s hobbs meter, as documented at the accident site, read 229.1, and the digital tachometer read 0035. The RANS S6-ES Coyote II Pilots Notes state, “The S-6ES can be flown with one (1) or both doors removed up to 65 mph. A loss in L & D, climb and cruise speed is to beexpected with doors open or off operations.” RANS Aircraft identified the wings of the accident airplane as the Standard wing, and provided a table of stall speeds associated with the Standard wing. The table listed the stall speed at 30-degree bank angle (flaps up) as 42 mph and 45-degree bank angle (flaps up) as 46 mph. Stall speed at 0-degree bank angle is 39 mph. METEOROLOGICAL INFORMATION The Lincoln Regional Airport (Karl Harder Field) automated weather observing system (AWOS-3) recorded on June 14, at 2012, winds from 170 degrees at 6 knots; 10 statute miles visibility, and clear skies. WRECKAGE AND IMPACT INFORMATION The main wreckage was located in a flat, dried grass field within the airport boundary. The entire aircraft wreckage was located at the accident site, and no debris path or lengthy ground scars were noted. A Federal Aviation Administration inspector who responded to the scene stated that he was able to establish control continuity from the cockpit controls to the elevator and rudder. The aileron cables had been cut at the right wing root to facilitate the removal of the victims. Examination of the photographs of the wreckage showed the ailerons on both wings attached to the wing and the aileron control push-pull tubes attached. The inspector stated that 4 gallons of fuel was collected from the left fuel tank, and that the right fuel tank had been compromised. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy was performed on the pilot June 15, 2010, by the Placer County Sheriff-Corner, Auburn, California. The autopsy findings include “multiple blunt-force trauma (immediate),” and the report listed specific injuries. Forensic toxicology was performed on specimens from the pilot by the FAA Forensic Toxicology Research Team CAMI, Oklahoma City, Oklahoma. The toxicology report stated no carbon monoxide, no cyanide, no ethanol, and no drugs were detected.

Aircraft

Registration
N1901C
Reported as
Rans Coyote II S6
Category
Airplane
Serial number
HWM001
Airframe hours
229
Engine
Rotax 912UL, 65 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Michael S. Gorden
Registered owner
Michael S. Gorden
Airworthiness certificate
Special, Experimental light sport (Special)
Departed
KLHM · Lincoln, CA
Destination
KLHM · Lincoln, CA
Airport
KLHM · Lincoln Regional Airport, runway 15, 6,000 × 100 ft, asphalt

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
44
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
378 total

Weather

Conditions
Visual (VMC) · Dusk
Wind
170° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 37 °F
Altimeter
29.79 inHg
Observed at
KLHM

Docket · 6

The files NTSB released with the investigation on March 21, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.3 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.