WPR11FA333

NTSB accident investigation · Davidson Zenith Stol CH701 · Glendale, OR · July 18, 2011

Accident · FatalField investigationFinal report
Date
July 17, 2011, 17:05 local (Jul 18, 2011, 00:05 UTC)
Place
Glendale, OR
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N701RDDavidson Zenith Stol CH701
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report August 13, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20110717015129A
Case key
81143

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

A total loss of engine power due to fuel starvation and the pilot’s subsequent failure to maintain airplane control during the forced landing. Contributing to the accident was the pilot’s failure to ensure that the fuel valves were in the correct position for flight during the preflight inspection.

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.

Fluids: fuelAircraft › Fluids/misc hardware · Incorrect use/operationDavidson Richard S ZENITH STOL CH701: 1 caseAll aircraft: 1,695 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 had been flying in the traffic pattern before landing, shutting down, and subsequently taking on a passenger for a short flight. Witnesses reported that, after takeoff, the airplane reached an altitude of 500 feet and that the engine then sputtered and lost power. The airplane then turned steeply left and descended rapidly. The airplane partially rolled out of the turn, but the descent rate was not arrested, and the airplane subsequently impacted terrain. Witnesses responded to the accident site and heard the fuel pump operating; however, they did not see or smell fuel in the area. The left wing root fuel valve was found in the "off" position, and the right wing root fuel valve was found nearly in the "off" position. A postaccident examination of the airplane revealed that both fuel tanks were nearly full with fuel. However, the fuel hoses removed downstream of the fuel valves were found empty. No evidence was found of a mechanical malfunction or failure with the airframe or engine that would have precluded normal operation. If the pilot had performed a preflight or run-up inspection before takeoff, which would have included checking the fuel valve positions, he might have noted that the fuel valves were in the "off" position. The toxicology results indicated the pilot had used lorazepam (an antianxiety medication); however, due to the low levels detected, it is unlikely that it was impairing at the time of the accident. It could not be determined whether the underlying medical condition caused impairment and contributed to the accident.

Factual narrative

HISTORY OF FLIGHT On July 17, 2011, about 1705 Pacific daylight time, an experimental amateur-built Davidson Zenith STOL CH701, N701RD, experienced a loss of engine power and impacted terrain near the Nace Family Airstrip (OG41), Glendale, Oregon. The pilot/owner operated the airplane under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. The pilot and one passenger were fatally injured, and the airplane was substantially damaged. Visual meteorological conditions prevailed for the local area flight, and no flight plan had been filed for the flight that was departing at the time of the accident. Prior to the accident, the pilot flew the airplane in the pattern. He landed and shut down the airplane. He asked the landing strip owner if he wanted to take a short flight with him, but the owner declined. It was suggested that the pilot take another passenger on a short flight. According to witnesses, they watched the airplane take off and climb to an estimated altitude of 500 feet when the engine sputtered and quit. The witnesses further stated that the airplane made a steep left turn back toward the runway. During the turn, the airplane descended rapidly and impacted terrain about a 1/4 mile from the end of the runway. The witnesses stated that the airplane had partially come out of the turn, but the rate of descent was not arrested. Witnesses responded to the accident site, and reported hearing the fuel pump working, but did not see or smell any fuel around the accident area. PERSONNEL INFORMATION The pilot, age 66, held a private pilot certificate with a rating for airplane single engine land. There was no personal flight records located for the pilot. A review of the Federal Aviation Administration (FAA) airmen medical records on file in the Airman and Medical Records Center located in Oklahoma City, Oklahoma, indicated that the pilot did not hold a medical certificate. AIRCRAFT INFORMATION The experimental amateur built two-seat, high wing, fixed-gear airplane, N701RD, serial number 7-5721, was manufactured in 2006. It was powered by a Rotax 912 ULS engine, and equipped with a three-bladed Warp Drive model 70R-3BLD fixed-pitch propeller. According to the airplane manufacturer, the airplane met the design definition of a light sport aircraft (LSA) for operation under the FAA's sport pilot/LSA category. No airplane logbooks were made available to the NTSB. The Hobbs hour-meter read 339.9 hours. WRECKAGE AND IMPACT INFORMATION An NTSB investigator and an FAA inspector responded to the accident site. They observed the main fuel valve in the ON position by the pilot's knee. The left wing root fuel valve was in the OFF position. The right wing fuel valve was in a position near the OFF position; the NTSB investigator determined it was approximately 7 degrees from being in the full OFF position. Manual movement of the fuel valve handle indicated that from the full ON to full OFF positions; it is a 90-degree rotation of thehandle. The fuel hose was cut below the fuel valve, with a slow dripping of fuel observed passing through the hose. Downstream of the valves the lines were empty. Also empty were the fuel sump tank, the fuel filter, and the carburetor bowls of both carburetors. The fuel pump switch was in the ON position. Both fuel tanks were nearly full with aviation 100-LL fuel. Flight control continuity was established from each wing root to the flight controls. As a result of damage to the cockpit area, investigators were not able to establish a full continuity check. No other mechanical malfunctions or anomalies were noted that would have precluded normal operation. MEDICAL AND PATHOLOGICAL INFORMATION The FAA's Forensic Toxicology Research Team, Civil Aerospace Medical Institute performed forensic toxicology on specimens from the pilot, findings for carbon monoxide, cyanide, and volatiles were negative. The toxicology report was positive for the following tested drugs: Amlodipine detected in urine, Amlodipine detected in blood, ibuprofen detected in urine, 0.096 (ug/mL, ug/g) Lorazepam detected in urine, Lorazepam detected in blood, Metoprolol detected in urine, Metoprolol detected in blood. A postmortem examination was conducted by the Office of the State of Oregon Medical Examiner. The cause of death was reported as blunt force chest trauma.

Aircraft

Registration
N701RD
Reported as
Davidson Zenith Stol CH701
Category
Airplane, amateur-built
Serial number
7-5721
Engine
Rotax SEE BOMBADIER, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Bradley Thomas J
Registered owner
Bradley Thomas J
Airworthiness certificate
Special, Experimental (Special)
Departed
OG41 · Azalea, OR
Destination
OG41 · Azalea, OR
Airport
OG41 · Nace Family Airstrip, runway 04, 1,330 × 30 ft, dirt

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
66
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Unknown
Toxicology
Performed

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 4 knots
Visibility
10 statute miles
Lowest ceiling
2,800 ft overcast
Temperature
64 °F, dew point 55 °F
Altimeter
29.93 inHg
Observed at
RBG, 30 nm away

Docket · 5

The files NTSB released with the investigation on August 6, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 553 KB 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.