WPR11LA458

NTSB accident investigation · Aviat Pitts S-2B · Redlands, CA · September 19, 2011

Accident · Serious injuriesLimited investigationFinal report
Date
September 19, 2011, 08:50 local (15:50 UTC)
Place
Redlands, CA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N46BTAviat Pitts S-2B
Defining event
Maneuvering-aerobatics: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report January 31, 2013
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20110919023229A
Case key
81836

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 pilot’s failure to maintain airspeed while maneuvering, which resulted in an aerodynamic stall. Contributing to the accident was the pilot’s impairment from alcohol.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAviat PITTS S-2B: 2 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedAviat PITTS S-2B: 1 caseAll aircraft: 1,681 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 reported that the airplane stalled while maneuvering at a low altitude. He attempted to recover from the stall; however, the airplane continued to descend and subsequently collided with terrain. First responders to the accident site reported that they noted an odor of alcohol when they spoke to the pilot at the accident site. About one hour after the accident, a blood sample from the pilot was secured and later tested for alcohol intoxicants. The test results showed that the pilot’s blood alcohol concentration (BAC) was .04 percent. According to the Federal Aviation Administration, effects of a BAC of .04 percent can include decreased attention, impaired judgment, and increased reaction time. The pilot later reported that he had consumed alcohol prior to the accident flight. The pilot also reported no preimpact mechanical malfunctions or failures with the airplane that would have precluded normal operations.

Factual narrative

On September 19, 2011, about 0850 Pacific daylight time (PDT), a Pitts S-2B airplane, N46BT, collided with the ground near Redlands, California. The private pilot, the sole occupant, sustained serious injuries. The airplane was consumed by fire and sustained substantial damage. The airplane was registered to the pilot, and operated under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91 as a personal flight. Visual meteorological conditions prevailed and no flight plan had been filed. The flight originated from the Redlands Municipal Airport, Redlands, California, about 0830. Witnesses reported that the pilot was conducting aerobatic maneuvers over the airport when the airplane impacted terrain adjacent to an airport perimeter fence. After impact, the airplane slid into an unoccupied vehicle that was parked on the shoulder of a city roadway. A post crash fire ensued. The pilot reported that he was maneuvering in the local area shortly after takeoff and that during a turn, the airplane stalled approximately 350 feet above the ground. He reported that the airspeed in the turn was slow, between 70-80 knots. The pilot attempted to recover from the stall; however, the airplane continued to descend and subsequently collided with terrain. First responders to the accident site reported that they noted an odor of alcoholic beverage when they made contact with the pilot at the accident site. About one hour after the accident a blood sample from the pilot was secured, and later tested for alcohol intoxicants. The test results showed that the pilot’s blood alcohol content (BAC)was .04 percent. During a telephone conversation after the accident with the NTSB investigator-in-charge, the pilot stated that he had consumed alcohol prior to the accident flight. The pilot reported no preimpact mechanical malfunctions or failures with the airplane that would have precluded normal operations. According to the Federal Aviation Administration, effects of a BAC of .04% can include decreased attention, impaired judgment, and increased reaction time. It advises that "The number of serious errors committed by pilots dramatically increases at or above concentrations of 0.04% blood alcohol. This is not to say that problems don’t occur below this value. Some studies have shown decrements in pilot performance with blood alcohol concentrations as low as 0.025%." Title 14 CFR Part 91.17, Alcohol or Drugs, states, "(a) No person may act as a crewmember of a civil aircraft (1) Within 8 hours after the consumption of any alcoholic beverage; (2) While under the influence of alcohol…(4) While having an alcohol concentration of 0.04 or greater in a blood…"

Aircraft

Registration
N46BT
Reported as
Aviat Pitts S-2B
Category
Airplane
Serial number
5245
Engine
Lycoming AEIO-540 SER, 260 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Operator
Sowell Paul A
Registered owner
Sowell Paul A
Airworthiness certificate
Standard, Aerobatic; Standard, Normal
Departed
REI · Redlands, CA
Destination
REI · Redlands, CA
Airport
REI · Redlands Municipal Airport

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
45
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 3, Without waivers/limitations
Toxicology
Performed
Flight hours
2,500 total · 400 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 52 °F
Altimeter
29.98 inHg
Observed at
SBD, 4 nm away

Docket · 2

The files NTSB released with the investigation on November 30, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 184 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.