WPR12FA395

NTSB accident investigation · Skykits USA Savannah ADV · Murtaugh, ID · September 3, 2012

Accident · FatalField investigationFinal report
Date
September 3, 2012
Place
Murtaugh, ID
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N9764JSkykits USA Savannah ADV
Defining event
Maneuvering: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report October 9, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20120903017859A
Case key
84895

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 maneuvering at or above the airplane's maximum ceiling, which resulted in a stall and a subsequent loss of airplane control. Contributing to the accident was the pilot's decision to operate the airplane in the high density altitude conditions, which placed the airplane near or above its maximum ceiling.

Findings · 7

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/maintainedSkykits USA SAVANNAH ADV: 1 caseAll aircraft: 1,681 casesProbable cause
Aircraft capabilityAircraft › Aircraft oper/perf/capability · Capability exceededSkykits USA SAVANNAH ADV: 1 caseAll aircraft: 57 casesProbable cause
Temp/humidity/pressure: high density altitudeEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentSkykits USA SAVANNAH ADV: 1 caseAll aircraft: 278 casesProbable cause
Terrain: wet/muddy terrainEnvironmental issues › Physical environment · Not specifiedSkykits USA SAVANNAH ADV: 1 caseAll aircraft: 110 cases

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 was flying over his mountainous ranch property to check on his cattle following a fire. When he did not return, the family reported him overdue. The wreckage was subsequently found on the ranch property at an elevation of about 7,115 feet mean sea level. The density altitude at ground level was estimated to be about 12,495 feet; the operating limitations for the airplane state that the maximum ceiling is about 14,000 feet pressure altitude at maximum weight. On-site wreckage documentation indicated that the airplane collided with terrain in a nearly vertical attitude. Because of the high density altitude on the day of the accident and the elevation of the terrain, the pilot had little altitude within which to operate before reaching the airplane's maximum ceiling. It is likely that, while maneuvering the airplane near or above the airplane's maximum ceiling, the pilot failed to maintain adequate airspeed, which resulted in a stall and a subsequent loss of control. A postaccident examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation.

Factual narrative

The single-engine, high-wing airplane was a Skykits USA Corporation Savannah ADV, serial number 07-07-51-621. A review of the airplane's logbooks revealed that the airplane had a total airframe time of 300.1 hours at the last engine maintenance performed (an oil change) on August 12, 2012. The last annual inspection was on June 1, 2012, at a total airframe time of 276.6 hours. The engine was a 100-horsepower ROTAX 912 ULS, serial number 5649340. Total time recorded on the engine at the last annual conditional inspection was 276.6 hours. The operating limitations state that the maximum ceiling is about 14,000 feet pressure altitude at maximum weight. However, if the pilot is operating under sport pilot privileges, FAR Part 61.315 (C) (11), restricts the airplane to 10,000 feet msl, or 2,000 feet above ground level (agl), whichever is higher. On September 3, 2012, at an undetermined time, a Skykits USA Corp Savannah ADV, N9764J, collided with terrain near Murtaugh, Idaho. The pilot/owner was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The commercial pilot sustained fatal injuries; the airplane sustained substantial damage. The local personal flight departed Twin Falls, Idaho, about 1200. Visual meteorological conditions prevailed, and no flight plan had been filed. The pilot had indicated to family members that he was going to fly up to his mountain ranch property to check on his cattle following a fire. When he did not return, the family reported him overdue, and the Federal Aviation Administration (FAA) issued an Alert Notice (ALNOT). The Cassia County Sheriff reported that the wreckage was discovered about 2030 MDT. The Cassia County Coroner, Burley, Idaho, completed an autopsy, and found blunt force trauma as the cause of death. The FAA Forensic Toxicology Research Team, Oklahoma City, performed toxicological testing of specimens of the pilot. Analysis of the specimens contained no findings for carbon monoxide, cyanide, or volatiles. The report contained the following findings for tested drugs: amlodopine detected in urine; amlodipine detected in blood (cavity); metoprolol detected in liver; metoprolol detected in blood (cavity). The closest official weather observation station was Twin Falls, Idaho (KTWF), which was 21 nautical miles (nm) northwest of the accident site at an elevation of 4,154 feet mean sea level (msl). An aviation routine weather report (METAR) for KTWF issued at 1153 MDT stated: wind from 030 degrees at 5 knots; visibility 10 miles; sky clear; temperature 23/73 degrees Celsius/Fahrenheit; dew point -1/30 degrees Celsius/Fahrenheit; altimeter 30.16 inches of mercury. The elevation of the accident site was approximately 7,115 feet, which was about 3,000 feet higher than the reporting weather station. Using a dry adiabatic lapse rate of 3 degrees F per thousand feet; the accident site temperature would be 67 degrees F with a dew point of 21 degrees F. Using a pressuredifferential (between 5,000 and 10,000 feet) of 0.86 inches per 1,000 feet, the atmospheric pressure would decrease from 30.16 to 27.20 inches. Using those numbers in a density altitude calculator, the calculated density altitude was 12,495 feet. A review of Federal Aviation Administration (FAA) airman records revealed that the 81-year-old pilot held a commercial pilot certificate with ratings for airplane single-engine land and instrument airplane. The pilot held a third-class medical certificate issued on January 7, 2010. It had the limitation that the pilot must wear corrective lenses. The pilot's medical certificate had expired, but he was operating a light-sport airplane. No personal flight records were located for the pilot. The IIC obtained the aeronautical experience listed in this report from a review of the FAA airmen medical records on file in the Airman and Medical Records Center located in Oklahoma City, Oklahoma. The pilot reported on his medical application that he had a total time of 3,000 hours with 11 hours logged in the last 6 months. The National Transportation Safety Board investigator-in-charge (IIC), the FAA, and an investigator representing ROTAX examined the wreckage at the owner's hangar on October 31, 2012. A detailed report is part of the public docket. The postaccident examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. An FAA inspector examined the wreckage on scene. The airplane came to rest nose down in a stand of willow trees in a marshy area. Only the trees in the immediate area of the wreckage had broken branches. The cabin area was crushed aft, and the leading edges of the wings were in contact with the ground. The fuselage buckled 90 degrees aft of the cabin so that the empennage was in a horizontal upright position. He established control continuity for the rudder and elevators to the crushed cabin area. The ailerons remained connected.

Aircraft

Registration
N9764J
Reported as
Skykits USA Savannah ADV
Category
Airplane
Serial number
07-07-51-621
Built
2008
Airframe hours
276
Engine
Rotax 912ULS, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Joseph Tugaw
Registered owner
Joseph Tugaw
Airworthiness certificate
Special, Special light-sport (Special)
Last inspection
Annual · June 1, 2012 · 24 hours before
Departed
Twin Falls, ID
Destination
Twin Falls, ID

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
81
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
3,000 total

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 30 °F
Altimeter
30.15 inHg
Observed at
KTWF, 21 nm away

Docket · 8

The files NTSB released with the investigation on October 6, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 18.4 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.