WPR12LA302

NTSB accident investigation · Bunch COZY-CANARDIII · Winslow, AZ · July 11, 2012

Accident · FatalLimited investigationFinal report
Date
July 11, 2012, 12:40 local (19:40 UTC)
Place
Winslow, AZ
Injuries
1 fatal, 1 serious
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N718JTBunch COZY-CANARDIII
Defining event
Takeoff: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report January 12, 2015
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20120711015279A
Case key
84279

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 airplane control during climb in high-density altitude conditions and with the airplane’s weight in excess of its maximum allowable gross weight.

Findings · 4

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: pitch controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBunch Matthew B COZY-CANARDIII: 1 caseAll aircraft: 526 casesProbable cause
Aircraft capability: maximum weightAircraft › Aircraft oper/perf/capability · Capability exceededBunch Matthew B COZY-CANARDIII: 1 caseAll aircraft: 152 casesProbable cause
Temp/humidity/pressure: high density altitudeEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentBunch Matthew B COZY-CANARDIII: 1 caseAll aircraft: 278 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, during takeoff, the airplane became airborne with 3,000 ft of runway remaining. When the airplane was between about 25 and 40 ft above ground level (agl), its nose dropped, and the pilot then pulled back on the control stick. The pilot was able to level out the airplane and establish a 200-ft-per-minute climb rate. As the airplane approached 75 ft agl at an indicated airspeed of about 95 mph, the airplane's nose dropped to about a 30- to 45-degree nose-down attitude. The pilot again pulled back on the control stick, but he was unable to regain control of the airplane before it impacted the ground. The pilot reported that the engine was running roughly during an initial start-up, but he stated that it ran normally during a subsequent start-up and two engine run-ups before taking off on the accident flight. A postaccident examination of the engine and airframe revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. The airplane's calculated gross weight exceeded its allowable maximum gross weight, and high-density altitude conditions existed at the time of the accident. Although these conditions likely affected the airplane's performance, the pilot was able to establish a positive climb rate after takeoff; however, he did not maintain control of the airplane as the pitch changed.

Factual narrative

According to FAA Advisory Circular AC 20-27F, Certification and Operation of Amateur-Built Aircraft, "Amateur builders are free to develop their own designs or build from existing designs. We do not approve these designs and it would be impractical to develop design standards for the wide variety of design configurations, created by designers, kit manufacturers, and amateur builders." The pilot operator did not submit a Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1/2). The airplane was an experimental-Matthew B Bunch, Model Cozy Canard III, serial number- BUNCH 1. A review of the airplane's logbooks revealed the airplane had a total airframe time of 259.1 hours at the last conditional inspection. The logbooks contained an entry for the conditional inspection dated November 7, 2011. The Hobbs hour meter read 259.1 at the last inspection. The Hobbs hour meter read 341.4 at the accident site. Fueling records at INW established that the airplane was last fueled on July 11, 2012, at 1107 MST, with the addition of 23.8 gallons of 100LL-octane aviation fuel. Examination of the maintenance and flight department records revealed no unresolved maintenance discrepancies against the airplane prior to departure. The maximum gross weight for the airplane per the Cozy pilot operating handbook is 1,800 pounds. The weight of the airplane at takeoff was calculated by the NTSB investigator-in-charge using the empty weight of the airplane as determined by the May 14, 2011, weight and balance revision, the weight of the occupants, 46.7 gallons of fuel, and 100 pounds of baggage. The calculated gross weight at the time of departure was about 1,852.0 pounds and the airplane's center of gravity was 99.6 inches, which is inside the forward limit of the weight and balance envelope. On July 11, 2012, about 1240 mountain standard time (MST), an experimental Bunch Cozy-Canard III, N718JT, impacted terrain during takeoff at Winslow, Arizona. The owner/pilot was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The private pilot sustained serious injuries, and the passenger was fatally injured; the airplane sustained substantial damage by impact forces. The cross-country personal flight was departing Winslow-Lindbergh Regional Airport (INW), Winslow, about 1240, with an unconfirmed destination. Visual meteorological conditions prevailed, and no flight plan had been filed. The airplane landed at INW about 1100 MST; after the pilot refueled the airplane he inquired from the airport fixed base operator (FBO) personnel about finding a mechanic. The pilot stated that the engine was running rough and that he needed to remove and check the spark plugs. The pilot was advised that there were no mechanics based at Winslow but that one could be called from Flagstaff, Arizona. The pilot indicated he was going to try and "clear" the engine, and then would call the mechanic. About 1 1/2 hours later, witnesses saw the accident airplanedeparting INW using runway 29. As the airplane approached the departure end of runway 29 it descended and hit an off airport road and cartwheeled into a dirt field. Inspectors from the Federal Aviation Administration (FAA) responded to the accident site. After documenting the wreckage it was recovered for further examination. The FAA accident coordinator interviewed the pilot. The pilot reported that he did have a rough running engine, but was able to clear the engine prior to takeoff. He also stated there were no other maintenance issues related to the engine or flight controls. The pilot reported that during takeoff, the airplane became airborne with 3,000 feet of runway remaining. When the airplane was 25-40 feet above the ground the pilot experienced a nose down pull on the control stick; the pilot pulled back on the control stick to counter the nose drop. The pilot was able to level the airplane and established a 200-foot-per-minute climb. As he approached 75 feet there was another pitching down event, which was about a 30-45 degrees nose down attitude. The pilot recalled that the airplane was traveling about 95 miles per hour indicated airspeed at the time. The pilot again pulled back on the control stick but was unable to recover before the airplane impacted the ground. A review of recorded weather data from the INW automated weather observation station revealed at 1256 MST conditions were; wind 360 degrees at 8 knots, temperature 34 degrees Celsius, dew point 8 degrees Celsius, and an altimeter setting of 30.13 inches of Mercury. Using the reported weather conditions and field elevation, the calculated density altitude was about 8,048 feet. Examination of the recovered airframe and engine was conducted on July 24, 2012, at the facilities of Air Transport, Inc., Phoenix, Arizona. No evidence of pre-impact mechanical malfunction was noted during the examination of the recovered airframe and engine that would preclude normal operation. A Garmin nuvi 200w portable GPS unit was recovered at the accident site. The GPS unit was sent to the NTSB vehicle recorder lab in Washington, D.C., for download. Data was extracted from the unit but contained no tracking information. A copy of the GPS factual report is attached to the docket. Investigators examined the wreckage at the accident scene. The first identified point of contact (FIPC) was a ground scar on Coopertown Road, which is an east-west road that is just north of the airport boundary fence line. The debris path was along a magnetic heading of 320 degrees. The orientation of the fuselage was inverted facing southeast.

Aircraft

Registration
N718JT
Reported as
Bunch COZY-CANARDIII
Category
Airplane, amateur-built
Serial number
BUNCH 1
Engine
Lycoming O-320, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Tischler Joseph F
Registered owner
Tischler Joseph F
Airworthiness certificate
Special, Experimental (Special)
Departed
INW · Winslow, AZ
Destination
DEN · Denver, CA
Airport
INW · Winslow-Lindbergh Rgnl, runway 29, 7,100 × 150 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
65
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
239.3 total

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
93 °F, dew point 46 °F
Altimeter
30.12 inHg
Observed at
KINW, 1 nm away

Docket · 11

The files NTSB released with the investigation on November 20, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.7 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.