WPR14LA119

NTSB accident investigation · Sabrena Dragonfly · Maricopa, AZ · February 24, 2014

Accident · FatalLimited investigationFinal report
Date
February 23, 2014, 18:00 local (Feb 24, 2014, 01:00 UTC)
Place
Maricopa, AZ
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N7745CSabrena Dragonfly
Defining event
Approach-VFR pattern downwind: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed · report February 11, 2015
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration, Pitman Air LLC
FAA report
20140223002199A
Case key
88831

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 control of the airplane while maneuvering, which resulted in the airplane exceeding its critical angle of attack and subsequently experiencing an aerodynamic stall and spin at a low altitude.

Findings · 2

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 · PilotSabrena DRAGONFLY: 1 caseAll aircraft: 9,295 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedSabrena DRAGONFLY: 1 caseAll aircraft: 1,269 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

Witnesses reported that, after the pilot uneventfully released a tandem glider, he descended to about 30 feet above the ground and released the tow line. Afterward, the airplane pitched up abruptly until it was about 200 feet above the ground on what appeared to be the downwind leg of the runway traffic pattern. The nose of the airplane temporarily leveled before it pitched up a second time. The airplane then appeared to stall: the left wing dropped, and the airplane spun about two to three revolutions before impacting the ground in a nose-low attitude. Postaccident examination of the airframe and engine revealed no preimpact mechanical failures or malfunctions that would have precluded normal operation.

Factual narrative

The two-seat, high-wing, pusher-configured airplane, serial number 072403, was manufactured in 2007. It was powered by a Rotax 912S, 100 horsepower engine, and was equipped with three IVO propeller blades. The airplane's maintenance logbooks were unable to be located. However, a sticker for the engine and propeller's annual inspection dated September 13, 2013, with a recorded tachometer reading of 235 hours and an airframe total time of 553 hours, was recovered. The Ak-Chin Regional Airport is a non-towered airport about five miles southeast of the city of Maricopa at a reported airport elevation of 1,306 feet. The airport features a single asphalt non-precision runway, 4,751-feet long and 50-feet wide, orientated on 040 and 220 degrees respectfully. On February 23, 2014, about 1800 mountain standard time, a Sabrena Dragonfly, N7745C, impacted terrain at the Ak-Chin Regional Airport (A-39), Maricopa, Arizona. The private pilot was fatally injured, and the airplane sustained substantial damage. The airplane was registered to, and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed for the flight, and no flight plan was filed. The flight originated from A39 at an unknown time. Witnesses reported after uneventfully releasing a tandem glider, the pilot descended to about 30 feet above the ground and dropped the tow line. Afterwards, the airplane pitched up abruptly until about 200 feet above the ground, on what appeared to be a downwind for the runway. The nose of the airplane temporarily leveled off before it pitched up a second time. The airplane appeared to stall; the left wing dropped and the airplane spun about 2-3 revolutions before it impacted the ground in a nose low attitude. An autopsy was performed on the pilot on February 25, 2014, by the Ak-Chin Police Department in Pinal County, Arizona. The autopsy concluded that the cause of death was blunt force injuries. The FAA's Civil Aerospace Medical Institute (CAMI) performed forensic toxicology on specimens from the pilot. Ephedrine and pseudoephedrine were detected in the urine; pseudoephedrine was also detected in the blood. Carbon monoxide and ethanol were not detected, and testing for cyanide was not performed. The nearest weather reporting station was located at the Casa Grande Municipal Airport (CGZ), about 8 miles east of the accident site. At 1755, the weather was reported as wind from 20 degrees at 3 knots, clear skies, visibility 10 statute miles, temperature 23 degrees C, dewpoint -6 degrees C, and an altimeter setting of 29.93 inches of mercury. The pilot, age 53, held a private pilot certificate for airplane single-engine land issued September 18, 2009, and a limited third-class airman medical certificate issued October 22, 2013 with the restriction that he must have glasses available for near vision. The pilot's logbook was not recovered for examination. During the pilot's mostrecent medical examination he reported 763 total flight hours, 47 hours of which, were within the six months prior to the exam date. Postaccident examination of the airframe and engine was conducted by a Federal Aviation Administration Inspector and a representative from the airplane kit manufacturer. Airframe Initial examination revealed that the airframe was heavily twisted. The airframe tubing sustained numerous fracture separations that were consistent with structural overload. Control continuity was established throughout the airframe with no anomalies noted. The ballistic recovery parachute system was intact and the handle was partially dislodged from the stowed position. The five gallon fuel tank was found ruptured and empty. Engine The engine was found mostly intact. Of the three propeller blades, two blades were intact and one was separated about 7 inches from the hub. The spark plugs were removed from the engine; they all showed similar wear patterns and showed no indications of misfiring. The engine was manually rotated by the propeller; it rotated smoothly with no anomalies noted. The airplane came to rest in a nose low attitude in between the runway and taxiway. The cabin area sustained heavy crush damage. Both wings were still attached to the fuselage; the left wing rested flat on the ground and sustained an upward bend just outboard of midspan. The right wing came to rest in the air above the left wing, with the aileron separated from the outboard most attachment points. Emergency personnel reported that the right wing was originally resting on the ground; they had raised it to provide medical attention to the pilot. The fuselage tubing connecting the cabin to the empennage was fractured just aft of the cabin area. The empennage was mostly intact and sustained minimal damage.

Aircraft

Registration
N7745C
Reported as
Sabrena Dragonfly
Category
Airplane
Serial number
072403
Built
2007
Airframe hours
553
Engine
Rotax 912S, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Knight Mark J
Registered owner
Knight Mark J
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · September 13, 2013
Departed
A39 · Maricopa, AZ
Destination
A39 · Maricopa, AZ
Airport
A39 · Ak-Chin Regional Airport, runway 22, 4,751 × 50 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
53
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Front
Restraint
Lap only
Toxicology
Performed
Flight hours
763 total · 47 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 21 °F
Altimeter
29.93 inHg
Observed at
CGZ, 8 nm away

Docket · 10

The files NTSB released with the investigation on January 8, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 16.3 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.