- Date
- August 7, 2016
- Place
- Minden, NV
- Injuries
- 1 fatal
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N11DYAMS Flight Carat A
- Defining event
- Enroute-cruise: Unknown or undetermined
- Weather
- Visual (VMC) · Day
- Status
- Completed · report October 1, 2018
- Report
- Approved by Office Director
- NTSB office
- Western Pacific Region
- Parties
- FAA/FSDO
- FAA report
- 20160807012859A
- Case key
- 93768
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
Impact with terrain for reasons that could not be determined based on the available information.
Findings · 1
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.
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 private pilot departed in the motor glider in day visual meteorological conditions and transmitted over the airport's common traffic advisory frequency that he would be conducting a "right turn out" after takeoff. About 6 minutes later, the pilot transmitted that he was 4 miles east of the airport and climbing. No further radio transmissions were received from the glider. Data from an onboard GPS unit indicated that, after departing, the glider proceeded east-northeast for several minutes, then conducted several climbing 360° turns consistent with circling in thermal activity up to a GPS altitude of about 8,500 ft. The glider then assumed a southerly heading and continued on that heading for about 1 minute before the data ended in the vicinity of the accident site. The wreckage was oriented on a northerly heading in rocky, mountainous terrain at an elevation of about 6,050 ft mean sea level about 7 nautical miles east-northeast of the departure airport. Although it came to rest near powerlines, there was no apparent indication that the glider contacted the lines before impacting terrain. Postaccident examination indicated that the glider was configured for gliding with the engine off and the propeller and landing gear stowed at the time of impact. Examination of the airframe and engine revealed no anomalies that would have precluded normal operation. An autopsy and toxicology testing of the pilot and did not provide any evidence of physiological impairment or incapacitation. The investigation was unable to determine why the glider impacted terrain.
Factual narrative
The single-seat, self-launching, composite-construction glider was manufactured in 2003 and registered to the pilot in January 2011. It was equipped with a Sauer S 1800-1-ES1C, 4-cylinder, 54-horsepower engine, an AMS Flight forward-folding propeller, and retractable main landing gear. The most recent condition inspection was completed on December 20, 2015, at a total aircraft time of 456.3 hours. An entry on August 3, 2016, indicated that the glider had accumulated 475 total aircraft hours. On August 7, 2016, about 1216 Pacific daylight time, an experimental AMS Flight D O O Carat A motor glider, N11DY, was substantially damaged when it impacted terrain about 7 nautical miles northeast of Minden-Tahoe Airport (MEV), Minden, Nevada. The private pilot was fatally injured. The motor glider was registered to and operated by the pilot, and the flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and no flight plan was filed for the personal flight, which departed MEV at 1204. Recorded communications from the MEV common traffic advisory frequency (CTAF) revealed a transmission from the accident pilot at 1204, during which he stated that he was departing from runway 34 and would be conducting a "right turn out" after takeoff. About 6 minutes later, the pilot indicated that he was 4 miles east of MEV, climbing through 6,500 ft, and stated that this was the "last call this frequency." No further transmissions were received from the glider. Data obtained from an onboard GPS receiver were consistent with a 1204 departure from runway 34 and a right (eastbound) turn away from the airport. The glider climbed as it proceeded east for about 4 minutes. About 1211, the glider turned north-northeast and began a series of right 360° climbing turns from about 7,300 ft GPS altitude to about 8,500 ft GPS altitude, consistent with maneuvering in an area of thermal activity. About 1216, the glider assumed a southerly heading and continued on that heading until the last recorded data point at 1217:18, which was just south of the accident site. The last recorded GPS point was at 1217:03 and showed the glider at 7,841 ft over a location that was nearly coincident with the accident site (see Figure 1). No additional data were recovered. The manufacturer of the GPS indicated that about 1 minute of data could be lost in the device's volatile memory in the event of an abrupt loss of power. Figure 1. Overview of GPS data The Washoe County Medical Examiner's Office, Reno, Nevada, performed an autopsy of the pilot. The cause of death was listed as multiple injuries due to blunt force trauma. The FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma, performed toxicology testing on specimens of the pilot. Testing was negative for carbon monoxide and ethanol. Diltiazem was detected in urine and aortic blood. Diltiazem is a prescription calcium channel blocker primarily used totreat high blood pressure. Use of this medication generally does not present a significant hazard for airmen. The 1230 automated weather observation at MEV included wind from 030° at 4 knots, 10 miles visibility, clear skies, temperature 25°C, dew point -5°C, and an altimeter setting of 30.02 inches of mercury. The density altitude was about 7,300 ft mean sea level (msl). An atmospheric sounding retrieved from a weather balloon launched near Reno, Nevada, about 30 nautical miles north of MEV, about 1600, depicted a dry atmosphere with temperature decreasing steadily with height below 15,000 ft. There were no temperature inversions in this layer. Weather radar depicted no pertinent reflectivity values in the area. The pilot held a private pilot certificate with ratings for airplane single-engine land and glider. His most recent third-class Federal Aviation Administration (FAA) medical certificate was issued in March 2002 with the limitation that he must have available glasses for near vision. Glider operations do not require an FAA medical certificate. Review of the pilot's logbook indicated that he had about 333 total hours of flight experience of which about 152 hours were in the accident glider. His most recent flight review was completed on September 22, 2015. The pilot had recently relocated to Nevada, and review of his logbook indicated that he had about 10 hours of experience operating in the Minden area. The accident site was located on a rocky hillside at an elevation about 6,050 ft msl about 7 nautical miles east-northeast of MEV. Although the glider came to rest in the vicinity of powerlines, there was no apparent indication that the glider contacted the lines before impacting terrain. All major components of the glider were accounted for at the site. There was an odor of fuel and evidence of fuel spillage at the site. The fuselage shell was fractured or breached in several locations, including in the area of the cockpit and aft of the cockpit. Both wings remained attached at their roots and did not exhibit aft crushing damage. Each wing displayed several fractures along its span. The right aileron remained attached to the wing; the left aileron was collocated with the wing but separated. The aft fuselage was separated from the airframe, and the empennage was separated near the root of the vertical stabilizer. The rudder remained attached to the vertical stabilizer. The left side of the horizontal stabilizer and elevator were partially separated from the vertical stabilizer; the right side of the elevator was separated from the horizontal stabilizer; and the horizontal stabilizer was separated from the vertical stabilizer. The magneto and fuel pump switches were both found in the "off" positions. Flight control continuity was established from the cockpit area to the flight controls through breaks in the control rods. The landing gear was retracted. The left wing air brake was stowed. The right wing air brake fairing was separated, andthe brake was partially extended. The engine was partially separated from the airframe at its mounts, and the cowling was fracture-separated. The propeller was stowed; one blade remained intact, and the other was separated near the hub. The engine was rotated by hand at the propeller flange, and compression was established on all four cylinders using the thumb method. The top spark plugs were removed from each cylinder and exhibited normal wear.
Aircraft
- Registration
- N11DY
- Reported as
- AMS Flight Carat A (NO SERIES)
- Category
- Glider
- Serial number
- CA008
- Built
- 2003
- Airframe hours
- 456.3
- Engine
- Sauer S1800-1 ES1C, 54 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Special, Experimental (Special)
- Last inspection
- Condition · December 20, 2015 · 19 hours before
- Departed
- MEV · Minden, NV
- Destination
- MEV · Minden, NV
- Airport
- MEV · Minden-Tahoe
- Equipment
- Stall warning system, Handheld GPS
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
- 74
- Injuries
- Fatal
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Last flight review
- September 22, 2015
- Seat
- Single
- Restraint
- 4-point
- Toxicology
- Performed
- Flight hours
- 333 total · 152 in this make and model · 12 in the last 90 days · 10 in the last 30 days
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 90° at 3 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 77 °F, dew point 23 °F
- Altimeter
- 30.02 inHg
- Observed at
- KMEV, 7 nm away
Docket · 8
The files NTSB released with the investigation on August 30, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.1 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.