WPR19FA182

NTSB accident investigation · Cub Crafters CCK-1865 · Moab, UT · June 30, 2019

Accident · FatalClass 3 · FieldFinal report
Date
June 30, 2019, 08:36 local (14:36 UTC)
Place
Moab, UT
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N66DNCub Crafters CCK-1865
Defining event
Maneuvering: Controlled flight into terr/obj (CFIT)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
CubCrafters, Federal Aviation Administration
FAA report
20190630008699A
Case key
99743

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 pilots failure to maintain clearance from terrain while maneuvering at a low altitude in mountainous terrain.

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.

Terrain: mountainous/hilly terrainEnvironmental issues › Physical environment · Ability to respond/compensateDean Nordsving CCK-1865: 1 caseAll aircraft: 329 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 student pilot and private pilot flew a local flight in mountainous terrain. The airplane headed southwest down a nearby canyon toward rising mountainous terrain and impacted a ridgeline about 11 miles from the departure airport. The pilots were likely maneuvering near the canyon wall to get appropriate displacement for a turn reversal. However, terrain clearance was not maintained with the ridgeline in the canyon that was perpendicular to the route of flight. No significant weather or turbulence was reported or forecast for the area. Analysis of the airplane’s onboard recorded flight data revealed no anomalies that would have precluded normal operation. Engine parameters indicated normal operation, and the airplane had an adequate amount of fuel on board just before the accident. The recovered data, along with evidence obtained from the airplane wreckage, were consistent with controlled flight into terrain.

Factual narrative

On June 30, 2019, about 0836 mountain daylight time, an experimental, amateur-built Cub Crafters CCK-1865 airplane, N66DN, was substantially damaged when it was involved in an accident near Moab, Utah. The private pilot and student pilot were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The flight originated from Canyonlands Regional Airport (CNY), Moab, Utah, about 0830. The airplane was the subject of a Federal Aviation Administration (FAA) Alert Notification when it did not return to the airport. A few hours later, the airplane’s wreckage was located in a canyon about 11 miles south of Moab, Utah. A friend stated that the pilot was familiar with the canyon valley where the airplane wreckage was located and had routinely flown in the canyon. Two recording devices, a Dynon FlightDEK-D180 and a Garmin Aera 796, were located in the airplane wreckage and were sent to the National Transportation Safety Board Vehicle Recorder laboratory for download. While both devices contained parameters for the accident flight, the Dynon FlightDEK-180 integrated multiple flight instruments and many additional parameters, including those for the engine. The Dynon flight data were updated about every 10 seconds. Examination of the recovered flight data revealed that the flight entered a canyon area with the airplane maneuvering at low altitude. The last 10 seconds of flight data before impact indicated that the airplane was flown on a southwest heading and in a climb of about 793 ft per minute; the pitch was about 10° nose up, and the airspeed was 55 mph with a corresponding loss of airspeed of about 10 mph during the last 30 seconds. All engine parameters were routine, with the rpm indicating 2,412. Additionally, about 37 gallons of fuel remained. The last recorded data point at 0836 indicated that all engine parameters, including the rpm, continued to indicate normal operation. The elevation indicated 4,997 ft mean sea level, and the airplane had climbed about 400 ft during the last 30 seconds. The Utah Department of Health, Office of the Medical Examiner, Taylorsville, Utah, conducted autopsies on the pilots’ remains. The autopsy reports for both pilots listed the cause of death as “blunt force trauma.” The FAA Forensic Sciences Laboratory performed toxicological testing on the student pilot. Testing was negative for carbon monoxide. The testing detected ethanol but also n-propanol, which is produced postmortem, along with ethanol and other alcohols; therefore, some or all of the ethanol may have been from sources other than consumption. In addition, testing was positive for carboxy-delta-9-THC, which is the secondary inactive metabolite of marijuana. This testing result suggests recent use of marijuana but not proximate to the flight. No FAA toxicological testing on the private pilot was conducted. However, local toxicology samples taken were positive for a small amount of ethanol (see discussionabove) but negative for drugs. A review of the weather information at the accident site revealed that no evidence of strong wind, mountain wave, or turbulence was observed. The student pilot was issued an FAA third-class airman medical certificate on September 23, 2013, with no limitations. He reported having logged 210 total flight hours and 4 flight hours in the last 6 months on the application for his medical certificate. Although his medical certificate for all classes had expired, he had applied for BasicMed; the BasicMed course date was October 4, 2017, and the comprehensive medical examination checklist date was September 4, 2017. The private pilot was issued an FAA third-class airman medical certificate on July 29, 2016, with no limitations. He did not report his flight time on the application for his medical certificate, and his personal pilot logbook was not located during the investigation. The wreckage site was located on and near the top of a ridgeline that ran perpendicular to a canyon valley that was surrounded by mountainous terrain. Examination of the accident site revealed evidence consistent with the airplane impacting terrain between the top of the ridgeline to about 2 ft below it and then falling about 30 ft to where the main wreckage was located. All major components of the airplane were contained within the main wreckage site. Most of the wreckage debris, which consisted of small fragments, was scattered about 15 ft from the main wreckage. The fuselage came to rest upright on a heading of about 053° magnetic and on a slope of between 30-45°. On the ridgeline top, a seal from the wing root fairing was observed embedded in vegetation and several fragments, and a composite cover of the propeller blade were observed. Additionally, an oil stain, paint marks, and rock scars were observed on the ridgeline top. Disturbed rocks on the ridgeline slope to the area where the main wreckage came to rest were observed. There was no postimpact fire. The left wing sustained substantial leading-edge damage through the entire span. The left flap’s inboard nose rib was still attached to the fuselage; however, the flap was separated from the nose rib. The aileron was partially attached and had separated from the inboard attachment point/nose rib. The strut fork on the left forward lift strut was broken with a few threads protruding. The right wing sustained substantial leading-edge damage through the entire span. The right flap’s inboard nose rib remained attached to the fuselage; however, the flap was separated from the nose rib. The aileron was partially attached and had separated from the inboard attachment point/nose rib. The lower aileron control cables were broomstrawed about the lower fair leads, which was consistent with overload. The empennage remained attached to the fuselage and was relatively intact. Flight control continuity could not be established due to the impact damage and the precarious position of the airplane on the slope.The vertical stabilizer and rudder were attached to their respective attachment points. The left and right horizontal stabilizers and left elevator remained attached and were relatively intact. The elevator trim was observed in about the neutral position. The right elevator was bent downward about midspan. The instrument control panel and cabin area were substantially damaged. The fuel selector was observed in the “both” position. The ignition was in “both.” The airspeed indicator read “0.” The circuit breaker panels were damaged, and it was not possible to determine the circuit breakers’ position at the time of impact. The primer was closed. The emergency locator transmitter was found intact and secured in position, and the unit power was in the “off” position. The experimental Titan engine came to rest upright to the right of the main wreckage and was separated from its mounts. The carburetor remained attached. The gascolator fuel fitting for the carburetor fuel supply line was separated at the gascolator. On the engine’s right side, the rocker cover panels were attached. The carburetor air box was crushed. The starter was separated from the engine. The oil screen was observed lying in front of the engine and was clear of contaminants. The oil quantity lever indicated a minimal level of oil quantity, but the dip stick’s numerical lines were saturated with oil. The two-bladed, composite-covered wood propeller had separated from the crankshaft and splintered. Both blades were scattered and broken away down to the spinner. The spinner and propeller hub were still attached to the crankshaft flange. The propeller spinner was crushed and exhibited impact markings. Ground scars and the damage sustained by the airplane at the accident site were consistent with controlled flight into terrain.

Aircraft

Registration
N66DN
Reported as
Cub Crafters CCK-1865 (Undesignat)
Category
Airplane, amateur-built
Serial number
CCK-1865-0038
Built
2013
Engine
AeroSport OX-340CC-B3J4N, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Departed
CNY · Moab, UT
Destination
CNY · Moab, UT
Equipment
Electronic primary flight display, 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Student pilot
Age
53
Injuries
Fatal
Certificate
Student
Medical
BasicMed
Toxicology
Performed
Flight hours
210 total
Role
Pilot
Age
42
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3
Toxicology
Performed

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 43 °F
Altimeter
30.12 inHg
Observed at
CNY, 11 nm away

Docket · 10

The files NTSB released with the investigation on February 23, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.2 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.