WPR19LA088

NTSB accident investigation · Lancair IV · Laramie, WY · February 10, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
February 10, 2019, 16:00 local (23:00 UTC)
Place
Laramie, WY
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N549CJLancair IV
Defining event
Enroute-climb to cruise: Aircraft structural failure
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20190210010109A
Case key
99026

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

An environmental stress cracking failure of the acrylic windshield, which resulted in a rapid decompression during cruise flight.

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.

Windows-windshield systemAircraft › Aircraft structures · FailureCarl Franklin Lipe LANCAIR 4-P: 1 caseAll aircraft: 13 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 cruise flight at 15,500 feet mean sea level in the pressurized airplane, he heard a loud “bang” as the windscreen fractured. The pilot diverted to a nearby airport, where he landed the airplane uneventfully. An examination of the windshield pieces revealed that the fracture origin area displayed features consistent with a preexisting crack that developed due to environmental stress cracking (ESC). ESC is a fracture mechanism in polymer materials that occurs when a susceptible polymer material is exposed to a combination of tensile stress and exposure to a substance that degrades the integrity of the material. The ESC was likely a result of contact with a degrading substance, the origin of which could not be determined. Although a stress analysis of the windscreen structure was not completed, the location of the fracture origin was likely an area of high stress on the windscreen due to the curvature at that location. Sustained high stress in acrylic can promote crack development, particularly when the acrylic is also exposed to certain chemical agents. The overall appearance of the windscreen edge showed limited visual evidence of adhesive on the surface, suggesting a relatively low bond strength between the windscreen at the frame. Evidence of voids in the epoxy at the interior bond surface were observed; if portions of the windscreen became disbonded, this could have affected the stress state of the windscreen and contributed to increased stress at the fracture origin area.

Factual narrative

On February 10, 2019, about 1600 mountain standard time, a Lancair IV-P airplane, N549CJ, sustained substantial damage when it was involved in an accident near Laramie, Wyoming. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight. The pilot reported that, following departure, he configured the airplane to climb to 15,500 feet mean sea level (msl). The airplane reached that altitude and was cruising about 235 kts when the pilot heard a loud “bang,” as the windscreen suddenly blew out of the airframe. The pilot reduced the airplane’s speed and lowered the landing gear in an effort to stabilize the airplane. He diverted to Laramie and made an uneventful landing. The windshield was manufactured from cast acrylic and the frame was from a carbon fiber reinforced polymer (CFRP) with layers of carbon-fiber fabric and epoxy. According to the window installation instructions, the exterior surface of the windshield is bonded in position with Hysol paste epoxy structural adhesive. Recovered portions of the windshield pieces were sent to the National Transportation Safety Board (NTSB) for examination. (see Figure 1.) The outer edge of the windshield displayed a white appearance consistent with a roughening process used during the windshield installation process before bonding to the windshield frame. Figure 1: Overall view of the submitted windshield pieces. Unlabeled arrows indicate fracture propagation directions. Most of the windshield fractures exhibited fracture planes that varied across the thickness with curving hackles turning toward the interior or exterior surface, features consistent with fracture under a combination of tension and bending loads. One fracture (shown as “A”) displayed smooth, mirror-like fracture features along most of the fracture surface in a flat plane perpendicular to the interior and exterior surfaces consistent with fracture under primarily tension loads. A portion of that fracture surface had curving rib marks and with a somewhat hazy surface, consistent with preexisting progressive crack growth. The features were consistent with the crack’s origin positioned at the forward left side of the windshield above the edge of the frame. The surface adjacent to the fracture appeared disturbed consistent with a surface scratch. The origin area fracture displayed features consistent with a preexisting crack that developed due to environmental stress cracking (ESC). ESC is a fracture mechanism in polymer materials that occurs when a susceptible polymer material is exposed to a combination of tensile stress and exposure to a substance that degrades the integrity of the material. At high magnification, the crack surface had fracture features that were significantly different than features observed in laboratory-created impact fracture surfaces. The examination further revealed liquid oozing from secondary cracks. The liquid was identified as aplasticizer, a chemical that could cause ESC in acrylic. The source of the plasticizer was unknown, but potential sources include flexible polymers such as vinyl tape potentially used in the construction of the windshield or possible contact with a vinyl material if that material had been used in the airplane interior. Plasticizers can exude from the adjacent material due to changes in temperature or humidity, mechanical stress, or weathering. The windshield edge showed limited visual evidence of adhesive on the bond surface, with evidence of voids in the epoxy at the interior bond surface.

Aircraft

Registration
N549CJ
Reported as
Lancair IV (P)
Category
Airplane, amateur-built
Serial number
218
Built
2014
Airframe hours
307
Engine
Continental TSIO-550-E, 350 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · March 1, 2018 · 91 hours before
Departed
CPR · Casper, WY
Destination
FTG · Denver, CO
Airport
LAR · Laramie Regional
Equipment
Electronic multifunction display, Auto-pilot, Angle of attack indicator, Stall warning system, Onboard weather, Electronic primary flight display

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
62
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
2,700 total · 400 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 24 knots, gusting 34
Visibility
10 statute miles
Lowest ceiling
None
Temperature
28 °F, dew point 12 °F
Altimeter
29.63 inHg
Observed at
KLAR, 4 nm away

Docket · 2

The files NTSB released with the investigation on April 12, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.5 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.