WPR20LA201

NTSB accident investigation · Avia Stroitel AC-5M · Bend, OR · June 30, 2020

Accident · FatalClass 3 · LimitedFinal report
Date
June 30, 2020, 13:24 local (20:24 UTC)
Place
Bend, OR
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
N263RAvia Stroitel AC-5M
Defining event
Takeoff: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
Case key
101516

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

A loss of control just after takeoff for reasons that could not be determined based on the available information.

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.

Performance/control parametersAircraft › Aircraft oper/perf/capability · Unknown/Not determinedAvia Stroitel AC-5M: 1 caseAll aircraft: 1,269 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedAvia Stroitel AC-5M: 1 caseAll aircraft: 2,247 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 was departing in the self-launching motorglider when the accident occurred. A witness stated that, once airborne, the glider began to climb rapidly. The glider then banked to the right and entered a “dive” to ground contact. Another witness stated that, shortly after takeoff, the glider “went directly vertical” then banked to the right before diving toward the ground. The glider came to rest on airport property near the departure end of the runway and was almost entirely consumed by postimpact fire, except for the left wing. The glider was not examined, and the wreckage was disposed of before examination could take place. The pilot’s experience in the accident glider was not determined. Autopsy revealed an implanted pacemaker/defibrillator that was not interrogated by the medical examiner. Although the condition of having an abnormal heart rhythm placed the pilot at increased risk of a sudden cardiac event, operational evidence does not suggest that such an event occurred, and it is unlikely that the pilot’s cardiovascular disease was a factor in this accident. Toxicology detected therapeutic levels of the antidepressant duloxetine in the pilot’s blood and the presence of the antidepressant amitriptyline and its active metabolite nortriptyline in the pilot’s liver tissue. Nortriptyline was also detected in cardiac blood, likely at therapeutic levels. Side effects of these medications include drowsiness and dizziness, especially when first starting the medications. The reason, duration of time he used the medication, and whether he had side effects from the medications are unknown; therefore, whether the effects of the pilot’s use of duloxetine and amitriptyline were a factor in this accident could not be determined. The glider’s rapid climb after takeoff and subsequent vertical descent are consistent with an inflight loss of control; however, because the glider was not examined after the accident, whether a mechanical malfunction or anomaly contributed to the loss of control could not be determined based on the available information.

Factual narrative

According to FAA records, the glider was originally issued an FAA airworthiness certificate in the Experimental – Exhibition category on October 28, 2002. The glider was then exported to Canada and re-imported to the United States upon purchase by the pilot in February 2018. An FAA airworthiness certificate application completed by the accident pilot around the time of purchase indicated a total airframe time of 26.3 hours. The glider’s total time at the time of the accident could not be determined. On June 30, 2020, at 1324 Pacific daylight time, an Aviastroitel AC-5M motorglider, N263R, was destroyed when it was involved in an accident near Bend, Oregon. The pilot was fatally injured. The glider was operated as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight. The pilot was departing in the self-launching motorglider when the accident occurred. A video of the glider’s takeoff roll revealed that the glider’s right wing remained low for much of the takeoff roll. The video did not capture the initial climb or the accident. A witness stated that, once airborne, the glider began to climb rapidly. The glider then banked to the right and entered a “dive” to ground contact. Another witness stated that, shortly after takeoff, the glider “went directly vertical” then banked to the right before diving toward the ground. A postcrash fire ensued and the glider was destroyed. An autopsy of the pilot was completed by the Oregon State Medical Examiner’s office, Clackamas, Oregon. According to the autopsy, the pilot’s cause of death was generalized blunt force trauma and the manner of death was accident. The pilot had an implanted pacemaker/defibrillator that was not interrogated. No other significant natural disease was identified. Toxicology testing by the FAA Forensic Sciences Laboratory detected the antidepressant duloxetine in the pilot’s cavity blood at 45 nanograms per milliliter (ng/mL) and in his liver tissue. The antidepressant amitriptyline and its metabolite nortriptyline were detected in his liver tissue; nortriptyline was also detected in his cavity blood at 699 ng/mL. The non-impairing medications atorvastatin, tamsulosin, and metoprolol were detected in his cavity blood and liver tissue. The pilot held a private pilot certificate with ratings for airplane single-engine land and glider. His most recent Federal Aviation Administration (FAA) medical certificate was issued in April 2004, at which time he reported 1,500 total hours of flight experience. The pilot completed the requirements for operation under BasicMed in February 2020. His recent flight experience and his experience in the accident glider make and model was not determined. Information from local law enforcement indicated that the glider came to rest on airport property near the departure end of the runway. The glider was almost entirely consumed by postimpact fire, except for the left wing. The glider was not examined and was disposed of before examination couldtake place; therefore, whether any mechanical malfunctions or anomalies contributed to the accident could not be determined.

Aircraft

Registration
N263R
Reported as
Avia Stroitel AC-5M
Category
Glider
Serial number
028
Built
2002
Engine
Compact Radial Engines MZ 35, 27 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Departed
BDN · Bend, OR
Destination
BDN · Bend, OR
Airport
BDN · Bend Muni, runway 34, 5,200 × 75 ft, asphalt
Equipment
Unknown

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
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
BasicMed
Seat
Single
Toxicology
Performed
Flight hours
1,500 total · 0 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 39 °F
Altimeter
30.00 inHg
Observed at
KBDN

Docket · 6

The files NTSB released with the investigation on December 8, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.7 MB in all.