WPR20LA257

NTSB accident investigation · Sportine Aviacija LAK17 · Lake Port, CA · August 7, 2020

Accident · FatalClass 3 · LimitedFinal report
Date
August 7, 2020, 12:30 local (19:30 UTC)
Place
Lake Port, CA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N290MHSportine Aviacija LAK17
Defining event
Maneuvering: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Prescott Area Flying, FAA-FSDO
FAA report
20200807016939A
Case key
101758

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 exceedance of the glider’s critical angle of attack during flight, which resulted in an aerodynamic stall and subsequent impact with 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.

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 departed on a local flight in his newly purchased self-launching motorglider in day visual meteorological conditions. Flight track data showed the glider complete multiple turns in the vicinity of the airport at various altitudes. About 20 minutes into the flight, flight track data ended near the accident site. The end of the data showed the glider in a short, steep climb before turning left and losing about 70 ft of altitude. The final data point showed the glider about 564 ft above ground level. There were no witnesses to the accident. Although the recorded data did not capture engine operation for the accident flight, examination of the wreckage indicated that the engine was operating at the time of impact. The pilot had over 1,600 hours of flight experience in gliders and about 4.5 hours in the accident glider. Although the flight track data did not show an aerodynamic stall causing the glider to descend to the ground, it is likely that one occurred. According to photos supplied by first responders, the glider was found in multiple sections scattered within about a 100 ft radius. In the immediate vicinity of the debris field and wreckage, trees and bushes were not damaged indicating that the glider was most likely in a nose low descent at the time of impact.

Factual narrative

The single-seat, high-performance motor glider, serial number 029, was manufactured in 2020. According to the airframe logbook, the glider had less than 5 total hours of flight time before the accident flight. The glider was equipped with a single-shaft, 23-kilowatt (maximum power) FES-LAK-M100 front electric sustainer (FES) motor, which powered a FES-LAK-P10-100, 1-meter diameter, two-bladed propeller. The foldable propeller was located at the nose of the glider; when not in use, the blades folded aft against the fuselage. The motor was powered by two 116-volt batteries located behind the cabin area. Per the glider flight manual, the glider's normal operating airspeed range was 54 to 92 kts. Its never-exceed airspeed in smooth air was 124 kts. The glider was equipped with an LXNav LX9000 glide computer/GPS that captured flight information for the accident flight and previous flights. According to a family member and flight track data, on June 20, 2020, before the pilot’s first orientation flight, it was noted that the spoiler sensor and the landing gear sensor were installed in the wrong positions. The propeller blades would also not retract into their folded positions after a FES ground run. The sensors were repaired. After the glider departed the airport area, the FES was getting hot and was shut down before reaching the planned altitude. While announcing the return to the airport over the radio, the FES restarted and was shut down again by the pilot. The propeller continued to rotate during the descent and the blades would not retract into their folded positions. During the landing, the pilot kept the glider’s nose up to prevent propeller blade impact with the runway, and the main tire blew upon touchdown. The landing gear was repaired, and electronic downloads were installed to adjust the propeller docking position. Also, an adjustment was made to avoid radio activation of the FES. The electronic downloads were not found in the logbooks. On August 7, 2020, about 1230 Pacific daylight time, a Sportine Aviacija Lak-17B FES Mini motorized glider, N290MH, was substantially damaged when it was involved in an accident near Lakeport, California. The private pilot was fatally injured. The glider was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot departed from runway 28 at Lampson Field Airport (1O2), Lakeport, California, about 1200 on a local flight. A video was taken from the start end of runway 28 at 1O2, where a family member acted as a wing runner while the glider started its takeoff roll. The glider started on the left side of the runway and became airborne after about 1,000 ft of ground roll. The glider maintained runway heading in a steep climb until reaching an altitude of about 500 ft above ground level before the glider was out of view. The motor could be heard throughout the video. When the pilot did not return from the flight, family members checked information from his personal locator beacon,which indicated his last position. The accident site was located later in the day. There were no witnesses to the accident. Flight track data for the accident flight was downloaded from an onboard flight computer. The data indicated that the pilot departed and performed turning maneuvers within 2 miles of 1O2 for about 20 minutes, and the glider reached a maximum altitude of 2,871 mean sea level (msl), about 1,500 ft above ground level (agl); the altitude then slowly decreased throughout the rest of the flight. The data near the accident site showed the glider in a short, steep climb before it turned left and descended about 70 ft; the last recorded altitude was about 564 ft agl. According to the autopsy performed by Bennett Omalu Pathology, the cause of death was high velocity polytrauma. In addition, severe atheroschlerotic heart disease was identified with up to 90% stenosis of the left anterior descending and right coronary arteries; however, no scarring from previous ischemia was identified. According to the testing performed by Central Valley Toxicology Inc., ethanol was detected in chest blood at 0.14 gm/dl; no other common acidic, neutral, or basic drugs were identified. Toxicology testing performed by the FAA’s Forensic Sciences Laboratory identified ethanol at 0.130gm/dl along with N-propanol in cavity blood but no ethanol in vitreous. No other tested-for substances were detected. The pilot purchased the glider several months before the accident. Although he had logged over 1,500 hours of flight experience in gliders, the pilot had less than 5 hours in the accident glider. The pilot had recently imported the glider and was involved in recent months of fulfilling FAA airworthiness requirements. The pilot was also coordinating with a designated airworthiness representative (DAR) to complete three takeoffs and landings and five hours of flight time. In an email dated July 9, 2020, the pilot requested to the DAR that he change the location of his introductory flights from 1O2 to Air Sailing Gliderport (NV23), Sparks, Nevada, where the pilot had explained he had flown for the past 18 years. He also stated that he would get more acquainted with the new glider by taking several aerotows before moving to self launches. The email request was approved the following day. On July 12, 2020, the pilot conducted an aerotow at NV23 and completed a 4-hour and 15-minute flight in the accident glider. The wreckage was located on steep, wooded terrain about 1 mile west of the departure end of runway 28 at 1O2. According to photos supplied by first responders, the glider was found in multiple sections scattered within about a 100 ft radius. In the immediate vicinity of the debris field and wreckage, trees and bushes were not damaged. Due to the Covid-19 pandemic, the NTSB did not travel to the accident site. Local law enforcement responded to the accident site, and onsite photographic documentation was accomplished. An airframe examination was performed atthe accident site and the wreckage was recovered to a secured facility for further examination. The postaccident examination of the wreckage revealed the forward fuselage had excessive impact damage and was found in multiple sections. The motor remained attached to the forward support structure (canopy holder) and instrument panel, which separated from the main wreckage. Battery cables and various wires near the motor were cut during the recovery of the wreckage. The propeller blades separated from the motor hub and were found with impact damage to the blades and to the mounting ends. The cambered sides of the propeller blades displayed rotational scuff marks. Both propeller blades’ mounting end sections remained attached to the hub. The spinner exhibited rotational scoring near the aft edge as well as impact damage near the blade mounts consistent with the blades being in the deployed (forward) position. (see Figure 1.) The motor housing displayed rotational scoring. Figure 1. FES Motor assembly and impact marks The motor rotated normally by hand. The air vent linkage in the hub operated normally by hand from the cable. The examination of the wreckage revealed no evidence of preexisting malfunctions or failures that would have precluded normal operation.

Aircraft

Registration
N290MH
Reported as
Sportine Aviacija LAK17 (B)
Category
Glider
Serial number
029
Built
2020
Engine
Sportine Aviacija FES-LAK-M100, electric
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Matt J Herron
Registered owner
Matt J Herron
Airworthiness certificate
None
Last inspection
Unknown · June 12, 2020 · 3 hours before
Departed
1O2 · Lakeport, CA
Destination
1O2 · Lakeport, CA
Equipment
Satellite tracking device, Data recorder

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
89
Injuries
Fatal
Certificate
Private
Last flight review
May 10, 2019
Seat
Single
Flight hours
1,556 total · 4.53 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
97 °F, dew point 55 °F
Altimeter
29.88 inHg
Observed at
K1O2, 1 nm away

Docket · 15

The files NTSB released with the investigation on January 18, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 122 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.