Aviation Accident Summaries

Aviation Accident Summary CEN16LA154

Kilbourne, LA, USA

Aircraft #1

N301LA

AIR TRACTOR INC AT 502

Analysis

The commercial pilot was conducting his second spray load application of the day to a field located about 1/4 mile north of the accident site. A farmer stated that the pilot's last passes were to finish up spraying a tight area of the field that had trees at the end. A witness near the accident site saw the airplane turning at low altitude and then rapidly descending until ground impact. Postaccident examination of the wreckage and ground scars revealed that the airplane impacted terrain in a steep, nose-down attitude with low groundspeed, consistent with an aerodynamic stall. Examination of the airframe and engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. The pilot had hypertension and left ventricular hypertrophy (LVH). However, the investigation was unable to determine whether the pilot's underlying hypertension and LVH might have contributed to the accident.

Factual Information

HISTORY OF FLIGHTOn April 18, 2016, about 0910 central daylight time, an Air Tractor Inc AT-502 airplane, N301LA, impacted terrain during spray operations near Kilbourne, Louisiana. The pilot was fatally injured, and the airplane was destroyed. The airplane was registered to and operated by Pioneer Flying Service, Inc., under the provisions of Title 14 Code of Federal Regulations Part 137 as an aerial application flight. Day visual meteorological conditions prevailed for the flight, with no flight plan filed. The local flight departed a private airport about 0900. According to operator personnel, the pilot was conducting his second load of spray operations for the day to the same farm area, which was about ¼ mile north of the accident site. A witness near the accident noticed the airplane enter a rapid descent while in a turn until it impacted the ground. A post-crash fire ensued. The farmer whose field was being sprayed stated the pilot was "dressing up" a field, which had a tight area shaped like a bull nose, with trees at the end. The farmer did not witness the accident. He remarked the pilot was able to spray tight areas of fields that other pilots elected not to spray. PERSONNEL INFORMATIONThe pilot, age 48, held a commercial pilot certificate with an airplane single-engine land rating. The pilot held a second-class medical certificate issued on June 1, 2015, with the restriction that he must wear corrective lenses for near vision. The date of his last flight review was March 15, 2016. AIRCRAFT INFORMATIONThe single-engine low-wing conventional-geared airplane was equipped with a Pratt and Whitney PT6A-34AG turbo-prop engine. According to the operator, the last annual inspection was performed on February 17, 2016. The airframe total time was 9,585 hours and the engine total time was 7,022 hours, with 445 hours since the last hot section inspection. METEOROLOGICAL INFORMATIONAt 0915, the weather observation station at Morhouse Memorial Airport (BQP), Bastrop, Louisiana, located about 32 miles southwest of the accident site, reported the following conditions: wind 080 degrees at 4 knots, 10 miles visibility, clear skies, temperature 19°C, dew point 15°C, altimeter setting 30.24 inches of mercury. AIRPORT INFORMATIONThe single-engine low-wing conventional-geared airplane was equipped with a Pratt and Whitney PT6A-34AG turbo-prop engine. According to the operator, the last annual inspection was performed on February 17, 2016. The airframe total time was 9,585 hours and the engine total time was 7,022 hours, with 445 hours since the last hot section inspection. WRECKAGE AND IMPACT INFORMATIONThe airplane impacted a soft open field. Other than a set of electrical lines, no obstacles were in the immediate area of the wreckage. The wreckage had no signs of an in-flight impact with wires, trees, or other obstacles. The wooded area toward the sprayed field was searched for broken branches or other signs of tree impact, with none observed. The wreckage was confined to the immediate vicinity of the impact site. The impact crater contained pieces of engine cowling, windshield plexiglass, and the hopper top and lid. The engine penetrated about 3 ft deep into the soft soil. Radiating from the crater were impressions in the soil, consistent with impact marks from the leading edge of both wings. The wings were located about 10 feet away from these impressions. Both wings were crushed aft, with the left wing receiving more damage than the right wing. The aft fuselage and rudder showed signs of momentum toward the left side of the airplane. The ground impact markings and wreckage were consistent with a steep, nose down impact at low groundspeed. The fuselage was mostly destroyed by impact forces and a post-crash fire. All control surfaces were located and identified, except for the vertical stabilizer. The only piece of the vertical stabilizer that was located was a short piece of the stabilizer rear spar that remained attached to the lower portion of the rudder. The lower hinge point of the rudder was found fully intact with minimal damage. The end of the wire deflector cable that was attached to the top of the stabilizer was found underneath the cockpit wreckage. Multiple pieces of fire-damaged aluminum were identified as possible vertical stabilizer components, but none could be confirmed. A witness mark was observed on the top fuselage skin that corresponded to the shape of the vertical stabilizer's leading edge. The wings flaps were in the full up position. Flight control continuity was confirmed to the extent possible, with several components consumed by the fire or cut by emergency response personnel during the pilot's extrication. The aileron/rudder interconnect system, which is a system of cables that connect the rudder pedals to the aileron controls to assist the pilot with coordinated flight, had been removed from the airplane. The engine was damaged by the post-crash fire, with the inlet case fractured, causing complete separation of the accessories gearbox from the engine. Rotational signatures were observed throughout the compressor and power turbines and adjacent static components, consistent with the engine rotating under power during impact. There was no evidence of pre-impact anomalies of the engine, airframe, or propeller. Due to fire damage, data from a GPS unit found in the wreckage could not be downloaded. MEDICAL AND PATHOLOGICAL INFORMATIONDuring his last FAA medical examination, the pilot reported heterophoria (cross-eyes), previous treatment for a kidney stone, and long-standing hypertension. He also reported using nisoldipine, valsartan, and hydrochlorothiazide, commonly sold with the names Sular and Diovan-HCT. Used to treat his blood pressure, none of these medications are generally considered impairing. According to the autopsy report from the West Carroll Parish Coroner's Office in Oak Grove, Louisiana, the cause of death was multiple blunt force injuries and the manner of death was accident. The heart weighed 550 grams and was enlarged due to concentric left ventricular hypertrophy (LVH). The left wall of the ventricle was reported as 1.8 cm thick; measurements in other areas were not reported. Average for a man with the pilot's weight of 282 pounds is 443 grams with a range of 335-584 grams; average left ventricular wall thickness is about 1.3 cm. LVH is commonly caused by longstanding hypertension. Toxicology performed by the FAA's Bioaeronautical Sciences Research Laboratory identified valsartan in urine and cavity blood. Valsartan is described above.

Probable Cause and Findings

The pilot’s failure to maintain adequate airspeed and his exceedance of the airplane’s critical angle of attack during a turn, which resulted in an aerodynamic stall and loss of airplane control at too low of an altitude for a safe recovery.

 

Source: NTSB Aviation Accident Database

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