Aviation Accident Summaries

Aviation Accident Summary CEN23FA016

Chandler, TX, USA

Aircraft #1

N86GV

VANS AIRCRAFT INC RV-12

Analysis

The pilot departed the airport for an unknown destination. ADS-B data captured the accident flight as it departed from the runway and climbed to about 5,500 ft mean sea level (msl). It then entered a descending right turn with increasing speed and impacted shallow water on the bank of a lake. Examination of the airframe and engine did not reveal any preimpact anomalies that would have precluded normal operation. A gear marking in the engine case was consistent with the engine producing power at the time of the accident. The pilot had a documented history of angioplasty and hypertension, and toxicological evidence indicated he had used medications consistent with treating cardiovascular disease. He likely was at increased risk of a sudden impairing or incapacitating cardiovascular event. An autopsy was conducted on the pilot; however, due to the condition of the remains, a thorough examination could not be conducted. It could not be determined if an impairing condition or natural disease contributed to the accident. Some, or all, of the ethanol detected by toxicological testing may have been from postmortem production; however, the limited results also do not exclude the possibility of ethanol consumption or related impairment. Additionally, the pilot’s toxicology results indicate that he had used multiple medications (including hydrocodone, citalopram, zolpidem, gabapentin, and amitriptyline) that are potentially impairing and/or potentially indicative of other medical conditions (such as depression, chronic pain, or medication-treated diabetes) that could have impairing effects on performance. The airplane’s descending right turn, along with the near-vertical impact signatures, were consistent with an inflight loss of control from which the pilot was unable to recover.

Factual Information

HISTORY OF FLIGHTOn October 21, 2022, about 1430 central daylight time, a Vans RV-12 airplane, N86GV, was substantially damaged when it was involved in an accident near Chandler, Texas. The pilot was fatally injured. The airplane was operated under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91 as a personal flight. Before the flight, ADS-B data captured the airplane as it flew from the area of Round Rock, Texas, towards the Tyler Pounds Regional Airport (TYR), Tyler, Texas. At the airport, the pilot added 3.9 gallons of fuel to the airplane to be fully fueled. ADS-B data captured the accident flight as it departed from runway 22 at TYR about 1423 for an unknown destination. The data showed the airplane climbed to about 5,500 ft msl and entered a descending right turn with increasing speed. The airplane impacted shallow water on a bank of Lake Palestine. PERSONNEL INFORMATIONAccording to Federal Aviation Administration (FAA) records, the pilot’s last FAA medical certificate was issued on August 12, 1999, and was not valid after 2001. Under the provisions of Title 14 CFR 61.23, the pilot was operating the light sport airplane using his driver’s license. A complete pilot logbook was not recovered for the pilot. In 2018, the pilot submitted flight experience of 1,717 total hours to his insurance carrier. In 1999, on the pilot’s last application for an FAA medical certificate, he reported his total flight experience of 800 hours. AIRCRAFT INFORMATIONAccording to records on file with the FAA, the pilot purchased the airplane in August, 2021. AIRPORT INFORMATIONAccording to records on file with the FAA, the pilot purchased the airplane in August, 2021. WRECKAGE AND IMPACT INFORMATIONImpact signatures were consistent with a near-vertical impact. The engine was separated from the airframe during recovery from the lake. Examination of the airframe revealed nearly symmetrical accordion crushing on both wings. The engine compartment was crushed rearward toward the cockpit and wing spar. Buckling and crushing was noted along the empennage. All primary flight controls were accounted for at the accident site. The left aileron was partially torn near the outboard hinge. The right aileron remained attached to the right wing. The rudder remained attached to the vertical stabilizer. The stabilator was crushed and deformed. Flight control continuity could not be established due to the extent of the impact damage. An examination of the engine did not detect any preimpact anomalies. Disassembly of the gearbox indicated that a gear within the gearbox had made contact with the crankcase, which resulted in a rotational smearing of metal. ADDITIONAL INFORMATIONSeveral people interacted with the pilot before his departure; none reported any unusual behavior. MEDICAL AND PATHOLOGICAL INFORMATIONAn autopsy was conducted by American Forensics, Mesquite, Texas, as authorized by the Justice of the Peace, Henderson County, Texas. Due to the condition of the pilot’s remains, a thorough autopsy to evaluate for natural disease could not be performed. The autopsy ruled the cause of death to be extensive blunt force trauma. The manner of death was ruled an accident. Toxicology testing performed by the FAA’s Forensic Sciences Laboratory identified ethanol at 0.054 g/dL in one blood specimen and 0.022 g/dL in another blood specimen, at 0.049 g/hg in kidney tissue, and at 0.075 g/hg in muscle tissue. Hydrocodone and its metabolites dihydrocodeine and hydromorphone were detected in blood and liver tissue. Citalopram and its metabolite n-desmethylcitalopram was detected in blood and lung tissue. Zolpidem and gabapentin were detected in blood and liver tissue, as were amitriptyline and its metabolite nortriptyline. Glipizide, atorvastatin, valsartan, carvedilol, and clopidogrel also were detected in blood and liver tissue. Tamsulosin was detected in liver tissue. Sildenafil was detected in blood. The samples submitted for testing were marked putrefied. Of the substances identified in toxicology testing, there were several medications which would have required a Special Issuance or were completely unacceptable for use by pilots. By FAA medical standards, the side effects, alone and combined, posed a hazard to flight safety and may have contributed to the accident. A review of the pilot’s medical history revealed that he did not hold an FAA medical certificate at the time of the accident. The pilot’s prior Authorization for Special Issuance of Medical Certification for a history of angina, angioplasty, and medication-controlled hypertension had expired.

Probable Cause and Findings

The loss of control inflight for reasons that could not be determined.

 

Source: NTSB Aviation Accident Database

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