Pilot Debrief

CGS AVIATION LLC HAWK ARROW II SLSA near Lonoke, AR — 2014-10-20

Final reportCEN15FA022
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Date
2014-10-20
Location
Lonoke, AR, USA
Airport
1AR9
Aircraft
CGS AVIATION LLC HAWK ARROW II SLSA
Registration
N916H
Category
Airplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Approach

Probable cause

The pilot's loss of airplane control while turning onto the base leg of the traffic pattern due to his failure to maintain sufficient speed and/or overbanking, which resulted in the airplane impacting trees. Contributing to the pilot's fatal injuries was his fall from a tree after exiting the airplane.

Contributing factors

Contributing to the pilot's fatal injuries was his fall from a tree after exiting the airplane.

NTSB narrative

The commercial pilot and passenger reported that, after a 45-minute local flight in the light sport airplane, the pilot entered the traffic pattern at the nontowered airport. While the airplane was on the left base leg of the traffic pattern, the pilot flew past the extended runway centerline and banked sharply left. The airplane subsequently nosed over and impacted trees near the approach end of the runway and then came to rest suspended in a tree about 25 ft above the ground. The passenger disconnected his seat restraints and climbed down a tree without incident. The pilot disconnected his seat restraints and attempted to climb down a tree but fell to the ground. After transport to a local hospital, the pilot died due to multiple traumatic injuries. Examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. One week before the accident, the pilot accomplished a flight review in the accident airplane following a 4-year period of not flying; the review included six landings at the accident airport. The flight instructor who conducted the review characterized the accident airplane as having a high drag profile, which led it to easily "get slow" in the traffic pattern, which the pilot was sometimes slow to recognize, especially during base turns. The flight instructor recommended a mid-power setting to compensate for the drag profile, but the pilot frequently reverted to idle power during his base turns. Given the passenger and flight instructor statements, the pilot likely did not maintain sufficient airspeed and/or overbanked to correct for overshooting final, which resulted in his loss of airplane control. At his last medical examination, the pilot reported that he was taking citalopram to treat depression and metoprolol to treat blood pressure, and toxicology tests detected these medications in his blood and urine. He was also being treated for hypertension, leg swelling, glaucoma, and cholesterol. However, there was no evidence suggesting that any of the pilot's medical problems or the medications he was using to treat them contributed to the accident or his fall from the tree.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilot could have maintained better power management during base turn.

NTSB coding

Evidence available

  • Photos
  • 4 docket documents
View NTSB final reportView NTSB docket

Docket documents4

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