Pilot Debrief

ICON A5 near Onamia, MN — 2023-06-30

Final reportCEN23FA270
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Date
2023-06-30
Location
Onamia, MN, USA
Aircraft
ICON A5
Registration
N239BA
Category
Airplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Descent

Probable cause

The pilot’s failure to maintain clearance from the water while flying at a low altitude.

NTSB narrative

The flight of two airplanes was in cruise flight on a north heading about 50 ft above a lake when the pilots agreed to fly closer to the west shore of the lake. The pilot of the second (non-accident) airplane initiated a climb and turned toward the west. In his peripheral vision, he noticed a splash and thought the pilot of the amphibious light sport airplane had landed on the water. He made several radio calls to the accident pilot with no response. A witness reported seeing both airplanes fly about 30–40 ft above the surface of the water; however, they did not see the accident. The airplane was destroyed when it impacted the water and became submerged in about 26 ft of water. Examination of the wreckage indicated that the airplane impacted water in a left-wing-low attitude. Further examination revealed no evidence of preimpact failures or malfunctions that would have precluded normal operation. Damage to the propeller indicated that the engine was likely under power at the time of the accident. The pilot’s autopsy revealed cardiovascular disease that would have increased his risk of experiencing a sudden impairing or incapacitating cardiac event, such as arrhythmia, chest pain, or heart attack. There was no autopsy evidence that such an event occurred; however, such an event does not leave reliable autopsy evidence if it occurs shortly before death. Toxicology results indicated that the pilot had used a cannabis product. However, the precise timing of his last cannabis use, and whether it caused significant impairing effects at the time of the accident, could not be determined from the measured levels of delta-9-THC and its metabolites.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilot could have chosen to maintain altitude instead of descending over the lake.

NTSB coding

Evidence available

  • FDR / data
  • ADS-B / radar
  • 13 docket documents
View NTSB final reportView NTSB docket

Docket documents13

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