Pilot Debrief

ZENITH 601XL near Albertville, AL — 2023-06-03

Final reportERA23FA254
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Date
2023-06-03
Location
Albertville, AL, USA
Airport
8A0
Aircraft
ZENITH 601XL
Registration
N601YP
Category
Airplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Climb

Probable cause

A descent and impact with terrain for reasons that could not be determined.

NTSB narrative

After troubleshooting oil pressure and airspeed indications issues with his electronic flight instrumentation and engine monitoring system, the pilot departed in the experimental amateur-built airplane on its third test flight. Data recovered from the airplane’s onboard electronic instruments showed that the airplane departed the airport traffic pattern and flew for about 30 minutes, performing several heading changes and climbing to 4,000 ft mean sea level (msl) before descending to level off at 2,050 ft msl. There was nothing unusual about the airplane’s flight profile and the maneuvers up to that point appeared to be normal. Witnesses to the final moments of the flight reported the airplane was flying slow at a low power setting. One witness reported the airplane stalled or pitched up and down, then stalled again before it rolled to the left and right and then descended behind the trees. Another witness reported the engine power increased to full power before the nose of the airplane pitched down. The pilot did not recover from the descent and the airplane impacted trees and terrain about 3 miles away from the airport. The recorded data for the final moments of the flight revealed a sequence of events that was generally consistent with the witness observations, and there were no apparent anomalies with the airplane’s engine preceding or during the final descent. Postaccident examination of the airframe, systems, and engine did not reveal evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. Discrepancies observed in the recorded data, such as recorded changes to the roll angle and a relative lack of change of the airplane’s heading and ground track, as well as differences between the airplane’s indicated/true airspeeds and the recorded GPS groundspeeds suggested that the troubleshooting efforts the pilot was performing to the airplane’s electronic instruments may not have resulted in the system being fully functional and able to record reliable parametric data. Medical examination revealed the pilot was at increased risk of cardiovascular disease. No significant cardiovascular disease was identified during the pilot’s autopsy; however, the autopsy was limited by injuries that prevented examination of the pilot’s coronary arteries. Toxicology testing of specimens from the pilot was consistent with medication-treated diabetes, without severe high blood sugar at the time of the accident. While this condition was associated with some increased risk of impairment or incapacitation, there was no specific forensic evidence that a medical event contributed to the accident. Based on the available evidence, the reason for the airplane’s descent and impact with terrain could not be determined.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilot could have adhered to mechanic's advice to stay over the airport.

NTSB coding

Evidence available

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

Docket documents10

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