ASN Wikibase Occurrence # 185669
This information is added by users of ASN. Neither ASN nor the Flight Safety Foundation are responsible for the completeness or correctness of this information.
If you feel this information is incomplete or incorrect, you can
submit corrected information.
Date: | Sunday 20 March 2016 |
Time: | 11:10 |
Type: | Aeronca 7AC Champ |
Owner/operator: | Private |
Registration: | N84580 |
MSN: | 7AC-3289 |
Year of manufacture: | 1946 |
Total airframe hrs: | 1855 hours |
Engine model: | Lycoming O-235-C1 |
Fatalities: | Fatalities: 1 / Occupants: 1 |
Aircraft damage: | Destroyed |
Category: | Accident |
Location: | 7 miles northeast of Ellsworth -
United States of America
|
Phase: | En route |
Nature: | Private |
Departure airport: | Alliance, NE (AIA) |
Destination airport: | Alliance, NE (AIA) |
Investigating agency: | NTSB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:The private pilot departed for a local personal flight on a winter day with an outside air temperature of about 6°C. About 1 hour after takeoff, the pilot's brother saw the airplane maneuvering near his home, which was in a rural area about 31 miles from the departure airport. The airplane did not return to the departure airport, and the accident site was located in an open field 2 days later, about 4 miles from the pilot's brother's home. Examination of the accident site revealed wreckage and impact signatures consistent with the pilot losing control of the airplane. Examination of the engine's exhaust muffler revealed cracks in several locations, and the muffler's shroud contained a layer of exhaust residue. Six months before the accident, the pilot and the mechanic who had previously performed an annual inspection on the airplane became aware of a crack in the muffler near a weld that the pilot had performed. The pilot had purchased a replacement muffler, but it was not installed before the accident. A carbon monoxide detector was not on board the airplane.
Toxicology testing of the pilot's blood revealed a carbon monoxide level of 40%, which was more than enough to severely impair the pilot. The carbon monoxide likely entered the airplane's cabin because of the cracked engine exhaust muffler. The toxicology testing also revealed several non-impairing medications and two potentially impairing medications (temazepam and buspirone). According to the pilot's medical records, he was being treated for anxiety with temazepam and buspirone, and he may have been fatigued from insufficiently treated sleep disorders (insomnia and obstructive sleep apnea). However, it could not be determined whether the pilot's anxiety, the medications used to treat it, or fatigue contributed to his poor judgment in flying the airplane with known cracks in the exhaust muffler.
Probable Cause: The pilot's impairment due to carbon monoxide poisoning from a known cracked engine exhaust muffler, which resulted in a loss of aircraft control. Contributing to the accident was the pilot's decision to continue flying the airplane without properly repairing the exhaust muffler.
Accident investigation:
|
| |
Investigating agency: | NTSB |
Report number: | CEN16FA130 |
Status: | Investigation completed |
Duration: | |
Download report: | Final report |
|
Sources:
NTSB
FAA register:
http://registry.faa.gov/aircraftinquiry/NNum_Results.aspx?NNumbertxt=84580 Location
Revision history:
Date/time | Contributor | Updates |
22-Mar-2016 19:22 |
gerard57 |
Added |
23-Mar-2016 00:19 |
Geno |
Updated [Aircraft type, Registration, Cn, Other fatalities, Location, Departure airport, Destination airport, Source, Damage, Narrative] |
24-Mar-2016 20:41 |
gerard57 |
Updated [Total fatalities, Location, Source, Damage, Narrative] |
21-Dec-2016 19:30 |
ASN Update Bot |
Updated [Time, Damage, Category, Investigating agency] |
16-Dec-2017 14:54 |
ASN Update Bot |
Updated [Departure airport, Destination airport, Source, Narrative] |
16-Dec-2017 17:09 |
harro |
Updated [Source, Narrative] |
16-Dec-2017 17:10 |
harro |
Updated [Source] |
The Aviation Safety Network is an exclusive service provided by:
CONNECT WITH US:
©2024 Flight Safety Foundation