Aircraft Accident/Incident Report

Mead, Colorado 80542
Sunday, September 8, 2002 9:30 MDT

NTSB Narrative Summary Released at Completion of Accident

Witnesses observed "a rotor or a wing" separate from the gyroplane, and the gyroplane then descended and impacted terrain. According to the deputy's report, a rotor blade was found about 150 feet north of the point of impact, and other debris was strewn to the southwest. The co-builder of the accident gyroplane, who was also a close friend of the pilot, contacted three gyroplane experts: the designer of the SA-1 Dominator and President of Rotor Flight Dynamics; a gyroplane aerodynamist; and the designer of another gyroplane. They examined the wreckage and compiled both a factual and analytical report. The following is based on the factual portion of the report. The separated rotor blade was bowed upward and had fractured about 2 feet from the tip. The fracture was consistent with positive overload. There was orange paint and primer transfer marks on the top and upper leading edge (the tail cone was painted orange). The attached rotor blade was also bent upward. The propeller blades exhibited no strike marks. The rotor head and hub bar were intact. The hub bar, normally bent 2.5 degrees upward, was bent approximately 10 degrees upward. The roll pillow blocks bore evidence of hammering and were mushroomed. The pitch stops were similarly damaged. In the analytical portion of the report, the necessity of maintaining blade loading at all times in order to maintain main rotor blade rotation was noted. The fracture on the separated main rotor blade was in "a purely upward bending moment which could only have occurred if the blade rpm had dramatically slowed...If totally unloaded, the blade rpm can deteriorate as fast as 120 rpm/sec." Normal rotor blade rpm is 320 to 400 rpm. If rotor blade rpm were allowed to drop, increasing the velocity of air moving through the rotor system, severe blade "flapping" would result as evidenced by the pounding and mushrooming of the roll pillow blocks and bending of the hub bar on the rotor head. A toxicological test revealed 2.024 (ug/mL, ug/g) paroxetine in the blood and liver. The drug is an antidepressant and contraindicated for flight. The pilot's personal physician prescribed the drug for the treatment of fibromyalgia, a condition manifested by muscle soreness. Adverse effects of the drug include drowsiness, muscle weakness, agitation, and tremors.

NTSB Probable Cause Narrative

the pilot's failure to maintain main rotor rpm, resulting in blade flapping, subsequent blade contact with the airframe, and loss of control.

Event Information

Type of Event Accident
Event Date 9/8/2002
Event Day of the Week Sunday
Time of Event 930
Event Time Zone Mountain Daylight Time
Event City Mead
Event State COLORADO
Event Country --
Zipcode of the event site 80542
Event Date Year 2002
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 401251N
Event Location Longitude 1045701W
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 953 Mountain Daylight Time
Direction of event from weather observation facility (degrees) 135
Weather Observation Facility ID DEN
Elevation of weather observation facility 5431
Distance of event from weather observation facility (units?) 25
Time Zone of the weather observation MDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 9000
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 24
Dew Point at event time (in degress fahrenheit) 8
Wind Direction (degrees magnetic) 140
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.12
Density Altitude (feet) 7024
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 12762
NTSB Notification Source FAA Comm Center
NTSB Notification Date Sep 8 2002 12:00AM
NTSB Notification Time 1045
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Apr 1 2003 4:20PM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office Denver, Colorado

Aircraft Involved

Aircraft #1

Aircraft Registration Number N551SA
NTSB Number DEN02LA103
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name Adler
Aircraft Model SA-1
Aircraft Series Identifier --
Aircraft Serial Number 001
Certified Max Gross Weight 900
Aircraft Category Gyrocraft
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? Yes
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 1
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Conditional
Date of Last Inspection Jun 18 2002 12:00AM
Airframe hours since last inspection 44
Airframe Hours 44
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name Steven H. Adler
Aircraft Owner Street Address On File
Aircraft Owner City Broomfield
Aircraft Owner State CO
Aircraft Owner Country USA
Aircraft Owner Zipcode 80020
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code BJC
Departure City Broomfield
Departure State CO
Departure Country USA
Departure Time 900
Departure Time Zone MDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code BJC
Destination City --
Destination State --
Destination Country --
Specific Phase of Flight Maneuvering
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Dec 10 2002 3:06PM
User who most recently changed record MCBM
Since inspection or accident Time of Accident
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --