Danville Regional Airport
Aircraft Accident/Incident Report

Danville, Virginia 24586
Thursday, April 19, 2007 9:10 EDT

NTSB Narrative Summary Released at Completion of Accident

The Grumman American AA-5BA, was in radio and radar contact with air traffic control (ATC) at 7,000 feet msl, when the pilot declared a medical emergency and requested to divert, advising ATC that his diabetic passenger was experiencing "tremors," and that he (the pilot) was "wrestling with the other guy." The pilot was cleared for a straight in visual approach to the diversion airport, but did not acknowledge the clearance, and the airplane struck trees, fatally injuring both occupants. Examination of the wreckage revealed no evidence of preimpact failures or malfunctions with the airframe or engine. The passenger utilized an insulin pump to control diabetes and his postmortem toxicology testing was positive for quinine, a substance found in tonic water, used to treat malaria, and available in an over-the-counter nutritional supplement marketed to reduce the frequency of nocturnal leg cramps (a condition that may cause painful leg muscle spasm at night). Even in non-diabetics, quinine can result in low blood sugar (hypoglycemia), a condition most commonly seen in diabetics on insulin and can lead to behavioral changes, confusion, fatigue, seizures, and loss of consciousness. The pilot's post-mortem toxicology testing was positive for butalbital, venlafaxine, and ibuprofen. The pilot may have been sufficiently distracted or impaired by his existing medical conditions that he did not adequately handle an impending or evolving incapacitating event in his passenger; it is less likely that he was impaired by the medications used to treat those conditions. The pilot had not noted any medical conditions or the use of any medications on his most recent FAA application for airman medical certificate.

NTSB Probable Cause Narrative

The passenger's inadvertent interference with the flight controls due to his physiological condition. Contributing to the accident was the pilot's inability to maintain aircraft control.

Event Information

Type of Event Accident
Event Date 4/19/2007
Event Day of the Week Thursday
Time of Event 910
Event Time Zone Eastern Daylight Time
Event City Danville
Event State VIRGINIA
Event Country --
Zipcode of the event site 24586
Event Date Year 2007
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 363422N
Event Location Longitude 0792010W
Event Location Airport Danville Regional Airport
Event Location Nearest Airport ID DAN
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0.5
Degrees magnetic from airport --
Airport Elevation 571
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 856 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 310
Weather Observation Facility ID DAN
Elevation of weather observation facility 571
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height 5500
Lowest Non-Ceiling Height 4400
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 9
Dew Point at event time (in degress fahrenheit) 4
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) --
Wind Velocity Indicator Calm
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.91
Density Altitude (feet) --
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 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 23862
NTSB Notification Source EROC
NTSB Notification Date Apr 19 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jun 30 2008 11:48AM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office Richmond, VA

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4535N
NTSB Number NYC07LA098
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Grumman American
Aircraft Model AA-5B
Aircraft Series Identifier --
Aircraft Serial Number AA5B-1270
Certified Max Gross Weight 2400
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 4
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jun 1 2006 12:00AM
Airframe hours since last inspection 97.03
Airframe Hours 201.9
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name William P. Price
Aircraft Owner Street Address --
Aircraft Owner City Pittsburgh
Aircraft Owner State PA
Aircraft Owner Country USA
Aircraft Owner Zipcode 15216
Operator is an individual? Yes
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 G05
Departure City Finleyville
Departure State PA
Departure Country USA
Departure Time 730
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code MYR
Destination City Myrtle Beach
Destination State SC
Destination Country USA
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jun 28 2008 2:21PM
User who most recently changed record grer
Since inspection or accident Last Inspection
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --