Aircraft Accident/Incident Report

Hebron, Illinois 60034
Tuesady, November 1, 2011 17:30 CDT

NTSB Narrative Summary Released at Completion of Accident

The pilot experienced a medical event in-flight and landed his airplane in a field. The airplane sustained no damage. The pilot's son arrived where the airplane landed and saw the pilot lying back in the airplane’s seat; the pilot did not appear to be breathing. First responders revived and subsequently transported the pilot to a local hospital. The pilot died about two days later and the cause of death was determined to be a myocardial infarction. The pilot had previous heart conditions, including bypass surgery. The pilot last applied for a medical certificate about ten years prior to the incident flight. On the application for his last medical certificate, the pilot indicated his previously reported “heart or vascular trouble” on prior medical applications and his use of Coumadin, an anticoagulant medication. The airplane the pilot was flying required the pilot to have a current medical certificate to operate it. The investigation could not determine the exact extent of and time that the pilot experienced the medical event that he had to be revived from when the airplane landed.

NTSB Probable Cause Narrative

The pilot’s operation of the airplane with known medical conditions and his subsequent heart attack in flight.

Event Information

Type of Event Incident
Event Date 11/1/2011
Event Day of the Week Tuesday
Time of Event 1730
Event Time Zone Central Daylight Time
Event City Hebron
Event State ILLINOIS
Event Country --
Zipcode of the event site 60034
Event Date Year 2011
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 422518N
Event Location Longitude 0882329W
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 --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1735 Central Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID BUU
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation CDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
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) 13
Dew Point at event time (in degress fahrenheit) 6
Wind Direction (degrees magnetic) 180
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.98
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report KBUU 012235Z AUTO 18005KT 10SM CLR 13/06 A2998
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 1
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 30718
NTSB Notification Source FAA-AGL-ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Nov 14 2012 12:28PM
User who most recently changed record bowl
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N30CY
NTSB Number CEN12IA050
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name NUSBAUM
Aircraft Model VAQUERO
Aircraft Series Identifier --
Aircraft Serial Number 0004
Certified Max Gross Weight 1492
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? Yes
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Unknown
Date of Last Inspection --
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name NUSBAUM STEVEN R
Aircraft Owner Street Address --
Aircraft Owner City HEBRON
Aircraft Owner State IL
Aircraft Owner Country USA
Aircraft Owner Zipcode 60034-9694
Operator is an individual? Yes
Operator Name NUSBAUM STEVEN R
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City HEBRON
Operator State IL
Operator Country USA
Operator Zip code 60034-9694
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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 --
Departure City Hebron
Departure State IL
Departure Country USA
Departure Time --
Departure Time Zone --
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code --
Destination City Hebron
Destination State IL
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Sep 27 2012 9:25PM
User who most recently changed record male
Since inspection or accident --
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --