N/A Airport
Aircraft Accident/Incident Report

Sisters, Oregon 97759
Monday, April 23, 2012 10:17 PDT

NTSB Narrative Summary Released at Completion of Accident

The purpose of the flight was for the flight instructor to conduct a flight review of the private pilot in his high-performance, experimental, amateur-built airplane. On-board data recovered from the airplane indicate that after departure, the airplane maneuvered for about 25 minutes before making a series of turns while gradually climbing. After reaching the highest altitude attained during the flight, the airplane began to descend and continued in an increasingly tightening right turn, creating a hook-type shape at the end of the radar track. This hook occurred over 15 seconds, with the airplane’s pitch dropping from level to -68 degrees. This coincided with a vertical speed change from about -300 ft per minute (fpm) to a peak of -22,000 fpm, and a g-load increase to 7G, while the indicated airspeed peaked about 310 kts. The airplane broke apart in flight and the wreckage debris was scattered over an estimated 1,600-ft area of flat terrain. The instructor was experienced in the airplane and had flown with the private pilot before. The private pilot did not hold a current medical, although he always flew with an instructor onboard. The private pilot built the airplane about 4.5 years before the accident. The autopsy reports for both pilots revealed that the cause of death was blunt force trauma and no medical events likely occurred while in flight. A performance study of the airplane’s flight revealed that the accident sequence only required about 79 percent of the available lift from the wing until well after the descent was established; consequently, the sequence was unlikely to have been precipitated by an aerodynamic stall. A postaccident examination of the airframe and engine revealed no evidence of a preimpact mechanical malfunction or failure that would have precluded normal operation. Flight control system continuity could not be confirmed due to the extensive damage incurred during the inflight break up. Accordingly, the reason for the steepening spiral dive, with increasing roll angle and speed, could not be established. Twenty-six percent of Lancair airplanes have been involved in accidents, and 19 percent have been involved in fatal accidents. In 2008 and 2012, the FAA convened two safety groups specifically to address the airplane's "unusually high accident and fatality rate compared to other amateur-built aircraft." The study noted that based on the statistics, the kit was involved in fatal accidents at "a rate that is disproportionate to their fleet size." As a result of studies developed by these safety groups, the FAA acknowledged that accidents would continue to occur if no action was taken. Thus, the FAA issued a notice that Lancair pilots should "review and thoroughly understand all information regarding stall characteristics and obtain specialized training regarding slow flight handling characteristics, stall recognition, and stall recovery techniques;" install an angle-of-attack indicator to better predict a stall; and have their airplane evaluated by an experienced type-specific mechanic to ensure proper rigging, wing alignment, and weight and balance. The notice was recalled shortly after its release and another notice was released later to include other high-performance experimental amateur-built aircraft.

NTSB Probable Cause Narrative

The pilots’ inability to maintain control of the airplane and arrest a steep spiral dive while maneuvering for reasons that could not be determined because postaccident examination could not identify any anomalies that would have precluded normal operation prior to the inflight breakup.

Event Information

Type of Event Accident
Event Date 4/23/2012
Event Day of the Week Monday
Time of Event 1017
Event Time Zone Pacific Daylight Time
Event City Sisters
Event State OREGON
Event Country --
Zipcode of the event site 97759
Event Date Year 2012
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 441304N
Event Location Longitude 1213019W
Event Location Airport N/A
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 1756 Coordinated Universal Time? Same as GMT
Direction of event from weather observation facility (degrees) 80
Weather Observation Facility ID RDM
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) 15
Time Zone of the weather observation UTC
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) 24
Dew Point at event time (in degress fahrenheit) 7
Wind Direction (degrees magnetic) 90
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
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 METAR KRDM 231756Z 09006KT 10SM CLR 24/07 A2991 RM
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) 33118
NTSB Notification Source FAA NWM Operations Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Aug 20 2014 7:28PM
User who most recently changed record kelz
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N66HL
NTSB Number WPR12FA180
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name LEAGUE
Aircraft Model LANCAIR IV-TP
Aircraft Series Identifier --
Aircraft Serial Number LIV-578
Certified Max Gross Weight 3800
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? Yes
Flight Crew Seats 1
Cabin Crew Seats --
Passenger Seats 3
Total number of seats on the aircraft 4
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Apr 4 2012 12:00AM
Airframe hours since last inspection --
Airframe Hours 463
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name HARRY LEAGUE
Aircraft Owner Street Address --
Aircraft Owner City TERREBONNE
Aircraft Owner State OR
Aircraft Owner Country USA
Aircraft Owner Zipcode 97760-7756
Operator is an individual? No
Operator Name HARRY LEAGUE
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City TERREBONNE
Operator State OR
Operator Country USA
Operator Zip code 97760-7756
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) Instructional
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code KRDM
Departure City Redmond
Departure State OR
Departure Country USA
Departure Time 950
Departure Time Zone PDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code KRDM
Destination City Redmond
Destination State OR
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Sep 4 2014 4:20PM
User who most recently changed record stam
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --