Aviation Accident Summaries

Aviation Accident Summary CHI95FA200

MARENGO, IL, USA

Aircraft #1

N3118J

COCCHI LANCAIR 320

Analysis

A WITNESS REPORTED THAT HE OBSERVED THE AIRPLANE DEPART THE AIRSTRIP ABOUT 2 HOURS BEFORE THE WRECKAGE WAS DISCOVERED. HE SAID THE AIRPLANE TOOK OFF ON RUNWAY 27 AND TURNED ABRUPTLY TO THE SOUTH, BEHIND A TREE LINE, BEFORE IT REACHED THE END OF THE RUNWAY. HE DID NOT, HOWEVER, OBSERVE THE ACCIDENT. EXAMINATION OF THE WRECKAGE REVEALED NO EVIDENCE OF PREIMPACT MECHANICAL MALFUNCTION. ANATOMICAL FINDINGS OF A FORENSIC PATHOLOGIST WERE THAT 'THE PILOT DIED OF CARDIAC ARRHYTHMIA DUE TO ISCHEMIC HEART DISEASE AS EVIDENCED BY SEVERE CORONARY ARTERY ATHEROSCLEROSIS AND ENLARGEMENT OF THE HEART. THERE WAS NO SIGNIFICANT INJURY FROM THE AIRCRAFT ACCIDENT. THE AMOUNT OF BLOOD IN THE AIRWAY WAS NOT SUFFICIENT TO HAVE CAUSED ASPHYXIATION AND THERE WAS NO EVIDENCE THAT BLOOD HAD BEEN INHALED INTO THE PARENCHYMA.'

Factual Information

HISTORY OF FLIGHT On June 24, 1995, about 1230 central daylight time, a Cocchi Lancair 320, N3118J, was destroyed when it impacted the terrain near Marengo, Illinois. The private pilate sustained fatal injuries. The personal flight, conducted under 14 CFR Part 91, originated in Marengo, Illinois, about 1230. No flight plan was filed and visual meteorological conditions prevailed. In a personal interview with a Federal Aviation Administration (FAA) Inspector, a witness reported that he observed the airplane depart the airstrip at approximately 1230. He described the airplane takeoff on runway 27 and turn abruptly to the south, behind a tree line, before it reached the end of the runway. He did not, however, observe the accident. No witnesses to the accident were discovered. The wreckage was discovered about 1430 by the pilot of another airplane. WRECKAGE AND IMPACT INFORMATION The NTSB on-scene investigation began about 1630 on June 24, 1995. The wreckage was located south of the William Rose Airstrip, in a stagnant tributary of a flowing stream. A barbed wire fence, which extended over the water in an east-west orientation, located approximately 20 feet north of the main wreckage, was broken and hanging into the water. The main wreckage was located on a magnetic heading of 030 degrees, submerged, with the tail and upper fuselage above the surface. A fragment of the canopy frame was located on the east bank and a fragment of the right inboard wing skin was submerged approximately 20 feet south of the main wreckage. All primary airframe components were located in the water near the main wreckage. The fuselage was fractured near the center of the wing chord and the forward portion was fragmented. The aft fuselage and empennage were intact. The wing spar was separated from the fuselage. The spar was fractured at the midspan of the left wing and the inboard portion of the wing was fragmented. Two slashes were located 10 and 38 inches, respectively inboard of the left wing tip, in the leading edge. The slashes matched the geometry of the barbed wire fence. The angles of the slashes corresponded to a pitch of approximately 30 to 40 degrees nose down and 45 to 50 degrees of left bank. The flap actuator was extended 9 3/8 inches. According to the kit manufacturer, in a typical installation, this position corresponds to the flaps full up, seven degrees reflexed position. Inspection of flight control continuity revealed no evidence of preimpact mechanical malfunction. Both of the composite fuel tanks were ruptured. The left seat belt buckle was fastened and shoulder harness fittings were not installed in the buckle. The hard points of the belt ends were separated from the structure. The mounts exhibited traces of structural adhesive bonded to the aluminum fittings. No composite fiber material was present on the fittings. All three blades of the composite carbon fiber propeller were fractured, but still attached to the hub. The engine remained attached to the mounts, firewall, and instrument panel. The engine turned freely. Engine compression and engine control continuity were verified and all four leads from the left magneto sparked when the impulse coupling was turned. Magneto timing was checked for both magnetos with no discrepancy noted. Approximately 1/2 pint of clear blue fuel and 1/4 pint of brown sediment and water was drained from the carburetor bowl. The metal float and one piece venturi were normal. Examination of the single axis autopilot revealed one of the gyroscope centering springs was missing. The remaining spring pulled the gyroscope to the extreme right position. The autopilot servo was not recovered. The autopilot switch was in the "off" position. MEDICAL AND PATHOLOGICAL INFORMATION Autopsy of the pilot was conducted by the McHenry County Coroner, Woodstock, Illinois, on June 26, 1995. Anatomical findings of the Forensic Pathologist were that "the pilot died of cardiac arrhythmia due to ischemic heart disease as evidenced by severe coronary artery atherosclerosis and enlargement of the heart. There was no significant injury from the aircraft accident. The amount of blood in the airway was not sufficient to have caused asphyxiation and there was no evidence that blood had been inhaled into the parenchyma." Toxicological testing was negative for all tests conducted. TESTS AND RESEARCH The electronic instrumentation digital processing unit (DPU) was interrogated by the manufacturer for fault codes and other pertinent data. All data was corrupt. According to a representative of the manufacturer, this was due to submersion of the unit upon impact. "There was evidence that the microprocessor was attempting to restart itself" but could not due to water contamination. ADDITIONAL INFORMATION Parties to the investigation were the Federal Aviation Administration Flight Standards District Office, West Chicago, Illinois, Neico Aviation, Inc., and Textron Lycoming. Following the on-scene portion of the investigation, the wreckage was released to Mr. Allen Penticoff of Loss Management Services, Inc.

Probable Cause and Findings

pilot incapacitation due to cardiac arrhythmia (heart attack).

 

Source: NTSB Aviation Accident Database

Get all the details on your iPhone or iPad with:

Aviation Accidents App

In-Depth Access to Aviation Accident Reports