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NTSB investigation record

CEN13FA274

Completed

Boeing-stearman Ib75A· N450JW

Date
June 22, 2013
Location
Dayton, OH
Conditions
VMC
Record
Published September 25, 2020

Primary finding

Probable cause

The pilot's controlled flight into terrain. Contributing to the accident was the pilot's modified airshow maneuver, which placed the airplane at low altitude and airspeed and out of position within the performance area.

Investigator assessment

Analysis narrative

A video study using five videos taken of the accident sequence by airshow spectators revealed that, during the wing-walking performance, the airplane began a shallow climb to reposition for the next performance maneuver. After the airplane was aligned along the show line, the airplane began a left roll to the inverted position and continued rolling until it was nearly inverted, but it stopped at an orientation of 156 degrees of rotation (24 degrees short of fully inverted flight). During the last seconds of the flight, the airplane's flightpath shifted from the east to the east-northeast, which directed it outside of the performance area and toward a Boeing 757 parked near aircraft hangars about 0.3 mile east-southeast of the accident site. About 1.3 seconds before the accident, the airplane began rolling right and then abruptly pitched toward the ground just before impact. During the final 2 seconds, the airplane's groundspeed reduced from about 106 to 84 knots. An examination of the airplane's wreckage did not reveal any preimpact anomalies that would have precluded normal operation. An airshow crewmember reported hearing the wing walker telling the pilot before the airshow performance that he had previously flown too fast when she was walking along the wing to position herself. It is unknown if they further discussed the exact needs of the wing walker during the performance. However, it is likely that the pilot flew a more gradual maneuver to reduce the forces against the wing walker while she repositioned herself on the wing, which resulted in the entry into the maneuver not being set up as expected and created a tighter turn radius. On the videos, the airplane appeared to be flying slower than normal and did not pitch to the target nose-high parameter before beginning the left roll. The airplane developed a negative, or descending, vector as the airplane rolled toward the inverted position. The roll to the inverted position was stopped short of expected; because of the bank, the airplane was heading toward the crowd line. The airplane flew for a few seconds while partially inverted and well below the maneuver's 110-mph target airspeed. The airplane then began a right roll, although the planned maneuver typically used a left roll. It could not be determined if the pilot chose to discontinue the maneuver and exit with a reversed right turn to avoid a perceived collision hazard with the parked Boeing 757, to remain within the performance area, to not overfly the crowd, or a combination of these factors.

Source record

Factual narrative

HISTORY OF FLIGHT On June 22, 2013, at 1247 eastern daylight time, a Boeing IB75A, N450JW, impacted terrain at the Dayton International Airport (KDAY), Dayton, Ohio. The commercial pilot and wing walker were both fatally injured. The airplane was destroyed. The airplane was registered to a private individual and operated by Jane Wicker Airshows under the provisions of 14 Code of Federal Regulations Part 91 as an airshow performance. Visual meteorological conditions prevailed for the flight, which operated without a flight plan. The local flight originated from KDAY about 1235. The flight was performing for the 2013 Vectren Dayton Air Show, which was located at KDAY. The performance was the fourth act scheduled on June 22. Video and photos submitted by spectators, who witnessed the accident, captured the airplane during the performance. The evidence showed the airplane completed a left "tear drop" style turn as the wing walker positioned herself on the lower left wing. The airplane then rolled left to fly inverted. While flying from the southwest to the northeast in front of the spectators, the airplane's nose pitched slightly above the horizon. The airplane then abruptly rolled to the right and impacted terrain in a left wing low attitude. A post impact fire ensued and consumed a majority of the right wing and forward portion of the fuselage. Statements gathered by the NTSB and Federal Aviation Administration (FAA) indicated that the pilot and wing walker had practiced the performance the day prior to the accident. Following the practice, neither the pilot nor the pilot-rated wing walker, reported any mechanical anomalies with the airplane to the air show crew. PERSONNEL INFORMATION Pilot The pilot, age 64, held a commercial pilot certificate with ratings for airplane single engine land, airplane single engine sea, and glider. On August 30, 2012, he was issued a second class medical certificate with the restriction that he must wear corrective lenses. The pilot reported his use of Lisinopril and Triamterene to control hypertension with no reported side effects. On September 16, 2012, the pilot was issued a statement of acrobatic competency. He was authorized to perform solo aerobatics, fly wing walker maneuvers, and "circle the jumper." His altitude limitation was level 1 restricted and he was authorized to perform these events in all variants of the Extra 300, Boeing Stearman, and Pitts Special. A review of the pilot's log book revealed that the pilot had 1,190 hours, 95 hours in make and model, and about 11 hours in N450JW. The pilot did not log any flights from October 20, 2012, until April 13, 2013, which could be attributed to the air show off season. From April 13, 2013, he logged 16 hours of total time, 4.5 hours in make and model and about 1.5 hours in N450JW. The last airshow that the pilot performed with the accident wing walker was August 21, 2012. The pilot practiced the aerial routine the day prior without incident. Members of the airshow crew ate dinner with the pilot the night prior, between 1900-2100. The pilot consumed about 1.5 beers with his meal. The pilot and crew went back to their hotel. They met the following morning from 0745-0830 the crew ate breakfast and the pilot ate a bagel with cream cheese. At 1100 the pilot ate lunch. Throughout the day the crew recalled that the pilot stayed out of the sun and was drinking water. Prior to flight, the pilot sat in an air conditioned truck for at least 10 minutes. Interactions with him where uneventful and his behavior was described as normal. Wing walker The wing walker, age 45, held a commercial pilot certificate for airplane single engine land, airplane multi-engine land, and instrument airplane. The wing walker had about 6 years of experience and had been performing the planned routine for the previous 3 years. The wing walker was also the owner of the accident airplane. AIRCRAFT INFORMATION The Boeing-Stearman IB75A, serial number 75-789 was manufactured in 1941 as a model A75N1. In 1950, modifications were made to the airplane and the model type changed to IB75A. A 450-horsepower Pratt & Whitney R-985-AN-1 fuel-injected engine drove a two bladed, metal, Hamilton Standard 2D30 propeller. On December 8, 2009, the pilot purchased the airplane and on May 3, 2010, the airplane was registered with the FAA under the experimental exhibition category. On September 26, 2011, the airplane was last registered under the restricted category for the purpose of wing walking. The airplane was modified with an inverted fuel and oil system, and a four aileron system. A combined 100 hour and annual inspection were accomplished on April 23, 2013, at a tachometer time of 260.7 hours, and 597.5 hours since the engine's last major overhaul. METEROLOGICAL INFORMATION Weather at the time of the accident was wind from 220 degrees at 10 knots, visibility 9 miles, a broken ceiling at 3,500 feet, temperature 86° Fahrenheit (F), dew point 72° F, and a barometric pressure of 30.18 inches of mercury. AIRPORT INFORMATION The air show airspace was orientated along runway 6L/24R. The scheduled wing walking performance was flown by the accident pilot with events being performed by the wing walker. The designated airshow area was 12,000 feet long and 2,700 feet wide. The accident airplane was assigned to the Category III performance area which provided a 500 foot airspace buffer between the performance and the spectators. The wreckage came to rest over 500 feet from the fence line of the spectator area within the assigned performance area. A document depicting the airshow's layout is included in this report's docket. The airport's elevation is 1,009 feet. Utilizing the barometric pressure, the pilot would have set about 29.09, in order to achieve "QFE" or a reading of 0 feet on the airplane's altimeter. WRECKAGE AND IMPACT INFORMATION The crash site was a grass area south of the intersection of taxiway R and taxiway Z. The debris field followed a 050° heading and was about 145 feet long. The first ground scars were two parallel scars consistent with the left wing's impact. About 40 feet from the beginning of the ground scars was the impact crater. The crater was 11 feet long, 6 feet wide, and at least 13 inches deep. The main wreckage came to rest 105 feet from the impact crater. A postaccident examination of the airplane was conducted by the NTSB and FAA. Rudder and elevator control continuity was established from the rudder to the aft seat rudder pedals and the elevator to the control stick. The ailerons controls were broken and torn in multiple locations. The breaks and tear patterns were identified on each opposite surface. Thermal damage was sustained to the right aileron's connecting rod from the inboard connector to the outboard hinge. However, each of the rod ends remained attached and secured in their respective hinges. The cockpit instrumentation sustained minor damage. The following readings, in part, displayed: Altimeter: 300 feet Kollmans window: 29.09 Manifold pressure: 30 inches Tachometer hour: 284.9 The two metal propeller blades were labelled A and B for documentation purposes only. Blade A displayed leading edge polishing, nick and gouges, and chord wise scratches. From the blade's mid-span to the blade tip, the blade was curled rearward. Blade B displayed leading edge polishing, nicks and gouges, and chordwise scratches. The blade displayed an S-bend along its entire length. Cylinders number 2, 3, and 4 were found separated from the engine. No preimpact anomalies were detected with the airframe or engine. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy was performed on the pilot by the Montgomery County Coroner's Office. The coroner ruled the cause of death as the result of multiple trauma. The manner of death was ruled an accident. Forensic toxicology was performed on specimens from the pilot by the FAA Bioaer

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