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NTSB investigation record

CEN21FA424

Completed

Boeing A75· N19BB

Date
September 17, 2021
Location
Delta, CO
Conditions
VMC
Record
Published August 23, 2023

Primary finding

Probable cause

The pilot’s loss of control during an aerobatic maneuver, resulting in the airplane impacting terrain.

Investigator assessment

Analysis narrative

The pilot took off and proceeded to an area northeast of the airport where he began performing aerobatic maneuvers. Witnesses reported that the airplane began a loop maneuver and, at the top of the loop while inverted, the airplane entered a flat spin. They observed the airplane recover from the spin. The airplane then gained altitude and entered another loop. At the top of that loop, while inverted, the airplane entered another flat spin, but this time the pilot did not recover. The airplane descended to impact with rugged terrain. The witnesses reported that the engine could be heard running during the descent to the point of impact. A postaccident examination revealed no preaccident failures or malfunctions with the airplane that would have precluded normal operation. The pilot had used the sedating antihistamine diphenhydramine, which has a potential to cause cognitive and psychomotor slowing and drowsiness. There was insufficient evidence to determine whether the pilot was experiencing impairing diphenhydramine effects at the time of the crash, and no specific evidence that pilot impairment contributed to the crash.

Source record

Factual narrative

The Pathology Group, P.C., Grand Junction, Colorado, performed the pilot’ s autopsy as authorized by the Delta County Coroner’s Office, Delta, Colorado. According to the pilot’s autopsy report, his cause of death was multiple blunt force injuries, and his manner of death was accident. The autopsy did not identify significant natural disease. The Federal Aviation Administration Forensic Sciences laboratory performed toxicology testing of postmortem specimens from the pilot. Diphenhydramine, famotidine, desloratadine, and pseudoephedrine were detected in cavity blood and urine. According to an acquaintance of the pilot, who also witnessed the accident, he and the pilot flew the airplane to AJZ a few days before the accident flight. The acquaintance stated that the airplane operated normally. On September 17, 2021, about 0800 central daylight time, a Boeing A75 airplane, N19BB, was substantially damaged when it was involved in an accident near Delta, Colorado. The pilot sustained fatal injuries. The flight was operated under the provisions of Title 14 Federal Code of Regulations Part 91 as a personal flight. The airplane took off from runway 3 at Blake Field Airport (AJZ), Delta, Colorado. Two witnesses observed the airplane climb out and begin aerobatic maneuvers about 5 miles to the northeast of AJZ. Both witnesses reported that the airplane began a loop maneuver, and at the top of the loop while inverted, the airplane entered a flat spin. They observed the airplane recover from that spin. The airplane then gained altitude and they observed the airplane begin another loop maneuver. At the top of that loop, while inverted, the airplane entered another flat spin, but this time the pilot did not recover. The airplane impacted rugged, sloped terrain about 5 miles to the northeast of AJZ. First responders located the airplane wreckage and notified authorities. There were no radio or distress calls heard from the pilot. The witnesses reported that the engine could be heard running during the descent to the point of impact. The wreckage was found resting inverted on a 45-degree sloped hill. The fuselage was oriented downslope and crushed inward from impact forces. The engine was partially separated from its mounts. The empennage section was bent rearward, the upper wings were bent upward, and lower wings were separated from their respective mounting braces, consistent with a flat impact. One blade of the two-bladed propeller had no damage while the other blade was bent aft 45o with no twisting. Flight control continuity was confirmed from the cockpit to all flight control surfaces. The engine throttle control was found in the idle position. Engine rotation continuity (compression resistance) was confirmed. The smell of fuel was present. The airplane was not equipped with inverted fuel or oil supply systems.

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