Primary finding
Probable cause
The pilot's loss of airplane control for reasons that could not be determined from the available evidence.
Investigator assessment
Analysis narrative
According to several witnesses, the airplane was in cruise flight at "high" altitude when the wings rocked and the airplane entered an uncontrolled descent. The airplane "spun a long time" and the engine sound was described as surging during the descent. The pilot regained airplane control, leveled briefly, the sound of the engine became smooth and continuous, and the airplane climbed. Soon after, the wings rocked again; the airplane departed controlled flight, descended behind trees and terrain, and the sounds of impact were heard. A review of the pilot’s records and employment history revealed demonstrated abilities in many different types of airplanes, in all types of environments and weather conditions. An examination of the maintenance records and the wreckage revealed a properly restored and maintained airplane, with no preimpact mechanical malfunctions or failures noted that would have precluded normal operation. Interviews and the pilot’s medical records revealed he had a history of diabetes, and diabetes-related health issues that included neuropathy (numbness) of the feet. Review of the pilot’s medical records revealed that his diabetes was controlled by medication and diet and that he was eligible for a Federal Aviation Administration medical certificate. A review of the autopsy and toxicology reports revealed no obvious medical event suffered by the pilot before the accident.
Source record
Factual narrative
HISTORY OF FLIGHT On May 13, 2011, at 1805 eastern daylight time, a Piper PA-22-150, N7603D, was substantially damaged following an uncontrolled descent and collision with terrain after it departed cruise flight near Benezette, Pennsylvania. The certificated airline transport pilot/owner was fatally injured. Visual meteorological conditions prevailed, and no flight plan was filed for the personal flight, which was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. The pilot departed Burke Lakefront Airport (BKL), Cleveland, Ohio, around 1430, with the ultimate intended destination of Skylark Airpark (7B6), Warehouse Point, Connecticut. The pilot's intermediate planned fuel stop could not be determined. According to several witnesses, the airplane was in cruise flight, at a "high" altitude, in a level attitude. The engine sound was smooth and continuous without interruption. Then, the wings rocked and the airplane entered an uncontrolled descent. The airplane "spun a long time" and the engine sound was described as surging during the descent. The airplane leveled briefly, the sound of the engine became smooth and continuous, and the airplane began to climb. Soon after, the wings rocked again; the airplane departed controlled flight, descended behind trees and terrain, and the sounds of impact were heard. A Safety Board air traffic control specialist identified the radar track associated with the accident airplane. At 1802:45, the airplane was in cruise flight at 5,700 feet above mean sea level (msl) in the vicinity of the accident location. At 1802:57, just 12 seconds later, the next radar target was depicted at 4,900 feet msl. The final radar target was identified at 1803:09, with no altitude encoding information depicted. PERSONNEL INFORMATION According to Federal Aviation Administration (FAA) records, the pilot, age 50, held an airline transport pilot certificate for airplane multiengine land, airplane single-engine land, airplane single-engine sea, and rotorcraft-helicopter. He also held a commercial pilot certificate for gliders. In addition, he held a flight instructor certificate for airplane single and multiengine, glider, rotorcraft-helicopter, and instrument airplane and helicopter. His most recent first-class medical certificate was issued on March 24, 2011, with the limitations of "must wear corrective lenses and possess glasses for near and interim vision" and "not valid for any class after." He reported 6,650 total hours of flight experience on that date. A review of the pilot’s professional history and interviews with family members and former colleagues revealed that he served as a military pilot, an FAA operations inspector, and as a demonstration pilot for an aircraft manufacturer. AIRCRAFT INFORMATION According to FAA records, an airworthiness certificate was issued for the airplane in 1957. It was a four-seat, high-wing, fixed conventional gear airplane that was equipped with a Lycoming O-320 series, 180 horsepower, engine installed under a Supplemental Type Certificate. Numerous other modifications were made to the airplane during the restoration by using FAA Form 337s as well as existing STCs for the airplane. The most recent annual inspection was completed November 26, 2010, at 2,679 total aircraft hours. At the time of the accident the airplane accumulated approximately 2,724.6 total flight hours. A review of maintenance records and a photo-journal revealed that the pilot/owner and a certificated airframe and powerplant mechanic completed a complete restoration of the airplane. The records and the photo-journal documented the entire process with significant modern upgrades throughout. METEOROLOGICAL INFORMATION At 1805, the weather reported at Saint Mary’s Municipal Airport (OYM), Saint Mary’s, Pennsylvania, about 7 miles to the west of the accident site, included winds from 180 degrees at 7 knots gusting to 16 knots, winds 150 degrees variable 210 degrees, visibility 10 miles, sky clear below 12,000 feet, temperature 23 degrees C, dew point 15 degrees C, altimeter 29.76 inches of Hg. Remarks; automated observation system, lightning distant west through north, density altitude 3,600 feet. WRECKAGE AND IMPACT INFORMATION The airplane was examined at the accident site on May 14, 2011, and all major components were accounted for at the scene. The airplane came to rest at the bottom of a steep hill at the edge of a line of trees. Several tree limbs directly above the wreckage were broken. The tree scars, ground scars, and overall impact damage were consistent with a vertical descent. The right wing tip rested around a tree and damage was observed on the face of the tree and to a few of the lower branches. Control continuity was verified from the ailerons to the control wheel in the cockpit. All fractured control cables exhibited overload failures. The flaps were found in the retracted position. Both fuel caps were dislodged from their seats but found at the accident site. The leading edges of both wings were crushed aft in compression, and both fuel tanks were compromised. The leading edge of the left wing was wrinkled and impact damaged. The left wing strut remained attached to the fuselage and was deformed. There was a trace amount of fuel in the left wing that drained when it was separated by emergency crews. The underside of the left wing exhibited fuel staining. The right wing came to rest next to a tree and remained attached to the fuselage. Damage was observed on the face of the tree and to a few of the lower branches. The outboard section, measuring approximately two feet, was partially separated and came to rest on either side of the tree. The wing skin was wrinkled and severely impact damaged. Fuel was discovered in the right wing fuel tank and evidence of fuel staining was found on the underside of the wing. The forward section of the fuselage was buried approximately 18 inches in the ground and impact damaged in the aft direction. The engine was impact damaged and displaced aft into the instrument panel. The empennage was damaged in compression, and twisted to the left of centerline. The left horizontal stabilizer was impact damaged and deformed in the direction of the fuselage. The left elevator was crushed inboard and the skin was wrinkled and torn. The right horizontal stabilizer and elevator remained attached to the empennage and were undamaged. The base of the vertical stabilizer was impact damaged and the skin was wrinkled. The rudder was slightly wrinkled. A branch that measured approximately one inch in diameter was found lodged between the top of the vertical stabilizer and rudder. Control continuity was established from the rudder to the rudder bar located beneath the cabin. Control continuity was established from the elevator to the T bar. The main landing gear remained attached to the fuselage and bent in an upward and aft direction. The tail wheel remained attached to the empennage and was undamaged. The throttle control handle was separated from the instrument panel. The mixture control was in the approximate full forward position. The left control yoke was impact damaged. Emergency personnel cut the left front seat lap belt but it remained latched and attached at both attachment points. The left front seat shoulder harness was cut in the back, but not latched to the lap buckle. The engine came to rest on its left side and partially buried. The induction and exhaust piping was partially crushed. The carburetor was fractured across the throttle bore and partially separated from the engine. The engine was recovered from the site and suspended from a lift and partially disassembled to facilitate the examination. Then engine was rotated by hand at the crankshaft flange, compression and suction were observed from all four cylinders, and continuity of the crankshaft to the rear gears and valve train wa