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NTSB investigation record

ERA20FA025

Completed

Vans Rv4· N425JW

Date
October 31, 2019
Location
Middleburg, FL
Conditions
VMC
Record
Published March 9, 2022

Primary finding

Probable cause

Impact with power lines for reasons that could not be determined based on available evidence.

Investigator assessment

Analysis narrative

According to a family member, the pilot intended to conduct a brief local flight. A witness at the departure airport reported that he heard an airplane take off. He did not identify the airplane; however, about 10 minutes later the airport experienced a complete electrical power outage. The airplane was located in a clearing in a heavily wooded area. The wreckage and accident site were consistent with the airplane impacting powerlines before impacting terrain. Most of the airplane was destroyed by postcrash fire. The engine was examined, and no anomalies were noted. The pilot had recent diagnoses of several cardiovascular conditions that would increase his risk for an acute cardiovascular event, including severe mitral valve regurgitation, ventricular enlargement, and heart failure; however, there were no autopsy findings or radio communication to determine if the pilot experienced a cardiac event. Post-mortem toxicology detected the impairing medication gabapentin in liver tissue and urine, but it could not be determined if the concentration was at therapeutic or impairing levels; therefore, whether the pilot’s medical conditions or his use of medication contributed to the accident could not be determined. Given the lack of available evidence, the reason for the airplane’s impact with power lines could not be determined.

Source record

Factual narrative

The airplane was located in a construction clearing in a heavily wooded area. Power lines were observed on the ground near the wreckage. The wreckage path began where the power lines had been located and continued for about 450 ft on a 270° heading. A post-accident fire consumed the airplane. The main wreckage was inverted and oriented on a 320° heading. The wings were separated from the fuselage, and only about 4 feet of the wing tips remained. The wooden propeller was fragmented, and power line impression marks were found on the propeller blades. The vertical stabilizer was located about 230 ft from the main wreckage. Parts from the engine cowling, rudder, and canopy were found scattered in the wreckage path. The cockpit, instrument panel, and firewall were all destroyed by postimpact fire. The engine accessory case was consumed by fire; the magnetos, fuel pump, vacuum pump, and oil filter were destroyed. The engine crank case and cylinders were intact. The top spark plugs were removed, and a lighted borescope was used to examine the cylinder walls, exhaust, intake valves and piston heads. No anomalies were noted. The propeller was rotated by hand and thumb compression was established on all cylinders. Valve train continuity was established throughout the engine by observing movement of the rocker arms and rear accessory case gears. The carburetor was removed and disassembled with no anomalies noted. On October 31, 2019, about 1730 eastern daylight time, an experimental, amateur-built Vans RV-4, N425JW, was destroyed when it was involved in an accident near Middleburg, Florida. The airline transport pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot’s son, the pilot intended to conduct a brief flight before participating in family events later in the day. A witness at Haller Airpark (7FL4), Green Cove Springs, Florida stated that he was working in his hangar when he heard an airplane take off about 1720. He did not identify the airplane; however, about 10 minutes later the airport experienced a complete electrical power outage. According to the Office of the Medical Examiner, Jacksonville, Florida, the cause of the pilot’s death was multiple blunt injuries, and the manner of death was accident. With the exception on an enlarged heart (537 grams), there was no evidence of any significant natural disease identified. The Federal Aviation Administration (FAA) Forensic Sciences Laboratory toxicology testing detected the impairing medication gabapentin in the pilot’s liver tissue and urine (56 micrograms per milliliter [µg/mL]). Gabapentin (commonly marketed as Neurontin) is an antiseizure medication that is also used to treat chronic nerve pain and postherpetic neuralgia (shingles). It carries a warning that it “may cause dizziness, somnolence and other symptoms and signs of central nervous system depression” and patients should be advised not to operate complex machinery “until they have gained sufficient experience on gabapentin to assess whether gabapentin impairs their ability to perform such tasks.”

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