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NTSB investigation record

WPR18FA200

Completed

De Havilland Dh112Venom· N747J

Date
July 20, 2018
Location
Sheboygan, WI
Conditions
VMC
Record
Published September 25, 2020

Primary finding

Probable cause

The airplane's encounter with wake turbulence from the lead airplane in the formation flight, which resulted in a compressor stall and the airplane's subsequent inability to climb.

Investigator assessment

Analysis narrative

The pilot was conducting a formation training flight consisting of two airplanes; the accident airplane was in the No. 2 position. The airplane took off about 8 seconds behind the lead (No. 1 position) airplane. Witnesses described the airplane's takeoff as sluggish and indicated that the airplane's wings rocked back and forth shortly after lifting off. The witnesses' testimony was consistent with one witness' video recording, which showed the airplane climbing away from the runway and making a shallow left turn. As the airplane passed the witness' position, the engine sound decreased and rapidly increased. The airplane reached an altitude of about 200 ft above the ground before descending and impacting a farm structure. Another video captured the airplane descending in a slightly nose-up and wings-level attitude before impact. The flaps and landing gear both appeared retracted in that video. No preimpact anomalies with the airframe and engine were found that would have precluded normal operation of the airplane. Signatures consistent with circumferential rub marks within the turbine were identified. Although the rate of rotation at the time of impact could not be determined, the retraction of the landing gear at a normal rate showed that the engine was likely producing some power at that time. One of the witnesses to the accident was a pilot with experience in the accident make and model. He described the engine powering the airplane as "high airflow and thrust" and indicated that the engine could experience a compressor stall when operating at a high angle of attack and a high-power setting. He also stated that the airplane could get into a low energy state if an engine failure occurred and that the airplane would normally accelerate "very quickly" if it leveled off at 200 ft. The witness accounts of the accident airplane's wings rocking back and forth were consistent with the airplane encountering the wake turbulence of the lead airplane. Wake turbulence can disrupt airflow to the engine of a trailing airplane. The final seconds of the witness' video showed the pilot controlling the airplane during the climb to 200 ft, after which the airplane began descending. Thus, the wake turbulence from the lead airplane likely disrupted airflow to the engine and caused a compressor stall and a partial loss of engine power, which resulted in the airplane's inability to continue to climb. Toxicology testing identified sedating medications in the pilot's specimens, but the levels of the medications at the time of the crash were well below the levels that would have caused significant effects. Therefore, it is unlikely that impairing effects of these medications contributed to this accident.

Source record

Factual narrative

The Sheboygan County Medical Examiner's Office, Sheboygan, Wisconsin, performed an autopsy on the pilot. His cause of death was multiple injuries. Toxicology testing performed by the Wisconsin State Laboratory of Hygiene, Forensic Toxicology Laboratory, Madison, Wisconsin, identified diazepam (10 ng/ml) and nordiazepam (11 ng/ml) in the pilot's blood specimens. Toxicology testing performed at the FAA Forensic Sciences Laboratory detected carbon monoxide in the pilot's blood specimens. No ethanol was detected. In addition, loratadine was identified in the pilot's blood specimens; dextromethorphan and zolpidem were identified in the pilot's blood and urine specimens; and oxazepam, temazepam, and dextrorphan were identified in the pilot's urine specimens. Diazepam (commonly marketed with the name valium) is a long-acting sedating benzodiazepine available by prescription as a schedule IV-controlled substance. It is generally used to treat anxiety and muscle cramping. The lowest amount of diazepam thought to cause psychoactive effects is 100 ng/ml. Nordiazepam, oxazepam, and temazepam are metabolites of diazepam. Zolpidem is a short-acting prescription sleep aid that is considered impairing. Both diazepam and zolpidem carry warnings about driving and operating machinery. Dextromethorphan is an over-the-counter cough suppressant that is not sedating or impairing at usual doses. Dextrorphan is a metabolite of dextromethorphan. Loratadine is an over the counter nonsedating antihistamine that is commonly marketed at Claritin and is not considered to be impairing. The DH112 Venom airplane was designed as a post-World War II-era fighter jet. The witness who had experience flying Venom airplanes stated that the airplane was equipped with a split flap system and that the flaps were used more to provide drag than lift. The flap selector had three positions: up, ½, and full, and takeoffs were normally made with flaps ½ or up. The landing gear was powered by a hydraulic pump driven by the engine, so the landing gear could not retract if the engine were not rotating. The Venom airplane pilot described the engine powering the airplane as "high airflow and thrust" and indicated that Venom airplanes could experience flameouts or compressor stalls when operating at high angles of attack and high-power settings. He stated that the Venom airplane had "excess power" and that the only ways for the airplane to be in a low energy state would be an engine flameout, engine failure, or engine shutdown. He added that the airplane would normally accelerate "very quickly" after takeoff if it leveled off at 200 ft. On July 20, 2018, about 1604 central daylight time, a De Havilland DH112 Venom airplane, N747J, was destroyed when it was involved in an accident near Sheboygan, Wisconsin. The private pilot was fatally injured, and two people in the impacted structure were seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot was conducting a formation training flight that consisted of two airplanes; the accident airplane was in the No. 2 position and was to be staggered behind and to the right of the lead (No. 1 position) airplane. During the flight briefing, the pilot was instructed to take off 10 seconds after the lead airplane. The airplanes departed from Sheboygan County Memorial Airport (SBM), Sheboygan Falls, Wisconsin. Review of video provided by a witness showed that the accident airplane departed about 8 seconds after the lead airplane. About 6 seconds after the accident airplane lifted off, the left wing rocked downward then up, followed by the right wing rocking downward then up as the airplane returned to wings level. The accident airplane continued to climb at an angle away from the runway and the witness' position on an airport ramp. As the airplane passed the witness' position, the engine sound decreased and then rapidly increased. The video ended about 19 seconds after the airplane lifted off from the runway. The video showed that the accident airplane's flaps were extended throughout the 19-second video and that the landing gear was retracting during the last few seconds of the video. The witness stated that he stopped recording because the airplane "was a little sluggish as it climbed out, but it seemed to be ok" and that he started recording again after he heard someone state that the airplane was not climbing; the witness then saw that the airplane "sank out of sight behind some trees." Other witnesses observed the takeoff and departure. According to one of these witnesses, the airplane climbed to about 200 ft above ground level (agl) and then started to descend. This witness reported a quartering headwind at takeoff from the left to right side of the runway. Another witness, who was a Venom airplane pilot, indicated that the gear was retracting at a normal rate. None of the witnesses recalled hearing any unusual sounds from the airplane during takeoff, but one witness commented that he could not hear the accident airplane well because of noise from running airplane engines on the airport ramp. Three of these witnesses stated that the accident airplane appeared to have encountered the wake turbulence of the lead airplane. An additional witness traveling east on a road near the departure end of the runway captured cell phone video of the final 5 seconds of flight. The airplane is first seen heading away from the witness' position; at that time, the airplane was descending from an altitude of about 75 ft agl and was in a bank of about 25° to the left. The airplane then rolled to a wings-level attitude and continued to descend in a slightly nose-up attitude before impact. The landing gear and flaps appeared retracted in this video. The airplane impacted flat vegetated terrain, slid through a farm structure, and continued about 175 ft before coming to a stop. The airplane came to rest amongst several farm buildings; the debris path was 200 ft in length and 40 ft wide. Postimpact fire consumed a large portion of the fuselage. The entire airplane was located at the accident site. The engine remained attached to the fuselage. The compressor blades displayed some impact damage from about the five to the nine o'clock positions. No signs of foreign object damage were observed, and no evidence of catastrophic engine failure was noted. Further examination of the engine showed that the part of the airplane around the tailpipe was still in place. The exterior of the airplane skin was burned and blistered, but the burn pattern was not linear, and there was no burn damage to the interior of the skin. The compressor impeller and turbine disk could not be rotated. The bifurcated inlet at the front of the engine was thermally destroyed. The front bearing could be rotated, but there was some resistance during rotation. The compressor impeller was intact. Of the 19 impeller vanes, 8 consecutive vanes were missing portions coincident with where the compressor shroud was burned away. Four consecutive impeller vanes had circumferential rubbing on the leading edges with metal displaced opposite the direction of rotation. The turbine vanes were in place and displayed no damage or thermal distress, and no metal spray was on the airfoils. The tailpipe was in place on the rear of the turbine case with no evidence of thermal distress. The tailcone was in place in the tailpipe, and the forward edge of the tailcone had three areas of circumferential rubbing with heat discoloration. One of these areas also had material transfer. The diameter of the forward edge of the tailcone corresponded to about a 90° arc of turbine blades that had about a 0.5-inch wide circumferential rub on the trailing edge. No preimpact anomalies with the airframe and engine were found that would have precluded normal operation of the airplane. Compressor Stall According to aviationglossary.com A Compressor Stal

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