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FACTUAL REPORT AVIATION - L-39 Enthusiasts

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This space for binding<br />

National Transportation Safety Board<br />

NTSB ID: MIA07FA060<br />

Aircraft Registration Number:<br />

N6<strong>39</strong>25<br />

<strong>FACTUAL</strong> <strong>REPORT</strong><br />

<strong>AVIATION</strong><br />

Occurrence Date: 03/16/2007<br />

Occurrence Type: Accident<br />

Most Critical Injury: Fatal<br />

Investigated By: NTSB<br />

Location/Time<br />

Nearest City/Place<br />

Titusville<br />

Airport Proximity: On Airport/Airstrip<br />

Aircraft Information Summary<br />

Aircraft Manufacturer<br />

Aero Vodochody Aero. Works<br />

State Zip Code Local Time Time Zone<br />

FL 32780 1443<br />

EDT<br />

Distance From Landing Facility: 0<br />

Model/Series<br />

L-<strong>39</strong>C<br />

Type of Aircraft<br />

Airplane<br />

Revenue Sightseeing Flight: No<br />

Air Medical Transport Flight:<br />

Narrative<br />

Brief narrative statement of facts, conditions and circumstances pertinent to the accident/incident:<br />

HISTORY OF FLIGHT<br />

No<br />

On March 16, 2007, about 1443 eastern daylight time, an Aero Vodochody L-<strong>39</strong>C Albatros, N6<strong>39</strong>25,<br />

registered to and operated by Best Jet Services LC, crashed while performing at the TICO Warbird<br />

Airshow, Space Coast Regional Airport (KTIX), Titusville, Florida. Visual meteorological conditions<br />

prevailed, and no flight plan was filed. The airline transport-rated pilot, the sole occupant of<br />

the airplane received fatal injuries, and the airplane was destroyed. The flight originated in<br />

Titusville, the same day, about 1430.<br />

A witness stated that while the pilot of the accident airplane was performing his solo routine at<br />

the airshow, the airplane ascended and penetrated a scattered cloud layer at the top of a loop. The<br />

airplane then came back into view out of the loop, and continued to roll right while descending in<br />

a steep nose-low attitude, at a high speed. The witness further stated that during the loop the<br />

angle of descent became progressively shallow as the airplane neared the ground, as if the pilot<br />

was attempting to pull out of the dive at too low an altitude. The airplane impacted the terrain<br />

just north of the tree-line along runway 09-27.<br />

During the course of the accident airplane’s maneuvers, several members of public audience made<br />

video recordings of the accident flight immediately prior to, and during the impact. The video was<br />

examined, and it showed the airplane had reached the top of a Cuban eight maneuver, inverted in a<br />

cloud, and then descended inverted out of the cloud in a nose low attitude. The airplane then<br />

rolled to the right, and while still nose low and pointed towards the crowd, continued the roll to<br />

the right to a more westerly heading. The aircraft continued its descent to a slight nose low, left<br />

wing slightly low, near level upright attitude, impacting the terrain.<br />

PERSONNEL INFORMATION<br />

The 58 year old pilot possessed an FAA airline transport pilot certificate with airplane single and<br />

multiengine land ratings, issued in February 12, 2007. He also possessed type ratings in the<br />

BE-400, CE-500, CE-525, CE-525S, and MU-300, and had been granted authorization to operate<br />

experimental aircraft, specifically the AV-L<strong>39</strong>, with a level 4 limitation of 800 feet.<br />

He had completed a flight review on February 12, 2007, and stated that he held a letter of<br />

authorization for surplus military turbine powered aircraft. He also stated to the FAA inspector<br />

supervising the airshow, that he possessed a statement of aerobatic competency, and a low altitude<br />

waiver.<br />

The pilot also held an FAA first class medical certificate dated Nov 28, 2006, with the stated<br />

limitation that he must wear corrective lenses. According to the information the pilot provided at<br />

<strong>FACTUAL</strong> <strong>REPORT</strong> - <strong>AVIATION</strong><br />

Page 1


This space for binding<br />

National Transportation Safety Board<br />

<strong>FACTUAL</strong> <strong>REPORT</strong><br />

<strong>AVIATION</strong><br />

NTSB ID: MIA07FA060<br />

Occurrence Date: 03/16/2007<br />

Occurrence Type: Accident<br />

Narrative<br />

(Continued)<br />

his last medical examination, the accident pilot indicated that he had accumulated a total in<br />

excess of 6,000 hours of flight experience, with over 100 hours having been accumulated within the<br />

last 6 months.<br />

AIRCRAFT INFORMATION<br />

The accident airplane, an Aero Vodochody, L-<strong>39</strong>C, Albatross, serial number 031803, was manufactured<br />

by Aero Vodochody of the Czech Republic in 1980. According to the airplane’s flight manual it was<br />

designed as a basic, and advanced trainer, as well as for use in light attack missions, when so<br />

configured. The airplane was powered by an Ivchenko AI-25TL, turbofan engine, rated at 3,800 lbs<br />

trust. The airplane is certificated in the experimental class, and in the exhibition category, and<br />

was equipped with twin tandem ejection seats.<br />

The airplane was registered to Best Jet Services LLC., of Gainesville, Florida, with the<br />

certificate being issued on March 14, 2006. It was also marketed for airshow purposes by the pilot,<br />

and was equipped for flight in day visual flight rules conditions. On the day of the accident the<br />

airplane had been given a ramp check, and the results of the ramp check were recorded on an Airshow<br />

Technical Inspection Form, in which no discrepancies were noted with either the accident airplane<br />

or the pilot.<br />

METEOROLOGICAL INFORMATION<br />

Visual meteorological conditions prevailed at the time of the accident. The Spacecoast Regional<br />

Airport (TIX) 1842Z (1442EDT), surface weather observation was: winds from 260 at 24 knots,<br />

visibility 7 statute miles, cloud coverage 3,000 feet scattered 10,000 broken, temperature 74<br />

degrees F, altimeter 29.81 inHG.<br />

WRECKAGE AND IMPACT INFORMATION<br />

Postcrash examination of the accident site revealed information consistent with the airplane having<br />

impacted the terrain at high velocity, and in a relative flat attitude. The debris field consisted<br />

of an area of about 368 feet long, oriented east to west, and about 184 feet wide. The east end of<br />

the impact area began at a geographic position of 28 degrees 30.987 minutes North latitude, and 080<br />

degrees, 48.216 minutes West longitude.<br />

The accident site consisted of wooded soft muddy level terrain. The vegetation at the site<br />

consisted of a mixture of palm trees, willow trees, maple trees, live oak trees, palmettos, ferns<br />

and other scrub vegetation, which varied in height from knee-level to about 60 feet, and varied in<br />

density from being relatively open to being dense and overgrown.<br />

The impact crater and debris field were located at the eastern end, and were aligned east-to-west<br />

approximately 800 feet north of the centerline of runway 09 - 27, approximately 150 yards in length<br />

on an approximate magnetic direction of 270 degrees. The impact crater had an elliptical shape and<br />

was about 4 feet deep, about 60 feet wide at its widest point, and about 100 feet long. There was a<br />

mixture of aircraft debris and liquid which appeared consistent with that of a mixture that<br />

included water, fuel and oil deposited in the crater.<br />

On the south side of the crater, a major portion of the left wing was found. Several large palm<br />

trunks had been uprooted and lay in a westerly direction consistent with witness accounts of the<br />

last observed heading within the FAA approved airshow box. The debris field down stream of the<br />

impact crater was generally a conical propagation pattern. To the immediate south of the debris<br />

field the area was densely wooded and less debris was noted.<br />

<strong>FACTUAL</strong> <strong>REPORT</strong> - <strong>AVIATION</strong><br />

Page 1a


This space for binding<br />

National Transportation Safety Board<br />

<strong>FACTUAL</strong> <strong>REPORT</strong><br />

<strong>AVIATION</strong><br />

NTSB ID: MIA07FA060<br />

Occurrence Date: 03/16/2007<br />

Occurrence Type: Accident<br />

Narrative<br />

(Continued)<br />

The aircraft was destroyed by impact forces, impact related explosions, and the postcrash fire.<br />

Sections of the aircraft wreckage were generally distributed with the heavier sections propagating<br />

generally to the west along the centerline of the airshow box. The largest portions, including the<br />

empennage, engine core, burned out cockpit, and sections of airframe were distributed along a<br />

narrow westerly path from the crater and comprised about three quarters of the length of the debris<br />

field. Smaller pieces of aircraft structural debris as well as well as airshow related marketing<br />

literature were observed throughout the debris field, but they were not distributed in any distinct<br />

pattern.<br />

All aircraft gages had been destroyed by impact forces and/or the postcrash fire and the few gauges<br />

that were discernable among the debris were unreadable and/or unreliable. Recovered gauges included<br />

an altimeter which read 1,900 feet, and its Kollsman window which read 29.69 inHg; a combination<br />

instrument to measure the turn rate and coordination, angle of bank, and vertical speed was also<br />

found. The instrument showed about 10 degrees left wing down, with no other indications directly<br />

discernible. An airspeed indicator was found and it showed "300" but no units were shown. An<br />

instrument was located with a reading of 7 and a quarter, and it exhibited markings consistent with<br />

an aircraft accelerometer. There was also an instrument with dual needles labeled 1 and 2, and<br />

gauge face markings from 0 to 100 percent posessing markings consistent with those of a tachometer.<br />

There was also the gage face plate with symmetrical left and right scales consistent with the wheel<br />

brake pressure indicator.<br />

On October 17, 2007, the NTSB examined the engine and noted evidence consistent with all engine<br />

damage being related to the impact. There was ingestion of dirt shrubs, grass and other impact<br />

related debris, and the rotational damage noted was in the direction opposite of rotation. Dirt,<br />

leaves, and shrubs were found downstream in the engine, consistent with power being produced at<br />

impact.<br />

During the course of the on-scene examination, burnt and fragmented sections of the airplane’s two<br />

ejection seats and cockpit canopy were among the debris, and they exhibited characteristics<br />

consistent with the presence of explosive charges. As a result, the NTSB halted the investigation,<br />

and requested assistance from members of the Titusville Police Bomb Disposal Unit. The Titusville<br />

Police Department consulted with Patrick Air Force Base’s Explosive Ordinance Disposal (EOD) team,<br />

who confirmed that the seats and canopy were armed with explosive devices. EOD personnel removed<br />

the explosive devices from the accident scene, and neutralized the explosive charges.<br />

MEDICAL AND PATHOLOGICAL INFORMATION<br />

Post mortem examination of the pilot was performed by a pathologist with the District 18 Medical<br />

Examiner’s Office, Rockledge, Florida. The cause of death was attributed to be due to massive<br />

multiple blunt force injuries. No findings, which could be considered causal, were reported.<br />

The FAA Toxicology Laboratory, Oklahoma City, Oklahoma, conducted toxicology studies on specimens<br />

from the pilot. The specimens were tested for ethanol and drugs, and none were found to be present.<br />

TESTS AND RESEARCH<br />

The NTSB received two digital video files on a CD media. The video had been filmed by spectators at<br />

the airshow using hand held video cameras, and they captured the accident sequence. Both videos<br />

followed the accident airplane while it was maneuvering prior to and during the accident. See the<br />

NTSB Video Recording Factual Report.<br />

<strong>FACTUAL</strong> <strong>REPORT</strong> - <strong>AVIATION</strong><br />

Page 1b


This space for binding<br />

National Transportation Safety Board<br />

<strong>FACTUAL</strong> <strong>REPORT</strong><br />

<strong>AVIATION</strong><br />

NTSB ID: MIA07FA060<br />

Occurrence Date: 03/16/2007<br />

Occurrence Type: Accident<br />

Narrative<br />

(Continued)<br />

ADDITIONAL INFORMATION<br />

On March 19, 2007, the NTSB released the airplane wreckage to Mr. David Gourgues, Regional Manager,<br />

CTC Services Aviation (LAD) Inc.<br />

Updated on Nov 17 2010 1:56PM<br />

<strong>FACTUAL</strong> <strong>REPORT</strong> - <strong>AVIATION</strong><br />

Page 1c


This space for binding<br />

National Transportation Safety Board<br />

<strong>FACTUAL</strong> <strong>REPORT</strong><br />

<strong>AVIATION</strong><br />

NTSB ID: MIA07FA060<br />

Occurrence Date: 03/16/2007<br />

Occurrence Type: Accident<br />

Landing Facility/Approach Information<br />

Airport Name<br />

Airport ID:<br />

Airport Elevation<br />

Runway Used Runway Length Runway Width<br />

Space Coast Regional Airport<br />

KTIX<br />

Ft. MSL<br />

09<br />

5000<br />

100<br />

Runway Surface Type: Asphalt<br />

Runway Surface Condition: Dry<br />

Approach/Arrival Flown:<br />

NONE<br />

VFR Approach/Landing:<br />

None<br />

Aircraft Information<br />

Aircraft Manufacturer<br />

Aero Vodochody Aero. Works<br />

Model/Series<br />

L-<strong>39</strong>C<br />

Serial Number<br />

031803<br />

Airworthiness Certificate(s):<br />

Experimental (Special); Acrobatic<br />

Landing Gear Type: Retractable - Tricycle<br />

Amateur Built Acft? No<br />

Number of Seats: 2<br />

Engine Type:<br />

Turbo Jet<br />

- Aircraft Inspection Information<br />

Type of Last Inspection<br />

- Emergency Locator Transmitter (ELT) Information<br />

Certified Max Gross Wt.<br />

Engine Manufacturer:<br />

Ivchenko<br />

Date of Last Inspection<br />

10360 LBS Number of Engines: 1<br />

Model/Series:<br />

Rated Power:<br />

AI-25TL<br />

3800 LBS<br />

Time Since Last Inspection Airframe Total Time<br />

Hours<br />

488 Hours<br />

ELT Installed?/Type No<br />

Owner/Operator Information<br />

Registered Aircraft Owner<br />

Best Jet Services LLC<br />

Operator of Aircraft<br />

Best Jet Services LLC<br />

Operator Does Business As:<br />

- Type of U.S. Certificate(s) Held: None<br />

Air Carrier Operating Certificate(s):<br />

No<br />

ELT Aided in Locating Accident Site? No<br />

Street Address<br />

824 University Avenue<br />

City<br />

State<br />

Gainesville<br />

FL<br />

Street Address<br />

824 University Avenue<br />

City<br />

State<br />

Gainesville<br />

FL<br />

Operator Designator Code:<br />

Zip Code<br />

32601<br />

Zip Code<br />

32601<br />

Operating Certificate:<br />

Regulation Flight Conducted Under: Part 91: General Aviation<br />

Type of Flight Operation Conducted: Air Race/Show<br />

Operator Certificate:<br />

<strong>FACTUAL</strong> <strong>REPORT</strong> - <strong>AVIATION</strong> Page 2


This space for binding<br />

National Transportation Safety Board<br />

<strong>FACTUAL</strong> <strong>REPORT</strong><br />

<strong>AVIATION</strong><br />

First Pilot Information<br />

Name<br />

NTSB ID: MIA07FA060<br />

Occurrence Date: 03/16/2007<br />

Occurrence Type: Accident<br />

City<br />

State Date of Birth Age<br />

On File<br />

On File<br />

On File<br />

On File<br />

58<br />

Sex: M<br />

Seat Occupied: Front<br />

Occupational Pilot?<br />

No<br />

Certificate Number: On File<br />

Certificate(s):<br />

Airline Transport<br />

Airplane Rating(s):<br />

Multi-engine Land; Single-engine Land<br />

Rotorcraft/Glider/LTA:<br />

Instrument Rating(s):<br />

Instructor Rating(s):<br />

Airplane<br />

Airplane Single-engine<br />

Current Biennial Flight Review?<br />

Medical Cert.: Class 1<br />

02/2007<br />

Medical Cert. Status: With Waivers/Limitations<br />

Date of Last Medical Exam: 11/2006<br />

- Flight Time Matrix<br />

All A/C<br />

This Make<br />

and Model<br />

Airplane<br />

Single Engine<br />

Airplane<br />

Mult-Engine<br />

Night<br />

Actual<br />

Instrument<br />

Simulated<br />

Rotorcraft<br />

Glider<br />

Lighter<br />

Than Air<br />

Total Time<br />

6000<br />

Pilot In Command(PIC)<br />

Instructor<br />

Instruction Received<br />

Last 90 Days<br />

Last 30 Days<br />

Yes<br />

Yes<br />

Yes<br />

No<br />

Flight Plan/Itinerary<br />

Type of Flight Plan Filed: None<br />

Departure Point<br />

State<br />

Airport Identifier<br />

Departure Time<br />

Time Zone<br />

Same as Accident/Incident Location<br />

TIX<br />

1430<br />

EDT<br />

Destination<br />

State<br />

Airport Identifier<br />

Local Flight<br />

TIX<br />

Type of Clearance:<br />

None<br />

Type of Airspace:<br />

Weather Information<br />

Source of Wx Information:<br />

Unknown<br />

<strong>FACTUAL</strong> <strong>REPORT</strong> - <strong>AVIATION</strong> Page 3


This space for binding<br />

National Transportation Safety Board<br />

<strong>FACTUAL</strong> <strong>REPORT</strong><br />

<strong>AVIATION</strong><br />

NTSB ID: MIA07FA060<br />

Occurrence Date: 03/16/2007<br />

Occurrence Type: Accident<br />

Weather Information<br />

WOF ID<br />

Observation Time<br />

Time Zone<br />

WOF Elevation<br />

WOF Distance From Accident Site<br />

Direction From Accident Site<br />

TIX<br />

1450<br />

EDT<br />

34 Ft. MSL<br />

NM<br />

Deg. Mag.<br />

Sky/Lowest Cloud Condition: Scattered<br />

3000 Ft. AGL<br />

Condition of Light: Day<br />

Lowest Ceiling: Broken<br />

10000 Ft. AGL<br />

Visibility:<br />

7<br />

SM<br />

Altimeter:<br />

29.81<br />

"Hg<br />

Temperature:<br />

24 ° C Dew Point:<br />

°C<br />

Weather Conditions at Accident Site: Visual Conditions<br />

Wind Direction: 260<br />

Wind Speed: 24<br />

Wind Gusts:<br />

Visibility (RVR):<br />

Ft.<br />

Visibility (RVV)<br />

SM<br />

Precip and/or Obscuration:<br />

Accident Information<br />

Aircraft Damage: Destroyed<br />

Aircraft Fire: Ground<br />

Aircraft Explosion<br />

Ground<br />

- Injury Summary Matrix<br />

Fatal Serious Minor None TOTAL<br />

First Pilot<br />

Second Pilot<br />

Student Pilot<br />

Flight Instructor<br />

Check Pilot<br />

Flight Engineer<br />

Cabin Attendants<br />

Other Crew<br />

Passengers<br />

- TOTAL ABOARD -<br />

Other Ground<br />

- GRAND TOTAL -<br />

1<br />

1<br />

1<br />

1<br />

1<br />

1<br />

<strong>FACTUAL</strong> <strong>REPORT</strong> - <strong>AVIATION</strong> Page 4


This space for binding<br />

National Transportation Safety Board<br />

<strong>FACTUAL</strong> <strong>REPORT</strong><br />

<strong>AVIATION</strong><br />

NTSB ID: MIA07FA060<br />

Occurrence Date: 03/16/2007<br />

Occurrence Type: Accident<br />

Administrative Information<br />

Investigator-In-Charge (IIC)<br />

John W. Lovell<br />

Additional Persons Participating in This Accident/Incident Investigation:<br />

Robert Jex<br />

FAA FSDO<br />

Orlando, FL<br />

<strong>FACTUAL</strong> <strong>REPORT</strong> - <strong>AVIATION</strong> Page 5

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