N87LW

Substantial
Fatal

VANS RV4S/N: 1115

Accident Details

Date
Thursday, November 26, 2020
NTSB Number
CEN21LA067
Location
Telluride, CO
Event ID
20201127102340
Coordinates
37.949090, -107.888620
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
2
Serious Injuries
0
Minor Injuries
0
Uninjured
0
Total Aboard
2

Probable Cause and Findings

The pilot’s failure to maintain adequate airspeed during the turn from the base leg to final approach, which resulted in the airplane exceeding its critical angle of attack and entering an inadvertent aerodynamic stall/spin at a low altitude over mountainous terrain.

Aircraft Information

Registration
N87LW
Make
VANS
Serial Number
1115
Engine Type
Reciprocating
Year Built
1987
Model / ICAO
RV4RV4
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
KILL BRYAN L
Address
955 HARBOR ISLAND DR STE 100 G-33
Status
Deregistered
City
SAN DIEGO
State / Zip Code
CA 92101
Country
United States

Analysis

HISTORY OF FLIGHTOn November 26, 2020, about 1259 mountain standard time, a Vans RV4 airplane, N87LW, was substantially damaged when it was involved in an accident near Telluride, Colorado. The pilot and passenger were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight.

According to the airport manager for the Telluride Regional Airport (TEX), the pilot told an employee with the fixed base operator (FBO) at the airport that he intended to fly from TEX to Durango-La Plata County Airport (DRO), Durango, Colorado, to retrieve a passenger and then return to TEX. According to automatic dependent surveillance-broadcast (ADS-B) data, at 1125, the airplane departed TEX on runway 27 and flew direct to DRO and landed on runway 3 at 1150.

At 1229, the airplane departed DRO on runway 3 and proceeded north back toward TEX, as shown in figure 1. About 1256:39, the airplane turned onto a left downwind for runway 27 at TEX. A FBO employee at TEX reported that she was monitoring the airport’s UNICOM frequency when the pilot transmitted that he was on the downwind leg for runway 27. The FBO employee told the pilot to park in the hangar after landing and the pilot replied “cool.”

Further review of the recorded ADS-B data indicated that the airplane entered the traffic pattern while descending through 10,000 ft mean sea level (msl) and flew the downwind leg about 1 statute mile (sm) south of the runway 27 centerline, as shown in figure 2 and figure 3. The airplane continued to descend about 250 feet per minute (ft/min) during the downwind leg. The airplane entered the traffic pattern at 100 knots calibrated airspeed (KCAS) and decelerated during the downwind and base legs.

Figure 1 – ADS-B Track Data for Flight

Figure 2 – ADS-B Track Data for Airplane in Traffic Pattern

Figure 3 – Altitude, Speed, and Vertical Speed

About 1258:12, the airplane entered a left turn toward the base leg for runway 27 and continued to descend and decelerate. About 1258:58, the airplane entered a left turn from the base leg toward a 0.5 sm-final-approach-course to runway 27. During the final 4 seconds of recorded ADS-B data, the airplane decelerated to 50 KCAS and the descent rate increased from 600 ft/min to 3,850 ft/min, as shown in figure 4. The airplane’s calculated roll angle was left-wing down and varied between 23° and 88° during the final 4 seconds of data, as shown in figure 5. According to the airplane kit manufacturer, the airplane’s wings-level aerodynamic stall speed at a maximum gross weight of 1,500 lbs was 47 KCAS.

Figure 4 – Altitude, Speed, and Vertical Speed

Figure 5 – Ground Track Angle, Roll Angle, and Flight Path Angle

According to the FBO employee monitoring the airport’s UNICOM frequency, at exact time unknown, there was a brief transmission where the pilot exclaimed “oh [expletive].” The FBO employee noted that the airplane disappeared from the FBO’s flight tracking system a few minutes after the pilot’s final transmission and that a representative with the United States Air Force Search and Rescue called the airport inquiring about an emergency locator transmitter signal that had been detected.

Airport security camera footage showed the airplane in a left-wing down, nose down, descending turn into mountainous terrain east of the airport. There was no video evidence of a postimpact fire or explosion.

There were multiple witnesses who reported seeing the airplane enter a steep left turn toward the airport followed by a nose-down descent toward terrain. One witness reported that the airplane completed 3 or 4 spins while it descended nose down in a vertical descent and that the sound of the engine was “quite loud.” PERSONNEL INFORMATIONThe pilot’s flight logbook was not located during the investigation. AIRCRAFT INFORMATIONThe airplane’s maintenance logbooks were not located during the investigation.

According to the airplane kit manufacturer, the airplane had a useable fuel capacity of 32 gallons distributed evenly between two wing fuel tanks.

According to a fuel purchase receipt, before departing on the flight from TEX to DRO, the pilot dispensed 23.87 gallons of 100 low-lead aviation fuel using the self-serve fuel pump at TEX. AIRPORT INFORMATIONThe airplane’s maintenance logbooks were not located during the investigation.

According to the airplane kit manufacturer, the airplane had a useable fuel capacity of 32 gallons distributed evenly between two wing fuel tanks.

According to a fuel purchase receipt, before departing on the flight from TEX to DRO, the pilot dispensed 23.87 gallons of 100 low-lead aviation fuel using the self-serve fuel pump at TEX. WRECKAGE AND IMPACT INFORMATIONThe airplane impacted mountainous terrain about 0.5 sm east-southeast of the runway 27 threshold at TEX. The elevation of the accident site was about 8,877 ft msl. The airplane impacted nose-down into steep terrain. All major airframe structural components and flight control surfaces were present at the accident site, as shown in figure 6. The wreckage was recovered to a secure facility where it was examined. The postaccident examination did not reveal any evidence of a preexisting mechanical malfunction or failure that would have prevented normal operation. All physical damage to the airframe, engine, and propeller was consistent with ground impact.

Figure 6 – Main Wreckage at the Accident Site MEDICAL AND PATHOLOGICAL INFORMATIONAccording to the autopsy authorized by the San Miguel County Coroner’s Office, Telluride, Colorado, the pilot’s cause of death was multiple traumatic injuries, and the manner of death was an accident. No significant natural disease was identified during the autopsy.

Toxicological testing, completed by the Federal Aviation Administration Forensic Sciences Laboratory, detected the opiate narcotic morphine in the pilot’s urine at 34 nanograms per milliliter (ng/mL) but not in his cavity blood. The non-impairing pain reliever acetaminophen, commonly marketed as Tylenol, was detected in his cavity blood and urine. Morphine is prescribed for pain relief but may be present as a metabolite of the pain reliever codeine. The plasma half-life of codeine is around 3 hours and the half-life of morphine is around 4 hours. Both morphine and codeine are impairing medications and patients should not drive or operate dangerous machinery until they know how they react to the medication. Codeine is often prescribed in combination with acetaminophen.

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN21LA067