Loss of Control in Flight · NTSB CEN17FA334

VANS AIRCRAFT INC RV-12 — Fishers, IN

1 fatal High-time pilot
DateAugust 31, 2017
LocationFishers, IN
AircraftVANS AIRCRAFT INC RV-12
Purpose of flightPersonal
ConditionsDay · Visual Meteorological Cond
Phase / occurrenceUncontrolled descent Collision with terr/obj (non-CFIT)
Pilot age78
Pilot total time1,200 hrs · Experienced
Time in typeUnknown
Fatalities1

Probable cause

The pilot's failure to latch the canopy before takeoff, and his failure to maintain pitch control following the in-flight opening of the canopy during the initial climb resulting in a subsequent impact with terrain and ground fire.

NTSB findings

  • Aircraft-Aircraft structures-Doors-Passenger/crew doors-Incorrect use/operation - C
  • Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
  • Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Pitch control-Not attained/maintained - C
  • Personnel issues-Action/decision-Action-Incomplete action-Pilot - C

What happened

A private pilot departed on a local flight in his experimental, amateur-built airplane equipped with a tip-up (forward-opening) canopy. A witness saw the airplane during its initial climb after takeoff and stated that it descended "straight down and burst into a ball of flames" upon impact. Examination of the accident site revealed that items from the cabin were found on the ground near the runway threshold and before the impact site. There were no preimpact anomalies of the airframe or engine and kit manufacturer fuel tank Service Bulletins were compiled with.

The airplane's before takeoff checklist stated, "Canopy – CHECK Latched." However, the metal canopy latching mechanisms on the roll bar frame exhibited soot-colored discoloration and its polyethylene latch block was not present, and the latch handle on the canopy was intact, not deformed, and not discolored, consistent with the latch being unsecured at the time of impact. Additionally, the presence of items from the cockpit before the impact site is consistent with the canopy opening in flight.

About 9 months before the accident, the kit manufacturer published a service letter regarding the in-flight opening of tip-up canopies. The letter stated that, based on previous events, the aircraft will most likely pitch nose down abruptly if the canopy opens in flight. The severity of the pitching moment can depend on speed, attitude, and weight and balance. The letter further stated that most instances of in-flight canopy openings were the result of the pilot forgetting to latch the canopy properly before takeoff, and cautioned pilots to ensure that the latching mechanism fully engaged as designed. Based on the available evidence, it is likely that the accident pilot failed to properly latch the canopy before takeoff, did not maintain airplane control following the canopy opening, and the airplane subsequently impacted terrain to the extent that the incorporated service bulletins remedies did not keep the fuel tank from breaching, causing the ground fire.

An editorial "what led to it / how to avoid it" analysis for this accident is generated separately and will appear here.

View the official NTSB docket →