Loss of Control in Flight · NTSB ERA13LA076
CASSUTT SPORT RACER — Collegedale, TN
| Date | December 2, 2012 |
| Location | Collegedale, TN |
| Aircraft | CASSUTT SPORT RACER (amateur-built) |
| Purpose of flight | Personal |
| Conditions | Day · Visual Meteorological Cond |
| Phase / occurrence | Approach-VFR pattern final Collision with terr/obj (non-CFIT) |
| Pilot age | 82 |
| Pilot total time | 400 hrs · Building experience |
| Time in type | 0 hrs |
| Fatalities | 1 |
Probable cause
NTSB findings
- Personnel issues-Physical-Impairment/incapacitation-(general)-Pilot - C
- Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Descent/approach/glide path-Not attained/maintained - C
- Personnel issues-Physical-Health/Fitness-Predisposing condition-Pilot
- Personnel issues-Physical-Health/Fitness-Use of medication/drugs-Pilot
What happened
The pilot indicated to a friend that the purpose of the flight was to practice takeoffs and landings in the airport traffic pattern. An airport employee reported that he observed the airplane depart normally from runway 21 but that he did not see the airplane return to the airport before he left for the night about 1.5 hours later. An alert notice was issued the following day when the airport manager observed the pilot's car still parked at the airport. Local authorities found the wreckage the day after that. The airplane was found inverted among trees on an approximate northeast heading about 1/4 mile north of the runway 21 threshold, consistent with an approach for landing on the runway. Broken tree branches were located near the wreckage and continued in a northwesterly direction from the wreckage. Postaccident examination of the airframe and engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation.
The pilot did not hold a valid Federal Aviation Administration medical certificate. He applied for a third-class medical certificate 8 years before the accident, but it was deferred due to a history of severe heart disease. The pilot's autopsy results revealed a significantly enlarged heart with a mechanical mitral valve in place and severe coronary artery disease that included 90-percent occlusion of the left anterior descending, circumflex, and right main arteries and complete occlusion of the three bypass vessels. These conditions put the pilot at high risk for a sudden cardiac arrhythmia, which could result in sudden incapacitation and would not be evident during an autopsy.
Toxicological testing detected the presence of two blood pressure/cardiovascular medications, an antidepressant and its metabolite, a cough medication, an anticoagulant, a sedating antihistamine (diphenhydramine), and a sedating antinausea medication (promethazine). The diphenhydramine detected in the blood was within the normal therapeutic range; however, the promethazine detected in the blood exceeded the normal therapeutic range. Both drugs carried the warning, "may impair mental and/or physical ability required for the performance of potentially hazardous tasks (e.g., driving, operating heavy machinery)." The use of diphenhydramine together with promethazine, particularly in the elderly (the pilot was 82 years old) or those with a debilitating condition, may increase side effects such as drowsiness, rapid heartbeat, confusion, and memory problems.