NTSB Incident Report on the Champion 7AC at Burns, OR (SEA91FA156)

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Key Takeaways:

  • A student pilot stalled a Champion 7AC aircraft during an improper turn into mountainous terrain, resulting in a fatal crash that killed both occupants.
  • The pilot was found to have 20% carboxyhemoglobin saturation, indicating carbon monoxide poisoning, which was identified as a contributing factor likely causing confusion and impaired judgment.
  • Additional factors contributing to the accident included mountainous terrain, high density altitude, and the pilot's operation of the aircraft without a current annual inspection or medical certificate.
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NTSB Identification: SEA91FA156
For details, refer to NTSB microfiche number 43934A

Accident occurred JUL-05-91 at BURNS, OR
Aircraft: CHAMPION 7AC, registration: N3006E
Injuries: 2 Fatal.

THE STUDENT PLT WAS THE OWNER/OPERATOR OF THE ACFT. HE AND THE PASSENGER WERE ON APLEASURE FLT IN AN AREA OF MOUNTAINOUS TERRAIN. THE ACFT WAS SEEN TO TURN INTO A VALLEYWHERE IT SUBSEQUENTLY COLLIDED WITH THE GROUND AT AN ELEVATION OF ABOUT 5500 FT. DURINGIMPACT, THE WINGS WERE BENT DOWN AND FORWARD; THERE WAS A 45 DEG CRUSH LINE ON THE LEADINGEDGES OF THE WINGS. NO GROUND SCARS WERE FOUND TO INDICATE MOVEMENT AFTER GROUND IMPACT.THE ACFT’S LAST ANNUAL INSPN WAS DATED 7/22/87; HOWEVER, THE STUDENT PLT CONTINUED TOOPERATE THE ACFT; HE PERFORMED OIL CHANGES HIMSELF. NO PREIMPACT MECHANICAL FAILURE ORMALFUNCTION OF THE ENGINE WAS FOUND. THE STUDENT’S LAST MEDICAL EXAM WAS DATED 11/25/87. ATOXICOLOGY EXAM OF THE STUDENT PLT’S BLOOD SHOWED A SATURATION OF 20% CARBOXYHEMOGLOBIN. AFLT SURGEON REPORTED THAT THIS PERCENTAGE COULD CAUSE A HEADACHE, A STATE OF CONFUSION,DIZZINESS AND VISUAL DISTURBANCE. THE INVESTIGATION DID NOT DETERMINE IF THE ACFT HEATERSYSTEM COULD HAVE BEEN THE SOURCE OF CARBON MONOXIDE.

Probable Cause
IMPROPER INFLIGHT PLANNING/DECISION BY THE STUDENT PILOT (PILOT-IN-COMMAND), AND HISFAILURE TO MAINTAIN ADEQUATE AIRSPEED, WHICH RESULTED IN A STALL. FACTORS RELATED TO THEACCIDENT WERE: PHYSICAL IMPAIRMENT OF THE STUDENT PILOT/OWNER/OPERATOR FROM CARBONMONOXIDE, MOUNTAINOUS TERRAIN, AND HIGH DENSITY ALTITUDE.

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