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

Gemini Sparkle

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.
See a mistake? Contact us.

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.

Sign-up for newsletters & special offers!

Get the latest stories & special offers delivered directly to your inbox

SUBSCRIBE

Please support AVweb.

It looks like you’re using an ad blocker. Ads keep AVweb free and fund our reporting.
Please whitelist AVweb or continue with ads enabled.