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

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Key Takeaways:

  • A student pilot and passenger died when their aircraft stalled and crashed in mountainous terrain due to the pilot's improper inflight planning, failure to maintain adequate airspeed, and impairment from carbon monoxide poisoning.
  • The pilot's toxicologically confirmed carbon monoxide level (20% carboxyhemoglobin) likely caused cognitive and visual disturbances, contributing significantly to the accident.
  • Both the aircraft's annual inspection and the pilot's medical exam were significantly overdue, with mountainous terrain and high density altitude also identified as contributing factors.
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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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