NTSB CAROL · Event
Event CEN19FA195
Aircraft involved
Probable cause & findings
The pilot's exceedance of the airplane's critical angle of attack while maneuvering toward the runway, which resulted in an aerodynamic stall and a loss of control.
Factual narrative
HISTORY OF FLIGHTOn July 1, 2019, about 2045 eastern daylight time, an experimental amateur-built Rans S12 airplane, N1094K, was substantially damaged when it was involved in an accident near Orleans, Indiana. The pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. A Federal Aviation Administration (FAA) inspector reported that the pilot had performed two or three landings before the accident flight. A camera located near the runway captured a segment of the accident flight showing the airplane spiraling downward and impacting the runway, followed by a postimpact fire. After the accident, a neighbor who lived near the airstrip advised a family member of the pilot's that he heard the airplane fly over his barn on the night of the accident. He heard the motor "die," then walked out of the barn. The witness stated that the motor restarted and the airplane proceeded straight toward the runway. He then heard the crash and observed the fire. PERSONNEL INFORMATIONThe pilot had received flight training toward a sport pilot certificate and had received a flight instructor's endorsement on September 26, 2018, indicating a "solo check" in the accident airplane. AIRCRAFT INFORMATIONAccording to his wife, the pilot purchased the airplane from someone she thought was in Michigan. However, there was no FAA record of the purchase, and the listed prior owners were not able to be located. According to the pilot's flight instructor, the airplane was not equipped with a stall warning indicator or an angle of attack indicator. FAA Advisory Circular 90-109A, Transition to Unfamiliar Aircraft, in part, characterizes the Rans S12 as one of a group of low-inertia and/or high-drag airplanes, which "rapidly lose energy (airspeed and/or altitude) when there is a loss or reduction of power." These types of airplanes may also experience significant airspeed decay with increased load factor, such as during turns, making them "particularly susceptible to unintentional stalls," especially given their low cruise speed to stall speed margin. AIRPORT INFORMATIONAccording to his wife, the pilot purchased the airplane from someone she thought was in Michigan. However, there was no FAA record of the purchase, and the listed prior owners were not able to be located. According to the pilot's flight instructor, the airplane was not equipped with a stall warning indicator or an angle of attack indicator. FAA Advisory Circular 90-109A, Transition to Unfamiliar Aircraft, in part, characterizes the Rans S12 as one of a group of low-inertia and/or high-drag airplanes, which "rapidly lose energy (airspeed and/or altitude) when there is a loss or reduction of power." These types of airplanes may also experience significant airspeed decay with increased load factor, such as during turns, making them "particularly susceptible to unintentional stalls," especially given their low cruise speed to stall speed margin. WRECKAGE AND IMPACT INFORMATIONThe airplane came to rest on its nose oriented on a magnetic heading about 135° on the west edge of a north/south oriented private airstrip near its north end. Grass and corn near the airplane exhibited blight and charring consistent with a ground fire. The fabric wing skins and upper fuselage were consumed by fire. The engine and its propeller exhibited discoloration, deformation, and consumption consistent with fire damage. All separations exhibited appearances consistent with overload or deformation consistent with thermal damage. No preimpact structural anomalies were detected. Flight control continuity was traced from the cockpit area to the flight control surfaces. Bolts holding the propeller hub halves were in place and no visible cracking was observed on the hubs; however, due to thermal damage of the propeller blades, it could not be determined if the blades' collars had rotated between the hub halves. The engine could not be rotated by hand due to the thermal damage. MEDICAL AND PATHOLOGICAL INFORMATIONThe Lawrence County Forensic Services Center conducted an autopsy on the pilot. The cause of death was listed as head, chest, and abdominal injuries. No significant natural disease was identified. Toxicology testing performed by the FAA Forensic Sciences Laboratory detected Amino-clonazepam, Sertraline, and Desmethylsertraline in blood and urine. Sertraline is an antidepressant used to treat depression and anxiety disorders and is not known to be directly impairing. Desmethylsertraline is a metabolite of sertraline. Amino-clonazepam is a metabolite of clonazepam, which produces central nervous system depression. The parent compound, clonazepam, was not present. According to medical records obtained from the pilot's family physician for the three years preceding the accident, the pilot had been treated with sertraline and clonazepam for an unspecified anxiety disorder for many years. He had no other significant medical conditions diagnosed. The student sport pilot was conducting a local solo flight near his private airstrip in calm wind conditions, and had performed two or three landings before the accident flight. A camera located near the airstrip captured a segment of the accident flight, during which the airplane could be seen spiraling downward and impacting the runway, followed by a postimpact fire. A witness reported that he heard the accident airplane fly over on the night of the accident. He heard the engine "die," but stated that it subsequently restarted, and the airplane proceeded directly toward the runway. The witness subsequently heard the sound of the impact and saw the fire. The airplane impacted terrain in a nose-down attitude. No preimpact structural or flight control continuity were detected during a postaccident examination. Thermal damage precluded a thorough examination of the propeller and engine. A Federal Aviation Administration Advisory Circular (AC 90-109A) classified the airplane as a low-inertia, high-drag airplane. These airplanes are particularly susceptible to unintentional aerodynamic stalls due to their low cruise speed to stall speed margin and their tendency to experience significant airspeed decay with increased load factor (such as during a turn). Based on the available information, it is likely that while maneuvering toward the runway following the loss of and restoration of engine power, the pilot exceeded the airplane's critical angle of attack, which resulted in an inadvertent aerodynamic stall and loss of control. Although medical records indicated that the pilot had been treated for an unspecified anxiety disorder for many years, whether effects from the disorder or its treatment contributed to the accident could not be determined given the available evidence. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- C Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
- C Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Angle of attack-Capability exceeded - C
Verbatim from NTSB's published report. Source file
NTSB_2019_CEN19FA195.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall, loss of control). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Semantic Scholar 2016 · Article (Interacción)
Trajectory Recovery System: Angle of Attack Guidance for Inflight Loss of Control
This paper describes the design and development of an ecological display to aid pilots in the recovery of an In-Flight Loss of Control event due to a Stall (ILOC-S).
- NTSB Aircraft Accident Reports 2010 · Accident report
Loss of Control on Approach — Colgan Air Flight 3407
Colgan Air 3407 / Continental Connection (Q400) Buffalo NY, February 12, 2009 — 50 fatalities. Definitive investigation of the Colgan 3407 stall-stick-pusher crash on approach to Buffalo.
- NASA NTRS 2026 · Conference Paper
Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Embry-Riddle Scholarly Commons 2025 · Journal article (JAAER)
A Scoping Review of Aviation Loss of Control Inflight Research
Loss of control – inflight (LOC-I) contributes to aircraft accidents at unacceptably high rates. Significant industry efforts and research have aimed to improve LOC-I prevention, detection, and recove…
- arXiv 2025 · arXiv preprint
Quadratic Programming Approach to Flight Envelope Protection Using Control Barrier Functions
Ensuring the safe operation of aerospace systems within their prescribed flight envelope is a fundamental requirement for modern flight control systems.
- SKYbrary (Eurocontrol) 2024 · SKYbrary article
Loss of Control In-Flight (LOC-I) — SKYbrary Knowledge Base
SKYbrary comprehensive knowledge-base entry on Loss of Control In-Flight — definitions, contributing factors, accident case studies (Air France 447, Colgan 3407), and prevention strategies.
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