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Accidents · NTSB CEN21LA200 · Final report

Aeropro Cz S R O A240 accident near Richmond, Indiana, April 25, 2021

On April 25, 2021 at about 11:42 am local time, a 2009 Aeropro Cz S R O A240, registered N417R, was destroyed in an accident during initial climb near Richmond, Indiana (Richmond Municipal airport). It was a personal flight under general aviation rules (Part 91). 1 person was killed. The weather was instrument conditions (cloud, fog or low visibility).

The NTSB's probable cause their words, unchanged

The noninstrument-rated pilot’s intentional flight into instrument meteorological conditions, which resulted in spatial disorientation and loss of airplane control.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
April 25, 2021 · about 11:42 am local time
Place
Richmond, Indiana · Richmond Municipal · map
Type
Accident
Injuries
1 person was killed.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Aeropro Cz S R O A240, built 2009 · all A240s on the register
Registration
N417R · no longer on the register · serial 29 309
Damage
Destroyed
Flight
Personal flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The pilot obtained a weather briefing and filed a visual flight rules flight plan a few minutes before takeoff. An AIRMET advisory for instrument flight rules conditions was in effect, and the weather at the airport about the time of the accident included a cloud ceiling of 200 ft above ground level and 1/2-mile visibility in fog. After takeoff, the airplane entered a climbing right turn and reached an altitude of approximately 2,045 ft with a right bank angle of about 40°. The airplane continued in a right turn and began to descend; its bank angle ultimately reached about 90°, and the average descent rate during the final portion of the flight was about 2,041 ft per minute. The airplane impacted an open field about 1/2 mile south-southwest of the airport and was destroyed by a postimpact fire. Postaccident airframe and engine exams did not reveal any anomalies consistent with a preimpact failure or malfunction; however, the examinations were limited by the extent of the post-impact fire. The pilot held a student pilot certificate, and he did not hold a medical certificate. Autopsy findings and health information revealed that the pilot had an enlarged heart, high blood pressure, severe coronary artery disease, and a history of five-vessel coronary artery bypass surgery. While the pilot’s cardiovascular disease placed him at an increased risk for a sudden cardiac event, given the circumstances of this crash, it is unlikely that sudden incapacitation from the pilot’s cardiovascular disease was a factor in this accident. Postmortem toxicology testing detected gabapentin prescribed for chronic nerve pain and duloxetine prescribed for general anxiety. Both medications are impairing especially when first prescribed or with dosage adjustments. It is unknown how long the pilot was taking these medications and whether any side effects had been experienced; however, it is unlikely that effects from the pilot’s use of duloxetine and gabapentin were factors in the accident. The low visibility conditions at the time of the accident and the pilot’s lack of training in instrument flight were conducive to the development of spatial disorientation, and the airplane’s flight track after takeoff was consistent with the known effects of spatial disorientation. It is likely that the pilot experienced spatial disorientation after takeoff into instrument meteorological conditions, which resulted in a loss of control.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Loss of control in flight during initial climb defining event

The NTSB's findings

  • Personnel issues › Psychological › Perception/orientation/illusion › Spatial disorientation › Pilot
  • Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot
  • Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot

Pilot

  • Certificate: student
  • Flight time: 100 hours in all
  • Medical certificate: None
  • Seat: frt
  • Injury: fatal

The aircraft

  • Airframe total time: 827.7 hours
  • Last inspection: condition inspection, August 5, 2020
  • Maximum gross weight: 1,235 lb
  • Seats: 2
  • Landing gear: fixed
  • Engine: Rotax 912ULS (piston); 0 hours total
  • Fire on the ground

The flight

  • Departed from: RID Richmond IN at 11:40 am
  • Destination: FES Festus MO
  • Flight plan: VFR

Weather at the time

  • Light: daylight
  • Wind: from 270° at 3 knots
  • Visibility: 0.5 statute miles
  • Sky: overcast at 200 ft
  • Temperature: 43°F (6°C), dew point 43°F (6°C)
  • Altimeter: 29.94 inHg
  • Observation at 7:45 am from RID

Injuries

FatalSeriousMinorNone
Flight crew1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

16 documents, released by the NTSB on August 3, 2022. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.