Fatal Stall During Winch Launch at Samedan Aerodrome

Casualties unknown • Samedan, GR, CH

A glider pilot was killed after his aircraft entered an uncontrolled flight state and impacted the runway upside down during a winch launch.

What happened

On June 28, 2008, a DG-400 glider, registration HB-2123, was performing a winch-assisted takeoff at Samedan Aerodrome (LSZS). During the launch, the aircraft lifted off normally but quickly entered an excessively steep climb. At an altitude of approximately 40 to 50 meters, the aircraft rolled sharply to the left and transitioned into an inverted position. The glider struck the main runway at a 45-degree angle on its back before sliding into the grass adjacent to the runway. The pilot sustained fatal injuries in the impact.

The investigation

Investigators examined the aircraft's configuration and the environmental conditions at the time of the accident. The investigation found that the aircraft's wing camber settings were incorrectly configured; while the flight manual prescribed a setting of +8°, the control lever was found in the -10° position. Meteorological data revealed significant wind shear and a tailwind component at the takeoff position.

Technical analysis of the winch cable showed that the use of synthetic Dyneema rope, rather than traditional steel cable, could increase acceleration by up to 25%, potentially affecting the pilot's ability to manage the climb. Furthermore, the investigation noted that the breaking strength of the cable attachment (750 daN) exceeded the manufacturer's recommendation of 500 daN, which might have otherwise caused the cable to break during the extreme pitch-up maneuver.

Findings

  • The primary cause of the accident was an inadequate flight technique at low altitude, which led to an aerodynamic stall.
  • The pilot utilized an incorrect wing camber setting (-10° instead of +8°), which significantly increased the stall speed.
  • A tailwind component at the takeoff point contributed to the higher ground speed during the initial roll, complicating the transition to a climb.
  • The pilot's winch launch proficiency had not been formally reviewed since 1982.
  • There was a lack of recent, specific training regarding winch launch operations.

Probable cause

The accident was caused by an aerodynamic stall resulting from improper flight maneuvering at low altitude, exacerbated by incorrect wing camber settings, a tailwind component, and a lack of recent proficiency training in winch launch techniques.

Frequently asked questions

What happened in the 2008-06-28 GLASER-DIRKS FLUGZEUGBAU GMBH DG-400 accident near Samedan, GR, CH?

A glider pilot was killed after his aircraft entered an uncontrolled flight state and impacted the runway upside down during a winch launch.

What aircraft was involved and where did it happen?

The accident on 2008-06-28 involved a GLASER-DIRKS FLUGZEUGBAU GMBH DG-400, registration HB-2123, at Samedan, GR, CH.

What was the probable cause of the accident?

The accident was caused by an aerodynamic stall resulting from improper flight maneuvering at low altitude, exacerbated by incorrect wing camber settings, a tailwind component, and a lack of recent proficiency training in winch launch techniques.

Investigation report by the Swiss Transportation Safety Investigation Board (STSB / SUST). Original record: https://www.sust.admin.ch/inhalte/AV-berichte/2029.pdf. This page is a structured re-presentation; facts and quotes are in the Swiss Transportation Safety Investigation Board (STSB), Switzerland.

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