From the Investigator
Aircraft Occurrence Summary
Type: Tutor CT114159
Date: 18 May 2007
Location: Malmstrom Air Force Base, Montana
On Friday, 18 May 2007, the Snowbirds had completed a transit from Moose Jaw, Saskatchewan to Great Falls, Montana. An afternoon practice was planned in preparation for flying displays on Saturday and Sunday at the Malmstrom Air Force Base Open House, located eight miles away from Great Falls International Airport. One of the manoeuvres to be flown was an Inverted Photo Pass in which Snowbird (SB) Lead flies across the show line upright with SB 2 flying inverted on his left wing, SB 3 flying inverted on his right wing, and SB 4 flying inverted above and behind SB Lead.
At approximately 22 minutes into the show, as SB 2 was rolling inverted for the Inverted Photo Pass, the aircraft was seen to dip low, waver, and then depart the formation. Still inverted, the aircraft climbed, then subsequently rolled upright. Upon reaching a nearly wings level attitude, at approximately 750 feet above ground level, the aircraft nosed over. The aircraft impacted the ground approximately 45 degrees nose down. The pilot did not eject and was killed on impact.
Initial analysis has determined that the pilot's lapbelt became unfastened when SB #2 rolled inverted, causing the pilot to fall out of his seat and lose control of the aircraft.
The investigation is focussing on how the lapbelt became unfastened. Preventive measures taken to date include modifications to the pilot restraint system, as well as enhanced training for aircrew and passengers. New procedures as well as changes to the Aircraft Operating Instructions have been implemented to reduce the likelihood of a recurrence.
From the Canadian Forces Directorate of Flight Safety
http://www.airforce.forces.gc.ca/dfs/docs/FTI/CT114159_e.asp