ERA17LA091

NTSB accident investigation · American Legend AL3 · Pierson, FL · January 17, 2017

Accident · Serious injuriesLimited investigationFinal report
Date
January 17, 2017, 10:30 local (15:30 UTC)
Place
Pierson, FL
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N841MLAmerican Legend AL3
Defining event
Takeoff: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report November 6, 2019
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20170117000419A
Case key
94628

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The pilot's improper braking during takeoff, which resulted in a nose-over.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAmerican Legend AL3: 14 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: surface speed/brakingAircraft › Aircraft oper/perf/capability · Incorrect use/operationAmerican Legend AL3: 3 casesAll aircraft: 238 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The private pilot of the tailwheel-equipped airplane was performing a touch-and-go landing on the 2,600-ft-long, 200-ft-wide turf runway in a 5- to 10-knot tailwind. The pilot reported that during the takeoff portion of the touch-and-go, the airplane suddenly nosed over and came to rest inverted on the runway. She reported that there were no preimpact mechanical malfunctions or failures with the airplane. About 500 ft of wheel marks were observed on the runway leading up to the wreckage, consistent with a loss of directional control, as the marks were initially along the runway centerline, then deviated to the left, then to the right, and then back to the left. Just before the wreckage, 1 to 2 ft of marks appeared to be skid marks, consistent with heavy braking. Examination of the airplane and testing of the brakes did not reveal any evidence of preimpact malfunctions or failures that would have precluded normal operation. Given this information, it is likely that the pilot improperly applied the brakes during the attempted transition to takeoff, which resulted in a nose-over.

Factual narrative

On January 17, 2017, at 1030 eastern standard time, an American Legend Aircraft Company AL3, N841ML, was substantially damaged when it nosed over during takeoff from the Pierson Municipal Airport (2J8), Pierson, Florida. The private pilot and the pilot-rated passenger were seriously injured. Visual meteorological conditions prevailed, and no flight plan was filed, for the personal flight operated under the provisions of 14 Code of Federal Regulations Part 91. The local flight departed Ormond Beach Municipal Airport (OMN), Ormond Beach, Florida about 1000.According to the pilot, she flew to 2J8 to perform touch-and-go landings. Upon arrival, she overflew the airport and did not observe any traffic in the area nor hear any radio calls over the common traffic advisory frequency. The pilot entered the traffic pattern for runway 5, a 2,600 foot-long, 200 foot-wide, turf runway, on a left downwind, and performed two touch-and-go landings without incident. The pilot recalled that during the third touch-and-go landing, she landed slightly farther down the runway than the first two landings, and that all three landings were within the first 25 percent of the runway length. As the airplane rolled on the runway, she added power to accelerate and the airplane suddenly nosed over like "hitting a brick wall," and came to a rest inverted. She noted there were no preimpact mechanical malfunctions with the airplane that would have precluded normal operations. A witness, who was a designated pilot examiner, was sitting at a picnic table at the airport and observed the accident airplane. The witness stated that the airplane entered the traffic pattern for runway 5; however, the wind was favoring runway 23 at 5 to 10 knots. He observed the airplane complete two touch-and-go landings uneventfully. From his location about 1,500 ft away, he did not realize there had been an accident during the third touch-and-go until law enforcement arrived. He then went to the airplane to assist and observed about 500 ft of marks on the runway. The marks were initially along the runway centerline, then deviated to the left, then to the right, and then back to the left as they lead to the inverted airplane. Just prior to the wreckage, 1 to 2 ft of marks appeared to be skid marks. The pilot held a private pilot certificate with an airplane single-engine land rating. Her most recent second-class medical certificate was issued on March 2, 2015, at which time she reported 148 hours of total flight experience. During an interview, she indicated that she had about 30 hours of flight experience in the same make and model as the accident airplane. Examination of the conventional landing gear equipped airplane by a Federal Aviation Administration inspector revealed substantial damage to the rudder, vertical stabilizer, and wing struts. Flight control continuity was confirmed from each control surface to the cockpit controls. The wheel brakes functioned normally. The inspector examined therunway surface during the week following the accident, and he observed some animal burrows and holes in the turf at several locations, though not in the area of the accident. He further reported that damage to the runway in the area of the impact had been repaired prior to his examination. DeLand Municipal Airport (DED), DeLand, Florida, was located about 14 miles southeast of 2J8. At 1035, the reported weather included wind from 190 degrees at 10 knots, scattered clouds at 2,400 feet above ground level, with 10 statute miles of visibility.

Aircraft

Registration
N841ML
Reported as
American Legend AL3
Category
Airplane
Serial number
AL-1064
Built
2006
Airframe hours
184
Engine
Continental O-200-A66B, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Mike Lima Corporation
Registered owner
Mike Lima Corporation
Airworthiness certificate
Special, Special light-sport (Special)
Last inspection
Condition · December 8, 2016 · 9 hours before
Departed
2J8 · Pierson, FL
Destination
2J8 · Pierson, FL
Airport
2J8 · Pierson Muni, runway 05, 2,600 × 200 ft, grass/turf
Equipment
Handheld GPS

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
62
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
May 26, 2015
Seat
Front
Restraint
4-point
Flight hours
301 total · 38 in this make and model · 301 as pilot in command · 27 in the last 90 days · 9 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 64 °F
Altimeter
30.28 inHg
Observed at
KDED, 14 nm away

Docket · 4

The files NTSB released with the investigation on June 17, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.4 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.