ERA21LA114

NTSB accident investigation · Aviat A1 · Terrell, NC · January 23, 2021

Accident · Minor injuriesClass 4 · LimitedFinal report
Date
January 23, 2021, 14:30 local (19:30 UTC)
Place
Terrell, NC · In Lake Norman
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N480FAviat A1
Defining event
Landing-flare/touchdown: Nose over/nose down
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
Case key
102560

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

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Probable cause

The pilot’s failure to retract the landing gear on the amphibious airplane prior to a water landing, resulting in a nose over and structural damage to the airframe. The mechanic’s failure to remove electrical tape from the pitot tube, the pilot’s inadequate preflight inspection, and the pilot’s failure to visually confirm the landing gear position prior to touchdown were all factors in the accident.

Findings · 4

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.

Landing gear system: landing gear selectorAircraft › Aircraft systems · Incorrect use/operationAviat A-1B: 1 caseAll aircraft: 54 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelAviat A-1B: 1 caseAll aircraft: 320 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotAviat A-1B: 1 caseAll aircraft: 551 casesProbable cause
Use of equip/info: use of checklistPersonnel issues › Task performance · PilotAviat A-1B: 1 caseAll aircraft: 336 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 pilot was performing a repositioning flight following the completion of an annual inspection. After departing from a runway in his amphibious airplane, he observed a large, open area on a nearby lake and decided to perform a touch-and-go landing. Upon touchdown, the airplane flipped over and came to rest inverted, resulting in substantial damage to the fuselage and wings. Due to his injuries, the pilot had no recollection of the accident. An inspector with the Federal Aviation Administration reported that, during wreckage recovery from the lake, all four landing gear wheels were in the extended positions, and the landing gear handle was in the “Down Land” position. He also noted that the pilot tube was covered in black electrical tape, blocking airflow through the tube. A pitot/static discrepancy was found during the annual inspection and the repair was deferred. The airplane was equipped with a backup landing gear position advisory system that would provide an audible message confirming the position of the gear prior to landing; however, the audible component would not work properly if the pilot tube was obstructed.

Aircraft

Registration
N480F
Reported as
Aviat A1 (B)
Category
Airplane
Serial number
2357
Built
2007
Airframe hours
420
Engine
Lycoming O-360-A1P, 180 hp, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 22, 2021 · 0 hours before
Departed
14A · Mooresville, NC
Destination
Same as departure
Airport
NONE · Lake
Equipment
Stall warning system, Electronic flight bag or handheld device, ADS-B

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
68
Injuries
Minor
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
December 28, 2019
Seat
Front
Restraint
4-point
Flight hours
25,000 total · 75 in this make and model · 20,000 as pilot in command · 30 in the last 90 days · 10 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
48 °F, dew point 5 °F
Altimeter
30.18 inHg
Observed at
SVH, 10 nm away

Docket · 5

The files NTSB released with the investigation on July 13, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.4 MB in all.