# NTSB GAA16CA090: Stinson 108, N97411, Portales, NM, December 19, 2015

- Type: NTSB accident investigation
- Classification: Accident · No injuries · Data collection · Final report
- Date: December 19, 2015, 14:00 local (21:00 UTC)
- Place: Portales, NM
- Coordinates: 34.145832, -103.409446 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=34.1458&lon=-103.4094&mi=10
- Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping)
- Defining event: [Landing-aborted after touchdown: Loss of control on ground](https://openairdocs.org/ntsb-events/230)
- Highest injury: No injuries
- Injuries: 2 uninjured
- Status: Completed, report April 5, 2016
- Report: Approved by Office Director
- NTSB office: General Aviation Accidents
- Parties: Lubbock FSDO (FAA)
- NTSB case key (mKey): 92503
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=GAA16CA090
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/92503/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=92503
- Page: https://openairdocs.org/ntsb/GAA16CA090

## Probable cause

The pilot receiving instruction's improper brake application during the flight instructor's aborted landing, which resulted in a loss of directional control and a runway excursion. Contributing to the accident was the flight instructor's decision to perform flight training in an airplane without dual-equipped wheel brakes.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Action: unnecessary action](https://openairdocs.org/ntsb-findings/02041045): Personnel issues › Action/decision · Student/instructed pilot (probable cause); cases with it: [Stinson 108, 1 case](https://openairdocs.org/ntsb-findings/02041045/cases.md?model=9230402), [All aircraft, 52 cases](https://openairdocs.org/ntsb-findings/02041045/cases.md)
- [Performance/control parameters: directional control](https://openairdocs.org/ntsb-findings/01062020): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Stinson 108, 5 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md?model=9230402), [All aircraft, 3,958 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md)
- [Info processing/decision: decision making/judgment](https://openairdocs.org/ntsb-findings/02041520): Personnel issues › Action/decision · Instructor/check pilot (probable cause); cases with it: [Stinson 108, 4 cases](https://openairdocs.org/ntsb-findings/02041520/cases.md?model=9230402), [All aircraft, 3,098 cases](https://openairdocs.org/ntsb-findings/02041520/cases.md)
- [Wind: crosswind](https://openairdocs.org/ntsb-findings/03034040): Environmental issues › Conditions/weather/phenomena · Effect on equipment; cases with it: [Stinson 108, 2 cases](https://openairdocs.org/ntsb-findings/03034040/cases.md?model=9230402), [All aircraft, 1,008 cases](https://openairdocs.org/ntsb-findings/03034040/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Landing-aborted after touchdown: Loss of control on ground](https://openairdocs.org/ntsb-events/230) (defining event); cases with it: [Stinson 108, 7 cases](https://openairdocs.org/ntsb-events/230/sequence.md?model=9230402), [All aircraft, 4,585 cases](https://openairdocs.org/ntsb-events/230/sequence.md)
- [Landing-aborted after touchdown: Dragged wing/rotor/float/other](https://openairdocs.org/ntsb-events/093); cases with it: [Stinson 108, 1 case](https://openairdocs.org/ntsb-events/093/sequence.md?model=9230402), [All aircraft, 319 cases](https://openairdocs.org/ntsb-events/093/sequence.md)
- [Landing-aborted after touchdown: Runway excursion](https://openairdocs.org/ntsb-events/300); cases with it: [Stinson 108, 5 cases](https://openairdocs.org/ntsb-events/300/sequence.md?model=9230402), [All aircraft, 3,643 cases](https://openairdocs.org/ntsb-events/300/sequence.md)
- [Landing-landing roll: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Stinson 108, 6 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=9230402), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md)

## Analysis

The flight instructor, seated in the right seat, was providing tail-wheel flight instruction in an airplane equipped with wheel brakes only accessible to the pilot in the left seat. The flight instructor reported that he demonstrated the first landing to the pilot receiving instruction in the left seat. During the landing roll, he reported that he began to lose rudder effectiveness and the airplane started to veer to the right, so he applied full power to abort the landing. The flight instructor further reported that during the aborted landing, the pilot receiving instruction applied both toe brakes at the moment full power was applied. The flight instructor attempted to maintain directional control, but the left wing impacted the runway and the airplane veered off the runway to the left. The flight instructor reduced the power to idle and the airplane stopped in the terrain adjacent to the runway. The left wing and left aileron were substantially damaged. The pilot receiving instruction reported that he remained clear of the flight controls and brakes during the landing roll. He reported that he applied brakes only after the runway excursion to the left, after the flight instructor had reduced power to idle during the aborted landing. The flight instructor and pilot receiving instruction reported there were no mechanical malfunctions or failures with the airplane that would have precluded normal operation. Postaccident photos revealed deceleration skid marks leading off the runway first to the right, and additional deceleration skid marks about 550 feet further down the runway leading off to the left into the grass. The flight instructor reported the automated weather observing system about the time of the accident reported wind from 220 degrees true at 10 knots, which resulted in a 5 knot crosswind.

## Factual narrative

The flight instructor, seated in the right seat, was providing tail-wheel flight instruction in an airplane equipped with wheel brakes only accessible to the pilot in the left seat. The flight instructor reported that he demonstrated the first landing to the pilot receiving instruction in the left seat. During the landing roll, he reported that he began to lose rudder effectiveness and the airplane started to veer to the right, so he applied full power to abort the landing. The flight instructor further reported that during the aborted landing, the pilot receiving instruction applied both toe brakes at the moment full power was applied. The flight instructor attempted to maintain directional control, but the left wing impacted the runway and the airplane veered off the runway to the left. The flight instructor reduced the power to idle and the airplane stopped in the terrain adjacent to the runway. The left wing and left aileron were substantially damaged. The pilot receiving instruction reported that he remained clear of the flight controls and brakes during the landing roll. He reported that he applied brakes only after the runway excursion to the left, after the flight instructor had reduced power to idle during the aborted landing. The flight instructor and pilot receiving instruction reported there were no mechanical malfunctions or failures with the airplane that would have precluded normal operation. Postaccident photos revealed deceleration skid marks leading off the runway first to the right, and additional deceleration skid marks about 550 feet further down the runway leading off to the left into the grass. The flight instructor reported the automated weather observing system about the time of the accident reported wind from 220 degrees true at 10 knots, which resulted in a 5 knot crosswind.

## Aircraft

- Registration: [N97411](https://openairdocs.org/aircraft/N97411), registered now, S/N 108-411, built 1946 (OpenAirDocs)
- Reported make and model: STINSON 108 (1)
- Registry model: [Stinson 108](https://openairdocs.org/model/stinson-108) (registry code 9230402) (OpenAirDocs)
- Registry engine: [Franklin 6A4150 series](https://openairdocs.org/engine/franklin-6a4150-series) (registry code 27024, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 108-411
- Year built: 1946
- Airframe hours: 1868.3
- Engines: FRANKLIN 6A4-150-B3 150 horsepower reciprocating
- Damage: Substantial damage
- Flight: Instructional, Part 91
- Airworthiness certificate: Standard, Normal
- Last inspection: Annual, March 8, 2015
- Departed: PRZ, Portales, NM
- Destination: PRZ, Portales, NM
- Airport: PRZ, Portales Muni, runway 19, 5,700 × 60 ft, asphalt
- Equipment: None

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 72; injuries: none; private; airplane ratings: single-engine land; medical: class 3, without waivers/limitations; seat: left; restraint: lap only; flight hours: 80 total, 15 in this make and model
- Flight instructor; age 22; injuries: none; flight instructor, commercial; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 1, without waivers/limitations; last flight review May 18, 2015; seat: right; restraint: lap only; flight hours: 350 total, 3 in this make and model, 310 as pilot in command, 35 in the last 90 days, 5 in the last 30 days

## Weather

- Conditions: Visual (VMC), Day
- Wind: 240° at 18 knots
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 63 °F, dew point 16 °F
- Altimeter: 30.11 inHg
- Observed at: KCVS, 14 nm away

## FAA reports on this event (1)

The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs).

- [Accident 20151219022179A](https://openairdocs.org/incident/20151219022179A), Dec 19, 2015: Stinson 108, Portales, NM, Substantial damage. ? On December 19, 2015 at 1410MST a 1946 Stinson 108 aircraft bearing registration number N97411 registered to the private owner, experienced a loss of control…

## Docket (3 files)

The files NTSB released with the investigation on March 10, 2016, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=92503. 4.3 MB in all.

- Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (Flight Instructor) (item 1, .PDF, 1.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40437603&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1%20(Flight%20Instructor)-Master.PDF
- Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (Pilot Receiving Instruction) (item 2, .PDF, 561 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40437604&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1%20(Pilot%20Receiving%20Instruction)-Master.PDF
- Accident Photos (Courtesy of FAA) (item 3, .PDF, 4 photos, 1.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40437605&FileExtension=.PDF&FileName=Accident%20Photos%20(Courtesy%20of%20FAA)-Master.PDF

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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