# NTSB GAA19CA041: Vans RV 6, N515CW, Paola, KS, June 1, 2019 - Type: NTSB accident investigation - Classification: Accident · No injuries · Data collection · Final report - Date: June 1, 2019, 07:30 local (12:30 UTC) - Place: Paola, KS - Coordinates: 38.540279, -94.92028 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=38.5403&lon=-94.9203&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing-landing roll: Loss of control on ground](https://openairdocs.org/ntsb-events/230) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed, report November 6, 2019 - Report: Approved by Office Director - NTSB office: General Aviation Accidents - Parties: FAA - NTSB case key (mKey): 98572 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=GAA19CA041 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/98572/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=98572 - Page: https://openairdocs.org/ntsb/GAA19CA041 ## Probable cause The pilot's failure to maintain directional control, which resulted in a runway excursion during the aborted landing and subsequent impact with vegetation and a nose-over. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Kleen C W/Kleen I RV-6, 2 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=05609IY), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/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: [Kleen C W/Kleen I RV-6, 1 case](https://openairdocs.org/ntsb-findings/01062020/cases.md?model=05609IY), [All aircraft, 3,958 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md) - [Object/animal/substance](https://openairdocs.org/ntsb-findings/03022000): Environmental issues › Physical environment · Effect on equipment (probable cause); cases with it: [Kleen C W/Kleen I RV-6, 1 case](https://openairdocs.org/ntsb-findings/03022000/cases.md?model=05609IY), [All aircraft, 224 cases](https://openairdocs.org/ntsb-findings/03022000/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Landing-landing roll: Loss of control on ground](https://openairdocs.org/ntsb-events/230) (defining event); cases with it: [Kleen C W/Kleen I RV-6, 2 cases](https://openairdocs.org/ntsb-events/230/sequence.md?model=05609IY), [All aircraft, 4,585 cases](https://openairdocs.org/ntsb-events/230/sequence.md) - [Landing-landing roll: Attempted remediation/recovery](https://openairdocs.org/ntsb-events/060); cases with it: [Kleen C W/Kleen I RV-6, 1 case](https://openairdocs.org/ntsb-events/060/sequence.md?model=05609IY), [All aircraft, 1,422 cases](https://openairdocs.org/ntsb-events/060/sequence.md) - [Landing-landing roll: Runway excursion](https://openairdocs.org/ntsb-events/300); cases with it: [Kleen C W/Kleen I RV-6, 2 cases](https://openairdocs.org/ntsb-events/300/sequence.md?model=05609IY), [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: [Kleen C W/Kleen I RV-6, 2 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=05609IY), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis The pilot reported that the airspeed was slow during landing, and "when I began my flare…[the airplane] dropped onto the runway hard and bounced." He added full power and full right rudder to abort the landing, but the airplane exited the left side of the runway. The airplane became airborne, but the landing gear wheels encountered tall grass and the airplane did not have sufficient airspeed to stay airborne. The airplane descended into the mud on the left side of the runway, collided with a drainage culvert, and nosed over. The airplane sustained substantial damage to the left wing, vertical stabilizer, and rudder. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation. ## Factual narrative The pilot reported that his airspeed was slow during landing and "when I began my flare it dropped onto the runway hard and bounced." He added full power and full right rudder to abort the landing, but the airplane exited the left side of the runway. The airplane became airborne, but the landing gear wheels encountered the tall grass and, "I could not gain enough speed to stay airborne." The airplane descended into the mud on the left side of the runway, and then collided with a drainage culvert before it nosed over. The airplane sustained substantial damage to the left wing, the vertical stabilizer and the rudder. The pilot reported that there were no mechanical malfunctions or failures with the airplane that would have precluded normal operation. ## Aircraft - Registration: [N515CW](https://openairdocs.org/deregistered/N515CW-2020-08-31), registration cancelled 2020-08-31, S/N 22716, built 2004 (OpenAirDocs) - Reported make and model: Vans RV 6 (Undesignat) - Registry model: [Kleen C W/Kleen I RV-6](https://openairdocs.org/model/kleen-c-w-kleen-i-rv-6) (registry code 05609IY) (OpenAirDocs) - Registry engine: [Lycoming IO-320 series](https://openairdocs.org/engine/lycoming-io-320-series) (registry code 41509, reciprocating) (OpenAirDocs) - Category: Airplane, amateur-built - Serial number: 22716 - Year built: 2004 - Engines: Lycoming IO-320X 150 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Airworthiness certificate: Special, Experimental (Special) - Departed: LXT, Lees Summit, MO - Destination: LXT, Lees Summit, MO - Airport: K81, Miami County, runway 21, 3,398 × 60 ft, asphalt - Equipment: Handheld GPS, Angle of attack indicator, Auto-pilot ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 68; injuries: none; private; airplane ratings: single-engine land; medical: basicmed, without waivers/limitations; last flight review June 9, 2017; seat: left; restraint: 4-point; flight hours: 329.5 total, 59.5 in this make and model, 329.5 as pilot in command, 8.8 in the last 90 days, 4.5 in the last 30 days, 0.5 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: calm - Observed at: KOJC, 20 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 20190601005839A](https://openairdocs.org/incident/20190601005839A), Jun 1, 2019: Kleen C W/Kleen I RV-6, Paola, KS, Substantial damage. Aircraft was landing runway 21 and slowed approach speed to allow another aircraft to clear runway. Then due to the reduced speed, the aircraft touched down… ## Other investigations on N515CW (1) 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. - [NTSB WPR10CA425](https://openairdocs.org/ntsb/WPR10CA425), Sep 6, 2010: Chris W Kleen RV-6 (N515CW), Coeur D'Alene, ID, substantial damage. Probable cause: The pilot’s inadequate compensation for the crosswind that resulted in a loss of directional control. ## Docket (2 files) The files NTSB released with the investigation on June 27, 2019, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=98572. 3.4 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 3.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40473829&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Master.PDF - Photo (item 2, .PDF, 100 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40473830&FileExtension=.PDF&FileName=Photo-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. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.