GAA19CA108

NTSB accident investigation · De Havilland DHC 2 · Hollister, CA · May 28, 2019

Accident · No injuriesData collectionFinal report
Date
May 28, 2019, 15:30 local (22:30 UTC)
Place
Hollister, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N501JDe Havilland DHC 2
Defining event
Landing-flare/touchdown: Landing gear not configured
Weather
Visual (VMC) · Day
Status
Completed · report April 13, 2020
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20190528005359A
Case key
98901

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 amphibious float's landing gear wheels before landing on the water. Contributing to the accident was the pilot's failure to use the after takeoff and before landing checklists.

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.

Performance/control parameters: configurationAircraft › Aircraft oper/perf/capability · Incorrect use/operationDehavilland DHC-2: 1 caseAll aircraft: 80 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotDehavilland DHC-2: 2 casesAll aircraft: 1,391 casesProbable cause
Terrain: waterEnvironmental issues › Physical environment · Effect on operationDehavilland DHC-2: 1 caseAll aircraft: 97 casesProbable cause
Use of equip/info: use of checklistPersonnel issues › Task performance · PilotDehavilland DHC-2: 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 in the amphibious float-equipped airplane reported that he intended to perform a water landing. On the downwind leg of the approach, he performed his prelanding checks from memory, and he confirmed that the three green landing gear safe lights were illuminated. However, he added that he "should have looked for blue lights." The pilot landed on the water with the landing gear wheels extended, and the airplane pitched forward and nosed over. The airplane sustained substantial damage to the right wing, the empennage, and the windscreen. The pilot asserted that he "should have used a checklist once airborne. Both the after takeoff and before landing checks would have saved me from this event." 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 in the amphibious float-equipped airplane reported that his intent was to perform a water landing. On the downwind leg of the approach, he performed his prelanding checks from memory and he confirmed that the three green landing gear safe lights were illuminated. However, "I should have looked for blue lights." The pilot landed on the water with the landing gear wheels extended and the airplane pitched forward and nosed over. The airplane sustained substantial damage to the right wing, the empennage, and the windscreen. The pilot asserted that, "I should have used a checklist once airborne. Both the after takeoff and before landing checks would have saved me from this event." The pilot reported that there were no mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Aircraft

Registration
N501J
Reported as
De Havilland DHC 2 (I)
Category
Airplane
Serial number
1451
Built
2004
Airframe hours
4,690
Engine
Pratt & Whitney R-985 AN-14B, 450 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Diesel Acquisitions Llc
Registered owner
Diesel Acquisitions Llc
Airworthiness certificate
Unknown
Last inspection
Annual · June 19, 2018
Departed
CVH · Hollister, CA
Destination
CVH · Hollister, CA
Equipment
Auto-pilot, 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
63
Injuries
None
Certificates
Commercial, Flight instructor, Airline transport
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
May 7, 2019
Seat
Left
Restraint
3-point
Flight hours
15,560 total · 111 in this make and model · 11,326 as pilot in command · 37 in the last 90 days · 9 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 15 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 55 °F
Altimeter
29.96 inHg
Observed at
CVH, 17 nm away

Docket · 3

The files NTSB released with the investigation on September 4, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.3 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.