GAA19CA324

NTSB accident investigation · David Shotwell Murphy · South Lake Tahoe, CA · June 9, 2019

Accident · No injuriesData collectionFinal report
Date
June 9, 2019, 12:15 local (19:15 UTC)
Place
South Lake Tahoe, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N235DSDavid Shotwell Murphy
Defining event
Landing-landing roll: Nose over/nose down
Weather
Visual (VMC) · Day
Status
Completed · report April 13, 2020
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20190609006339A
Case key
99581

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 properly tighten his seat belt, which allowed him to slide forward in his seat and resulted in his inadvertent application of excessive brake application during the landing roll and a subsequent noseover.

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.

Equipment/furnishingsAircraft › Aircraft systems · Incorrect use/operationShotwell David MURPHY SR 3500: 1 caseAll aircraft: 12 casesProbable cause
Landing gear system: brakeAircraft › Aircraft systems · Unintentional use/operationShotwell David MURPHY SR 3500: 1 caseAll aircraft: 297 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 reported that, during the landing roll, the airplane's ground speed was about 30 knots when he applied the brakes lightly, and the tailwheel lifted off the ground. His seatbelt, which was not tightened, allowed him to slide forward in his seat, and he inadvertently applied more brake pressure, which resulted in the airplane nosing over. The airplane sustained substantial damage to the right-wing lift strut and the 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 in the tailwheel-equipped airplane reported that, during the landing roll, the airplane's ground speed was about 30 knots when he applied the brakes lightly, and the tailwheel lifted off the ground. His seatbelt which was not tightened, allowed him to slide forward in his seat and he inadvertently applied more brake pressure and the airplane nosed over. The airplane sustained substantial damage to the right wing lift strut 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
N235DS
Reported as
David Shotwell Murphy (SR 3500)
Category
Airplane, amateur-built
Serial number
096SR
Built
2000
Airframe hours
255
Engine
Vedeneyev M-14P, 360 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · August 8, 2018
Departed
TVL · South Lake Taho, CA
Destination
TVL · South Lake Taho, CA
Airport
TVL · South Lake Tahoe, runway 18, 8,541 × 100 ft, asphalt
Equipment
Stall warning system, Angle of attack indicator, Auto-pilot, Electronic multifunction display, 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
64
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
September 5, 2017
Seat
Rear
Flight hours
30,033 total · 11 in this make and model · 25,002 as pilot in command · 11 in the last 90 days · 11 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Temperature
64 °F, dew point 43 °F
Altimeter
29.73 inHg
Observed at
KTVL

Docket · 2

The files NTSB released with the investigation on September 5, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.9 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.