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NTSB accident investigation · Siai-Marchetti SM 1019 · Lakeport, CA · September 7, 2019

Accident · Minor injuriesData collectionFinal report
Date
September 7, 2019, 16:00 local (23:00 UTC)
Place
Lakeport, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N16XCSiai-Marchetti SM 1019
Defining event
Takeoff: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed · report February 11, 2020
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
Case key
100217

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 exceedance of the airplane's critical angle of attack during takeoff in gusting, variable wind conditions, which resulted in a loss of airplane control and subsequent impact with water.

Findings · 5

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: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedSiai-Marchetti SM 1019: 1 caseAll aircraft: 990 casesProbable cause
Wind: gustsEnvironmental issues › Conditions/weather/phenomena · Effect on operationSiai-Marchetti SM 1019: 1 caseAll aircraft: 1,199 casesProbable cause
Wind: variable windEnvironmental issues › Conditions/weather/phenomena · Effect on operationSiai-Marchetti SM 1019: 1 caseAll aircraft: 113 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 of the float-equipped airplane reported that, while taking off from a lake, the airplane accelerated, became airborne and that, about 40 ft above the water, he retracted the flaps. The airplane pitched down, and the left wing dropped. He attempted to correct to no avail, and the airplane impacted the water. The airplane sustained substantial damage to the fuselage, empennage, and both wings. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. He added that he believed P factor caused the left roll because the airplane aerodynamically stalled and would not correct despite his attempts to do so. He also stated that he had accrued 5 hours in the airplane make and model, 2 hours of which occurred in the preceding 30 days. The pilot reported that it was a very windy, gusty day and that the wind was variable. An automated weather observation station located 15 miles west of the accident site reported that, about the time of the accident, the wind was from 300° at 14 knots, gusting to 20 knots. The airplane was departing to the south.

Factual narrative

The pilot of the float-equipped airplane reported that, while taking off from a lake, the airplane accelerated, became airborne, and about 40 ft above the water, he retracted the flaps. The airplane pitched down and the left wing dropped. He attempted to correct to no avail and the airplane impacted the water. The pilot reported that he believed P factor caused the left roll because the airplane was aerodynamically stalling and would not correct, despite his attempts. The pilot reported that he had accrued 5 hours in the airplane make and model, 2 hours of which occurred in the preceding 30 days. The airplane sustained substantial damage to the fuselage, empennage and both wings. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The pilot reported that, it was a very windy, gusty day, and the wind varied in direction. An airport's automated weather observation station, located 15 miles west, reported that, about the time of the accident, the wind was from 300° at 14 knots, gusting to 20 knots. The airplane was departing to the south.

Aircraft

Registration
N16XC
Reported as
Siai-Marchetti SM 1019
Category
Airplane
Serial number
045
Built
1979
Airframe hours
1,639.05
Engine
Allison 250-B15G, turbo prop
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · June 3, 2019
Departed
Lakeport, CA
Equipment
Stall warning system, Auto-pilot

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
72
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
January 9, 2019
Seat
Front
Restraint
4-point
Flight hours
7,777 total · 5 in this make and model · 7,777 as pilot in command · 64 in the last 90 days · 27 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 14 knots, gusting 20
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 52 °F
Altimeter
29.98 inHg
Observed at
KUKI, 15 nm away

Docket · 3

The files NTSB released with the investigation on October 30, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.1 MB in all.