LAX00LA048

NTSB accident investigation · Oehling Questair Venture · Auburn, CA · December 4, 1999

Accident · Serious injuriesLimited investigationFinal report
Date
December 3, 1999, 17:15 local (Dec 4, 1999, 01:15 UTC)
Place
Auburn, CA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N3QVOehling Questair Venture
Weather
Visual (VMC) · Day
Status
Completed · report November 22, 2000
Report
Approved by Office Director
FAA report
19991203043329A
Case key
47882

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 owner/builder's failure to properly bleed the brake system following replacement of the right brake line, which caused the right brake to not function and led to the pilot's inability to maintain directional control.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - on ground/waterLanding - roll
Landing gear,normal brake system - failureCause
Maintenance,installation - inadequateOwner/builderCause
Directional control - restrictedPilot in command
Nose overLanding - roll
Terrain condition - soft

Analysis

One month prior to the accident the pilot had noted a leak in the right brake line. Upon inspection he found a small hole in the line. The line was replaced and the airplane was taxi, takeoff, and landing tested for brake airworthiness. No further discrepancies were noted. The pilot noted no difficulties with approach, initial touchdown, or the initial landing roll. Approximately midfield, after the airplane had slowed down, he applied brakes. The right brake did not activate properly, and the airplane veered off the left side of the runway, encountered a muddy field and nosed over. Witnesses to the accident stated that it was windy at traffic pattern altitude; however, surface winds were about 5 knots.

Factual narrative

On December 3, 1999, at 1715 hours Pacific standard time, an Oehling Questair Venture, N3QV, veered off runway 25 and nosed over after encountering soft soil during landing rollout at the Auburn, California, airport. The airplane, constructed, owned, and operated by the pilot under 14 CFR Part 91, sustained substantial damage. The private pilot, the sole occupant, sustained serious injuries. The personal flight originated at the McMinnville, Oregon, airport at 1630, and an instrument flight rules (IFR) flight plan was filed. Prior to reaching the Auburn airport, the pilot cancelled the IFR flight plan due to prevailing visual meteorological conditions.

Reported winds from the closest weather observation facility located approximately 60 nmi from the accident site were from 340 degrees at 14 knots, gusting to 18 knots.

The pilot reported that there were no discrepancies noted with the approach or initial touchdown. He utilized his rudder and ailerons for directional control until midfield, when the airplane was slow enough to engage the brakes. He stated that there was very little response from the right brake and as the airplane was exiting to the left of the runway, he "pumped vigorously" on the right brake. After the airplane exited the dry runway, it went into a muddy field. The nose wheel dug into the mud and the airplane nosed over.

The pilot stated that 1 month prior to the accident he had noted a leak in the right brake line. He had the brake line taken apart and found a small hole in the line. The line was replaced and then tested on three occasions, 1/2 hour at a time. The testing included fast taxis and takeoffs and landings. There were no discrepancies noted.

A witness to the accident stated that the airplane landed approximately halfway down the runway; as the airplane continued the landing rollout, he lost sight of it because it went behind a row of hangars. He reported hearing the sound of metal on the runway, and then a pilot in the pattern reported that there was an accident at the departure end of runway 25. The ground witness reported that the winds were only 4 to 5 knots; however, he spoke to the pilot who reported the accident and he stated that he had to "crab into the wind quite a bit" for landing, but when he reached the threshold the winds died down significantly.

Aircraft

Registration
N3QV
Reported as
Oehling Questair Venture (QUESTAIR V)
Category
Airplane, amateur-built
Serial number
28
Airframe hours
450
Engine
Continental IO-550-M, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
David C. Oehling
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · August 1, 1999 · 10 hours before
Departed
MMV · Mcminnville, OR
Destination
AUN · CA
Flight plan
IFR
Airport
AUN · Auburn Muni Airport, runway 25, 3,100 × 60 ft, asphalt

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
58
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
4,500 total · 450 in this make and model · 4,500 as pilot in command · 40 in the last 90 days · 10 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 14 knots, gusting 18
Visibility
25 statute miles
Lowest ceiling
20,000 ft broken
Temperature
55 °F, dew point 36 °F
Altimeter
30.00 inHg
Observed at
BAB, 60 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.