- Date
- June 3, 2001, 19:36 local (Jun 4, 2001, 02:36 UTC)
- Place
- Lytle Creek, CA
- Injuries
- 1 fatal
- Damage
- Substantial damage
- Phase of flight
- Maneuvering
- Aircraft
- N8253WPiper PA-28-181
- Weather
- Visual (VMC) · Day
- Status
- Completed · report January 14, 2009
- Report
- Approved by Office Director
- Parties
- Piper Aircraft Company, Federal Aviation Administration
- FAA report
- 20010603014209A
- Case key
- 68993
From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.
On this page
Probable cause
The pilot's inadequate decision to fly into an area of rising terrain.
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.
Analysis
Witnesses from the skydiving business observed the pilot board the rented airplane and depart about 1915. The pilot obtained flight following for part of the flight. Recorded radar data showed that the airplane track proceeded along a northerly heading, and then turned toward the west. Approach control informed the pilot that they would be losing radar contact soon, and advised the pilot to proceed under visual flight rules. The pilot responded that he was 17 to 18 miles from his intended destination. No further transmissions were received from the pilot. The corrected mode C reported altitude remained steady at 2,500 feet mean sea level until the target initiated a climb to 2,900 feet about 1 1/2 minutes prior to a loss of radar contact. The last target occurred in the mouth of a box canyon. This target displayed a corrected mode C reported altitude of 2,900 feet at 1931:47. Data from a portable global positioning satellite system in the airplane indicated that the airplane continued up the canyon and began climbing. It turned to the south prior to impacting the terrain. The operator reported the airplane overdue 3 days later and an extensive search did not locate the airplane. The wreckage was discovered on September 21, 2008. The airplane wreckage came to rest at an estimated elevation of 5,600 feet on a steep slope near the top southern side of a box canyon. The canyon is generally oriented east/west. The orientation of the fuselage was about 180 degrees. Investigators examined the airframe and engine and discovered no anomalies that would have precluded normal operation. Sunset occurred around 1953 on the day of the accident. Weather reporting stations surrounding the accident site noted broken to overcast cloud conditions between 2,800 and 4,400 feet.
Factual narrative
History of flight
On June 3, 2001, about 1936 Pacific daylight time, a Piper PA-28-181, N8253W, became missing in the vicinity of Lytle Creek, California, on a flight from Perris, California, to La Verne, California. The airplane departed Perris Valley Airport at 1910 en route to Brackett Field in La Verne. Air Desert Pacific operated the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91, and rented it to the pilot for a personal flight. The operator reported that the airplane was overdue on June 6. The San Bernardino County Sheriff’s Aero Bureau discovered the wreckage on September 21, 2008. The airplane sustained substantial damage, and the private pilot was killed. Visual meteorological conditions prevailed, and no flight plan had been filed.
The flight originated from Brackett Field on the day of the accident. The operator reported that a dispatcher released the airplane to the pilot about 1500. The pilot told the dispatcher that he would be going to Perris Valley to skydive, and return later that night. He said if he were unable to land at Brackett, he would probably land at Cable Airport in Upland, California.
The Air Force Rescue Coordination Center (AFRCC) initiated mission number 01M1200A, and the Civil Air Patrol (CAP) organized a search. A CAP officer provided the following information.
Witnesses from the skydiving business reported that they observed the pilot board the airplane, and depart from Perris about 1915. March Air Force Base air traffic control reported that a pilot checked in, identified his airplane as N8253W, and requested flight following. The controller assigned the airplane a discrete beacon code of 0146, and followed the airplane through March airspace. Southern California Terminal Radar Approach Control (SCT TRACON) could not accommodate the pilot with flight following, so March controllers instructed the pilot to squawk 1200, proceed VFR, and try to establish contact with SCT.
About 5 minutes later, N8253W established contact with SCT, and they assigned a discrete beacon code of 0274.
A review of recorded radar data illustrated that the airplane track proceeded along a northerly heading over San Bernardino, and then turned toward the west. SCT informed the pilot that they would be losing radar contact soon, and advised the pilot to proceed VFR. The pilot responded that he was 17 to 18 miles from Brackett. No further transmissions were received from the pilot.
The corrected mode C reported altitude remained steady at 2,500 feet mean sea level (msl) until the target initiated a climb to 2,900 feet about 1 1/2 minutes prior to loss of radar contact.
The beacon code remained on 0274 until the last secondary beacon target at 34 degrees 11 minutes 42 seconds north latitude and 117 degrees 26 minutes 43 seconds west longitude. This location was in the mouth of a canyon that leads to Lytle Creek. This target displayed a corrected mode C reported altitude of 2,900 feet at 1931:47.
Personnel information
A review of Federal Aviation Administration (FAA) airman records revealed that the 24 year old pilot held a private pilot certificate with a rating for airplane single-engine land. He had a third-class medical certificate issued on October 6, 1999. It had no limitations or waivers.
No personal flight records were located for the pilot. The Safety Board investigator-in-charge (IIC) obtained flight time information from the FAA Airman's Record Branch in Oklahoma, City, Oklahoma. On the pilot's application for a private pilot certificate dated April 18, 2000, the pilot indicated a total time of 50.6 hours.
Aircraft information
The airplane was a Piper PA-28-181, serial number 28-8190015. A review of the airplane's logbooks revealed that the airplane had an annual inspection on April 21, 2001. It had a total airframe time of 4,818 hours at the last 100-hour inspection dated May 30, 2001. The tachometer read 4,832 at the accident scene.
The engine was a Textron Lycoming O-360-A4M, serial number L-28490-36A. Total time recorded on the engine at the last 100-hour inspection was 4,818 hours, and time since major overhaul was 2,617 hours.
Meteorological information
A routine aviation weather report (METAR) was issued for Brackett Field at 1847 PDT. It reported: skies overcast at 2,500 feet; wind 240 degrees at 7 knots; visibility 7 statute miles; and altimeter 29.80 inches of mercury.
A METAR was issued for Brackett Field at 1947 PDT. It reported: skies overcast at 2,400 feet; wind 250 degrees at 8 knots; visibility 7 statute miles; and altimeter 29.78 inches of mercury.
A METAR was issued for the airport at Riverside, California, at 1953 PDT. It reported: scattered clouds at 4,400 feet; wind 290 degrees at 9 knots; visibility 10 statute miles; temperature 64 degrees Fahrenheit; dew point 54 degrees; and altimeter 29.75 inches of mercury.
A METAR was issued for the airport at Ontario, California, at 1953 PDT. It stated: skies broken at 2,800 feet and 4,500 feet; wind 250 degrees at 8 knots; visibility 10 statute miles; temperature 63 degrees Fahrenheit; dew point 55 degrees; and altimeter 29.76 inches of mercury.
According to a Safety Board Sun/Moon position computer program, sunset occurred at 1953 on the day of the accident.
Wreckage and impact information
The airplane came to rest on a steep slope near the top southern side of a box canyon that was the middle fork of Lytle Creek. The middle fork canyon is generally oriented east/west. The orientation of the fuselage was about 180 degrees. The approximate global positioning satellite (GPS) estimated elevation of the accident site was 5,600 feet.
The IIC flew over the site in a helicopter. The engine was canted to the left and slightly nose down. The propeller sheared off. The fuselage was on its right side between a boulder and a tree. The right wing was folded under the fuselage. The left wing separated, and was several hundred feet below the main wreckage. It was in a drainage that started above the main wreckage.
Medical and pathological information
The San Bernardino County Coroner located several bone fragments. A toxicological test could not be conducted.
Tests and research
Investigators examined the wreckage at Aircraft Recovery Service, Littlerock, California, on October 8, 2008.
Engine
The front of the engine sustained the most mechanical damage. The ring gear fractured and separated around its circumference; the fracture surface was jagged.
The intake and exhaust tubes exhibited mechanical crush damage at the front of the engine. The number two intake tube and numbers one and two exhaust tubes had ductile bending. The front exhaust tubes were displaced aft, and bent at the cylinder attachment points. The number three exhaust tube was crushed at its connection point to the muffler.
Investigators removed the engine. They slung it from a hoist, and removed the spark plugs. All spark plugs were clean with no mechanical deformation. The spark plug electrodes were circular, wet and oily; the gaps were similar. A runny mixture of black and clear fluids drained from the cylinders upon removal of the lower spark plugs. Several leads on the ignition harness were crushed and torn.
A borescope inspection revealed no mechanical deformation on the valves, cylinder walls, or internal cylinder head.
The crankshaft was manually rotated with a wrench on the fractured propeller flange. The crankshaft rotated freely, and the valves moved approximately the same amount of lift in firing order. The fuel pump plunger moved up and down, and the gears in the accessory case turned freely. Thumb compression was obtained on all cylinders in firing order.
The magnetos were manually rotated. The right magneto produced spark for all cylinders; the left magneto did not spark. A follow-up test on a magneto test unit produced spark at all posts.
Aircraft
- Registration
- N8253W
- Reported as
- Piper PA-28-181
- Category
- Airplane
- Serial number
- 28-8190015
- Airframe hours
- 4,818
- Engine
- Lycoming O-360-A4M, 180 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Operator
- Air Desert Pacific
- Registered owner
- Air Desert Pacific
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · April 12, 2001 · 14 hours before
- Departed
- L65 · Perris, CA
- Destination
- POM · La Verne, CA
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
- 24
- Injuries
- Fatal
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Medical
- Class 3, Without waivers/limitations
- Seat
- Left
- Flight hours
- 50 total · 10 as pilot in command
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 250° at 8 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- 2,800 ft broken
- Temperature
- 63 °F, dew point 55 °F
- Altimeter
- 29.76 inHg
- Observed at
- ONT, 10 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.