# NTSB LAX03LA004: Rans S-12 XL, Los Banos, CA, October 9, 2002 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: October 9, 2002, 12:00 local (19:00 UTC) - Place: Los Banos, CA - Coordinates: 37.2, -120.800003 - Nearby events: https://openairdocs.org/map.md?lat=37.2000&lon=-120.8000&mi=10 - Phase of flight: [Takeoff](https://openairdocs.org/ntsb-phases/300) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed, report September 29, 2004 - Report: Approved by Office Director - Parties: Rans Aircraft, Inc., Federal Aviation Administration - NTSB case key (mKey): 55862 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX03LA004 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/55862/pdf - Page: https://openairdocs.org/ntsb/LAX03LA004 ## Probable cause The loss of engine power for undetermined reasons and his failure to maintain adequate airspeed resulting in a stall. A contributing factor was the pilot's decision to conduct a downwind takeoff. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(partial) - mech failure/malf, takeoff - reason for occurrence undetermined (cause) - operation with known deficiencies in equipment - attempted, pilot in command - Forced landing, emergency landing after takeoff - Loss of control - in flight, emergency landing after takeoff - weather condition - tailwind - planning/decision - inadequate, pilot in command (contributing factor) - airspeed - not obtained/maintained, pilot in command (cause) - stall/mush - encountered, pilot in command - In flight collision with terrain/water, descent - uncontrolled - terrain condition - ground ## Analysis The unregistered airplane lost power during takeoff from a clearing in a wildlife refuge, impacted terrain, cartwheeled, and came to rest inverted. A buffeting in cruise flight had caused the pilot to make a precautionary landing. The pilot knew that the engine would exceed red line (overspeed) each time that he applied full power. He attributed this to the propeller pitch setting that he had made before a previous flight. He thought that the blades might have come loose due to the engine vibrations. The propeller blades were ground adjustable, but he did not have the proper equipment to make the adjustments with him. After a 30-second engine run on the ground and observing nothing abnormal, he proceeded with the takeoff. A Department of Interior officer responding to the airplane's landing in a wildlife refuge reported that the pilot took off downwind. A post accident examination revealed no discrepancies that could account for the loss of power. ## Factual narrative On October 09, 2002, about 1200 Pacific daylight time, an unregistered Rans model S-12 XL, lost power during the takeoff initial climb and impacted the terrain in the San Luis National Wildlife Refuge near Los Banos, California. The private pilot/ owner was operating the airplane under the provisions of 14 CFR Part 91. The pilot and pilot rated passenger were not injured; the airplane sustained substantial damage. The personal cross-country flight departed the Harris Ranch Airport about 0930, en route to the Turlock (private) ultralight airstrip. Day visual meteorological conditions prevailed, and a flight plan had not been filed. According to the pilot, he felt a buffeting in the airplane about 1 1/2 hours into the flight and the engine rpm began to "run away." He set the airplane down in a dry clearing, which had recently been flattened by the U.S. Fish and Wildlife Service. After performing an engine check (running it) on the ground and noting no abnormalities, the pilot attempted to fly the airplane to his intended destination. Just after the takeoff rotation, the airplane lost forward thrust and pitched down, catching the nose and wing on the ground. The airplane cartwheeled, and came to rest inverted. Both occupants exited the airplane safely. A Department of Interior Officer witnessed the accident, and reported that the airplane was taking off downwind. The officer reported that the engine ground run was only about 30 seconds in duration before the takeoff. In a follow-up conversation, the pilot told the National Transportation Safety Board investigator that the propeller had been adjusted recently. He knowingly had been exceeding the engine rpm red line each time full power had been applied. The propeller would overspeed the engine, and the pilot did not readjust the pitch angle before this or previous flights. He stated that he did not bring the tools along to correct the problem, and thought that the blades may have become completely loose in flight from engine vibration. He also stated that he did not double-check a table that provided propeller pitch adjustments. The manufacturer recommended that the propeller be adjusted to approximately 400 to 500 rpm below red line using full power on the ground. This allowed for enough pitch and thrust to conduct flight tests. Best pitch can then be adjusted for straight and level flight using 200 to 300 below red line as the recommended reference. The pilot recovered the aircraft wreckage, which a dealer (Rans Aircraft of Lodi) later obtained and inspected. They received the airframe and engine without the propeller. The reduction gearbox ran successfully for approximately 20 hours on another engine. They found two plugs fouled, both of which were on the same ignition circuit. However, the coils did produce spark. They examined the ignition switches with an ohmmeter, and determined that the switches were functioning properly. ## Aircraft - Registration: UNREG (not matched to a registry record) - Reported make and model: Rans, Inc. S-12 XL - Category: Airplane - Engines: Rotax 528 66 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: Jean P. Lopez (Poulleau) - Registered owner: Unregistered - Departed: 3O8, Harris Ranch, CA - Destination: PVT, Turlock, CA ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 60; injuries: none; private; airplane ratings: single-engine land; medical: class 3, without waivers/limitations; last flight review June 26, 2001; seat: left; flight hours: 235 total, 100 in this make and model ## Weather - Conditions: Visual (VMC), Day - Wind: 0° at 0 knots - Visibility: 6 statute miles - Lowest ceiling: none - Temperature: 84 °F, dew point 54 °F - Altimeter: 29.88 inHg - Observed at: KMCE From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.