LAX03LA173

NTSB accident investigation · Aero Vodochody L-39 · Tracy, CA · May 31, 2003

Accident · FatalLimited investigationFinal report
Date
May 30, 2003, 19:14 local (May 31, 2003, 02:14 UTC)
Place
Tracy, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N139RHAero Vodochody L-39
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20030530010449A
Case key
57111

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 failure to maintain adequate terrain clearance while performing low level aerobatics.

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.

In flight collision with terrain/waterManeuvering
Aerobatics - performedPilot in command
Low altitude flight/maneuver - attemptedPilot in command
Clearance - not maintainedPilot in commandCause

Analysis

The single engine, two seat, jet airplane impacted the ground while pulling out of a low level loop. The airplane was practicing low level team aerobatics with two other similar jet airplanes. The established hard deck for the practice was 1,000 feet. The lead jet entered a loop maneuver at about 1,500 feet and impacted the ground while pulling out at the bottom of the maneuver. During the end of the maneuver the wings rocked and the nose pitched down. Examination of the ejection seat mechanism disclosed no evidence that the pilot attempted to eject from the airplane. No evidence of a control system malfunction was found and the damage to the engine was consistent with it developing significant power at ground impact.

Factual narrative

History of flight

On May 30, 2003, at 1914 Pacific daylight time, an Aero Vodochody L-39C Albatros, N139RH, collided with terrain while performing team aerobatic maneuvers in the vicinity of Tracy, California. The airplane was operated by Redstar Air Shows, Inc., under the provisions of 14 CFR Part 91. The pilot was fatally injured and the airplane was destroyed. Visual meteorological conditions prevailed and a visual flight plan had not been filed. The flight originated at Byron, California, about 1655.

A flight of three Aero Vodochody L-39's were practicing low level team aerobatics in a designated box area in the vicinity of Tracy, California. The team's aerobatic coach said that the hard deck for this practice session was 1,000 feet. The majority of the witnesses reported that the airplane appeared to "rock" and the nose pitched down on the backside of a low altitude loop just before it impacted the ground. The pilot did not appear to attempt to eject from the airplane.

Personnel information

The pilot held an Airline Transport Pilot Certificate with single engine land, multiengine land, and instrument airplane ratings. She had type ratings in the Boeing 737, DC-9, and DHC-7. The Pilot/Operator Aircraft Accident Report (NTSB Form 6120) submitted by the operator indicated the pilot had about 14,000 hours of total flight time, 10,000 hours in multiengine airplanes, 4,000 hours in single engine airplanes and 16 hours in the L-39. The date of her last biennial flight review was in January, 2003. She held a first class medical certificate dated December 20, 2002, with no limitations or restrictions.

The team's aerobatic coach told the Safety Board Investigator-in-Charge (IIC) that the pilot had extensive aerobatic experience and that she had owned a number of aerobatic airplanes including a Pitts Special and Cap232. She did not participate in competitive aerobatics. She had been a US Navy pilot for 4 years with flight time in the A-4 Skyhawk as an aggressor pilot. Federal Aviation Administration (FAA) records show she obtained her commercial pilot certificate in December, 1977, through military competency. Her check out in the L-39 was the first time flying a single engine high performance jet since flying the A-4. Aircraft logbooks recorded her as flying this L-39 nine times within the last 20 days accumulating about 5.7 hours of flight time.

Aircraft information

The tandem seat jet airplane was powered by a single 3,792 pound thrust, Motor Sich, AI-25L, turbojet engine. The airplane and engine underwent it last FSDO-approved L-39 required inspection on March 24, 2003, at a total aircraft time of 1,224 hours. The engine had a total time of 1,157 hours with 407 hours since last overhaul.

The airplane was manufactured by Aero-Vodochody of Czechoslovakia and categorized by the FAA as experimental with operational limitations of an exhibition-group II aircraft.

Wreckage and impact information

The wreckage was located about a half of mile west of the New Jerusalem Airport, California, in a freshly plowed field.

Two distinct sections of wreckage were identified. An approximately 5 foot deep impression area of disturbed earth embedded with metal fragments, plexiglass shards, and black discolored cratered earth surface. A long thin earth impression extended outward from the crater area and at end of this impression the pitot tube was embedded into the ground at about a 60 degree angle. Immediately surrounding this disturbed area were pieces of metal, landing gear, and wire bundles. Debris fanned out from this point in a cone shape about 100 yards to the southeast. About 70 feet to the south was the second area of wreckage, which consisted of the tail section containing the engine.

Medical and pathological information

The Sheriff-Coroner of San Joaquin County conducted an autopsy on the pilot. According to the coroners report the pilot died of multiple blunt force injuries.

A toxicology test for ethanol and drugs were negative.

A review of the FAA medical records revealed no abnormal medical findings, limitations, or waivers throughout the history of the pilot.

Fire

Witnesses reported a post impact fire. Large sections of the wreckage exhibited areas of black soot, ash, and thermal damage. Fire crews arrived on scene and extinguished the wreckage fire.

Tests and research

The wreckage was relocated to Plain Parts in Sacramento and examined by the FAA and Safety Board investigators.

All flight control bell cranks, carry-thru bell cranks, control linkages, rods and rod ends were identified as being present within the wreckage. None of these components showed signs of preimpact failure or corrosion.

The pilots ejection seat was examined. The rocket pack had not been fired. The pilots ejection seat handle was found close to the pilots body. The rocket pack activation lanyard was found severed. The rod used to push the seat out of the cockpit was extended. The canopy latch was in the middle position. The drogue chute was fired and partially extended. The aft ejection seat was examined, found to be pinned, and the firing primers were not activated.

All the compressor blades on the first stage of the engine compressor were sheared off at their bases. Blades in the additional compressor sections were bent in the clockwise direction.

Additional information

Witnesses

Five of the seven witnesses interviewed clearly described the airplane as being in the last half of a loop when the airplane collided with the ground and that it did not appear that the pilot attempted to eject from the airplane. An initial statement taken by the San Joaquin Sheriff from the team aerobatic coach on scene clearly states that the pilots airplane was on the back half of a loop when the airplane appeared to rock and the nose drop towards the ground prior to impact.

The operator and team aerobatic coach stated in the Pilot Operator Accident Report (NTSB Form 6120) that the airplane was doing a series of level aileron rolls at 1,500 feet when the plane leveled off and started a gradual left descending turn until impact with the ground.

Loop Maneuver

A loop is a 360 degree turn done in the vertical plane. Executing a loop will normally subject the pilot to +3 g's or more when entering or exiting the maneuver.

Aileron Roll Maneuver

An aileron roll is the rolling of the airplane about the longitudinal axis using coordinated control inputs. The ailerons are the primary controls for this maneuver. The maneuver typically will subject the pilot to +1 g throughout the maneuver.

G Induced Loss of Consciousness (GLOC)

The average threshold of a pilot to blackout is 4.7 g's and laps in to unconsciousness at 5.4 g's. The rate of g on-load is a significant factor in establishing the amount of g load a pilot can withstand (AC-91-61).

Aircraft

Registration
N139RH
Reported as
Aero Vodochody L-39
Category
Airplane
Serial number
332627
Airframe hours
1,165.2
Engine
Aero Engines AI-25L, 3,792 lbs thrust, turbo fan
Damage
Destroyed
Fire
On-Ground
Flight
Air race/show · Part 91
Registered owner
Redstar Air Shows Inc
Airworthiness certificate
Special, Experimental (Special)
Last inspection
AAIP · March 24, 2003 · 7.9 hours before
Departed
C83 · Byron, CA
Destination
Tracy, CA
Airport
1Q4 · New Jeruselem, runway 12, 4,000 × 100 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
48
Injuries
Fatal
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
January 1, 2003
Seat
Front
Toxicology
Performed
Flight hours
14,000 total · 16 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 57 °F
Altimeter
29.87 inHg
Observed at
SCK, 20 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.