LAX04FA061

NTSB accident investigation · Piper PA-28R-200 · Chino Hills, CA · December 8, 2003

Accident · FatalField investigationFinal report
Date
December 7, 2003, 17:08 local (Dec 8, 2003, 01:08 UTC)
Place
Chino Hills, CA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N16264Piper PA-28R-200
Weather
Instrument (IMC) · Night
Status
Completed · report March 30, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration, Lycoming, The New Piper Aircraft Co.
FAA report
20031207033189A
Case key
58458

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 inadequate in-flight planning/decision by which he conducted VFR flight into night instrument meteorological conditions. Mountainous terrain, dark night conditions and the pilot's failure to obtain a preflight weather briefing are contributing factors.

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 encounter with weatherCruise
Vfr flight into imc - continuedPilot in commandCause
Weather condition - low ceiling
Preflight briefing service - not usedPilot in commandFactor
Weather condition - obscuration
In-flight planning/decision - inadequatePilot in commandCause
In flight collision with terrain/waterManeuvering
Terrain condition - mountainous/hillyFactor
Light condition - dark nightFactor

Analysis

The airplane collided with mountainous terrain at the 1,400-foot level during a night visual flight rules (VFR) flight in weather conditions that included a 1,500-foot overcast ceiling and a visibility of 2 miles in fog. There was no record that the noninstrument rated pilot requested or received a weather briefing. The departure and destination airports are separated by a range of low hills, which rise to 1,781 feet mean sea level (msl). Recorded radar data disclosed that while flying over the low-lying coastal plain the airplane maintained a relatively steady course and speed. Near the accident site and the hilly terrain, the airplane performed a series of S-turns, then two 360-degree left turns, followed by another series of S-turns. The airplane was in the process of another left 360-degree turn when the target disappeared very close to the ground impact point.

Factual narrative

History of flight

On December 7, 2003, about 1708 Pacific standard time, a Piper PA-28R-200, N16264, collided with hilly terrain about 6 miles southwest of Chino Hills, California. The airplane was operated by the owner/pilot under the provisions of 14 CFR Part 91. The private pilot and passenger were fatally injured. The airplane was destroyed. Instrument meteorological conditions prevailed in the accident area, and no flight plan had been filed. The personal flight originated at Long Beach, California, at 1649, destined for Corona, California.

The airplane departed Long Beach in visual flight rules (VFR) conditions with a 1,300-foot overcast ceiling. At 1653, the pilot contacted the Fullerton (FUL) Air Traffic Control Tower for transitioning through their airspace. At 1700, the pilot requested a frequency change from the Fullerton tower frequency. The FUL weather was VFR with a 1,700-foot overcast.

The Long Beach and Corona airports are separated by a range of low hills, which rise to 1,781 feet mean sea level (msl). The accident site was located in the Chino Hills State Park at an elevation of about 1,400 feet msl.

Recorded radar data was requested from the Federal Aviation Administration (FAA) Southern California Terminal Radar Approach Control facility. Examination of the recorded radar data by the National Transportation Safety Board investigator revealed a secondary beacon target track, which departed the Long Beach airport at the time the accident airplane departed, and terminated at the accident site. While over the low lying greater metropolitan Los Angeles basin, the track maintained a relatively steady course and speed. Near the Chino hills, the secondary beacon track was noted to perform a series of S-turns, then two 360-degree left turns, followed by another series of S-turns. The target track was in the process of another left 360-degree turn when the target disappeared very close to the ground impact point. The last recorded radar contact was 1707. The data plots are contained in the docket for this report.

Personnel information

The pilot obtained his private pilot certificate on November 21, 1998. At the time of issuance he had accrued about 46 hours of dual flight instruction and solo flight. Included in that time were 4.5 hours of simulated instrument flight training. On May 21, 1999, the pilot logbook documents his subsequent flight times in the accident airplane. In June 1999, the pilot's logbook indicated an additional 3 hours of instrument flight instruction, for a grand total about 488 total flight hours.

Aircraft information

A review of maintenance information revealed the last annual inspection occurred on July 1, 2003, at a total recording tachometer time of 6,875 hours. On July 11, 2003, compliance with 14 CFR Part 91.411 and 91.413, functional testing of the transponder system and the altimeter and static systems were accomplished. The engine time since major overhaul was noted as 289 hours, and the propeller was 1,765 hours since overhaul.

Meteorological information

According to FAA records, the pilot did not request nor receive a preflight weather briefing from an FAA facility prior to the accident flight. His communications were limited to the control tower at the departure point, Long Beach, and the transitioning through the Fullerton airport airspace.

Post accident weather information was obtained from Chino airport, located 6.37 miles northeast of the accident site. At 1653, Chino was reporting: wind 240 degrees at 6 knots; visibility 2 statute miles; light rain fog; broken clouds at 900 feet agl; overcast at 1,500 feet agl; temperature 14 degrees Celsius; dew point 14 degrees Celsius; and the altimeter was 29.96 inHg.

Wreckage and impact information

The wreckage was examined on site by the Safety Board investigator in the Chino Hills State Park. The initial point of impact (IPI) was into trees with the left wing. The wreckage scatter pattern was uphill about a 30-degree angle for 110 feet, then a directional change to 274 degrees for 150 feet continuing uphill. The three-blade propeller was severed from the engine and found laying about 40 feet from the IPI. One propeller blade was separated from the propeller hub. All blades revealed varying degrees of leading edge damage and rotational scoring.

Both wings were severed from the fuselage. The right wing was mostly intact from the root outboard, less the fuel tank. The flap was still attached at the root actuator only. The landing gear was still in the well but extended. The left wing was broken into several sections. The main landing gear assembly was still attached to some wing structure. The external skins of both fuel tanks exhibited hydraulic bulging and deformation.

The left wing tip assembly was located near the first hit tree at the base of the hill. No landing light element stretch was found on the tip mounted light. The horizontal stabilator was twisted at the extreme aft bulkhead 45 degrees right and forward. The stabilator trim barrel was three threads tab down with obvious cable pull; five threads is considered neutral trim. The cabin and center sections were commingled with the firewall and engine.

Some instrument readings were recovered on site. The recording tachometer was indicating 1,650 rpm and 6,937.89 hours. The altimeter was indicating 880 feet at the time of examination and 29.96 inHg. The clock was stopped at 1721. The VOR omni bearing selector card was 066 on the cross pointer.

Medical and pathological information

The San Bernardino County Medical Examiner performed an autopsy on the pilot. During the procedure samples were obtained for toxicological analysis by the FAA Civil Aeromedical Institute in Oklahoma City, Oklahoma. The results of the analysis of the specimens were negative for carbon monoxide, cyanide, ethanol, and tested drugs.

Additional information

After an additional post accident examination of the airframe and engine, the wreckage was released to the insurance company representative on July 14, 2004.

Aircraft

Registration
N16264
Reported as
Piper PA-28R-200
Category
Airplane
Serial number
28R-7335119
Airframe hours
6,875
Engine
Lycoming IO-360-C1C, 200 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
David L. Kula
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 2003 · 62 hours before
Departed
LGB · Long Beach, CA
Destination
AJO · Corona, 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
61
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
November 14, 2002
Seat
Left
Toxicology
Performed
Flight hours
488 total · 408 in this make and model

Weather

Conditions
Instrument (IMC) · Night
Wind
240° at 6 knots
Visibility
2 statute miles
Lowest ceiling
1,500 ft overcast
Temperature
57 °F, dew point 57 °F
Altimeter
29.95 inHg
Observed at
CNO, 6 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.