LAX04FA300

NTSB accident investigation · Consolidated Aeronautics Lake LA-4-200 · Oroville, CA · August 21, 2004

Accident · FatalField investigationFinal report
Date
August 21, 2004, 11:45 local (18:45 UTC)
Place
Oroville, CA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
N1238LConsolidated Aeronautics Lake LA-4-200
Weather
Visual (VMC) · Day
Status
Completed · report January 31, 2006
Report
Approved by Office Director
Parties
Textron Lycoming, Federal Aviation Administration
FAA report
20040821021749A
Case key
59969

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 failure to maintain clearance from the water's surface, which resulted in his dragging of the right wing pontoon during low-altitude flight. The glassy-surfaced water was a contributing factor to the accident.

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.

Dragged wing,rotor,pod,float or tail/skidTakeoff
Terrain condition - water,glassyFactor
Clearance - not maintainedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - water

Analysis

The amphibious airplane collided with the surface of a lake just after takeoff while flying low over the glassy-surfaced water. According to witnesses, the airplane was about 20 feet above the water and traveling about 70 miles per hour. Then, it "kissed" the surface, abruptly climbed up about 50 feet, turned to the left, and then descended into the water. Post-accident examination of the airframe and engine did not reveal any mechanical malfunctions or anomalies. The airplane was equipped with pontoons on each wing that were secured to the wings using two forward brackets and a smaller aft attachment. The left pontoon was torn from the wing and located in the floating debris field. The right wing pontoon's aft attachment secured it to the wing; however, the pontoon had rotated from its installation position approximately 270 degrees and was lying with its right side flush against the bottom surface of the wing. The pontoon attach brackets remained on the wing structure and were bent in an inboard direction. The damage to the airplane, and the right pontoon deformation, was consistent with the right pontoon impacting the water unevenly first, with the final impact consistent with a nose and left wing down attitude. The pilot had accumulated about 278 hours in seaplanes prior to the accident and had last landed the airplane on water about 3 months prior to the accident. The pilot's toxicology report was positive for ephedrine and pseudoephedrine which, would not have a negative effect on the pilot's performance.

Factual narrative

History of flight

On August 21, 2004, at 1145 Pacific daylight time, a Consolidated Aeronautics, Inc. Lake LA-4-200, N1238L, drug a pontoon during low-flight and descended into a lake about 4 miles southwest of Oroville Municipal Airport, Oroville, California. The airplane sank and was submerged in 15 feet of water. The private pilot was operating the airplane, registered to Take Flight, Inc., under the provisions of 14 CFR Part 91. The airplane was destroyed. The pilot and one passenger sustained fatal injuries. Visual meteorological conditions prevailed for the local area flight that departed from Live Oak earlier that day. No flight plan had been filed, nor was one required.

According to a family member of the pilot, the pilot and passenger were old friends. The purpose of the flight was for pleasure and they were intending to fly around the local area.

A witness, who was on a jet ski in the Thermalito Afterbay of Oroville Lake, noticed the airplane flying overhead. Due to the uniqueness of the airplane, he noticed it immediately. The airplane made one landing, took off again, then circled the area and landed again. The airplane taxied around to the boat area, and then someone in the airplane closed the cockpit door. The airplane started building speed, traveling southbound. As it lifted from the glassy-surfaced water, the airplane was about 20 feet above it, traveling about 70 miles per hour. Then, it "kissed" the surface of the water. It abruptly headed up to about 50 feet above the water. The airplane fell straight down and sank immediately. The witness could not recall what the attitude was of the airplane upon impact with the surface of the water.

An additional witness reported that he was sailing his boat in the afterbay. He saw the airplane make several touch-and-go landings on the water. As the airplane was headed in a southerly direction, it appeared to be attempting to land. The witness stated in part, "It seemed as though it hit the water too hard and the airplane bounced into the air, listing to starboard, lost lift, and when the tail hit the water the aircraft flipped end over end and crashed." The witness was about 150 yards from the accident site.

Personnel information

A review of the Federal Aviation Administration (FAA) airman records from Oklahoma City, Oklahoma, revealed that the pilot held a private pilot certificate for airplane single and multiengine land, single engine sea, and instrument. He held a third-class medical certificate that was issued on July 22, 2004. A review of copies of the pilot's personal logbook indicated that the pilot recorded a total flight time of 1,923 hours as of August 8, 2004. He had accumulated about 278 hours in seaplanes prior to the accident. According to the logbook, the pilot had not flown the accident airplane since June 15, 2004. The last landings logged as "water landings" were logged on June 5. He had flown 12 hours in single and multiengine land airplanes from June 28 until August 8.

Aircraft information

The amphibious, single engine, pusher propeller airplane was a Consolidated Aeronautics, Inc., Lake LA-4-200, commonly known as a Lake Buccaneer. The airplane was manufactured in 1976, serial number 737. The last annual was completed on the airplane on September 5, 2003. The total airframe and engine time was 1,112 hours.

Meteorological information

An automated surface weather observation (METAR) was issued for Oroville, California, at 1153. The wind was variable at 3 knots; there was 10 statute miles visibility with clear skies; and the altimeter read 29.89 inches of mercury.

Wreckage and impact information

The Butte County Sheriff's Department personnel initially responded to the accident scene. The FAA coordinator responded later that day to oversee the recovery efforts. The accident site was located in the Thermolito Afterbay of Oroville Lake. The afterbay has agricultural and recreational uses. According to a Butte County Sheriff deputy, the useful landing area of the bay is about 3 miles. The wreckage site was located about halfway through the usable landing area.

After impact, local recreational boaters attempted to move the airplane closer to shore during a rescue effort and the attempts were unsuccessful. The airplane moved about 200 yards from its original impact point before becoming lodged in silt. The approximate global positioning satellite coordinates of 39 degrees 27.824 minutes north by 121 degrees 40.719 minutes west are those of the airplane after it was moved. The elevation was about 192 feet mean sea level. The airplane was covered in an estimated depth of 15 feet of water.

Airplane recovery photos were viewed by the National Transportation Safety Board Investigator-in-Charge (IIC). The vertical stabilizer was above the water level. The remainder of the airplane was submerged. As the airplane was pulled from the water, the right wing remained attached to the fuselage. The left wing was partially attached to the fuselage. The empennage section was attached to the fuselage. The nose of the airplane from the instrument panel, forward, was recovered separately.

Medical and pathological information

The Butte County Coroner completed an autopsy on the pilot. The medical examiner concluded that the pilot died as the result of injuries sustained in the accident sequence. The passenger's death was attributed to drowning. The FAA Bioaeronautical Sciences Research Laboratory performed toxicological testing of specimens of the pilot and the passenger. The pilot's and passenger's results were both positive for ephedrine and pseudoephedrine.

Tests and research

The wreckage was examined on August 23, 2004, by the Safety Board IIC, the FAA coordinator, and a representative from the engine manufacturer. The main fuselage structure was extensively crushed aft. The nose section was separated from remaining airplane structure. The right wing was attached to the fuselage, which ran back to include the empennage section. The left wing was partially attached to the fuselage but was completely removed during the airplane's recovery.

Aft of the aft cabin bulkhead, the fuselage was circumferentially buckled. The left side was significantly more compressed than the right. The empennage section aft of the buckling was bent 30 degrees to the left.

The section of the nose, forward of the instrument panel, was examined. Two distinct damage patterns were evident. The forward right side exhibited a crush line of 30 degrees to the longitudinal axis of the airplane from aft lower to forward upper. The left side was buckled with the crush folds oriented vertically, and the entire nose section was noticeably curved to the left.

The examination of the instrument panel disclosed a tachometer time of 1,152.61. The flap and landing gear selector levers were found in the up positions. The propeller control was in a full forward position; the mixture control was in a full rich position.

The cockpit canopy was made up of two frames hinged to a center post with the doors opening out and up. The center post is rigidly attached to the nose structure forward of the glare shield and the cabin roof. The center post and canopy framework was separated from the structure as a unit. The right side frame was deformed along the forward lower edge. The right upper aft frame was bent away from the center post. The left side frame was not distorted. The majority of the

Plexiglass windows were missing from both sides; however, Plexiglass shards remained within the framework.

Each side of the canopy had operating handles and locking mechanisms. The canopy latching bracket that the tang hooks into was deformed on the left side. The latching bracket on the right side was not deformed. The hooked tang extending from the latching handle on the right side was broken at a 45-degree angle

Aircraft

Registration
N1238L
Reported as
Consolidated Aeronautics Lake LA-4-200
Category
Airplane
Serial number
737
Airframe hours
1,112
Engine
Textron Lycoming IO-360-A1B, 200 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Weldon Hord
Registered owner
Take Flight, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 1, 2003 · 40.6 hours before
Departed
Oroville, 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
50
Injuries
Fatal
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Last flight review
September 1, 2003
Seat
Left
Toxicology
Performed
Flight hours
1,923 total · 278 in this make and model · 1,781 as pilot in command · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 55 °F
Altimeter
29.88 inHg
Observed at
ORV, 4 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.