LAX04LA025

NTSB accident investigation · Piper PA-28R-200 · Pacoima, CA · October 25, 2003

Accident · Serious injuriesLimited investigationFinal report
Date
October 25, 2003, 03:32 local (10:32 UTC)
Place
Pacoima, CA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N15192Piper PA-28R-200
Weather
Visual (VMC) · Night
Status
Completed · report September 1, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20031025031089A
Case key
58244

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 an adequate glide path on final approach and his failure to ensure adequate clearance from obstacles. The dark night was a factor.

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 objectApproach - vfr pattern - final approach
Object - pole
Light condition - dark nightFactor
Proper glidepath - not maintainedPilot in commandCause
Clearance - not maintainedPilot in commandCause

Analysis

The airplane collided with a 50-foot-tall power line pole during a VFR approach into the airport at night. The pilot departed and manuevered over a nearby area. When he was returning to the airport, about 10 miles away, all of the lights were functioning. Approximately 1 1/2 miles from the airport he could only see the taxiway lighting. The airplane then impacted a power line pole. An airport employee working the night and early morning shift was in an airport vehicle doing a check of the airport when the accident occurred and he stated that the airport lights were on and functioning properly. Airport checklists were reviewed and indicated that the with the exception of a couple of burned out lights, the airport lighting was operational. The airplane impacted the power line pole about 50 feet above ground level. The location of the pole was about 1 mile from the runway.

Factual narrative

On October 25, 2003, at 0332 Pacific daylight time, a Piper PA-28R-200, N15192, collided with a power line pole while attempting to land at Whiteman Airport (WHP), Pacoima, California. The pilot, who was also the registered owner, was operating the airplane under the provisions of 14 CFR Part 91. The private pilot, the sole occupant, sustained serious injuries; the airplane sustained substantial damage. The flight departed Whiteman about 0230 for the local area personal flight. Visual meteorological conditions prevailed, and no flight plan had been filed.

In a written statement, the pilot reported that when he departed Whiteman all of the airport lights were functioning. He then flew over Santa Clarita for approximately 10 minutes. When he was returning, and about 10 miles from Whiteman, he noted that the airport lights were still illuminated. Approximately 1 1/2 miles from the airport, only the taxiway lights were illuminated. He attempted to locate the threshold with his landing light, but was unsuccessful. He added full power, and the airplane impacted a power line pole.

The pilot reported that on October 4, 2003, at 0420, he returned to the Whiteman Airport and no lights were visible. There was nothing but "a black void." According to the pilot, no notice to airman (NOTAM) was issued. He circled the airport three times and then the lights illuminated. Whiteman Airport does not have pilot controlled lighting.

In an interview with the National Transportation Safety Board investigator-in-charge (IIC) the airport manager reported that he was not at the airport during the time of the accident. The airport employee did not report any problems with the airport lighting. The manager felt that because the pilot was low at approximately 50 feet above ground level (agl), and about 1 mile from the runway, that he would not have been able to see the airport's lights due to a building obstructing the pilot's view. The building was tall, about 10 to 12 feet from the entry point onto final for runway 12. The pilot impacted the power pole at 50 feet agl.

The manager was also interviewed about the airport lighting. He stated that a pilot controlled lighting system had been installed but it was not operational yet. He planned to do so in the near future. If the airport lighting were to malfunction, the procedure was for the airport employees to close the airport, then notify the electrician. This procedure is not written down and was communicated through staff meetings. There had not been any other complaints from pilots regarding the airport lighting.

The IIC interviewed the airport employee working the morning of the accident. He stated that he completed an airport inspection nightly, with various patrol operations throughout the evening. Less than 5 minutes prior to the accident time, the employee went into the patrol vehicle. All lights were operating at this time. He drove approximately 100 yards and the lights went out. He is not sure if the runway lights went out, but the overhead lights in his area went out. At the same time he saw a flame in the area of the power lines. The time was around 0330. Soon after, the lights illuminated due to the backup generator. He felt the lights went out when the airplane impacted the power line pole.

In the past, the airport employee had not witnessed all of the airport lights going out. He occasionally changed the bulbs. He did report an occasion when the airport beacon was inoperative in May or June. It was repaired soon after. The employee was also charged with monitoring the radio frequency. If there was a problem, he would be the first responder and call emergency personnel for back-up. There was no written procedure for all of the airport lights going out. He assumed that he would notify Burbank. The employee did not have the ability to turn the lights off.

The IIC reviewed the nightly inspection reports for Whiteman Airport for October 25, and, additionally, October 4. The reports indicated on October 25, there were three taxi lights that needed to be replaced. The October 4 report indicated two bulbs were out on the precision approach path indicator and the night lights around the runway 30 wind sock were inoperative. Additional lights were inoperative in the fuel storage area and at the apron edge lights near runway 12. Neither report indicated that entire sections of the airport lighting systems were inoperative, nor that the airport lighting system failed completely.

Aircraft

Registration
N15192
Reported as
Piper PA-28R-200
Category
Airplane
Serial number
28R-7335034
Airframe hours
6,255
Engine
Lycoming IO-360-CIC, 200 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Charles Ramsey
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 11, 2003 · 563.2 hours before
Departed
KWHP · Pacoima, CA
Airport
WHP · Whiteman Airport, runway 12, 4,120 × 75 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
52
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
April 28, 2002
Seat
Left
Flight hours
4,379 total · 40 in this make and model · 3,917 as pilot in command · 36 in the last 90 days · 14 in the last 30 days

Weather

Conditions
Visual (VMC) · Night
Wind
Variable at 4 knots
Visibility
9 statute miles
Lowest ceiling
None
Temperature
59 °F, dew point 54 °F
Altimeter
30.00 inHg
Observed at
KVNY, 5 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.