LAX04LA225

NTSB accident investigation · Stinson 108-2 · Susanville, CA · May 31, 2004

Accident · Serious injuriesLimited investigationFinal report
Date
May 31, 2004, 10:45 local (17:45 UTC)
Place
Susanville, CA
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N9816KStinson 108-2
Weather
Visual (VMC) · Day
Status
Completed · report July 7, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20040531012689A
Case key
59339

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 perform a proper preflight inspection of the airplane and ensure that the oil cap was secured, which resulted in a descent into terrain due to his obstructed view out of the windshield.

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.

Miscellaneous/otherTakeoff - initial climb
Lubricating system,oil filler cap - not securedCause
Aircraft preflight - improperPilot in commandCause
Fluid,oil - leakFactor
Window,cabin - obstructedFactor
Forced landingEmergency landing after takeoff
In flight collision with terrain/waterEmergency landing after takeoff
Descent - inadvertentPilot in command
Visual/aural detectionPilot in commandFactor
Terrain condition - grass

Analysis

The airplane descended into terrain shortly after takeoff while the pilot was attempting to return back to the airport. The airplane climbed to about 100 to 200 feet above ground level, and began a right turn back to the runway. The pilot made a radio transmission stating that he was returning to the airport, because he had mistakenly left the oil filler cap off of the engine, which was resulting in the windshield becoming obstructed with a layer of oil. The airplane descended into terrain about 300 yards south of the departure end of the runway at a wings level, 20-degree nose down attitude. First responders to the accident noted that the airplane's windshield was coated in a layer of oil. The pilot thought that the accident could have been prevented if he had remembered to replace the oil cap on the engine while performing his preflight inspection. He reported no preimpact mechanical malfunctions or failures with the airplane.

Factual narrative

On May 31, 2004, about 1045 Pacific daylight time, a Stinson 108-2, N9816K, descended into terrain shortly after takeoff from the Spaulding Airport, Susanville, California. The owner/pilot was operating the airplane under the provisions of 14 CFR Part 91. The private pilot and the pilot rated passenger sustained serious injuries; the airplane sustained substantial damage. The personal cross-country flight was originating from Susanville, with the planned destination of Fresno Chandler Executive Airport, Fresno, California. Visual meteorological conditions prevailed, and a flight plan had not been filed.

During a telephone interview with a National Transportation Safety Board investigator, a witness (who is also a pilot), reported that after departing, the airplane made a climbing left turn. As the airplane reached about 100 to 200 feet above ground level, it began a turn to the right, which he thought was consistent with the pilot attempting to return back to the airport. The airplane descended into terrain about 300 yards south of the departure end of the runway at a wings level, 20-degree nose down attitude. After completing a visual inspection of the airplane, the witness noted that the airplane's windshield was coated in a layer of oil.

Another witnesses reported that prior to impacting terrain, the pilot made a radio transmission stating that he was returning to the airport. He announced that he had mistakenly left the oil filler cap off the engine and, as a result, the windshield had become obstructed with oil.

In a written statement, the pilot reported that neither he, nor the passenger, remembered the accident. The passenger could recall that after the pilot performed a short field takeoff, and several seconds into the initial climb out, she noticed small droplets of oil forming at bottom of the windshield.

The pilot further reported that several witnesses on the ground observed the airplane departing to the south. Shortly after takeoff, the airplane began a steep right turn. Prior to impacting the ground the airplane's attitude recovered to coordinated, level flight. The pilot thought that the accident could have been prevented if he had remembered to replace the oil cap on the engine while performing his preflight inspection. He reported no preimpact mechanical malfunctions or failures with the airplane.

Aircraft

Registration
N9816K
Reported as
Stinson 108-2
Category
Airplane
Serial number
108-2816
Airframe hours
3,070
Engine
Franklin 6A4-165-B3, 165 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 2004 · 100 hours before
Departed
1Q2 · Susanville, CA
Destination
FCH · Fresno, CA
Airport
1Q2 · Spaulding Airport, runway 16, 4,600 × 50 ft, grass/turf

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
49
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Last flight review
August 17, 2002
Seat
Left
Flight hours
700 total · 600 in this make and model · 660 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
68 °F, dew point 37 °F
Altimeter
30.09 inHg
Observed at
SVE, 19 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.