# NTSB LAX06LA110: Carpenter BJ/Carpenter Glasair II-S FT, N540FT, Roseville, CA, February 12, 2006 - Type: NTSB accident investigation - Classification: Accident · Fatal · Limited investigation · Final report - Date: February 12, 2006, 11:30 local (19:30 UTC) - Place: Roseville, CA - Coordinates: 38.769721, -121.325553 - Nearby events: https://openairdocs.org/map.md?lat=38.7697&lon=-121.3256&mi=10 - Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 3 fatal; on the ground: 1 fatal - Status: Completed, report July 25, 2007 - Report: Approved by Office Director - Parties: Textron Lycoming, Federal Aviation Administration - NTSB case key (mKey): 63225 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX06LA110 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/63225/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=63225 - Page: https://openairdocs.org/ntsb/LAX06LA110 ## Probable cause The pilot's failure to maintain an adequate airspeed while performing low level aerobatics that led to a stall/spin. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of control - in flight, maneuvering - aerobatics - intentional, pilot in command - altitude - low, pilot in command - airspeed - not maintained, pilot in command (cause) - stall/spin - encountered, pilot in command (cause) - In flight collision with object, descent - uncontrolled - object - residence ## Analysis The aircraft was performing low level aerobatics over a residential area when it stalled and crashed into a single family residence. The accident site was located 2 blocks from the passenger's residence. A family member of the passenger stated that they heard the airplane pass overhead, but when they got outside the airplane had disappeared. They heard it approaching again but it crashed before it arrived over the house. Two pilots who were located at the departure airport spoke with the aircraft occupants shortly before the aircraft departed on the accident flight. The witnesses said the passenger told them that he and the other pilot were "going to show you guys what flying is about." Several of the witnesses were on a nearby golf course and other witnesses were in the residential area surrounding the accident site. All of the witnesses said the airplane was performing aerobatics at altitudes they described as between 200 and 800 feet above the ground. Several of the witnesses described specific maneuvers. They reported that on the first pass the airplane was traveling at high speed and it entered a series of "barrel rolls" before pulling up into a climb and banking steeply to reverse course. On the last pass, the airplane completed the roll series, then it pulled up and began climbing and banking. The witnesses said the airplane then stalled and entered a "nose dive" while it was "spinning or spiraling" until it crashed into the house. Examination of the wreckage found no evidence of a preimpact mechanical malfunction or failure. ## Factual narrative HISTORY OF FLIGHT On February 12, 2006, about 1130 Pacific standard time, an experimental Carpenter BJ/Carpenter SA Glasair II-S FT, N540FT, impacted a house while performing low level aerobatic maneuvers in Roseville, California. The private pilot/owner operated the airplane under the provisions of 14 CFR Part 91. The airplane was destroyed in the collision sequence and post impact fire. The pilot, a passenger, and one person inside the house were fatally injured. There were no other ground injuries. Visual meteorological conditions prevailed for the local area flight that departed Lincoln Regional Airport/Karl Harder Field (LHM), Lincoln, California, about 1115. A flight plan had not been filed. The accident site was located two blocks from the passenger's residence. A family member of the passenger stated that they heard the airplane pass overhead, but when they got outside the airplane had disappeared. They heard it approaching again but it crashed before it arrived over the house. Two pilots who were located at the Lincoln airport spoke with the aircraft occupants shortly before the aircraft departed on the accident flight. The witnesses said the passenger told them that he and the other pilot were "going to show you guys what flying is about." Multiple witnesses were identified who observed portions of the aircraft's track and the maneuvers preceding the accident. Several of the witnesses were on a nearby golf course and others were in the residential area surrounding the accident site. All of the witnesses said the airplane was performing aerobatics at altitudes they described as between 200 and 800 feet above the ground. Several of the witnesses described specific maneuvers. They reported that on the first pass the airplane was traveling at high speed and it entered a series of "barrel rolls" before pulling up into a climb and banking steeply to reverse course. On the last pass, the airplane completed the roll series, then it pulled up and began climbing. The witnesses said the airplane then stalled and entered a "nose dive" while it was "spinning or spiraling" until it crashed into the house. Recorded radar data was obtained from the Federal Aviation Administration (FAA) and the aircraft's track was identified at the accident site location and event time. Examination of the data disclosed that the airplane approached the accident area from the northwest and then flew multiple passes in a northeast to southwest direction, with course reversals. Mode C altitude reports associated with the targets showed that the airplane approached the area between 1,900 and 2,000 feet mean sea level (msl), then descended to below 1,000 feet for the northeast to southwest passes. An FAA inspector responded to the site. He reported that the airplane was destroyed in the post impact fire. He also indicated that there were no obvious mechanical malfunctions noted with the engine, and that the propeller blades showed evidence of chordwise scratching and S-bending. PERSONNEL INFORMATION Both occupants of the aircraft held pilot certificates. According to the Placer County Coroner, the aircraft owner was positively identified as being in the left front seat and the pilot rated passenger was located in the right front seat. According to FAA Airman Certification Records, the aircraft owner held a private pilot certificate with an airplane single engine land rating that was last issued on November 26, 2000. A third-class medical certificate was issued to the pilot on November 2, 2004, without limitations. The pilot's logbook was recovered and it recorded a total time of 287 hours, with 27 in the accident aircraft. In the last 90 days preceding the accident the logbook recorded 27 total hours, all in the accident aircraft. The pilot rated passenger held a private pilot certificate with an airplane single engine land and instrument ratings that was last issued on October 4, 1990. The last third-class medical certificate of record was issued to the pilot on July 30, 1999, without limitations. No pilot records were recovered for the passenger. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy was conducted on the pilot by the Placer County Coroner's office, with specimens retained for toxicological analysis. The toxicological analysis was completed by the FAA Civil Aeromedical Institute with negative results for ethanol, carbon monoxide, cyanide, and all screened drug substances. TESTS AND RESEARCH Inspectors from the FAA Sacramento Flight Standards District Office responded to, and documented, the mishap site. The aircraft was subsequently removed from the site and transported to the facilities of Plain Parts, Sacramento, California, where a detailed examination was conducted March 15, 2006. The aircraft was extensively fragmented and thermally destroyed by impact energy and the ensuing post impact ground fire. All of the engine's accessories were destroyed by thermal effects and could not be tested. According to the attached Lycoming engine data plate, the power plant is a six cylinder, air cooled, direct drive, horizontally opposed, normally aspirated (carburetor), internal combustion engine rated at 260 hp at 2,700 rpm. An aftermarket fuel injection system and electronic ignition system had been installed onto the engine at the time of the last field overhaul. The engine had sustained severe thermal effect damage resulting from the post impact ground fire. Visual examination of the engine revealed no evidence of preimpact catastrophic mechanical malfunction or fire. Mechanical continuity was established during the disassembly of the engine. The cylinders' combustion chamber and barrels remained mechanically undamaged, and there was no evidence of foreign object ingestion or detonation. The valves were intact and undamaged. There was no evidence of valve to piston face contact observed. The pistons were intact. The ring assemblies at each piston were intact and free to rotate within their respective ring land. The gas path and combustion signatures observed at the spark plugs, combustion chambers, and exhaust system components displayed varying degrees of coloration consistent with the exposure to the effects of the post impact ground fire and subsequent suppression (water) operation. There was no oil residue observed in the exhaust system gas path. Mechanical continuity of the rotating group and internal mechanisms were established visually during the disassembly and examination of the engine. The accessory gears including the crankshaft gear, bolt, and dowel were intact and remained undamaged by any preimpact malfunction. There was no evidence of lubrication depravation or contamination found. The crankshaft and attached connecting rods remained free of heat distress. There were no signatures or conditions observed consistent with any premishap catastrophic mechanical malfunction. The camshaft was intact and each of the cam lobes appeared normal in their shape. The left magneto remained secure at the mounting pad. The magneto had been subjected to thermal effects as a result of the post impact ground fire. The magneto sustained varying degrees of damage that rendered the unit inoperative and not functionally testable. Magneto to engine timing could not be ascertained. The right magneto had been previously removed and a block-off plate had been installed on the mounting pad. An electronic ignition system by Electroair had been installed, which utilizes a trigger sensor behind the crankshaft flange. The thermal effects of the post impact ground fire destroyed the electronic ignition system. Two pieces of unidentified material were recovered from the oil suction screen. The screen was otherwise unobstructed. The oil filter was cut open to expose the filter media, which was free of visible contaminates. The vacuum pump was displaced from the engine at ## Aircraft - Registration: [N540FT](https://openairdocs.org/deregistered/N540FT-2015-05-13), registration cancelled 2015-05-13, S/N 2107, built 1996 (OpenAirDocs) - Reported make and model: Carpenter BJ/Carpenter SA Glasair II-S FT - Registry model: [Carpenter B J/Carpenter S A GLASAIR II-S FT](https://openairdocs.org/model/carpenter-b-j-carpenter-s-a-glasair-ii-s-ft) (registry code 05603RM) (OpenAirDocs) - Registry engine: [Amateur-built UNKNOWN ENG](https://openairdocs.org/engine/amateur-built-unknown-eng) (registry code 99999) (OpenAirDocs) - Category: Airplane, amateur-built - Serial number: 2107 - Engines: Lycoming O-540-E4B5 260 horsepower reciprocating - Damage: Destroyed - Fire: On-Ground - Flight: Personal, Part 91 - Registered owner: Patrick A. O'Brien - Airworthiness certificate: Special, Experimental (Special) - Departed: LHM, Lincoln, CA - Destination: LHM ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 49; injuries: fatal; private; airplane ratings: single-engine land; medical: class 3; seat: left; toxicology performed; flight hours: 287 total, 27 in this make and model, 27 in the last 90 days, 7 in the last 30 days - Co-pilot; age 43; injuries: fatal; private; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 3; seat: right; toxicology performed ## Weather - Conditions: Visual (VMC), Day - Wind: 340° at 7 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 61 °F, dew point 43 °F - Altimeter: 30.36 inHg - Observed at: MYV ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20060212010559A](https://openairdocs.org/incident/20060212010559A), Feb 12, 2006: Amtr GLASAIRIISFT, Roseville, CA, Destroyed, 3 fatal. (-23) Aircraft was performing aerobatic operations over a populated area below 500 feet. Pilot lost control and crashed into a residence. Pilot, passenger and… ## Docket (15 files) The files NTSB released with the investigation on December 21, 2023, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=63225. 5.1 MB in all. - Witness statements (item 1, PDF, 8 pages, 322 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304784&FileExtension=pdf&FileName=Witness%20Statements-Rel.pdf - Witness statement-wendell (item 2, PDF, 2 pages, 16 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304808&FileExtension=pdf&FileName=Witness%20Statement-Wendell-Rel.pdf - Record of conversation-wendell (item 3, PDF, 1 page, 18 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304811&FileExtension=pdf&FileName=Record%20of%20Conversation-Wendell-Rel.pdf - N540FT detailed plot (item 4, PDF, 5 pages, 335 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304798&FileExtension=pdf&FileName=N540FT%20Detailed%20Plot-Master.pdf - N540FT general radar track plot (item 5, PDF, 3 pages, 201 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304800&FileExtension=pdf&FileName=N540FT%20General%20Radar%20Track%20Plot-Master.pdf - Radar data files (item 6, PDF, 297 pages, 739 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304805&FileExtension=pdf&FileName=Radar%20Data%20Files-Master.pdf - Lycoming report (item 7, PDF, 8 pages, 68 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304794&FileExtension=pdf&FileName=Lycoming%20Report-Rel.pdf - Toxicological report (item 8, PDF, 1 page, 53 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304788&FileExtension=pdf&FileName=Toxicological%20Report-Master.pdf - Toxicological report - 10 (item 9, PDF, 1 page, 53 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=478067&FileExtension=pdf&FileName=Toxicological%20Report-10-Master.pdf - Statement of party representatives to NTSB investigation (item 10, PDF, 1 page, 12 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304803&FileExtension=pdf&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Rel.pdf - Release of aircraft wreckage NTSB form 612015 (item 11, PDF, 1 page, 44 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304820&FileExtension=pdf&FileName=Release%20of%20Aircraft%20Wreckage%20NTSB%20Form%20612015-Rel.pdf - Condition inspection (item 12, PDF, 1 page, 53 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304791&FileExtension=pdf&FileName=Condition%20Inspection-Rel.pdf - Pilot logbook (item 13, PDF, 21 pages, 3.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304781&FileExtension=pdf&FileName=Pilot%20Logbook-Rel.pdf - Fuel receipt (item 14, PDF, 1 page, 20 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304814&FileExtension=pdf&FileName=Fuel%20Receipt-Rel.pdf - Witness statement-bmeroney (item 15, PDF, 1 page, 117 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=304817&FileExtension=pdf&FileName=Witness%20Statement-BMeroney-Rel.pdf From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.