- Date
- June 4, 2006, 14:00 local (21:00 UTC)
- Place
- Marina, CA
- Injuries
- 2 uninjured
- Damage
- Substantial damage
- Phase of flight
- Takeoff
- Aircraft
- N180LGCessna 180A
- Weather
- Visual (VMC) · Day
- Status
- Completed · report February 26, 2007
- Report
- Approved by Office Director
- Parties
- Federal Aviation Administration
- FAA report
- 20060604011739A
- Case key
- 63850
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 installation of the unapproved forward seat stop by unknown maintenance personnel, which did not allow for full depth engagement of the seat lock pin, resulting in the seat slipping aft during the takeoff roll and subsequent loss of directional control. A contributing factor to the accident was the pilot's failure to secure the backup seat stop.
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.
Analysis
The pilot's seat slid aft during the takeoff roll and the airplane nosed over after veering off the runway surface. As the pilot powered the airplane for the takeoff roll, his seat slid aft and he was unable to reach the controls to maintain control of the airplane. It veered left off the runway and came to rest inverted. Post accident examination of the seat track showed that the seat locking pin positively engaged in all of the seat track holes. The most forward hole contained a bolt used as a forward seat stop to prevent the seat from coming off of the seat track. When the seat pin was engaged in this hole, full depth engagement was not possible. Rub marks were present on the bolt shank that was visible through the seat track hole. The pilot normally flew the airplane with the seat in its forward most position. The airplane manufacturer did not design the seat stop and there was no installation record of the bolt used as a seat stop in the airplane maintenance records. The airplane was equipped with an after-market backup seat stop to prevent the seat from slipping aft if the primary seat locking mechanism failed. Although there were no mechanical problems noted with the device, the backup stop was not secured to the seat track.
Factual narrative
On June 4, 2006, at 1400 Pacific daylight time, a Cessna 180A, N180LG, sustained substantial damage when the pilot's seat slid aft and the airplane veered from the runway during the takeoff roll at Marina Municipal Airport, Marina, California. The airplane came to rest inverted. The private pilot and one passenger were not injured. The pilot, who was also the registered owner of the airplane, was operating it under the provisions of 14 CFR Part 91. Visual meteorological conditions prevailed, and no flight plan had been filed for the local area personal flight. The flight was destined for Frazier Lake Airpark, Hollister, California.
The pilot stated that during the takeoff roll, his seat slipped aft and the throttle control slipped from his grasp so he was unable to pull it to the closed position. The airplane veered left from the runway and nosed over. He had adjusted his seat prior to takeoff and noted no slippage. He believed that he had also secured the after market seat stop called a SAF-T-STOP on the seat track but was not certain. The pilot stated that he normally flew the airplane with the seat in its forward most position. The seat and seat track were last inspected during the annual inspection in September 2005.
The seat track and locking mechanism were examined on June 20, 2005, by the National Transportation Safety Board investigator, and compared with data obtained from airworthiness directive (AD) 87-20-03 R2. AD 87-20-03 R2 defines the airworthiness requirements and minimum acceptable wear on the seat locking mechanism and seat track components. The seat track roller assembly was intact and operational. The seat track holes were measured using an electronic micrometer. The holes were all within specified tolerances. The roller housing had a light coat of dust and grime. The rollers turned freely on their axle bolts. The spring that keeps the locking pin in place provided positive engagement. The tang thickness was greater than 1/2 of the roller housing thickness.
Two bolts were installed through the seat track; one through the most forward hole and one through the most aft hole. The purpose of the bolts was to serve as the fore and aft seat stops. The bolts fit perpendicular to the seat track and were secured to the track using nuts. The forward bolt shank that was visible through the seat track hole had noticeable rub marks on its upper surface. When the bolt was removed and examined, there were no rub marks on the bottom portion of the bolt.
The seat lock pin was engaged in each of the seat track holes and did not disengage with an applied force. The investigator noted that when the seat pin was engaged in the most forward hole with the bolt through it, specified depth engagement of the seat pin was not possible. When the locking pin passed through the hole, it would hit the shank of the bolt prior to reaching its full locking depth. There was no installation record of the bolt seat stop in the airplane maintenance records.
The airplane inside seat track was equipped with a SAF-T-STOP. The stop was not tightened on the track and was free to move fore and aft. When the investigator tightened the stop on the seat track, the seat did not move past the stop. The purpose of the SAF-T-STOP is to prevent the seat from slipping aft if the primary seat locking mechanism fails.
According to Cessna Aircraft Company, the approved seat stop uses a U-shaped piece of metal that fits over the seat track and is held using a pin through the side hole. This is secured using a cotter pin. The design does not allow the seat lock pin to engage in the hole through which it is secured.
Aircraft
- Registration
- N180LG
- Reported as
- Cessna 180A
- Category
- Airplane
- Serial number
- 32693
- Airframe hours
- 3,112
- Engine
- Teledyne Continental O-470-K, 230 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · September 1, 2005 · 47 hours before
- Departed
- OAR · Marina, CA
- Destination
- 1C9 · Hollister, CA
- Airport
- OAR · Marina, runway 29, 3,000 × 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
- 69
- Injuries
- None
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Medical
- Class 3, With waivers/limitations
- Last flight review
- June 1, 2004
- Seat
- Left
- Flight hours
- 2,206 total · 1,512 in this make and model · 31 in the last 90 days · 18 in the last 30 days · 1 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 300° at 9 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- 1,200 ft broken
- Temperature
- 64 °F, dew point 55 °F
- Altimeter
- 30.02 inHg
- Observed at
- MRY, 7 nm away
Docket · 7
The files NTSB released with the investigation on December 18, 2006, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.5 MB in all.
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.