LAX88FA060

NTSB accident investigation · Piper PA-46 · Long Beach, CA · November 30, 1987

Accident · FatalField investigationFinal report
Date
November 29, 1987, 18:43 local (Nov 30, 1987, 02:43 UTC)
Place
Long Beach, CA
Injuries
1 fatal, 1 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N4369VPiper PA-46
Weather
Visual (VMC) · Night/dark
Status
Completed · report November 2, 1989
Report
Approved by Office Director
FAA report
19871129068489A
Case key
25795

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

Pilot's failure to land the aircraft after experiencing the pilot's faulty decision was his previous experience with a gear up landing a couple of years before.

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.

Airframe/component/system failure/malfunctionCruise - normal
Exhaust system,turbocharger - failure,partial
Exhaust system,turbocharger - disengagedFactor
Engine installation,mounting bolt - separationFactor
Maintenance,installation - improperCompany maintenance personnelCause
Maintenance,inspection - poorCompany maintenance personnelFactor
Airframe/component/system failure/malfunctionDescent - emergency
Electrical system,electric wiring - burnedFactor
Electrical system,alternator - disabled
Hydraulic system,accumulator - low levelCause
Landing gear,gear indicating system - false indication
Low pass - intentionalPilot in command(cfi)Cause
Anxiety/apprehensionPilot in command(cfi)Factor
FireGo-around (vfr)
Engine assembly,cylinder - fatigueCause
Engine assembly,cylinder - separation
Go-around - performedPilot in command(cfi)
Judgment - poorPilot in command(cfi)Factor
Loss of engine power(total) - mech failure/malfApproach - vfr pattern - base leg/base to final
Fluid,oil - starvationFactor
In flight collision with terrain/waterDescent - uncontrolled
Light condition - night
Stall/mush - encounteredPilot in command(cfi)Cause

Analysis

During the return flight to san jose and subsequent descent and approach to the Long Beach airport, the two pilots experienced, in succession, a failure of the turbocharger system, loss of an alternator, loss of engine oil pressure, an unsafe landing gear indication, and an in-flight fire followed by the loss of engine power during a night time circling approach to an unfamiliar airport in visual meteorological conditions. The aircraft crashed onto the southbound lanes of the san diego freeway at Long Beach after making a flyby of the tower to confirm the landing gear position. The investigation revealed an improperly installed turbocharger, a cracked manifold exhaust, a burned main power lead, a separated cylinder, and a low fluid level in the hydraulic reservoir. Two years prior to this accident, the instructor pilot made an unintentional gear up landing in another acft. One year prior to this accident the FAA revoked the mechanic's inspection authorization.

Aircraft

Registration
N4369V
Reported as
Piper PA-46
Category
Airplane
Serial number
46-8408076
Engine
Continental TSI0-520-BE1, 310 horsepower, reciprocating
Damage
Destroyed
Fire
Both
Flight
Instructional · Part 91
Operator
Million Air
Registered owner
Lawrence J & Sandra M Hoffart
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 22, 1987
Departed
CRQ · Carlsbad, CA
Destination
SJC · San Jose, CA
Flight plan
IFR
Airport
LGB · Long Beach, runway 30, 10,000 × 200 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
62
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Toxicology
Performed
Flight hours
4,782 total · 237 in this make and model · 4,656 as pilot in command

Weather

Conditions
Visual (VMC) · Night/dark
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 45 °F
Altimeter
30.00 inHg
Observed at
LGB, 1 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.