# NTSB LAX91LA273: Piper PA-28, N8745N, Pacoima, CA, June 22, 1991

- Type: NTSB accident investigation
- Classification: Accident · Serious injuries · Limited investigation · Final report
- Date: June 21, 1991, 20:20 local (Jun 22, 1991, 03:20 UTC)
- Place: Pacoima, CA
- Location: 34.2625° N, 118.4270° W: Placed by OpenAirDocs: center of Pacoima, CA, within about 6 miles (OpenAirDocs)
- Nearby events: https://openairdocs.org/map.md?lat=34.2625&lon=-118.4270&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Highest injury: Serious injuries
- Injuries: 3 serious, 1 uninjured
- Status: Completed, report March 31, 1993
- Report: Approved by Office Director
- NTSB case key (mKey): 27259
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX91LA273
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/27259/pdf
- Page: https://openairdocs.org/ntsb/LAX91LA273

## Probable cause

THE PILOT'S IMPROPER PREFLIGHT PLANNING/PREPARATION AND HIS FAILURE TO ATTAIN THE PROPER ALTITUDE.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- In flight collision with terrain/water, climb
  - terrain condition - mountainous/hilly
  - preflight planning/preparation - improper, pilot in command (cause)
  - aircraft weight and balance - inaccurate, pilot in command (contributing factor)
  - proper altitude - not attained, pilot in command

## Analysis

THE PILOT AND HIS THREE PASSENGERS DEPARTED THE AIRPORT IN THEIR AIRCRAFT WHICH WAS ESTIMATED TO BE ABOUT 120 POUNDS OVER THE CERTIFICATED MAXIMUM GROSS WEIGHT.  ABOUT 6 MINUTES AFTER TAKEOFF, THE AIRCRAFT COLLIDED WITH MOUNTAINOUS TERRAIN AT ABOUT 4,200 FEET MEAN SEA LEVEL.  ON SCENE EXAMINATION OF THE AIRCRAFT AND ITS ENGINE REVEALED NO PRE-EXISTING MECHANICAL PROBLEM.  THE AIRCRAFT'S CLIMB PERFORMANCE WAS CALCULATED BY AN FAA OPERATIONS INSPECTOR.  HE DETERMINED THAT THE AIRCRAFT DID NOT HAVE THE ABILITY TO DEPART THE AIRPORT; FLY DIRECTLY TO THE ACCIDENT LOCATION; AND CLEAR THE MOUNTAINOUS TERRAIN.  ONE PASSENGER STATED THAT THE AIRCRAFT'S ENGINE WAS RUNNING FINE, BUT THAT THE AIRCRAFT JUST COULD NOT CLEAR THE TERRAIN.  THE PILOT SAID THAT THE ENGINE FAILED.

## Aircraft

- Registration: [N8745N](https://openairdocs.org/deregistered/N8745N-2012-07-31), registration cancelled 2012-07-31, S/N 28-25561, built 1969 (OpenAirDocs)
- Reported make and model: PIPER PA-28
- Registry model: [Piper PA-28-140](https://openairdocs.org/model/piper-pa-28-140) (registry code 7102802) (OpenAirDocs)
- Registry engine: [Lycoming 0-320 series](https://openairdocs.org/engine/lycoming-0-320-series) (registry code 41508, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 2825561
- Engines: LYCOMING IO-320 160 horsepower reciprocating
- Damage: Destroyed
- Flight: Personal, Part 91
- Operator: Earl J. Burnett
- Registered owner: Earl J. Burnett
- Departed: WHP, WHITEMAN, CA
- Destination: P06, BULLHEAD, AZ

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; private; airplane ratings: single-engine land; medical: unknown, valid medical--no waivers/lim.; flight hours: 100 total

## Weather

- Conditions: Visual (VMC), Night/dark
- Wind: 150° at 6 knots
- Visibility: 7 statute miles
- Lowest ceiling: none
- Temperature: -0 °F, dew point -0 °F

## 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 19910621023469A](https://openairdocs.org/incident/19910621023469A), Jun 21, 1991: Piper PA28140, Pacoima, CA, Destroyed. Unable to outclimb rising terrain. Struck mountainside. Possible over gross. Aircraft climb rate insufficient.

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.

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