LAX92LA038

NTSB accident investigation · Questaire Venture · San Luis Obispo, CA · November 2, 1991

Accident · No injuriesLimited investigationFinal report
Date
November 2, 1991, 10:00 local (18:00 UTC)
Place
San Luis Obispo, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N71TQuestaire Venture
Weather
Visual (VMC) · Day
Status
Completed · report April 27, 1993
Report
Approved by Office Director
Case key
27497

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's inability to control the aircraft during the landing roll due to a failure of the left brake and nose wheel steering systems. The failure of the brake and steering systems was due to a deterioration of the 'o' ring seals caused by the use of hydraulic fluid incompatible with the rubber material in the seals. A factor in the accident was the inadequate system design by the kit manufacturer.

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/malfunctionLanding - roll
Fluid,hydraulic - incorrectCause
Insufficient standards/requirements,manufacturerManufacturerFactor
Hydraulic system,seal - deterioratedCause
Landing gear,normal brake system - failure,partial
Landing gear,steering system - failure,total
Loss of control - on ground/waterLanding - roll
Directional control - not possiblePilot in command
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - rough/uneven
Nose gear collapsedLanding - roll
Landing gear,nose gear attach point - overload

Analysis

On the landing roll out, the aircraft began a gradual right turn which the pilot was unable to correct due to a failure of the left brake and nose wheel steering systems. The aircraft exited the right side of the runway and the nose gear fork failed. The aircraft nosed over. The aircraft was examined by an FAA airworthiness inspector. The inspector noted that the hydraulic brake and nose wheel steering systems were interconnected. The 'o' ring seals in the brake system were found to be badly deteriorated and he reported that the hydraulic fluid had leaked out. The kit manufacturer recommends using an automotive type fluid in the system. The inspector stated his opinion that the automotive brake fluid was incompatible with the 'o' ring material.

Aircraft

Registration
N71T
Reported as
Questaire Venture
Category
Airplane, amateur-built
Serial number
26
Airframe hours
2
Engine
Continental IO-550D, 280 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Michael C. Thomas
Registered owner
Michael C. Thomas
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · January 30, 1991 · 2 hours before
Airport
SBP · Mcchesney Fld, runway 29, 4,799 × 150 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
43
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
1,300 total · 2 in this make and model · 5 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
20 statute miles
Lowest ceiling
None
Temperature
63 °F

Other investigations on N71T · 1

Matched to the same aircraft by N-number and date.