LAX92LA050

NTSB accident investigation · Speyer Avid Amphibian · San Ysidro, CA · November 22, 1991

Accident · FatalLimited investigationFinal report
Date
November 22, 1991, 10:24 local (18:24 UTC)
Place
San Ysidro, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N118ASpeyer Avid Amphibian
Weather
Visual (VMC) · Day
Status
Completed · report April 27, 1993
Report
Approved by Office Director
FAA report
19911122053329A
Case key
27507

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

Failure of the pilot/builder to follow the manufacturer's recommended airframe modification procedure to prevent the inflight loss of a flaperon due to flutter. Contributing to the accident was in inflight separation of the wing when the design limits of the airframe were exceeded.

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
Flight control,aileron - flutterCause
Flight control,aileron - separationCause
Maintenance,modification - recommendedManufacturer
Maintenance,modification - not performedPilot in commandCause
Maintenance,service bulletin/letter - not followedPilot in commandCause
Loss of control - in flightDescent - uncontrolled
Wing - separationFactor
Design stress limits of aircraft - exceededPilot in commandFactor
Evacuation - attemptedPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The certificated commercial pilot, the sole occupant, was conducting flight tests on a newly manufactured experimental, amateur built airplane. While orbiting over an airport, the pilot declared an emergency and was observed descending in a left spiralling dive. The left flaperon and left wing separated from the fuselage. The pilot, who was wearing a parachute, attempted to bail out of the airplane at low altitude. The parachute failed to sufficiently open due to the low altitude. An examination of the separated flaperon disclosed cyclic overload and overtravel attributed to flutter. Flaperon counter weights were strongly recommended by the manufacturer to prevent flutter. The pilot elected not to install the counter weights because it would impose an addition of weight, and the pilot felt that they were not needed.

Aircraft

Registration
N118A
Reported as
Speyer Avid Amphibian (AVID AMPHI)
Category
Airplane, amateur-built
Serial number
6
Airframe hours
3
Engine
Rotax 582, 65 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
James Speyer
Registered owner
James Speyer
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Unknown · October 22, 1991 · 3 hours before
Departed
SDM · San Diego, CA

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
41
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
2,600 total

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 5 knots
Visibility
25 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 54 °F
Altimeter
30.00 inHg
Observed at
SDM, 2 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.