LAX92LA074

NTSB accident investigation · Piper PA32RT-300 · Big Bear City, CA · December 31, 1991

Accident · Minor injuriesLimited investigationFinal report
Date
December 30, 1991, 20:10 local (Dec 31, 1991, 04:10 UTC)
Place
Big Bear City, CA
Injuries
2 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N39459Piper PA32RT-300
Weather
Visual (VMC) · Night/dark
Status
Completed · report April 23, 1993
Report
Approved by Office Director
FAA report
19911231058009A
Case key
27526

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 failure of the pilot to maintain directional control and improper use of the rudder. Contributing to the accident was the improper installation by the company of a hand control mechanism that required the pilot to operate the airplane controls with one hand and restricted visual outlook due to the existing instrument meteorological conditions.

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.

Loss of control - on ground/waterTakeoff - roll/run
Light condition - dark nightFactor
Visual lookout - restrictedPilot in commandFactor
Weather condition - obscurationFactor
Directional control - not maintainedPilot in commandCause
Weather condition - fogFactor
Rudder - improper use ofPilot in commandCause
Flt control syst,rudder - improperFactor
Acft/equip,inadequate control locationCompany/operator managementFactor
On ground/water encounter with terrain/waterTakeoff - roll/run
Terrain condition - snowbank

Analysis

The certificated commercial pilot and three passengers were departing on a night visual flight rules cross country flight in instrument meteorological conditions. The airplane was equipped with a hand control mechanism mounted on the right side of the center control console. This required the pilot to manipulate all of the airplane controls, with the exception of the control column, with the right hand. During the take-off roll, the pilot failed to properly use the rudder control by relaxing right rudder control pressure. The airplane drifted to the left and struck an 8 inch berm of snow located along the side of the runway. The prevailing visibility conditions varied from 3/4 of a mile, down to 50 feet which restricted the pilot's visual acuity. The pilot reported that the runway lights were obscured by snow.

Aircraft

Registration
N39459
Reported as
Piper PA32RT-300
Category
Airplane
Serial number
32R-7885219
Airframe hours
1,179
Engine
Lycoming IO-540-K1G50, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Aero Haven, Inc.
Registered owner
Aero Haven, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 13, 1991 · 92 hours before
Destination
LAS · Las Vegas, NV
Airport
L35 · Big Bear City, runway 25, 5,850 × 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
42
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
807 total · 38 in this make and model · 733 as pilot in command · 108 in the last 90 days · 38 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
Calm
Temperature
21 °F, dew point 19 °F
Altimeter
30.00 inHg
Observed at
L35, 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.