LAX93LA276

NTSB accident investigation · Curtis Rans S-12 · Samoa, CA · July 4, 1993

Accident · FatalLimited investigationFinal report
Date
July 4, 1993, 14:53 local (21:53 UTC)
Place
Samoa, CA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N410ZECurtis Rans S-12
Weather
Visual (VMC) · Day
Status
Completed · report November 19, 1993
Report
Approved by Office Director
FAA report
19930704021869A
Case key
27982

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 inadvertent stall of the airplane. Factors related to this accident were: the emergency parachute system that was deployed by the pilot, the partial failure of the parachute survival equipment to deploy properly, and the insufficient information provided by the aircraft parachute 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.

Loss of control - in flightCruise
Weather condition - high wind
Stall - inadvertentPilot in commandCause
Emergency equipment - selectedPilot in commandFactor
Misc eqpt/furnishings,survival equipment - failure,partialFactor
Procedures/directives - information insufficientManufacturerFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

Several witnesses reported that the airplane, which has a rear mounted engine, seemed to be having some difficulty with controllability due to the high winds in the area. The consensus was that the airplane appeared to enter a stall, and then it spun several times before impacting the ground. The aircraft ballistic parachute system was manually deployed by the pilot, but did not inflate behind the airplane. The parachute was found entangled in the crankshaft just forward of the propeller. The parachute owners manual states the engine should be stopped prior to deployment of the parachute. It also recommends not deploying the parachute in 'strong winds or convection', although no specific guidelines were found for the pilot to follow in the event he encountered such phenomena. A senior technician who worked at the parachute manufacturer approved the installation of the parachute per photo documentation, as required by the manufacturer. The company could not provide a written record of the approval. The manual does not address a minimum recommended altitude or a minimum speed for the deployment of the parachute. Post crash investigation failed to find any pre existing failure/malfunction of the propeller or powerplant.

Aircraft

Registration
N410ZE
Reported as
Curtis Rans S-12
Category
Airplane, amateur-built
Serial number
0591083
Engine
Rotax 582, 65 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Bish, Gregory Keith
Registered owner
Bish, Gregory Keith
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Unknown · January 2, 2000
Departed
033 · Eureka, 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
39
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
265 total · 187 in this make and model · 255 as pilot in command · 62 in the last 90 days · 14 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 20 knots, gusting 25
Visibility
30 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 52 °F
Altimeter
29.00 inHg
Observed at
ACV, 14 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.