LAX94FA323

NTSB accident investigation · Lockheed C-130A · Pearblossom, CA · August 13, 1994

Accident · FatalField investigationFinal report
Date
August 13, 1994, 13:31 local (20:31 UTC)
Place
Pearblossom, CA
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N135FFLockheed C-130A
Weather
Visual (VMC) · Day
Status
Completed · report December 19, 1995
Report
Approved by Office Director
Safety recommendations
Yes
FAA report
19940813021289A
Case key
28548

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 inflight failure of the right wing due to fatigue cracking in the underside right wing skin and overlying doubler. A factor contributing to the accident was inadequate maintenance procedures to detect fatigue cracking.

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
Wing - failure,total
Maintenance,inspection - inadequateCompany/operator managementFactor
Wing,skin - fatigueCause
Loss of control - in flightDescent - uncontrolled
Aircraft control - not possible
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - mountainous/hilly

Analysis

While in level flight, the airplane's right wing separated and, during the separation sequence, wing fuel ignited. Subsequent laboratory examination of right-side, center-wing fragments revealed two fatigue cracks that propagated to overstress fractures. One of the cracks was within the underside wing skin below a doubler, and the other was within the doubler itself. The total size and origin of the fatigue regions could not be determined due to damage to fracture surfaces and a lack of available material. The airplane was delivered new to the U.S. Air Force in December 1957 and was retired from military service in 1986. In May 1990, the FAA issued a restricted-category special airworthiness certificate authorizing the airplane to dispense aerial fire retardant. At the time of the accident, the airplane had a total of 20,289 flight hours, 19,547 of which were acquired during its military service. The inspection and maintenance programs used by the operator, which were based on military standards, included general visual inspections for cracks but did not include enhanced or focused inspections of highly stressed areas, such as the wing sections, where the fatigue cracks that led to those accidents were located. The operator did not possess the engineering expertise necessary to conduct studies and engineering analysis to define the stresses associated with the firefighting operating environment and to predict the effects of those stresses on the operational life of the airplanes.

Factual narrative

History of flight

On August 13, 1994, at 1331 Pacific daylight time, a civilian Lockheed C-130A, N135FF, operating as Tanker 82, impacted mountainous terrain near Pearblossom, California. The airplane was destroyed and the crew of three were fatally injured. The flight originated from Hemet-Ryan Airport (HMT), Hemet, California, at 1310. Visual meteorological conditions prevailed at the time of the accident, and a company flight plan was filed for the operation. The airplane was owned by Aero Firefighting Service Company, Inc., and operated by the U.S. Forest Service as a public use aircraft.

According to U.S. Forest Service personnel, the airplane was responding to a fire near the Tehachapi Mountains at the request of the California Department of Forestry. The crew was receiving flight following from High Desert TRACON (Joshua Approach Control) and the airplane's encoding altimeter was indicating 7,800 feet msl. A review of air traffic control communication tapes revealed two unidentified transmissions; one of an unintelligible squeal, followed by a brief expletive at 1331.

According to some witnesses, the airplane had been in level flight when a fireball and/or explosion occurred in the vicinity of the left-wing, inboard engine, followed by separation of the left wing. Other witnesses observed the right engine "blow," followed by a second explosion; and the airplane turned to the right. Witnesses further noted that the airplane "rolled," "rotated clockwise," "arc[ed] down to the right," and "barrel rolled" after the fire/explosion.

Witnesses also stated that the ground impact of the main wing and fuselage resulted in an additional fireball and explosion, and one witness stated that the smoke from the ground fire rose vertically in an undisturbed column.

Personnel information

The pilot, copilot, and flight engineer were rated in the airplane. A review of the pilot/operator accident report prepared by the operator revealed that the crew had current flight experience in the accident airplane. According to FAA inspectors, at the time of the accident, the flight was being operated in accordance with applicable regulations.

Aircraft information

The airplane was delivered to the U.S. Air Force in December 1957. In April 1959, it was modified to become a C-130A-II, to perform an electronic reconnaissance mission. In September 1964, it was de-modified and reconfigured to a "near standard C-130A" and transferred to the Air National Guard. In August 1986, the airplane was transferred to Davis-Monthan Air Force Base for storage. In June 1988, it was removed from storage. In June 1990, modification as a restricted category firefighting aircraft was approved per FAA Form 337. A Restricted Category Special Airworthiness Certificate, which authorized aerial dispensing of fire retardant, was issued in May 1990.

A review of maintenance records revealed that on April 22, 1994, the airplane was returned to service after a progressive inspection cycle. The inspection program was an FAA approved and authorized aircraft inspection program (AAIP). The airplane completed an eddy current inspection in April 1991. All parts tested met the inspection standard. Investigators estimated that at the time of the accident, the airplane was within weight and balance limitations and had sufficient fuel to complete the planned flight.

On July 17, 1994, (the most recent record available) the operator completed a Day Off Inspection (seven-day check.) The records of subsequent checks were onboard the airplane and were destroyed.

Meteorological information

According to recorded information from the Bureau of Land Management's Automatic Lightning Detection System (ALDS), there was lightning activity in the area of the accident site at the time of the crash. Witnesses, both on the ground and in the air near the accident site, reported that the airplane was clear of clouds and that there was no visible electrical activity at the time of the accident.

Aids to navigation

The impact site was located along an imaginary line connecting Hemet-Ryan Airport and Tehachapi, California. At 1330, the pilot reported to Joshua Approach Control that he intended to "go straight for the next 42 miles."

According to U.S. Forest Service officials, dispatch information included magnetic direction to the fire and distance from the departure airport, along with the latitude and longitude of the fire's location. The operator reported that the crew was familiar with the area and that the airplane was equipped with a global positioning system (GPS).

Communications

After takeoff, the crew initiated two-way radio contact with Ontario Approach Control. The crew responded to radio calls without delay or difficulty until 1330 (about 1.5 minutes before the accident.) All communications were routine with no indication of any in-flight problems.

Wreckage and impact information

The wreckage was located in the San Gabriel Mountains, on the north face of Pleasant View Ridge, near Pechner Canyon, about the 6,500-foot level. The airplane's right wing was separated from the main wreckage.

A total of six center wing pieces, five pieces of the upper wing surface and one piece of stringer, were found approximately 1,000 feet in advance of the separated main wing. Numerous pieces of 1-inch-thick, yellow styrofoam, a green interior wing panel, and a torn portion of a fuel cell liner were also found in the same general area. None of the debris had been involved in the resulting ground fire. The styrofoam material was reported to have been located beneath the auxiliary fuel cell. Portions of the styrofoam exhibited evidence of surface charring. Light sooting of the wing pieces was consistent with normal service.

Crush on the separated right wing components indicated a near-level attitude at impact. The identification was made by serial numbered components recorded as being located on the right side of the airplane. Examination of the debris revealed an outline of a burned and melted main wing structure, extending from the right wing tip to a section inboard of the No. 3 engine nacelle. The ground fire melted or consumed all fracture surfaces on the inboard portion.

A teardown inspection of the No. 3 and 4 engines revealed no evidence of rotational scoring. Although the supporting structure was fractured or consumed by fire, the engines retained their relative positions on the right wing. The persistent odor of ammonia was detected in and about the No. 3 engine.

Both the No. 3 and 4 propellers and hubs were found separated from their engines. The No. 3 propeller was found at -10 degrees (full reverse) while the No. 4 propeller was found at 67 degrees, and its dome stop ring was found to be almost in the feather position. There was no bending, twisting, or leading edge damage on any blade from either the No. 3 or No. 4 hubs. Two blades from the No. 3 hub had been consumed by fire up to the blade root.

The main fuselage and remaining left wing impacted rising terrain. The impact resulted in major structural collapse and disintegration, and a fire.

The cockpit area was identified, but efforts to access the interior portion were unsuccessful. Attempts at an aerial recovery of the cockpit were also unsuccessful and resulted in disintegration of the structure.

The No. 1 and 2 engines were recovered, and both exhibited evidence of rotational scoring. Both engines were displaced from their position relative to the left wing. Crush of the engine cases indicated a near 90-degree terrain impact angle on both engines.

The No. 1 and 2 propellers and hubs were separated from the engines. None of the No. 1 or 2 propeller components were recovered.

Medical and pathological information

There was no autopsy or toxicological examination of any of the crewmembers.

Additional information

The wreckage

Aircraft

Registration
N135FF
Reported as
Lockheed C-130A
Category
Airplane
Serial number
56-540
Airframe hours
20,300
Engine
Allison T-56-A-9D, 3,750 horsepower, turbo prop
Damage
Destroyed
Fire
In-Flight
Flight
Public aircraft · Part 137
Operator
James A. Venable, doing business as Hemet Valley Flying Service
Registered owner
Aero Firefighting Svc Co Inc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
AAIP · August 7, 1994 · 10 hours before
Departed
HMT · Hemet, CA
Flight plan
Company VFR

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
61
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
11,000 total · 2,000 in this make and model · 8,000 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
50 statute miles
Lowest ceiling
None
Temperature
102 °F, dew point 50 °F
Altimeter
30.00 inHg
Observed at
PMD, 16 nm away

Docket · 43

The files NTSB released with the investigation on June 4, 2004, on NTSB’s docket system: statements, records, photos and specialists’ reports. 16.7 MB in all.

Supplement CItem 1 · .PDF · 328 KBSupplement DItem 2 · .PDF · 389 KBSupplement EItem 3 · .PDF · 92 KBSupplement KItem 4 · .PDF · 912 KBSupplement NItem 5 · .PDF · 138 KBPilot/Operator Aircraft Accident Report, NTSB Form 6120.1/2Item 6 · .PDF · 298 KBFactual Report of Group Chairman - Metallurgist's Factual ReportItem 7 · .PDF · 95 KBFactual Report of Group Chairman - PowerplantItem 8 · .PDF · 406 KBFactual Report of Group Chairman - StructuresItem 9 · .PDF · 346 KBWitness StatementsItem 10 · .PDF · 1.4 MBMap of Accident AreaItem 11 · .PDF · 61 KBWreckage DiagramItem 12 · .PDF · 70 KBMap of Accident AreaItem 13 · .PDF · 51 KBNTSB Weather Factual ReportItem 14 · .PDF · 185 KBTranscript of Radio CommunicationsItem 15 · .PDF · 224 KBFuel System Schematic DrawingsItem 16 · .PDF · 176 KBUSAF Analysis of C-130A Wing SectionItem 17 · .PDF · 366 KBCalifornia Department of Forestry Lightning Strike AnalysisItem 18 · .PDF · 447 KBLos Angeles County Sheriff's Department ReportItem 19 · .PDF · 181 KBFAA Review of Maintenance RecordsItem 20 · .PDF · 233 KBHemet Valley Flying Service Return to Service InspectionItem 21 · .PDF · 2.2 MBHemet Valley Flying Service Day Off InspectionItem 22 · .PDF · 326 KBT.O. 1C-130A-1 Emergency ProceduresItem 23 · .PDF · 104 KBT.O. 1C-13A-1 Top of Aircraft InspectionItem 24 · .PDF · 38 KBStatement of Party Representatives to NTSB InvestigationItem 25 · .PDF · 245 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 26 · .PDF · 46 KBPhoto 1. View of final position of main fuselage from the east.Item 27 · .PDF · 43 KBPhoto 2. View of final position of main fuselage from the north.Item 28 · .PDF · 52 KBPhoto 3. View of section of upper surface from center wing section from the north.Item 29 · .PDF · 49 KBPhoto 4. View of section of upper surface from center wing section from the west.Item 30 · .PDF · 69 KBPhoto 5. View of the upper surface of the center wing section looking inboard from the right.Item 31 · .PDF · 36 KBPhoto 6. View of final position of the right wing from the east.Item 32 · .PDF · 55 KBMaterials Laboratory Factual ReportItem 33 · .PDF · 1.6 MBPhoto 1R. Aerial view of wreckage site. Photo taken during reexamination of wreckage in 2003.Item 34 · .PDF · 593 KBPhoto 2R. Aerial view of wreckage site. Photo taken during reexamination of wreckage in 2003.Item 35 · .PDF · 522 KBPhoto 3R. Aerial view of wreckage site. Photo taken during reexamination of wreckage in 2003.Item 36 · .PDF · 599 KBPhoto 4R. View of right wing. Photo taken during reexamination of wreckage in 2003.Item 37 · .PDF · 578 KBPhoto 5R. Sheriff's helicopter used in reexamination of wreckage in 2003.Item 38 · .PDF · 529 KBPhoto 6R. View of fragmented wreckage. Photo taken during reexamination of wreckage in 2003.Item 39 · .PDF · 647 KBPhoto 7R. View of main wreckage (fuselage). Photo taken during reexamination of wreckage in 2003.Item 40 · .PDF · 580 KBPhoto 8R. View of portion of right wing. Photo taken during reexamination of wreckage in 2003.Item 41 · .PDF · 479 KBPhoto 9R. View of portion of right wing. Photo taken during reexamination of wreckage in 2003.Item 42 · .PDF · 528 KBPhoto 10R. Bottom skin of right wing at rainbow fitting area (recovered for laboratory examination). Photo taken during reexamination of wreckage in 2003.Item 43 · .PDF · 442 KB

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.