LAX95LA211

NTSB accident investigation · Harmon Dolphin · Paso Robles, CA · June 17, 1995

Accident · FatalLimited investigationFinal report
Date
June 17, 1995, 08:52 local (15:52 UTC)
Place
Paso Robles, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N89JHHarmon Dolphin
Weather
Instrument (IMC) · Day
Status
Completed · report February 8, 1996
Report
Approved by Office Director
FAA report
19950617049579A
Case key
29117

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 decision continue VFR flight into instrument meteorological conditions (IMC), loss of aircraft control due to spatial disorientation, and exceeding the design stress limits of the airplane. The weather condition was a related factor.

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.

In flight encounter with weatherApproach
Weather condition - low ceilingFactor
Weather condition - fogFactor
Vfr flight into imc - intentionalPilot in commandCause
Loss of control - in flightApproach
Aircraft control - not maintainedPilot in commandCause
Spatial disorientationPilot in commandCause
Lack of total instrument timePilot in commandFactor
Airframe/component/system failure/malfunctionDescent - uncontrolled
Design stress limits of aircraft - exceededPilot in commandCause
Wing - overload
Wing - separation
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The accident airplane was one of two aircraft that were flying together to Paso Robles municipal airport. The weather at the airport was reported as a 600-foot ceiling with 3 miles visibility in fog. The pilot of the second airplane was in communications with the accident airplane. According to the pilot of the second airplane, the pilot of the accident airplane had descended into the top of the fog. The second airplane pilot asked the accident pilot where he was. The accident pilot stated, 'I don't know where I am.' There were no further radio transmissions heard from the accident pilot. The aircraft crashed about 1 mile from the airport. The outboard 4 feet of the left wing was found about 150 feet from the main wreckage. An exam of the wing fractures revealed evidence that the outboard portion of the wing had separated in an upward and aft direction. The pilot was not instrument rated.

Factual narrative

On June 17, 1995, at 0852 hours Pacific daylight time, an amateur built Harmon Dolphin, N89JH, collided with rolling terrain about one mile west of the Paso Robles Municipal Airport, Paso Robles, California. The airplane was destroyed and the certificated private pilot received fatal injuries. The airplane was being operated as a personal flight by the pilot/owner when the accident occurred. Instrument meteorological conditions prevailed at the time.

The accident airplane was one of two aircraft that were flying together and planning to land at Paso Robles Municipal Airport. The weather at the airport was reported in part as a 600-foot ceiling with visibility 3 statute miles with fog. The pilot of the second airplane was in communications with the accident airplane. According to the pilot of the second airplane, the pilot of the accident airplane had descended into the top of the fog. The second airplane pilot asked the accident pilot where he was. The accident pilot stated, "I don't know where I am." There were no further radio transmissions heard from the accident pilot.

Witnesses reported hearing the experimental aircraft pilot communicate with another pilot on the ground on the common traffic advisory frequency. About 3 minutes before the accident, the experimental aircraft pilot indicated he was unable to find the airport due to the weather, after which no further communications were heard. The investigation revealed the radio transmissions heard on the ground from the experimental aircraft were from the second airplane pilot.

Pilot Information

The non-instrument rated pilot held a private pilot certificate which was issued on September 13, 1994, with single-engine land airplane rating. The most recent third-class medical certificate was issued to the pilot on June 27, 1994, and contained the limitation that correcting lenses for near vision must be available while exercising the privileges of his airman certificate.

No personal flight records were located for the pilot and the aeronautical experience listed in this report was estimated.

Wreckage and Impact Information

The airplane impacted in a dry rolling pasture. A postimpact fire erupted, burning part of the wreckage and some grass. The Safety Board did not conduct an on scene wreckage examination. The airplane wreckage was examined after it was recovered on June 21, 1995, at aircraft salvage facilities located in Santa Paula, California.

The propeller was separated from the engine. The crankshaft was fractured aft of the propeller flange. Both propeller blades were found loose in the hub. There was leading edge damage to both propeller blades, chordwise scoring and scratches, and slight forward bending.

The engine was exposed to the postimpact fire. There was no evidence found of preimpact failure or malfunction.

The outboard 4 feet of the left wing was found by recovery personnel about 150 feet from the fuselage. There was no evidence found on the left wing to indicate it was exposed to the postimpact fire. The wing spar caps consisted of seven laminated 1/8-inch bars of aluminum riveted together and to a sheet metal aluminum web. The spar caps are tapered as they extend outboard in the wing by decreasing the number of laminates.

The upper spar cap was examined and found delaminated at a bend in the cap slightly inboard of the wing separation point. The aluminum rivets that hold the laminates together were sheared with the pieces of aluminum rivets still in the rivet holes. The lower spar cap was fractured through the laminates with the laminates necked down at the breaks with a 45-degree fracture profile.

The upper and lower spar caps taper to two laminates in the area of the wing separation. The left wing outboard laminates were found separated from the web and curled upward and aft relative to the airplane longitudinal axis. The rivets that hold the spar cap to the web were found pulled out, leaving no structure to hold the outboard 4 feet of the left wing.

Medical and Pathological Information

A post mortem examination was conducted by the San Luis Obispo County Coroner's Office with specimens retained for toxicological examination. The results of the toxicological analysis were negative for routine drug and alcohol screens.

Aircraft

Registration
N89JH
Reported as
Harmon Dolphin
Category
Airplane, amateur-built
Serial number
001
Engine
Lycoming O-360, 200 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Molatore, Dennis J.
Airworthiness certificate
Special, Experimental (Special)
Departed
FCH · Fresno, CA
Destination
PRB
Airport
PRB · Paso Robles Municipal

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
52
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Front
Toxicology
Performed
Flight hours
100 total

Weather

Conditions
Instrument (IMC) · Day
Wind
250° at 3 knots
Visibility
3 statute miles
Lowest ceiling
600 ft overcast
Temperature
55 °F, dew point 48 °F
Altimeter
30.00 inHg
Observed at
PRB, 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.