- Date
- September 21, 1996, 15:30 local (22:30 UTC)
- Place
- Caliente, CA
- Injuries
- 3 fatal, 1 serious
- Damage
- Destroyed
- Phase of flight
- Maneuvering
- Aircraft
- N2393WPiper PA-28-181
- Weather
- Visual (VMC) · Day
- Status
- Completed · report April 29, 1997
- Report
- Approved by Office Director
- FAA report
- 19960921029049A
- Case key
- 29293
From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.
On this page
Probable cause
improper in-flight planning/decision by the flight instructor (CFI) by allowing the airplane to flying into a box canyon area, and his failure to maintain adequate airspeed, which resulted in an inadvertent stall and collision with wooded terrain. The CFI's selection of the wrong runway and the resultant tailwind were related factors.
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.
Analysis
The noncertificated dual student made a business trip with friends to a destination with a dirt airstrip. He retained a flight instructor (CFI) to provide instruction in the airplane along the route. During arrival, the CFI took control of the airplane and maneuvered to land on the east/west runway. The wind was reportedly from 290 degrees at 5 gusting 10 knots. A ground witness observed the airplane make a downwind low approach. A passenger said that the instructor circled the area to alert the student pilot's friends. The airplane was then observed to reenter the traffic pattern and land downwind. The airplane's speed was excessive and a go-around was initiated. The airplane disappeared from the ground witness' view. After the aborted landing, the airplane entered a box canyon area. Reportedly, the instructor initiated a turn between 90 and 110 degrees, and the stall warning buzzer sounded. The airplane then struck trees and crashed in a nose-down attitude. Postaccident examination of the airplane disclosed no evidence of a preimpact malfunction or failure.
Factual narrative
History of Flight
On September 21, 1996, about 1530 hours Pacific daylight time, a Piper PA28-181, N2393W, lost control in-flight and crashed about 1 mile east/northeast of Shadow Mountain Airstrip, Caliente, California. The pilots were conducting a visual flight rules instructional/personal flight. The airplane, registered to a private individual and operated by Burbank Flying Club, Burbank, California, was destroyed by impact and the postimpact fire. Three of the occupants, including the certificated commercial pilot/flight instructor occupying the right front seat and the noncertificated student pilot occupying the left front seat, sustained fatal injuries; one passenger was seriously injured. Visual meteorological conditions prevailed. The flight originated at Burbank Airport at 1435.
The registered owner of the accident airplane told Safety Board investigators in an interview conducted on October 1, 1996, that he leases the airplane to the Burbank Flying Club. About 2 weeks before the accident he scheduled the airplane for an instrument lesson at 1500 on September 21, 1996. When he arrived at Burbank Flying Club he learned that the instructor aboard the airplane erased his name from the schedule and inserted his (the instructor's) name.
Safety Board investigators interviewed several ground witnesses. None of the witness, however, observed the crash. A ground witness reported that he was in his yard, about 100 yards south of Shadow Mountain Airstrip when he observed a predominantly white low wing airplane attempt to land toward the east. The airplane went around and made a right turn to reenter the traffic pattern. The airplane touched down on the second approach, but landed long and was too fast. The airplane lifted off when it was near the end of the runway and began a shallow climb toward the east. The airplane disappeared from his view and never returned. He said that the winds were out of the west about 5 knots gusting to 10 knots, and that he was in his tractor and could not hear any engine sounds. He said that he heard fire engine sounds between 30 and 45 minutes after the airplane departed.
Another ground witness said that between 1525 and 1530 he observed smoke emanating from the accident site while driving east on Weedpatch Highway. At 1526, he saw the surviving passenger in a field. The man told him that he was a passenger in an airplane that had crashed and that people were screaming in the airplane. Moments later, the witness saw fire equipment driving west on the highway.
The passenger told him that the flight departed Burbank airport, and that the student pilot was flying to Shadow Mountain Airstrip to see a film producer. He said that when the flight arrived at the airstrip the pilot tried to land toward the east, but the runway was too short. The pilot executed a go-around and climbed toward the east. Moments later, the airplane turned to the left. The next thing the passenger remembered was that he was lying on the ground and the airplane erupted into flames.
A third witness said that she observed the airplane flying toward the west at a low altitude. She said she knew that her neighbors were expecting a business associate and assumed that the airplane was landing at the Flying "S" Airstrip located north of Weedpatch Highway.
Safety Board investigators interviewed the surviving passenger at the Southwest Regional Office, Gardena, California, on December 5, 1996. The passenger said that he is not a certificated pilot, nor has he taken any flying lessons. He said that the student pilot invited him on the morning of the accident to accompany him to visit his friend at Caliente. The passenger was aware that the student pilot was taking flying lessons, but he was not aware that this was the first flight that the student had flown the airplane. The passenger said that before departing on the accident flight, the student pilot telephoned the friend he was going to visit. The friend told him to fly over his residence and then land at the airport. The friend also told the student pilot that the flight should land toward the west; the student pilot relayed this information to the instructor.
The student pilot flew the airplane while it was en route. When the flight arrived at Caliente, the instructor assumed the controls. The instructor circled the vicinity of the airport and the nearby residences. The instructor then entered the traffic pattern and landed toward the east. The airplane touched down about midfield. When it was evident that the airplane was not going to be able to stop on the runway environment, the instructor initiated a go-around. During the pull-up, a buzzer (the aural stall warning) sounded and the student pilot told his fiance, seated in the left rear seat, "do not worry, everything is under control."
The airplane initially climbed straight out to about 500 feet above the ground and then turned left (north) toward rising terrain. When the airplane flew further into the canyon, the pilot turned the airplane. When the airplane turned between 90 and 110 degrees, the aural stall warning buzzer sounded. The bottom of the airplane then struck some trees and plunged downward. During the descent, the passenger saw the ground through the windscreen.
The passenger said that he may have seen a red light illuminate on the instrument panel before the airplane struck the trees. He said that at the time of the accident, the skies were clear with unlimited visibility; the winds were from the west between 5 and 10 miles per hour.
Crew Information
The pilot-in-command (PIC) held a commercial pilot certificate with airplane ratings for single and multiengine land and instrument. The PIC received the multiengine rating on February 26, 1996. He also held a certified flight instructor's certificate with an airplane single engine rating. The PIC received his last unrestricted first-class medical certificate on June 26, 1996. According to current federal air regulations, a first-class medical certificate is valid for 6 calendar months.
Safety Board investigators did not recover the PIC's flight hours logbook. The flight hours reflected on page 3 of this report were the hours he reported on the application form when he received his multiengine rating. According to the Burbank Flying Club records, the PIC received a check-out in the accident airplane on December 20, 1994. The records also reflect that the PIC signed the Burbank Flying Club Course Rules on June 27, 1994. Course rule number 5 states, "No off airport landings are allowed. No operations permitted on other than asphalt or concrete runways."
The dual student pilot did not hold a medical or student pilot certificate. The Burbank Flying Club president told Safety Board investigators that the dual student had not joined the club. He said that the club rule allows anyone to receive flight instruction for an unspecified period; the person, however, could not solo any airplane until he or she joins the club.
Safety Board investigators did not recover the dual student pilot's flight hours logbook. According to Burbank Flying Clubs records, however, the dual student pilot received his first flight lesson on July 28, 1996. The dual student pilot received two more flight lessons before departing on the accident flight. The dual student pilot's flight records indicate that he received 3.9 instructional hours in Cessna 172 airplanes before departing on the accident flight. The accident flight was the first flight the dual student had flown in the accident airplane make and model.
The flight hours reflected in Supplement E of this report include the accident flight.
Airport Information
Shadow Mountain Airstrip is owned and operated by Shadow Mountain Airstrip Association, Northridge, California, and is not for general public use. It has one east/west dirt surface runway that i
Aircraft
- Registration
- N2393W
- Reported as
- Piper PA-28-181
- Category
- Airplane
- Serial number
- 28-8590068
- Airframe hours
- 2,456
- Engine
- Lycoming O-360-A4M, 180 horsepower, reciprocating
- Damage
- Destroyed
- Fire
- On-Ground
- Flight
- Instructional · Part 91
- Operator
- Burbank Flying Club
- Registered owner
- Mark R. Eisman
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · July 2, 1996 · 66 hours before
- Departed
- BUR · Burbank, CA
- Airport
- A2CL · Shadow Mountain
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
- 22
- Certificate
- Commercial
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--no waivers/lim.
- Seat
- Right
- Toxicology
- Performed
- Flight hours
- 435 total · 335 as pilot in command
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 290° at 5 knots, gusting 10
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 84 °F
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.