LAX96LA126

NTSB accident investigation · Worthington BD-5B · San Martin, CA · March 2, 1996

Accident · Serious injuriesLimited investigationFinal report
Date
March 2, 1996, 13:11 local (21:11 UTC)
Place
San Martin, CA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N69SWWorthington BD-5B
Weather
Visual (VMC) · Day
Status
Completed · report September 19, 1996
Report
Approved by Office Director
FAA report
19960302003449A
Case key
29383

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/builder's improper installation (overtorque) of the ignition switch on the instrument panel, which caused an internal switch failure and subsequent malfunction of the ignition system.

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 engine power(total) - mech failure/malfTakeoff - initial climb
Ignition system,ignition switch - failureCause
Maintenance,installation - improperOwner/builderCause
Ignition system - disabledCause
Forced landingEmergency landing after takeoff
On ground/water collision with objectEmergency landing
Object - sign
Object - fence

Analysis

According to the pilot, the airplane was in the initial takeoff climb from runway 32, when the engine lost power. He attempted a landing on a freeway median, but the airplane collided with a sign and fence posts. During an investigation, the instrument panel toggle switch, marked 'ignition,' would not stay in the up (on) position. Removal of the switch revealed that its plastic back casing was broken with no impact damage or deformation noted in the surrounding structure. The mechanic, who removed the switch, stated that it was installed excessively tight on the panel. After being removed from the panel, the switch would stay in the up (on) position. The engine was then successfully started and operationally checked.

Factual narrative

On March 2, 1996, at 1311 hours Pacific standard time, a homebuilt experimental Worthington BD-5B airplane, N69SW, collided with ground obstructions during a forced landing on a freeway median near San Martin, California. The forced landing was precipitated by a total loss of power during the takeoff initial climb from the South County Airport. The aircraft was owned and operated by the pilot and was beginning a local area personal flight. Visual meteorological conditions prevailed at the time and no flight plan was filed. The aircraft incurred substantial damage and the certificated private pilot, the sole occupant, sustained serious injuries.

According to the pilot, the Honda engine-powered airplane was in the takeoff initial climb from runway 32 when the engine failed. The pilot was attempting a landing on a freeway median and collided with a sign and fence posts.

FAA inspectors from the San Jose, California, Flight Standards District Office examined the aircraft and supervised a test engine run. The reporting inspector noted that the instrument panel toggle switch marked "ignition" would not stay in the up (on) position. An A & P mechanic then removed the switch from the panel. The inspector stated that the plastic back casing of the switch was broken with no impact damage or deformation found in the surrounding structure. The mechanic who removed the switch stated that it was installed "excessively tight into the panel." After removal from the panel, the switch would stay in the up (on) position. The engine was then successfully started and run, with throttle and mixture control authority demonstrated.

Aircraft

Registration
N69SW
Reported as
Worthington BD-5B
Category
Airplane, amateur-built
Serial number
001
Airframe hours
38
Engine
Honda, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Sean T. Worthington
Airworthiness certificate
Special, Experimental (Special)
Departed
Q99
Airport
Q99 · South County Airport, runway 32, 3,100 × 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
32
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Center
Flight hours
400 total · 38 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
15 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 46 °F
Altimeter
30.00 inHg
Observed at
SJC, 25 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.