LAX97LA270

NTSB accident investigation · Consolidated-Vultee PBY-5A(28-5ACF) · Moreno, CA · August 1, 1997

Accident · Serious injuriesLimited investigationFinal report
Date
August 1, 1997, 15:00 local (22:00 UTC)
Place
Moreno, CA
Injuries
2 serious
Damage
Destroyed
Phase of flight
Landing
Aircraft
N322FAConsolidated-Vultee PBY-5A(28-5ACF)
Weather
Visual (VMC) · Day
Status
Completed · report June 9, 1999
Report
Approved by Office Director
FAA report
19970801020589A
Case key
29861

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 implosion of the unlocked left nose gear door which resulted in the hydraulic disintegration of the forward fuselage. The cause of the locking pin actuator malfunction was not determined.

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/malfunctionLanding
Miscellaneous,dowel/pin - not engagedCause
Door,landing gear - not securedCause
In flight collision with terrain/waterLanding
Terrain condition - water
Nose overLanding

Analysis

After touching down to scoop another load of water, the pilot added power and the aircraft pitched forward. The pilot heard a pop and felt a sudden decelerative force. When the nose began to bowsuck, he applied more back pressure but the aircraft did not respond. The floor split open and water began rushing into the cockpit. The left nose gear door locking pin was found separated from its hydraulic actuator. It displayed a bend that corresponded to its retracted position in the pin guide. The deformation prevented investigators from reinserting the damaged pin back through the guide. The left mycarta block remained attached to the door and did not exhibit any damage.

Factual narrative

On August 1, 1997, at 1500 hours Pacific daylight time, a Consolidated-Vultee PBY-5A(28-5ACF), N322FA, crashed while scooping water from the San Vicente reservoir near Moreno, California. The aircraft was destroyed and the pilot and copilot received serious injuries. The aircraft was being operated by Airborne Fire Attack as a fire fighting water bomber under 14 CFR Part 137 when the accident occurred. The flight originated in Santa Ana, California, at 1352 on the day of the accident. Visual meteorological conditions prevailed at the time and no flight plan was filed.

The pilot had returned to the reservoir after his third water bombing run and was in the process of scooping another load of water. He stated that the water on the reservoir appeared smooth with some evidence of catspaws, or wind gusts, on the surface. He estimated his speed at touchdown to be between 70 and 75 knots, with a left quartering tailwind blowing from 3 to 5 knots.

After touching down, the aircraft had been on the water about 2 to 3 seconds when he began to advance the throttle to takeoff power. The aircraft pitched forward from 3 degrees nose up until it reached about a 1-degree nose up attitude. As the pitch changed, he increased back pressure on the elevator control.

The pilot said that about that time the aircraft encountered an approaching gust of wind that was visible on the surface of the water. He then heard a loud pop and felt a sudden decelerative force that forced him forward in his seat. The nose of the aircraft began to bowsuck and he attempted to apply more back pressure; however, the aircraft did not respond. The cockpit floor split open and water began rushing into the cockpit between both crewmembers.

During the accident sequence, the cockpit separated from the aircraft and the crew found themselves underwater. The pilot reached down and unfastened his lap belt, blew air bubbles, and then followed them to the surface. The copilot also unfastened his lap belt, saw light through the water, and swam toward it until he surfaced under the aircraft's wing.

When the landing gear is retracted, the nose gear doors close and are then secured in that position with locking pins. The pins extend aft from the hull into a mycarta block attached to the leading edge of each door. Pin movement is initiated by a hydraulic actuator that is controlled by a sequencing valve that is activated as the gear is raised or lowered. The copilot reported that the landing gear light was illuminated, indicating to him that the pins were in place.

Safety Board investigators found that the left nose gear door locking pin had separated from its hydraulic actuator. The pin was later found lodged in a fold of metal in the cockpit. It displayed a bend that dimensionally corresponds to the guide when the pin in the retracted position. The bend also prevented investigators from reinserting the damaged pin back through the pin guide.

The right nose gear door locking pin remained attached and was found in the extended position. Both nose gear doors were separated from the hull and displayed crushing and tearing. The left mycarta block remained attached to the door and was undamaged.

The aircraft logbooks were onboard the aircraft at the time of the accident and were not recovered.

Aircraft

Registration
N322FA
Reported as
Consolidated-Vultee PBY-5A(28-5ACF) (PBY-5A(28-)
Category
Airplane
Serial number
560
Airframe hours
17,427
Engine
P&W R1830-92, 1,200 horsepower, reciprocating
Damage
Destroyed
Flight
Part 137
Operator
John Milton Wells, doing business as Airborne Fire Attack
Registered owner
Wells Aviation, Inc.
Airworthiness certificate
Standard, Transport
Departed
SNA · Santa Ana, 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
37
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land, Multi-engine sea, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
10,200 total · 160 in this make and model · 9,600 as pilot in command · 38 in the last 90 days · 10 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 14 knots
Visibility
25 statute miles
Lowest ceiling
None
Temperature
99 °F
Altimeter
29.00 inHg
Observed at
SEE, 8 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.