LAX99FA275

NTSB accident investigation · Mooney M20E · Las Vegas, NV · August 20, 1999

Accident · FatalField investigationFinal report
Date
August 20, 1999, 12:27 local (19:27 UTC)
Place
Las Vegas, NV
Injuries
2 fatal, 1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N2654WMooney M20E
Weather
Visual (VMC) · Day
Status
Completed · report August 21, 2001
Report
Approved by Office Director
FAA report
19990820013129A
Case key
47147

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 steep turn at low altitude that resulted in an accelerated stall while in the landing configuration, leading to a loss of control and subsequent ground impact.

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 control - in flightApproach - vfr pattern - downwind
Altitude - lowPilot in commandFactor
Maneuver - initiatedPilot in commandCause
Airspeed(vso) - not maintainedPilot in commandCause
Stall - encounteredPilot in commandCause
Aircraft control - not maintainedPilot in commandCause
In flight collision with objectDescent - uncontrolled
Object - tree(s)
Object - residence

Analysis

The airplane was in the landing pattern when it rolled and exhibited exaggerated wing rocking then descended until it collided with a tree and a residence. The pilot sequenced for runway 12, but tower personnel thought the pilot was positioning for runway 7. They informed him to follow traffic ahead on final for runway 12 and suggested that he turn to a heading of 300 degrees. The pilot replied "Wilco" and they heard no other transmissions from the airplane. The controller looked away; when he looked back he saw exaggerated wing rocking as the airplane descended. Witnesses on the ground reported the airplane rolled and reported exaggerated wing rocking. This was followed by an explosion and fireball at ground impact. The passenger in the right front seat stated everything was fine until the pilot executed a steep left bank. He heard the pilot express concern vocally and noticed he was having difficulty controlling the airplane. He stated all three occupants survived the impact sequence. The left side of the airplane ripped open and flames were coming in that side. He saw the pilot trying to unfasten his seat belt and heard the passenger in the rear seat tell him to hurry and get out. He was able to exit the airplane and sustained burns on his legs, arms, and face. The passenger in the rear seat had luggage wedged between her legs and the front seat, which hindered her escape.

Factual narrative

History of flight

On August 20, 1999, at 1227 hours Pacific daylight time, a Mooney M20E, N2654W, collided with trees and a residence in Las Vegas, Nevada. The private pilot/owner was operating the personal flight under the provisions of 14 CFR Part 91. The pilot and one passenger sustained fatal injuries; another passenger sustained serious injuries. The airplane sustained substantial damage during the collision and post crash fire. The flight departed Reno, Nevada, about 0920 on a VFR flight plan. Visual meteorological conditions prevailed. Coordinates of the wreckage were 36 13.112 north latitude and 115 14.163 west longitude.

A transcript of air traffic control tapes for the North Las Vegas Air Traffic Control Tower (ATCT) recorded that the pilot reported he was 2 miles southwest of the airport at 1224. The ATCT issued a traffic advisory, and the pilot acknowledged that he had the traffic in sight. The ATCT issued instructions to follow traffic on a 2-mile final for runway 12 and return to the downwind. The pilot acknowledged the instructions. At 1227, the controller advised the pilot that it appeared he was adjusting to runway 7, advised him he had been assigned runway 12, and suggested a heading of 300. The pilot acknowledged the instructions, and the ATCT received no further communications from the airplane. The controller looked away, and when he looked back at the Mooney he saw exaggerated wing rocking as the airplane descended.

Several witnesses on the ground reported the airplane rolled, others noted the exaggerated wing rock. They then observed an explosion and fireball. Firefighters responded and reported a strong smell of fuel on scene, and extinguished two flare-ups from a pool of liquid under the wreckage.

The Federal Aviation Administration (FAA) accident coordinator interviewed the survivor passenger in the hospital on September 21, 1999. The survivor told the coordinator that they encountered no problems until the pilot initiated a steep bank to the left to acquire the recommended heading. He recalled the pilot expressing concern vocally and noted the pilot had difficulty maintaining control.

Personnel information

The pilot held a private pilot certificate with airplane single engine land and instrument ratings. He held a third-class medical dated March 2, 1999, with the limitations that the holder shall possess corrective glasses for near vision and "Not valid after Feb. 29, 2000."

Investigators did not find a pilot's logbook. The Safety Board investigator obtained a certified copy of the airman's medical records. The Aviation Medical Examiner never submitted the application for the airman's medical certificate dated March 2, 1999. The most recent completed application occurred on February 28, 1997. This application noted a total time of 2,700 hours.

Aircraft information

The airplane was a Mooney M20E, serial number 985. Investigators did not find logbooks for the airplane or engine. A mechanic with inspection authorization reported to the FAA that he completed an annual inspection in April 1999. The engine was a Textron Lycoming IO-360-A1A, serial number L473-51A.

Most of the cargo was water soaked and these items were allowed to dry. The Clark County estate administrator recovered 32 pounds of cargo, and the recovery agent weighed an additional 198 pounds of cargo.

Investigators did not find any weight and balance information. The Safety Board investigator reviewed a certified copy of the airplane records. An alteration form listed the addition of radio equipment. The manufacturer combined this information with the original factory weight and balance records to estimate the airplane's current weight and balance. The front passenger's representative provided his weight, and the investigator used driver's license information to establish weights for the pilot and rear seat passenger. The estimated weight at takeoff was 2,647 pounds and the center of gravity was 48.3 inches aft of the datum. At the accident site, the estimated gross weight was 2,390 pounds and the center of gravity was 48.3 inches aft of datum. A figure in the airplane flight manual plots weight versus center of gravity locations. This figure noted the maximum certified weight was 2,575 pounds and the aft center of gravity limit for all weights was 49 inches.

Meteorological information

A special aviation weather report for North Las Vegas (VGT) was issued at 1233. It stated: scattered clouds at 12,000 feet; broken clouds at 18,000 feet; visibility 25 statute miles; winds from 150 at 5 knots; temperature 86 degrees Fahrenheit; dew point 57 Fahrenheit; and altimeter 30.06 InHg.

Wreckage and impact information

The Safety Board investigator and the FAA accident coordinator inspected the wreckage on scene. The initial point of contact (IPC) was a tree in the front yard of a residence. It displayed scars on the trunk and limbs between 15 and 25 feet above the ground. Tree branches and green needles were on the ground from the base of the tree trunk to the airplane. Green needles were stuck in external appendages on the right wing of the airplane. A 6-foot section of the outboard right wing and the right aileron were 25 feet on a relative bearing of 110 degrees from the IPC. This outboard section had a cylindrical imprint in its leading edge that was about 16 inches in diameter. The right aileron counterweight was 200 feet on a bearing of 110 degrees from the IPC.

The main wreckage was 60 feet on a bearing of 205 degrees from the IPC; the fuselage had a bearing of 260 degrees. The propeller and nose of the airplane were imbedded in the wall of a house. Two palm trees, each about 1-foot in diameter, were on the ground under the fuselage. Part of the inverted and partially separated left wing wrapped halfway around one of the palms. The cabin area exhibited extensive thermal damage.

Investigators observed no fuel in the right tank; the left tank burned away. The fuel selector handle burned and disintegrated. Investigators observed a roll pin in the fuel selector mechanism pointing to the right. The manufacturer stated this indicated the left tank had been selected.

The manual landing gear handle was locked in the gear down position. The right main landing gear was down; the nose gear was exposed but crushed aft. The left wing fractured and separated in the area of the left main gear. The left main gear collapsed and partially detached.

Medical and pathological information

The Clark County Coroner completed a post mortem examination of the pilot. The FAA Toxicology and Accident Research Laboratory performed toxicological tests of the pilot. The results of analysis of the specimens were negative for carbon monoxide, cyanide, volatiles, and tested drugs.

Survival aspects

The survivor reported that both the pilot and rear seat passenger survived the initial impact.

The survivor observed the pilot trying to unfasten his seatbelt. The pilot's seat belt remained buckled but the webbing burned through. The medical examiner recorded that the pilot sustained a fractured left clavical. The top and left side of the cabin burned away. The pilot's legs remained situated in the left floor of the airplane, while the upper body rotated about 90 degrees counterclockwise and lay outside the cabin area. The medical examiner diagnosed the pilot's cause of death as inhalation of combustion products.

The survivor noted that the rear seat passenger instructed him to hurry up and exit the airplane after it came to rest. The rear passenger remained in the rear seat in a normal seated fashion. Her seat belt was still buckled and attached to the airframe; the webbing was not compromised. The medical examiner noted a 1/2-inch laceration of the lower lip and that the maxillary tooth No. 9 was dislodged and had broken through the gum line. The medical examiner diagnosed

Aircraft

Registration
N2654W
Reported as
Mooney M20E
Category
Airplane
Serial number
985
Engine
Lycoming IO 360-A1A, 200 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Kenneth B. Horne
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 5, 1999
Departed
RNO · Reno, NV
Destination
VGT
Flight plan
VFR
Airport
VGT · North Las Vegas, runway 12, 5,000 × 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
55
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
2,700 total

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 5 knots
Visibility
25 statute miles
Lowest ceiling
18,000 ft broken
Temperature
194 °F, dew point 135 °F
Altimeter
30.00 inHg
Observed at
VGT, 2 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.