SEA07FA247

NTSB accident investigation · Lancair LC41-550FG · Kernville, CA · September 1, 2007

Accident · FatalField investigationFinal report
Date
August 31, 2007, 17:46 local (Sep 1, 2007, 00:46 UTC)
Place
Kernville, CA
Injuries
6 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N2520PLancair LC41-550FG
Weather
Visual (VMC) · Day
Status
Completed · report August 28, 2008
Report
Approved by Office Director
Parties
Teledyne Continental Motors, Inc., Columbia Aircraft Manufacturing Corporation, Federal Aviation Administration
FAA report
20070831020979A
Case key
66563

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

The NTSB’s determination of the probable cause, and any contributing factors.

The pilot's failure to maintain aircraft control while maneuvering in the traffic pattern for landing. Contributing to the accident was the pilot's failure to maintain an adequate airspeed.

Analysis

Witnesses observed the airplane approach from the south before aborting the first landing attempt. The airplane then made a 180-degree turn to the left for a second attempt to land on runway 35. When the airplane was abeam the approach end of the runway it began a left turn, followed by its nose dropping straight down before impacting terrain and bursting into flames. The airplane came to rest in a near vertical orientation. The airplane was certificated to carry 4 persons; at the time of the accident the airplane was carrying 6 persons. Calculations indicated that the airplane was being operated over its maximum landing weight at the time of the accident. Examination of the airplane and engine revealed no preimpact mechanical anomalies.

Factual narrative

The factual narrative1,223 words

History of flight

On August 31, 2007, approximately 1746 Pacific daylight time, a Lancair Company LC41-550FG airplane, N2520P, was destroyed following a loss of control and impact with terrain while maneuvering to land at the Kern Valley Airport (L05), Kernville, California. The certificated private pilot and 5 passengers sustained fatal injuries. Visual meteorological conditions prevailed at the time of the accident. The flight was being operated in accordance with 14 Code of Federal Regulations Part 91, and a flight plan was not filed. The airplane departed the Santa Monica Municipal Airport (SMO), Santa Monica, California, at 1621, and its destination was the Kern Valley Airport.

According to a witness who resides on airport property, the airplane was making a straight-in approach to runway 35 when it was observed to be high as it flew over the end of the runway. The witness stated that the airplane then made a left 180-degree turn, which appeared to be a go-around for a second approach to runway 35.

A second witness, who was also located on airport property, reported seeing the airplane heading south. The witness stated that when the airplane was abeam the approach end of runway 35 it began a left turn, followed by its nose dropping straight down before impacting terrain and bursting into flames.

The National Transportation Safety Board investigator-in-charge (IIC), assisted by representatives from Columbia Aircraft and Teledyne Continental Motors, Inc., performed a preliminary on-site examination of the airplane on September 2, 2007. The examination revealed that the airplane had been destroyed as a result of impact damage and the post-crash fire. The airplane was subsequently recovered to a secure location where a detailed examination of the wreckage was conducted.

Personnel information

The pilot, age 51, held a private pilot certificate with single-engine land and instrument airplane ratings. The pilot was issued a second-class medical certificate on January 10, 2006, without limitations. A review of the pilot's logbook indicated a total time of 789 total flight hours, with 214 hours in make and model.

The pilot received his private pilot certificate on July 26, 2002, and his instrument rating on May 28, 2005. A records review revealed that the pilot had not attended either the Lancair/Columbia factory flight and ground training program, or the company's recurrent training program. Subsequent to purchasing the airplane the pilot received Lancair 400 training from a certified flight instructor. The flight instructor was not factory trained, nor was he a Lancair/Columbia factory trained instructor.

Aircraft information

The 2005-model airplane, serial number 41076, was powered by a 310-horsepower Teledyne Continental TSIO-550 engine. The airplane received its airworthiness certification on April 22, 2005, and its most recent annual inspection was completed on June 1, 2007, at a total airframe time of 221 hours.

Weight and Balance

The investigation revealed that on the day prior to the accident a fueler had "topped off" the fuel tanks (98 gallons usable). After initially flying from the Santa Ynez Airport, Santa Ynez, California, to SMO, and subsequently to L05, it was estimated that the airplane had 57 gallons of fuel on board at the time of the accident. The Pilot's Operating Handbook limits the airplane to a seating capacity of four persons - one pilot and three passengers. At the time of the accident the airplane was carrying 6 people - 4 adults and 2 children. A significant quantity of baggage was located throughout the wreckage, and passenger weights were obtained from family representatives for weight and balance calculations. It was estimated that at the time of departure from SMO the airplane was 65 pounds over its maximum takeoff weight, and 83 pounds over its maximum landing weight at the time of the accident. The airplane's center of gravity was within the fore and aft limits for the duration of the flight.

Meteorological information

At 1755, the Porterville, California automated weather observing system (AWOS), located about 39 nautical miles northwest of the accident site, reported wind 330 degrees at 8 knots, 10 miles visibility, sky clear, temperature 39 degrees C, dew point 16 degrees C, and an altimeter setting of 29.78 inches of Mercury.

Wreckage and impact information

The airplane impacted flat, open, sandy terrain in a near vertical, nose down, wings level attitude, about 1,300 feet west of the approach end of runway 35 on a magnetic heading of 090 degrees, and came to rest on a magnetic heading of 060 degrees. The airplane was completely destroyed by post-impact fire. Fire signatures extended about 100 feet in all directions over the adjacent terrain.

All of the airplane's flight control system components were recovered; however, the aluminum push-pull rods in the aileron and elevator control systems were melted as a result of post-impact fire. Although melted, both control stick assemblies, the aileron torque tubes, aileron crossover tube, aileron bellcranks, and aileron final drive were observed connected, safetied, and intact, with the exception of the left torque tube, which was fractured at mid-span. The elevator interconnect assembly and final drive were also observed intact, with all hardware safetied. While the aluminum control rods for the ailerons and elevator had melted, the threaded steel rod ends from the control rods remained attached to their respective steel components. Continuity to the rudder cables was established from the rudder pedals out to the terminating cable attachment at the rudder horn, with the associated hardware observed safetied.

Both landing gear legs were observed to be straight, with no evidence of impact damage. Both speed brakes were fully retracted. The fuel selector was positioned to the right tank and was observed to move freely without restriction when turned by hand. The mixture, propeller and throttle controls were all found in the forward position.

An examination of the propeller flange revealed that it was separated about 80 percent around its circumference and remained attached to the propeller hub and crankshaft. All three propeller blades exhibited bending, twisting, and distortion, as well as chordwise scratching on the cambered side of two blades.

Medical and pathological information

An autopsy was performed on the pilot at the Kern County Medical Examiner's Office, Bakersfield, California, on September 2, 2007. The result of the examination attributed the cause of death as "blunt force trauma and thermal injury."

The Federal Aviation Administration's Civil Aeronautical Medical Institute, Oklahoma City, Oklahoma, performed toxicological tests. The results of the tests are attached to this report and provided no evidence pertinent to the investigation.

Tests and research

On September 3, 2007, under the supervision of the NTSB investigator-in-charge (IIC), an examination of the airframe and engine was conducted at the facilities of a private salvage company. The results of the examination revealed no anomalies, which would have precluded normal operation.

At the request of the IIC, and under the supervision of a Federal Aviation Administration aviation safety inspector, the airplane's left turbocharger, model TA36, serial number IAL00261, was examined at the facilities of Kelly Aerospace, Montgomery, Alabama. The results of the examination concluded, "With the exception of the post accident foreign material present, the unit was received in satisfactory and functional condition. No fault found."

The airplane's Avidyne Primary Flight Display (PFD) was recovered and sent to the NTSB Vehicle Recorders Division in Washington, D.C., for examination. Lab technicians revealed that due to the extensive thermal damage the component had sustained, no stored data was able to be extracted.

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
Airspeed(vs) - not maintainedPilot in commandFactor
Stall/spin - inadvertentPilot in command
Aircraft control - not maintainedPilot in commandCause
Aircraft weight and balance - exceededPilot in command
Loss of control - in flightDescent - uncontrolled
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Aircraft

Registration
N2520P
Reported as
Lancair LC41-550FG
Category
Airplane
Serial number
41076
Airframe hours
221
Engine
Teledyne Continental TSIO-550, 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Adam Pasori
Airworthiness certificate
Standard, Utility
Last inspection
Annual · June 1, 2007 · 47 hours before
Departed
SMO · Santa Monica, CA
Destination
L05 · Kernville, CA
Airport
L05 · Kern Valley Airport, runway 25, 3,500 × 50 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
51
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
February 1, 2007
Seat
Left
Toxicology
Performed
Flight hours
789 total · 214 in this make and model · 3 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
102 °F, dew point 61 °F
Altimeter
29.78 inHg
Observed at
PTV, 39 nm away

Docket · 18

The files NTSB released with the investigation on August 27, 2008, on NTSB’s docket system: statements, records, photos and specialists’ reports.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.