# NTSB WPR09CA132: Piper PA-28R-200, N4290T, Fallbrook, CA, February 28, 2009 - Type: NTSB accident investigation - Classification: Accident · No injuries · Data collection · Final report - Date: February 28, 2009, 10:00 local (18:00 UTC) - Place: Fallbrook, CA - Coordinates: 33.356945, -117.251388 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=33.3569&lon=-117.2514&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing-landing roll: Runway excursion](https://openairdocs.org/ntsb-events/300) - Highest injury: No injuries - Injuries: 1 uninjured - Status: Completed, report June 11, 2009 - Report: Approved by Office Director - NTSB office: Western Pacific Region - Parties: Federal Aviation Administration - NTSB case key (mKey): 73407 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=WPR09CA132 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/73407/pdf - Page: https://openairdocs.org/ntsb/WPR09CA132 ## Probable cause The pilot's improper use of the brakes and his failure to maintain control of the airplane during landing rollout. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Performance/control parameters: surface speed/braking](https://openairdocs.org/ntsb-findings/01062045): Aircraft › Aircraft oper/perf/capability · Incorrect use/operation (probable cause); cases with it: [Piper PA-28R-200, 2 cases](https://openairdocs.org/ntsb-findings/01062045/cases.md?model=7102811), [All aircraft, 238 cases](https://openairdocs.org/ntsb-findings/01062045/cases.md) - [Performance/control parameters](https://openairdocs.org/ntsb-findings/01062000): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Piper PA-28R-200, 4 cases](https://openairdocs.org/ntsb-findings/01062000/cases.md?model=7102811), [All aircraft, 1,269 cases](https://openairdocs.org/ntsb-findings/01062000/cases.md) - [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Piper PA-28R-200, 29 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=7102811), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Landing: Landing area overshoot](https://openairdocs.org/ntsb-events/380); cases with it: [Piper PA-28R-200, 1 case](https://openairdocs.org/ntsb-events/380/sequence.md?model=7102811), [All aircraft, 400 cases](https://openairdocs.org/ntsb-events/380/sequence.md) - [Landing-landing roll: Runway excursion](https://openairdocs.org/ntsb-events/300) (defining event); cases with it: [Piper PA-28R-200, 21 cases](https://openairdocs.org/ntsb-events/300/sequence.md?model=7102811), [All aircraft, 3,643 cases](https://openairdocs.org/ntsb-events/300/sequence.md) ## Analysis According to the pilot, he arrived from the northeast and entered the extended right base leg for Runway 18, a 2,160-foot-long asphalt runway. The winds were reported as 3 knots from the south. Prior to being established on the base leg, he had set full flaps and lowered the landing gear. He said that by the time he turned onto final, the airplane "may have seemed slightly high, speed was good and descent rate appeared good." He further stated that while he landed the airplane on the first half of the runway, he perhaps floated a little bit and that "the landing was a little further than I anticipated." The landing rollout was good until he reached "a slight mound in the runway" that created an optical illusion of the runway's end being closer than it was. He then locked the brakes and skidded off the runway into the brush. ## Factual narrative According to the pilot, he arrived from the northeast and entered an extended right base for landing to the south at 1,700 feet msl (pattern altitude). The winds were reported as 3 knots from the south. Prior to being established on the base segment, he had input full flaps and lowered the landing gear. He said that by the time he turned onto final, the airplane "may have seemed slightly high, speed was good and descent rate appeared good." He landed the airplane on the first half of the runway, but that the airplane floated a little bit with the landing a little further than he had anticipated. The roll out was good until he reached a slight mound in the runway that created an optical illusion of the runway's end being closer than it was. He locked the brakes and skidded off the runway into the brush. ## Aircraft - Registration: [N4290T](https://openairdocs.org/deregistered/N4290T-2017-06-22), registration cancelled 2017-06-22, S/N 28R-7235003, built 1971 (OpenAirDocs) - Reported make and model: PIPER PA-28R-200 - Registry model: [Piper PA-28R-200](https://openairdocs.org/model/piper-pa-28r-200) (registry code 7102811) (OpenAirDocs) - Registry engine: [Lycoming I0360 series](https://openairdocs.org/engine/lycoming-i0360-series) (registry code 41515, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 28R-7235003 - Engines: Lycoming IO-360 200 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: M.Y. Air Corp - Registered owner: M.Y. Air Corp - Airworthiness certificate: Standard, Normal - Departed: REI, Redlands, CA - Destination: L18, Fallbrook, CA - Airport: L18, Fallbrook Community Airport, runway 18, 2,160 × 60 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 45; injuries: none; private; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 3, without waivers/limitations; last flight review November 7, 2007; seat: left; flight hours: 601 total, 250 in this make and model, 24 in the last 90 days ## Weather - Conditions: Visual (VMC), Day - Wind: 180° at 3 knots - Visibility: 10 statute miles - Lowest ceiling: none ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20090228003949A](https://openairdocs.org/incident/20090228003949A), Feb 28, 2009: Piper PA28R200, Fallbrook, CA, Substantial damage. (-23) In a telephone conversation with the pilot on March 11, 2009, he admitted to landing too FAR down the runway and running off of the end. He also stated… ## Other investigations on N4290T (1) From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. - [NTSB OAK76DVA55](https://openairdocs.org/ntsb/OAK76DVA55), Apr 17, 1976: Piper PA-28R (N4290T), Visalia, CA, substantial damage From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.