WPR11LA075

NTSB accident investigation · Mooney M20J · Chino, CA · December 11, 2010

Accident · Serious injuriesLimited investigationFinal report
Date
December 11, 2010, 12:41 local (20:41 UTC)
Place
Chino, CA
Injuries
1 serious, 1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N4326HMooney M20J
Defining event
Takeoff: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report May 26, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Adminstration FSDO
FAA report
20101211053599A
Case key
77982

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 student pilot's failure to properly position the flaps for the takeoff, failure to maintain airplane control during the procedure, and the flight instructor's delayed remedial action.

Findings · 5

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedMooney M20J: 7 casesAll aircraft: 3,958 casesProbable cause
Attention/monitoring: task monitoring/vigilancePersonnel issues › Psychological · Instructor/check pilotMooney M20J: 1 caseAll aircraft: 330 casesProbable cause
Action: delayed actionPersonnel issues › Action/decision · Instructor/check pilotMooney M20J: 2 casesAll aircraft: 894 casesProbable cause
Flight control system: tE flap control systemAircraft › Aircraft systems · Incorrect use/operationMooney M20J: 2 casesAll aircraft: 74 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotMooney M20J: 36 casesAll aircraft: 9,295 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The student pilot and certified flight instructor (CFI) had just completed two simulated short-field takeoffs, and decided to perform a simulated soft-field takeoff. The student was at the controls during the takeoff roll and, as the airplane rotated, the nose lifted at an angle that the CFI determined was excessive. He verbally coached the student to lower the nose, but the nose did not lower. He again requested that the student lower the nose, but he did not respond. The airplane then began to drift to the left, so the CFI took the controls. The CFI attempted to regain control of the airplane; however, the wing dropped and the airplane landed hard. The airplane departed the runway and was consumed by a postimpact fire after coming to rest on a taxiway. The CFI reported no preimpact mechanical malfunctions or failures with the airframe or engine that would have precluded normal operation. Examination of the flap actuator mechanism revealed that the flaps were fully extended at the time of the accident, rather than set to the mid-range takeoff position. The extended flap position likely resulted in the excessive nose-up tendencies experienced during the takeoff roll.

Factual narrative

On December 11, 2010, at 1241 Pacific standard time, a Mooney M20J, N4326H, collided with the runway surface during takeoff at Chino Airport, Chino, California. The student pilot/owner was operating the airplane under the provisions of Title 14 Code of Federal Regulations Part 91. The student pilot sustained serious injuries, and the certified flight instructor (CFI) was not injured. The airplane sustained substantial damage secondary to impact forces and a post crash fire. The instructional flight departed John Wayne-Orange County Airport, Santa Ana, California, about 1200. Visual meteorological conditions prevailed, and no flight plan had been filed. The CFI stated that they had just completed two simulated short-field takeoffs and decided to perform a simulated soft-field takeoff. The student pilot was at the controls during the takeoff roll, and as the airplane rotated, the nose lifted at an angle that the CFI determined was excessive. He verbally coached the student to lower the nose, but the nose did not lower. He again requested that the student lower the nose, but he did not respond. The airplane then began to drift to the left, so the CFI took the controls, and attempted to lower the nose. Before the angle of attack was corrected, the right wing dropped. The CFI responded with rudder input, which was followed by an opposite wing drop. The airplane then landed hard, and skidded off the runway on its belly; the CFI reported that fire simultaneously erupted as the airplane slid to a stop. The airplane came to rest on a taxiway, adjacent to the departure runway. The left main landing gear was located next to a manhole cover on the grass intermediate verge. The soil appeared freshly disrupted in the area of the cover, and a scrape and burn mark continued across the taxiway surface to the airplane’s location. The airplane was consumed by post accident fire, with only the outboard wing sections and tail remaining. Examination of the wreckage by the NTSB investigator-in-charge revealed that the steel flight controls were continuous from each control surface through to their respective cabin flight controls. The jack screw actuator extension dimensions for the elevator trim, landing gear, and flaps were compared to Mooney reference documentation. The positions revealed that the airplane was configured with the landing gear down, and flaps fully extended (33 degrees), with the elevator set to the takeoff trim position. According to the Mooney Pilot's Operating Handbook, applicable to the airplane serial number and type, prior to takeoff, the wing flaps should be set for the takeoff configuration of 15 degrees. The CFI reported no preimpact mechanical malfunctions or failures with the airframe or engine that would have precluded normal operation. All sections of the airplane were located at the accident site.

Aircraft

Registration
N4326H
Reported as
Mooney M20J
Category
Airplane
Serial number
24-0707
Airframe hours
4,490
Engine
Lycoming IO-360, 200 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 1, 2010 · 5 hours before
Departed
SNA · Santa Ana, CA
Destination
CNO · Chino, CA
Airport
CNO · Chino, runway 26L, 7,000 × 150 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
66
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
February 20, 2010
Seat
Right
Flight hours
2,100 total · 10 in this make and model · 1,900 as pilot in command · 100 in the last 90 days · 30 in the last 30 days · 1 in the last 24 hours
Role
Student pilot
Age
48
Injuries
Serious
Certificate
Student
Medical
Class 3, With waivers/limitations
Seat
Left
Flight hours
59 total · 52 in this make and model · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
20,000 ft broken
Temperature
79 °F, dew point 48 °F
Altimeter
30.05 inHg
Observed at
CNO

Docket · 7

The files NTSB released with the investigation on March 24, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.2 MB in all.

FAA reports on this event · 1

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

Other investigations on N4326H · 1

Matched to the same aircraft by N-number and date.