WPR11LA318

NTSB accident investigation · Piper PA-22-108 · Frazier Park, CA · July 8, 2011

Accident · No injuriesLimited investigationFinal report
Date
July 8, 2011, 13:15 local (20:15 UTC)
Place
Frazier Park, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N4901ZPiper PA-22-108
Defining event
Landing-landing roll: Nose over/nose down
Weather
Visual (VMC) · Day
Status
Completed · report May 21, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20110708016679A
Case key
81050

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 pilot’s geographic disorientation, which resulted in an off-airport precautionary landing in soft terrain and a subsequent nose over.

Findings · 3

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.

Use of equip/info: use of chartsPersonnel issues › Task performance · PilotPiper PA-22-108: 1 caseAll aircraft: 10 casesProbable cause
Runway/land/takeoff/taxi surface: soft surfaceEnvironmental issues › Physical environment · Contributed to outcomePiper PA-22-108: 2 casesAll aircraft: 264 cases

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 pilot reported that, during the flight, he was following an interstate highway and that he then turned west to intercept a state highway and head toward his destination. He was flying about 1,000 feet above mountainous terrain when he became lost and disoriented while trying to navigate using maps and GPS. He then thought that the airplane was losing altitude. Subsequently, he concentrated on the terrain rather than direction, decided to make an off-airport landing, and landed the airplane in a dry river bottom. During the landing roll, the nosewheel dug into soft dirt, and the airplane nosed over. Postaccident engine and airframe examinations revealed no evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation.

Factual narrative

On July 8, 2011, about 1315 Pacific daylight time, a Piper PA-22-108, N4901Z, nosed over during an off airport precautionary landing near Frazier Park, California. The pilot/owner was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The private pilot and one passenger were not injured; the airplane sustained substantial damage from impact forces. The personal cross-country flight departed Los Banos, California, about 1030, with a planned destination of Lompoc, California. Visual meteorological conditions prevailed, and no flight plan had been filed. The pilot stated that he had been following Interstate 5, and then turned to the west to intercept Highway 166 to Santa Maria, California. He thought that the airplane was losing lift, and decided to land in a dry river bottom. During the landing roll, the nose wheel dug into soft dirt, and the airplane nosed over. In a subsequent statement, the pilot stated that he was flying about 1,000 feet above the mountainous terrain. He thought that the engine was running fine, but not producing the power needed for the airplane to maintain altitude. He concentrated on the terrain rather than direction. The mixture was in the full rich position; he did not lean it, and did not recall using carburetor heat. He decided to make an off airport landing. The pilot circled a road, but was not comfortable with landing on it, and decided to land in a dry river bottom next to the road. The Ventura County Sheriff responded to the accident site. The pilot told the responding deputy that he became lost and disoriented over Lockwood Valley using maps and a global positioning satellite system (GPS) to navigate. The pilot stated that the engine began to fail, and he attempted to make an emergency landing when the engine finally quit. The pilot attempted to land on Lockwood Valley road, but was unable to do so and he landed in the river bed. Investigators examined the wreckage at Aircraft Recovery Service, Littlerock, California, on July 11, 2011. Detailed examination notes are part of the public docket. Postaccident examination of the engine and airframe revealed no evidence of preimpact mechanical malfunction for failure that would have precluded normal operation.

Aircraft

Registration
N4901Z
Reported as
Piper PA-22-108
Category
Airplane
Serial number
22-8486
Airframe hours
5,325
Engine
Lycoming O-235-C1B, 115 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
John Thomason
Registered owner
John Thomason
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 9, 2011
Departed
LSN · Los Banos, CA
Destination
LPS · Lompoc, CA
Equipment
Stall warning system, Handheld GPS

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
77
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Medical
Class 3, With waivers/limitations
Last flight review
June 3, 2011
Seat
Left
Flight hours
1,300 total · 150 in this make and model · 1,300 as pilot in command · 10 in the last 90 days · 5 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 61 °F
Altimeter
29.86 inHg
Observed at
KSBA

Docket · 3

The files NTSB released with the investigation on April 7, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.5 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 N4901Z · 2

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