WPR11MA454

NTSB accident investigation · North American/Aero Classics P-51D · Reno, NV · September 16, 2011

Accident · FatalClass 1 · MajorFinal report
Date
September 16, 2011, 16:26 local (23:26 UTC)
Place
Reno, NV
Injuries
11 fatal, 66 serious; on the ground: 10 fatal, 66 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N79111North American/Aero Classics P-51D
Defining event
Maneuvering-low-alt flying: Aircraft structural failure
Weather
Visual (VMC) · Day
Status
Completed · report July 15, 2013
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Western Pacific Region
Parties
FAA AVP - 100
Safety recommendations
Yes
FAA report
20110916023789A
Case key
81814

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 reduced stiffness of the elevator trim tab system that allowed aerodynamic flutter to occur at racing speeds. The reduced stiffness was a result of deteriorated locknut inserts that allowed the trim tab attachment screws to become loose and to initiate fatigue cracking in one screw sometime before the accident flight. Aerodynamic flutter of the trim tabs resulted in a failure of the left trim tab link assembly, elevator movement, high flight loads, and a loss of control. Contributing to the accident were the undocumented and untested major modifications to the airplane and the pilot’s operation of the airplane in the unique air racing environment without adequate flight testing.

Findings · 6

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.

ActionPersonnel issues › Action/decision · PilotNorth American/Aero Classics P-51D: 1 caseAll aircraft: 111 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not specifiedNorth American/Aero Classics P-51D: 1 caseAll aircraft: 1,269 casesProbable cause
Documentation/record keepingOrganizational issues › Support/oversight/monitoring · FAA/RegulatorNorth American/Aero Classics P-51D: 1 caseAll aircraft: 12 cases
Airport facilities/designEnvironmental issues › Operating environment · Contributed to outcomeNorth American/Aero Classics P-51D: 1 caseAll aircraft: 52 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 Safety Board's full report is available at http://www.ntsb.gov/investigations/reports.html. The Aircraft Accident Report number is NTSB/AAB-12/01. On September 16, 2011, about 1625 Pacific daylight time, an experimental, single-seat North American P-51D, N79111, collided with the airport ramp in the spectator box seating area following a loss of control during the National Championship Air Races unlimited class gold race at the Reno/Stead Airport (RTS), Reno, Nevada. The airplane was registered to Aero-Trans Corp (dba Leeward Aeronautical Sales), Ocala, Florida, and operated by the commercial pilot as Race 177, The Galloping Ghost, under the provisions of 14 Code of Federal Regulations Part 91. The pilot and 10 people on the ground sustained fatal injuries, and at least 64 people on the ground were injured (at least 16 of whom were reported to have sustained serious injuries). The airplane sustained substantial damage, fragmenting upon collision with the ramp. Visual meteorological conditions prevailed, and no flight plan had been filed for the local air race flight, which departed RTS about 10 minutes before the accident.

Factual narrative

The Safety Board's full report is available at http://www.ntsb.gov/investigations/reports.html. The Aircraft Accident Report number is NTSB/AAB-12/01. On September 16, 2011, about 1625 Pacific daylight time, an experimental, single-seat North American P-51D, N79111, collided with the airport ramp in the spectator box seating area following a loss of control during the National Championship Air Races unlimited class gold race at the Reno/Stead Airport (RTS), Reno, Nevada. The airplane was registered to Aero-Trans Corp (dba Leeward Aeronautical Sales), Ocala, Florida, and operated by the commercial pilot as Race 177, The Galloping Ghost, under the provisions of 14 Code of Federal Regulations Part 91. The pilot and 10 people on the ground sustained fatal injuries, and at least 64 people on the ground were injured (at least 16 of whom were reported to have sustained serious injuries). The airplane sustained substantial damage, fragmenting upon collision with the ramp. Visual meteorological conditions prevailed, and no flight plan had been filed for the local air race flight, which departed RTS about 10 minutes before the accident.

Aircraft

Registration
N79111
Reported as
North American/Aero Classics P-51D
Category
Airplane
Serial number
44-15651
Engine
Ama/Expr UNKNOWN ENG, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Air race/show · Part 91
Operator
James K Leeward
Registered owner
Aero-Trans Corp DBA
Airworthiness certificate
Special, Experimental (Special)
Departed
KRTS · Reno, NV
Destination
KRTS · Reno, NV
Flight plan
Unknown
Airport
KRTS · Reno/Stead Airport

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
74
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Front

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 15 knots, gusting 20
Visibility
10 statute miles
Lowest ceiling
11,000 ft
Temperature
72 °F, dew point 32 °F
Altimeter
29.98 inHg
Observed at
KRTS

Docket · 59

The files NTSB released with the investigation on August 21, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 88.6 MB in all.

Meteorology 5 - Factual Report of Group ChairmanItem 1 · .PDF · 2.0 MBEvidence Control Form WPR11MA454-AIR-012Item 2 · .PDF · 148 KBEvidence Control Form WPR11MA454-AIR-011Item 3 · .PDF · 148 KBEvidence Control Form WPR11MA454-AIR-010Item 4 · .PDF · 148 KBEvidence Control Form WPR11MA454-AIR-009Item 5 · .PDF · 148 KBEvidence Control Form WPR11MA454-AIR-008Item 6 · .PDF · 148 KBEvidence Control Form WPR11MA454-AIR-007Item 7 · .PDF · 148 KBEvidence Control Form WPR11MA454-AIR-006Item 8 · .PDF · 148 KBEvidence Control Form WPR11MA454-AIR-005Item 9 · .PDF · 148 KBEvidence Control Form WPR11MA454-AIR-004Item 10 · .PDF · 148 KBEvidence Control Form WPR11MA454-AIR-003Item 11 · .PDF · 148 KBEvidence Control Form WPR11MA454-AIR-002Item 12 · .PDF · 148 KBEvidence Control Form WPR11MA454-AIR-001Item 13 · .PDF · 148 KBData Recorders - Factual ReportItem 14 · .PDF · 2.6 MBData Recorders - Attachment 1 - FBI Lab ReportItem 15 · .PDF · 216 KBData Recorders - Attachment 2 Tabular Data .csv Format (File Compressed .zip)Item 16 · ZIP · 212 KBAirworthiness Factual Report of Group ChairmanItem 17 · .PDF · 245 KBAirworthiness Addendum 1 - 2011 Race SpeedsItem 18 · .PDF · 79 KBAirworthiness Factual Report - Addendum 2Item 19 · .PDF · 19 KBAirworthiness Appendix A - Photos/FiguresItem 20 · .PDF · 2.1 MBAirworthiness Appendix B - Operating Limitations (under current regulations)Item 21 · .PDF · 39 KBAirworthiness Attachment 1 - Interview SummariesItem 22 · .PDF · 403 KBAirworthiness Attachment 2 - DrawingsItem 23 · .PDF · 1.2 MBAirworthiness Attachment 3 - ArticleItem 24 · .PDF · 4.0 MBAirworthiness Attachment 4 - Maintenance RecordsItem 25 · .PDF · 2.4 MBAirworthiness Attachment 5 - Safety InspectionsItem 26 · .PDF · 799 KBAirworthiness Attachment 6 - Weight and Balance InformationItem 27 · .PDF · 563 KBAirworthiness Attachment 7 - NAG DocumentsItem 28 · .PDF · 1.2 MBAirworthiness Attachment 8 - RARA RulesItem 29 · .PDF · 1.0 MBAirworthiness Attachment 9 - Entry Forms and CorrespondenceItem 30 · .PDF · 3.5 MBAirworthiness Attachment 10 - Technical OrdersItem 31 · .PDF · 4.5 MBAirworthiness Attachment 11 - FAA DocumentsItem 32 · .PDF · 19.5 MBSurvival Factors / Operations - Factual Report of Group ChairmanItem 33 · .PDF · 1.1 MBSurvival Factors / Operations - Attachment 1 - FAA Order 8900 Volume 3Item 34 · .PDF · 3.7 MBSurvival Factors / Operations - Attachment 2 - FAA Advisory Circular AC91-45CItem 35 · .PDF · 9.4 MBSurvival Factors / Operations - Attachment 3 - FAA WaiverItem 36 · .PDF · 5.2 MBSurvival Factors / Operations - Attachment 4 - 2011 Unlimited Race CourseItem 37 · .PDF · 550 KBSurvival Factors / Operations - Attachment 5 - RARA Emergency Services ManualItem 38 · .PDF · 614 KBSurvival Factors / Operations - Attachment 9 - Record of Conversation with Incident CommanderItem 39 · .PDF · 64 KBMaterials Laboratory 15 - Factual Report 12-029Item 40 · .PDF · 123 photos · 6.8 MBVideo StudyItem 41 · .PDF · 161 KBImage StudyItem 42 · .PDF · 27 photos · 2.4 MBWitness VideoItem 43 · .PDF · 92 KBStatement of Party Representatives to NTSB InvestigationItem 44 · .PDF · 89 KBStatement of Party Representatives to NTSB InvestigationItem 45 · .PDF · 225 KBStatement of Party Representatives to NTSB InvestigationItem 46 · .PDF · 2.2 MBStatement of Party Representatives to NTSB InvestigationItem 47 · .PDF · 229 KBStatement of Party Representatives to NTSB InvestigationItem 48 · .PDF · 67 KBStatement of Party Representatives to NTSB InvestigationItem 49 · .PDF · 71 KBToxicological ReportItem 50 · .PDF · 112 KBMedical - Factual InformationItem 51 · .PDF · 123 KBEvidence Control Form AVI-005Item 52 · .PDF · 270 KBAircraft Performance 13 - StudyItem 53 · .PDF · 1.4 MBFAA Response to RecommendationItem 54 · .PDF · 329 KBNTSB Response to FAA ref Recommendation Action 72512Item 55 · .PDF · 220 KBNAG Response to Recommendations 82212 11M454Item 56 · .PDF · 213 KBRARA Response to Recommendations 72912Item 57 · .PDF · 984 KBAccident Brief - Reno, NVItem 58 · .PDF · 3.3 MBAirworthiness Factual Report - Addendum 3Item 59 · .PDF · 282 KB

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 N79111 · 1

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