WPR15FA238

NTSB accident investigation · Aviat A 1 · Compton, CA · August 9, 2015

Accident · FatalField investigationFinal report
Date
August 9, 2015, 12:33 local (19:33 UTC)
Place
Compton, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N6090UAviat A 1
Defining event
Initial climb: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed · report August 9, 2017
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Lycoming Engines, Federal Aviation Administration
Case key
91731

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's failure to maintain adequate airspeed and/or appropriate pitch attitude during a banner pickup, which resulted in the airplane exceeding its critical angle of attack and experiencing an aerodynamic stall/spin at too low an altitude to allow recovery.

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: aircraft controlPersonnel issues › Task performance · PilotAviat A-1: 4 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedAviat A-1: 1 caseAll aircraft: 990 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedAviat A-1: 1 caseAll aircraft: 1,681 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 commercial pilot was conducting a local banner tow flight. After five unsuccessful attempts to pick up the banner, the pilot was successful on the sixth attempt. According to ground personnel, the banner deployed normally, and the airplane's engine sounded normal. However, the pilot radioed to the ground personnel that the airplane was unable to climb. About that time, the ground personnel observed the banner releasing from the airplane's tail hook and falling to the ground. The airplane then wallowed left and right until it spun to the left as it descended and subsequently impacted the ground. The airplane burst into flames and was consumed by the postimpact fire. Postaccident examination noted no preimpact anomalies with the airframe or engine that would have precluded normal operation. The pilot had a history of difficulties executing banner pickups that included multiple low misses, adding power late, and pitching up too high. Although the pilot had been retrained the year before the accident, it is likely that he added power late, pitched up too high, or made both errors when picking up the banner, which resulted in the airplane's airspeed decaying to the point where the airplane exceeded its critical angle of attack and experienced an aerodynamic stall.

Factual narrative

The airplane was an Aviat Inc., Model A-1, serial number 1300. A review of the airplane's logbooks revealed that the airplane had a total airframe time of 1,818.4 hours at the last annual inspection on April 17, 2015. The last maintenance entry in the logbook was dated July 18, 2015, at a total time of 1,878.8 hours. The engine was a Lycoming O-360-A1P, serial number L-34663.36A. Total time recorded on the engine at the last 100-hour inspection on April 17, 2015, was 1,818.4 hours, which was also the time at major overhaul. Compton/Woodley Airport is owned by the County of Los Angeles and is operated under contract by American Airports Corporation (AAC). AAC is responsible for the management and operation of the uncontrolled general aviation airport. At the time of the accident, AAC's under the contract with the County of Los Angeles was required AAC to have three airport facility employees on the airport. At the time of the accident, there was only one employee on site. No other employees were available to respond to the accident site with any of the available airport equipment. On August 9, 2015, at 1233 Pacific daylight time, an Aviat Husky A-1, N6090U, impacted the ground following a loss of control during a banner tow pickup at Compton/Woodley Airport, Compton, California. The commercial pilot sustained fatal injuries; the airplane was destroyed by impact forces and postcrash fire. Aviad Corporation was operating the airplane under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and no flight plan had been filed for the local banner tow flight. Witnesses, who were ground personnel for the tow operation, reported that the pilot had unsuccessfully attempted to pick up a tow banner five times. He was successful on the sixth attempt, and the banner deployed normally, and the airplane's engine sounded normal. However, the pilot radioed to ground personnel that he was unable to climb. Witnesses reported that the banner released from the airplane's tail hook and fell to the ground. The airplane was wallowing left and right until it spun to the left and descended, subsequently impacted the ground, and burst into flames. The Los Angeles County Medical Examiner-Coroner completed an autopsy on the pilot. The examination determined that the manner of death was multiple traumatic injuries. The FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma, performed toxicological testing of specimens from the pilot, which were negative for carbon monoxide, cyanide, volatiles, and tested drugs. The pilot held a commercial pilot certificate with ratings for airplane single-engine land, multiengine land, and instrument airplane. He held a first-class medical certificate with no limitations or waivers that was issued on July 27, 2015. The pilot reported on the application for this medical certificate that he had a total time of 2,501 hours with 367 hours logged in the last 6 months. Nopersonal flight records were located for the pilot. The pilot submitted an insurance form to the operator dated January 21, 2014, which reported a total of 384 hours in the accident airplane make and model. Training records for the pilot were obtained from the operator, and the training instructor was interviewed. The records indicated that the pilot began banner tow training on May 8, 2013, and he completed the training on May 26, 2013. The training included 10 hours of ground school and 8.1 hours of flight training. According to the instructor who provided the training and served as the chief pilot for the operator, after the pilot completed this initial training, he was placed on the operator's waiver to conduct banner tows. The instructor reported that soon thereafter, "safety issues started developing" with the pilot. The issues included picking up the banner with the tailwheel, low approaches, nonstandard patterns, dragging banners along the ground, adding power late, pitching up too high, multiple low misses, flying under instrument flight rules in an airplane equipped only for flight under visual flight rules during multiple ferry flights, and making unapproved repairs to banner equipment. All of these issues arose during 2014; the instructor reported them to the owner, and the pilot was retrained. The instructor left the operator in December 2014. Investigators examined the wreckage at Air Transport, Phoenix, Arizona, on August 26, 2015. The engine remained attached to the airframe and was removed before the examination. The engine was thermally damaged, which was a result of the postimpact fire. All engine components were in their expected locations. The magnetos were attached; however, they were thermally damaged. The carburetor was detached due to the impact forces but was complete. Engine continuity was established from front to back. Cylinder compression was established on all cylinders. Oil was found in the crankcase, and the oil screen was clear of metallic debris. Oil was found in the propeller governor. The spark plugs were clean and intact. The examination identified no mechanical anomalies that would have precluded normal operation. The airplane wreckage was located in the grass to the south of runway 25L and adjacent to taxiway Foxtrot. The banner system was located about midfield in the grassy area between runways 25L and 25R. Examination revealed no damage to either the banner or the tow hook rope. The airplane came to rest in a nose-down configuration. The underside of the airplane was facing west. The tail section was bent forward towards the east. The fabric of the airplane was thermally consumed by the postimpact fire. The on-scene examination of the airplane confirmed flight control continuity throughout the airplane. All flight control surfaces were located and attached at their respective locations. The tow hook on the airplane was examined; no abnormalities were noted. The hook was in the released position. Therewas no damage noted to the rudder horn or tail section.

Aircraft

Registration
N6090U
Reported as
Aviat A 1 (UNDESIGNAT)
Category
Airplane
Serial number
1300
Built
1995
Airframe hours
1,878.8
Engine
Lycoming O-360-A1P, 180 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Banner tow · Part 91
Operator
Aviad Corporation
Registered owner
Wyoming Services LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · April 17, 2015
Departed
CPM · Compton, CA
Destination
CPM · Compton, CA
Airport
CPM · Compton/Woodley, runway 25L, 3,322 × 60 ft, asphalt
Equipment
None

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
48
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Front
Restraint
4-point
Toxicology
Performed
Flight hours
2,501 total · 976 in this make and model · 2,400 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 57 °F
Altimeter
29.97 inHg
Observed at
KHHR, 5 nm away

Docket · 12

The files NTSB released with the investigation on August 3, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.3 MB in all.