WPR15LA136

NTSB accident investigation · Piper PA30 - NO Series · Red Bluff, CA · March 19, 2015

Accident · Serious injuriesLimited investigationFinal report
Date
March 19, 2015, 16:30 local (23:30 UTC)
Place
Red Bluff, CA
Injuries
1 serious, 3 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N8403YPiper PA30 - NO Series
Defining event
Landing-landing roll: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report January 21, 2016
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20150319003139A
Case key
90950

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 directional control during the landing roll, which resulted in a runway excursion and collision with terrain.

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/maintainedPiper PA-30: 16 casesAll aircraft: 3,958 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotPiper PA-30: 28 casesAll aircraft: 9,295 casesProbable cause
Terrain: rough terrainEnvironmental issues › Physical environment · Contributed to outcomePiper PA-30: 3 casesAll aircraft: 442 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, after the airplane touched down and he applied the brakes, the airplane swerved 90 degrees right. He then released the brakes and applied aileron and rudder inputs to correct to the left. Despite the pilot's attempts to regain directional control, the airplane continued to turn right, slid sideways off the runway, went over a berm, and then continued about 40 ft down a 45-degree embankment, which resulted in the collapse of the landing gear and substantial damage to the fuselage. A postaccident examination of the airplane's wheel and brake system did not reveal any anomalies that would have precluded normal operation. Wind was reported to be calm at the time of the accident. The pilot reported that he did not hold a multiengine rating and that he had a total of 3 hours in the accident airplane make and model.

Factual narrative

On March 19, 2015, about 1630 Pacific daylight time, a Piper PA-30 multiengine airplane, N8403Y, was substantially damaged following a loss of control on landing roll, which resulted in a runway excursion and impact with terrain at the Red Bluff Municipal Airport (RBL), Red Bluff, California. The private pilot and two passengers received minor injures, and one passenger was seriously injured. Visual meteorological conditions prevailed for the personal cross-country flight, which was operated in accordance with 14 Code of Federal Regulations Part 91, and a flight plan was not filed. The flight originated from the Shelter Cover Airport (0Q5), Shelter Cove, California, at 1530, with RBL as its destination. In a report submitted to the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), the pilot, who was not multiengine land rated and listed 3 hours in make and model, reported that after landing on Runaway 15 and applying the brakes, the airplane pulled hard 90 degrees to the right. The pilot stated that he then released the brakes, but the airplane continued to turn to the right, and slid sideways down the runway; rudder and aileron inputs had no effect in correcting the control loss. The pilot opined that the airplane continued sliding until it went off the right side of the runway, into the dirt, and then over the side of a berm and down a 45-degree embankment. The excursion resulted in the collapse of the landing gear and substantial damage to the fuselage. The airplane continued downhill for about 40 feet where it came to rest in an upright position. At the request of the NTSB IIC, and under the supervision of a Federal Aviation Administration (FAA) aviation safety inspector, a postaccident inspection of the airplane's wheel and brake system was performed on April 20, 2015, by a licensed FAA airframe and powerplant mechanic. The mechanic reported that upon inspection of both [left and right] wheel and brake assemblies, no fluid leakage was present on either brake caliper, and that both brake discs were in good [condition]. The mechanic also noted that both main wheel tires had flat spots. The mechanic stated that when he actuated both brake pedals, they were firm and had equal travel. Additionally, a second FAA mechanic stationed outside of the airplane attempted to spin both wheels with the brakes applied, however, neither wheel would not spin. Subsequent to the brakes being released, both wheels were observed to rotate normally. The mechanic concluded that based on his examination of the airplane's wheel and brake system, he found no abnormality with either system. Reported wind at RBL about 35 minutes prior to the accident was 330 degrees at 4 knots, and about 25 minutes after the accident, was report to be 170 degrees at 5 knots. The pilot reported that prior to landing he obtained the Automatic Terminal Information Service report (ATIS), which indicated the wind was calm.

Aircraft

Registration
N8403Y
Reported as
Piper PA30 - NO Series (NO SERIES)
Category
Airplane
Serial number
301552
Built
1967
Airframe hours
3,000
Engines
Lycoming IO-320, 160 horsepower, reciprocatingLycoming IO-320, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Robert A Blair
Registered owner
Robert A Blair
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 6, 2014 · 8 hours before
Departed
025 · Shelter Cove, CA
Destination
RBL · Red Bluff, CA
Airport
RBL · Red Bluff Municipal, runway 15, 5,431 × 100 ft, asphalt
Equipment
Auto-pilot

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
68
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
September 23, 1984
Seat
Left
Restraint
3-point
Flight hours
235 total · 3 in this make and model · 160 as pilot in command · 3 in the last 90 days · 3 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 36 °F
Altimeter
29.95 inHg
Observed at
RBL

Docket · 4

The files NTSB released with the investigation on December 4, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.7 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.