WPR17LA214

NTSB accident investigation · SC Aerostar YAK 52W · El Cajon, CA · September 23, 2017

Accident · No injuriesLimited investigationFinal report
Date
September 23, 2017, 14:15 local (21:15 UTC)
Place
El Cajon, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N52KFSC Aerostar YAK 52W
Defining event
Taxi: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report September 14, 2020
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
San Diego FSDO
FAA report
20170923019759A
Case key
96089

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 failure to maintain directional control during taxi after a reduction in braking performance and steering capabilities due to his failure to reopen the air supply valve after the nonstandard engine start.

Findings · 4

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.

Action: forgotten action/omissionPersonnel issues › Action/decision · PilotSC Aerostar YAK-52W: 1 caseAll aircraft: 440 casesProbable cause
Pneumatic system: pneumatic distribution systemAircraft › Aircraft systems · Not used/operatedSC Aerostar YAK-52W: 1 caseAll aircraft: 4 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleSC Aerostar YAK-52W: 1 caseAll aircraft: 3,958 casesProbable cause
Object/animal/substance: fence/fence postEnvironmental issues › Physical environment · Contributed to outcomeSC Aerostar YAK-52W: 1 caseAll aircraft: 313 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

After completing an uneventful preflight inspection, the pilot was unable to start the engine due to low pressure in the pneumatic system. An individual arrived with a tank of air to pressurize the system while the pilot remained in the airplane. The pilot shut off the compressed air supply valve, as required during a pneumatic system recharge; however, the recharge could not be accomplished due to an incorrect adapter. While the individual left to find the correct adapter, another individual offered to help start the engine manually by turning the propeller. After the engine started, the pilot forgot to reopen the compressed air supply valve and, during taxi, the airplane experienced a loss of braking performance that affected its steering capabilities (the steering is accomplished through differential braking, and the brake system requires pneumatic pressure to operate). The pilot was unable to maintain directional control, and the airplane subsequently collided with a fence and sustained substantial damage to the left wing. The checklist for the make/model airplane does not require the pilot to check the air pressure or valve position during the preflight, engine start, or before takeoff phases.

Factual narrative

On September 23, 2017, about 1415 Pacific daylight time, an experimental SC Aerostar SA, Yak-52W airplane, N52KF, sustained substantial damage while taxiing at Gillespie Field Airport (SEE), El Cajon, California. The airline transport pilot and the passenger were not injured. The airplane was registered to an individual and operated by the pilot as a Title 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed, and no flight plan had been filed. The pilot did not submit an NTSB Pilot/Operator Aircraft Accident/Incident Report Form 6120.1, however, his legal counsel provided an email statement which described the sequence of events. The pilot reported that he conducted a normal preflight inspection, completed the starting engine checklist, and attempted to start the engine, but was unable to do so due to low pressure in the pneumatic system. An individual arrived with a tank of air to pressurize the system, while the pilot remained in the airplane. The pilot shut off the compressed air supply valve, as required during a pneumatic system recharge. The individual with the tank of air realized that they had accidentally brought the wrong adapter for the airplane, and left to find the correct adapter. A second individual arrived and offered to assist to start the engine by manually turning the propeller. The pilot accepted the offer, and the engine was subsequently started. The pilot completed the post-start checklist, and started to taxi. Shortly thereafter, he experienced a loss of braking performance which affected the airplane's steering capabilities (the steering is accomplished through differential braking, and the brake system requires pneumatic pressure to operate). The pilot realized that the compressed air supply valve was still shut off, and attempted to turn it back on while turning the engine off and maintaining steering control. Due to the size constraints of the cockpit, he could not reach the supply valve without unstrapping his seat belt and turning around. The airplane impacted a fence before he was able to do so, and sustained substantial damage to the left wing. Further investigation revealed that the Yak-52 checklist does not require the pilot to check air pressure or the valve position during the preflight, engine start or before takeoff phases. There was no noted preimpact mechanical malfunction that would have precluded normal operations.

Aircraft

Registration
N52KF
Reported as
SC Aerostar YAK 52W (NO SERIES)
Category
Airplane, amateur-built
Serial number
9111213
Built
1991
Engine
Ama/Expr UNKNOWN ENG
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Unknown
Departed
SEE · El Cajon, CA
Destination
SEE · El Cajon, CA
Airport
SEE · Gillespie Field

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
59
Injuries
None
Certificates
Flight engineer, Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 8 knots
Visibility
10 statute miles
Temperature
72 °F, dew point 52 °F
Altimeter
29.84 inHg
Observed at
KSEE

Docket · 3

The files NTSB released with the investigation on June 25, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 989 KB 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.