WPR20LA303

NTSB accident investigation · Navion B · Van Nuys, CA · September 11, 2020

Accident · FatalClass 3 · LimitedFinal report
Date
September 11, 2020, 15:00 local (22:00 UTC)
Place
Van Nuys, CA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N37CNavion B
Defining event
Initial climb: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Continental Motors, Federal Aviation Administration
FAA report
20200911013949A
Case key
101953

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 control of the airplane during an abrupt turn after takeoff at a low altitude, which resulted in an aerodynamic stall.

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 · PilotNavion NAVION B: 1 caseAll aircraft: 9,295 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedNavion NAVION B: 1 caseAll aircraft: 1,681 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedNavion NAVION B: 1 caseAll aircraft: 990 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

Air Traffic control reported that, at the time of the accident, the traffic volume at the airport was moderate, but not complex. The pilot contacted the tower and reported that he was ready for takeoff. The controller replied that he was cleared for takeoff from 16R without delay. The airplane took off uneventfully; shortly thereafter the controller started to instruct the pilot to turn on a right crosswind but stopped and asked the pilot if he was ok. There was no response from the pilot. Witnesses reported that the airplane took off to the south and was flying lower than normal. In addition, the airplane started a right turn much earlier than most airplanes. As the airplane started its turn, they heard a “pop,” and the airplane made a “hard right” turn. The airplane then descended nose down with the wings at a slight angle as it went out of sight. Shortly thereafter, a plume of smoke was observed. The airplane impacted nose low in a narrow parking lot about ½ mile west of the runway surface. The airplane wreckage was contained to a small area in between two rows of vehicles. A post-crash fire ensued, and a large portion of the fuselage and aft fuselage were consumed by fire. Postaccident examination of the engine and remaining airframe did not reveal any anomalies that would have precluded normal operation. Given the abrupt climbing right turn it is likely the airplane stalled at a low altitude. It could not be determined if the moderate traffic at VNY was enough to cause the pilot to rush the turn to crosswind.

Factual narrative

On September 11, 2020, at 1501 Pacific daylight time, a Navion B, N37C, was destroyed when it was involved in an accident near the Van Nuys Airport (VNY), Van Nuys, California. The pilot and passenger were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight. Air Traffic control reported that, at the time of the accident, the traffic volume at VNY was moderate, but not complex. The pilot contacted the tower and reported that he was ready for takeoff. The controller replied that he was cleared for takeoff from 16R without delay. The airplane took off uneventfully; shortly thereafter the controller started to instruct the pilot to turn on a right crosswind but stopped and asked the pilot if he was ok. There was no response from the pilot. Witnesses reported that the airplane took off to the south and was flying lower than normal. In addition, the airplane started a right turn much earlier than most airplanes. As the airplane started its turn, they heard a “pop,” and the airplane made a “hard right” turn. The airplane then descended nose down with the wings at a slight angle as it went out of sight. Shortly thereafter, a plume of smoke was observed. The airplane impacted nose low in a narrow parking lot about ½ mile west of the runway surface. The airplane wreckage was contained to a small area in between two rows of vehicles. A post crash fire ensued; a large portion of the fuselage and aft fuselage were consumed by fire. The engine, cabin area, and wings were heavily accordioned and exhibited thermal damage. The empennage was present but exhibited extensive thermal damage. The fuel selector was located and was found in the “MAIN” position. Flight control continuity was established throughout the airframe. The engine exhibited heavy impact related damage; the crankcase had a large crack perpendicular to the split line. The cylinder valve covers were removed and exhibited normal operating signatures except for the number 5-cylinder intake valve assembly, which was fracture separated from the engine. The upper spark plugs were removed and exhibited normal operating wear signatures. The cylinders were borescoped; the valve heads were undamaged and normal combustion deposits were found on the piston head surfaces. The combustion chambers revealed normal operating signatures. Both magnetos exhibited thermal discoloration and impact related damage. The ignition leads were cut near the distributer cap. The magnetos were rotated by hand, and spark was obtained at each ignition lead end. The fuel manifold valve was disassembled, and fuel was noted in the valve chamber; the screen was clear of debris. The fuel control valve was disassembled with no anomalies noted. The Federal Aviation Administration (FAA) Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma, performed forensic toxicology on specimens from the pilot with positive results for Rosuvastatin. Rosuvastatin is aprescription medication that is acceptable for FAA medical certification.

Aircraft

Registration
N37C
Reported as
Navion B
Category
Airplane
Serial number
NAV-4-2184-B
Built
1950
Engine
Continental Motors IO-550G, 300 hp, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Destination
IZA · Santa Ynez, CA
Airport
VNY · Van Nuys Airport, runway 16R, 8,001 × 150 ft, asphalt

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
62
Injuries
Fatal
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
19,001 total · 14 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 6 knots
Visibility
6 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 34 °F
Altimeter
29.92 inHg
Observed at
VNY

Docket · 12

The files NTSB released with the investigation on May 11, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 187 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.