Zone

Crash of a Beechcraft B60 Duke in Fullerton: 1 killed

Date & Time: Apr 18, 2019 at 1951 LT
Type of aircraft:
Registration:
N65MY
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Fullerton - Heber City
MSN:
P-314
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
380
Captain / Total hours on type:
87.00
Aircraft flight hours:
5419
Circumstances:
The pilot began the takeoff roll in visual meteorological conditions. The airplane was airborne about 1,300 ft down the runway, which was about 75% of the normal ground roll distance for the airplane’s weight and the takeoff environment. About 2 seconds after rotation, the airplane rolled left. Three seconds later, the airplane had reached an altitude of about 80 ft above ground level and was in a 90° left bank. The nose then dropped as the airplane rolled inverted and struck the ground in a right-wing-low, nose-down attitude. The airplane was destroyed. Postaccident examination did not reveal any anomalies with the airframe or engines that would have precluded normal operation. The landing gear, flap, and trim positions were appropriate for takeoff and flight control continuity was confirmed. The symmetry of damage between both propeller assemblies indicated that both engines were producing equal and high amounts of power at impact. The autopsy revealed no natural disease was present that could pose a significant hazard to flight safety. Review of surveillance video footage from before the accident revealed that the elevator was in the almost full nose-up (or trailing edge up) position during the taxi and the beginning of the takeoff roll. Surveillance footage also showed that the pilot did not perform a preflight inspection of the airplane or control check before the accident flight. According to the pilot’s friend who was also in the hangar, as the accident pilot was pushing the airplane back into his hangar on the night before the accident, he manipulated and locked the elevator in the trailing edge up position to clear an obstacle in the hangar. However, no evidence of an installed elevator control lock was found in the cabin after the accident. The loss of control during takeoff was likely due to the pilot’s use of an unapproved elevator control lock device. Despite video evidence of the elevator locked in the trailing edge up position before the accident, an examination revealed no evidence of an installed control lock in the cabin. Therefore, during the night before the accident, the pilot likely placed an unapproved object between the elevator balance weight and the trailing edge of the horizontal stabilizer to lock the elevator in the trailing edge up position. The loss of control was also due to the pilot’s failure to correctly position the elevator before takeoff. The pilot’s friend at the hangar also reported that the pilot was running about one hour late; the night before, he was trying to troubleshoot an electrical issue in the airplane that caused a circuit breaker to keep tripping, which may have become a distraction to the pilot. The pilot had the opportunity to detect his error in not freeing the elevator both before boarding the airplane and again while in the airplane, either via a control check or detecting an anomalous aft position of the yoke. The pilot directed his attention to the arrival of a motorbike in the hangar alley shortly after he pulled the airplane out of the hangar, which likely distracted the pilot and further delayed his departure. He did not conduct a preflight inspection of the airplane or control check before the accident flight, due either to distraction or time pressure.
Probable cause:
The pilot’s use of an unapproved elevator control lock device, and his failure to remove that device and correctly position the elevator before flight, which resulted in a loss of control during takeoff. Contributing to the accident was his failure to perform a preflight inspection and control check, likely in part because of distractions before boarding and his late departure time.
Final Report:

Crash of a Cessna 414A Chancellor in Yorba Linda: 5 killed

Date & Time: Feb 3, 2019 at 1345 LT
Type of aircraft:
Operator:
Registration:
N414RS
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Fullerton – Minden
MSN:
414A-0821
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
10235
Aircraft flight hours:
9610
Circumstances:
The commercial pilot departed for a cross-country, personal flight with no flight plan filed. No evidence was found that the pilot received a preflight weather briefing; therefore, it could not be determined if he checked or received any weather information before or during the accident flight. Visual meteorological conditions existed at the departure airport; however, during the departure climb, the weather transitioned to instrument meteorological conditions (IMC) with precipitation, microburst, and rain showers over the accident area. During the takeoff clearance, the air traffic controller cautioned the pilot about deteriorating weather conditions about 4 miles east of the airport. Radar data showed that, about 5 1/2 minutes after takeoff, the airplane had climbed to about 7,800 ft above ground level before it started a rapid descending right turn and subsequently impacted the ground about 9.6 miles east of the departure airport. Recorded data from the airplane’s Appareo Stratus 2S (portable ADS-B receiver and attitude heading and reference system) revealed that, during the last 15 seconds of the flight, the airplane’s attitude changed erratically with the pitch angle fluctuating between 45° nose-down and 75°nose-up, and the bank angle fluctuating between 170° left and 150° right while descending from 5,500 to 500 ft above ground level, indicative of a loss of airplane control shortly after the airplane entered the clouds. Several witnesses located near the accident site reported seeing the airplane exit the clouds at a high descent rate, followed by airplane parts breaking off. One witness reported that he saw the airplane exit the overcast cloud layer with a nose down pitch of about 60°and remain in that attitude for about 4 to 5 seconds “before initiating a high-speed dive recovery,” at the bottom of which, the airplane began to roll right as the left horizontal stabilizer separated from the airplane, immediately followed by the remaining empennage. He added that the left wing then appeared to shear off near the left engine, followed by the wing igniting. An outdoor home security camera, located about 0.5 mile north-northwest of the accident location, captured the airplane exiting the clouds trailing black smoke and then igniting. Examination of the debris field, airplane component damage patterns, and the fracture surfaces of separated parts revealed that both wings and the one-piece horizontal stabilizer and elevators were separated from the empennage in flight due to overstress, which resulted from excessive air loads. Although the airplane was equipped with an autopilot, the erratic variations in heading and altitude during the last 15 seconds of the flight indicated that the pilot was likely hand-flying the airplane; therefore, he likely induced the excessive air loads while attempting to regain airplane control. Conditions conducive to the development of spatial orientation existed around the time of the in-flight breakup, including restricted visibility and the flight entering IMC. The flight track data was consistent with the known effects of spatial disorientation and a resultant loss of airplane control. Therefore, the pilot likely lost airplane control after inadvertently entering IMC due to spatial disorientation, which resulted in the exceedance of the airplane’s design stress limits and subsequent in-flight breakup. Contributing to accident was the pilot’s improper decision to conduct the flight under visual flight rules despite encountering IMC and continuing the flight when the conditions deteriorated. Toxicology testing on specimens from the pilot detected the presence of delta-9-tetrahydrocanninol (THC) in heart blood, which indicated that the pilot had used marijuana at some point before the flight. Although there is no direct relationship between postmortem blood levels and antemortem effects from THC, it does undergo postmortem redistribution. Therefore, the antemortem THC level was likely lower than detected postmortem level due to postmortem redistribution from use of marijuana days previously, and it is unlikely that the pilot’s use of marijuana contributed to his poor decision-making the day of the accident. The toxicology testing also detected 67 ng/mL of the sedating antihistamine diphenhydramine. Generally, diphenhydramine is expected to cause sedating effects between 25 to 1,120 ng/mL. However, diphenhydramine undergoes postmortem redistribution, and the postmortem heart blood level may increase by about three times. Therefore, the antemortem level of diphenhydramine was likely at or below the lowest level expected to cause significant effects, and thus it is unlikely that the pilot’s use of diphenhydramine contributed to the accident.
Probable cause:
The pilot’s failure to maintain airplane control after entering instrument meteorological conditions (IMC) while climbing due to spatial disorientation, which resulted in the exceedance of the airplane’s design stress limits and subsequent in-flight break-up. Contributing to accident was the pilot's improper decision to conduct the flight under visual flight rules and to continue the flight when conditions deteriorated.
Final Report:

Crash of a Bushmaster 2000 in Fullerton

Date & Time: Sep 25, 2004 at 1523 LT
Type of aircraft:
Operator:
Registration:
N750RW
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Fullerton - Fullerton
MSN:
2
YOM:
1985
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3700
Captain / Total hours on type:
54.00
Aircraft flight hours:
1420
Circumstances:
The airplane crashed onto a street adjacent to the airport shortly after takeoff. As the airplane started its takeoff roll, it began to veer to the left off of the runway. About midway down the runway the airplane lifted off the ground and flew over a crowd of people assembled at the airport for an airport appreciation day. The airplane climbed to about 50 feet, made a steep roll to the left, flying in-between the control tower and a light pole, and crossed over the boundary fence where the left wing struck a moving vehicle before coming to rest against several parked cars. Numerous photographs (including video footage) were taken by witnesses on the airport of the airplane on the takeoff ground roll and throughout the accident sequence. The photographs clearly show a nylon strap connecting the left elevator and rudder. It was surmised that the use of the nylon strap was as a flight control/gust lock for the airplane. During the investigation, a nylon strap was observed hanging from an S-hook that was attached to the vertical stabilizer/rudder hinge attach point. The loop at the other end of the strap had come apart, and when investigators looked under the left stabilizer/elevator hinge attach area they noted a similar S-hook attached to the hinge attach area.
Probable cause:
The inadequate preflight inspection by the pilot-in-command, where the pilot failed to remove the makeshift gust lock attached to the rudder and left elevator of the airplane. As a result, the airplane veered off the runway surface during the takeoff roll, became airborne, and immediately began an uncontrolled descending left roll until impacting vehicles and the ground.
Final Report:

Crash of a Piper PA-60 Aerostar (Ted Smith 600) off Avalon: 1 killed

Date & Time: Nov 21, 1999 at 1015 LT
Registration:
N97CC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Fullerton - Fullerton
MSN:
60-0154-068
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1710
Captain / Total hours on type:
951.00
Aircraft flight hours:
4199
Circumstances:
The pilot/owner was performing a post maintenance check flight about 20 miles off shore. He was receiving visual flight advisories from a terminal radar approach facility while in level flight about 4,900 feet msl. Subsequently, the airplane started slowing then descending in a right spiral, and radar contact was lost about 1,000 feet msl. The pilot's body was recovered from the ocean. According to the autopsy report, the pilot had experienced sudden cardiac death secondary to an acute myocardial infarction due to atherosclerotic coronary artery disease. Tramadol, a painkiller not approved by the FAA for flight, was detected in a drug screen and may have masked the chest pain.
Probable cause:
The pilot's in-flight loss of control due to physical incapacitation from sudden cardiac death secondary to an acute myocardial infarction.
Final Report:

Crash of a Cessna 414 Chancellor in Sacramento

Date & Time: Aug 29, 1980 at 2338 LT
Type of aircraft:
Registration:
N1665T
Survivors:
Yes
Site:
Schedule:
Fullerton - Sacramento
MSN:
414-0458
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2433
Captain / Total hours on type:
40.00
Circumstances:
On approach to Sacramento-Executive Airport by night, both engines stopped simultaneously. The airplane lost speed then stalled and crashed into a residential area, bursting into flames. Both occupants were injured while there were no casualties on the ground.
Probable cause:
Engine failure on final approach due to fuel exhaustion. The following contributing factors were reported:
- Inadequate preflight preparation,
- Mismanagement of fuel,
- Miscalculated fuel consumption,
- Fuel exhaustion.
Final Report:

Crash of a Rockwell Grand Commander 680FL in Van Nuys: 1 killed

Date & Time: Oct 12, 1973 at 1021 LT
Registration:
N7377B
Survivors:
No
Schedule:
Van Nuys - Fullerton
MSN:
680-1402-57
YOM:
1964
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
16000
Captain / Total hours on type:
3500.00
Circumstances:
Shortly after takeoff from Van Nuys Airport, while climbing, both engines stopped simultaneously. The pilot informed ground and completed a 180 turn to attempt an emergency landing when the airplane stalled and crashed few miles from the airfield. The aircraft was destroyed and the pilot, sole on board, was killed.
Probable cause:
Failure of both engines caused by a fuel exhaustion. The following factors were reported:
- Inadequate preflight preparation,
- Mismanagement of fuel,
- Fuel exhaustion,
- Fuel selectors found on empty auxiliary tanks.
Final Report: