NTSB AVIATION ACCIDENT/INCIDENT DATABASE REPORT

LAX94LA237.html

1994, 1s/1m, within a mile of another airport.


General Information

   Data Source:                          NTSB AVIATION ACCIDENT/INCIDENT DATABASE
   Report Number:                        LAX94LA237 
   Local Date:                           06/04/1994
   Local Time:                           1322 PDT
   State:                                CA    
   City:                                 UPPER LAKE                         
   Airport Name:                         GRAVELLY VALLEY          
   Airport Id:                           1Q5   
   Event Type:                           ACCIDENT
   Injury Severity:                      SERIOUS
   Report Status:                        FINAL      
   Mid Air Collision:                    NO 


Operations Information

   Category of Operation:                GENERAL AVIATION       
   Aircraft Type:                        AIRPLANE       
   Aircraft Damage:                      SUBSTANTIAL      
   Phase of Flight:                      560 APPROACH                                          
   Aircraft Make/Model:                  CESSNA CE-152-152               
   Operator Doing Business As:                                         
   Operator Name:                        PACIFIC STATES AVIATION, INC. 
   Operator Code:                        
   Operator:                                                                       
   Owner Name:                           PACIFIC STATES AVIATION, INC. 


Narrative

   THE PILOT REPORTED THAT HE OVERFLEW THE AIRPORT, OBSERVED THE 
   WINDSOCK, AND NOTED THAT A CROSSWIND CONDITION EXISTED. ON FINAL 
   APPROACH TO THE 4,050-FOOT-LONG RUNWAY, THE AIRPLANE WAS AT VARIOUS 
   TIMES FLYING "SLOW" AND "FAST." THE PILOT ALSO REPORTED THAT THE 
   AIRPLANE "FLOATED AND FLOATED," AND IT WAS STILL 30 FEET IN THE AIR AT 
   MIDFIELD.  HE INITIATED A GO-AROUND, APPLIED FULL ENGINE POWER, AND 
   LEFT ON THE CARBURETOR HEAT. BY THE TIME THE AIRPLANE REACHED THE 
   DEPARTURE END OF THE RUNWAY, IT HAD CLIMBED TO 50 FEET ABOVE GROUND  
   LEVEL. THE PILOT INITIATED A SLIGHT RIGHT TURN TO AVOID RISING TERRAIN. 
   THE AIRPLANE STALLED AND PANCAKED ONTO THE GROUND.


Sequence of Events

   Occurrence #: 1  250 LOSS OF CONTROL - IN FLIGHT
   Phase of Operation: 565 GO-AROUND (VFR)

           Findings
           Subject - Modifier - Personnel Cause/Factor

     1b.   24542(S) - 3104(M) - 4000(P)  Factor
           REMEDIAL ACTION - DELAYED - PILOT IN COMMAND
     2b.   24536(S) - 3104(M) - 4000(P)
           GO-AROUND - DELAYED - PILOT IN COMMAND
     3b.   22304(S) - 3110(M) - 4000(P)  Factor
           CARBURETOR HEAT - IMPROPER USE OF - PILOT IN COMMAND
     4b.   24506(S) - 3115(M) - 4000(P)  Cause
           AIRSPEED - INADEQUATE - PILOT IN COMMAND
     5b.   24553(S) - 3113(M) - 4000(P)  Cause
           STALL/MUSH - INADVERTENT - PILOT IN COMMAND

   Occurrence #: 2  230 IN FLIGHT COLLISION WITH TERRAIN/WATER
   Phase of Operation: 553 DESCENT - UNCONTROLLED

           Findings
           Subject - Modifier - Personnel Cause/Factor


Probable Cause

   THE PILOT'S FAILURE TO MAINTAIN ADEQUATE AIRSPEED DURING A GO-AROUND.  
   CONTRIBUTING FACTORS WERE THE PILOT'S DELAYED REMEDIAL ACTION IN 
   INITIATING THE GO-AROUND AND HIS IMPROPER USE OF THE CARBURETOR HEAT 
   DURING THE ATTEMPTED INITIAL CLIMB.


Aircraft Information

   Number of Seats:                      2  
   Aircraft Use:                         PERSONAL           
   Type of Operation:                    14 CFR 91 
   Domestic/International:                            
   Passenger/Cargo:                                        
   Registration Number:                  94509 
   Air Carrier Operating Certificates:   
   Aircraft Fire:                        NONE

                  Injuries
          Fatal  Serious  Minor  None
   Crew      0       0       1      0
   Pass      0       1       0      0
   Other     0       0       0      0
   Invlvd    0       1       1      0

   Landing Gear:                         TRICYCLE-FIXED
   Certificated Maximum Gross Weight:    1670
   Engine Make:                          LYCOMING     
   Engine Model:                         O-235-L2C    
   Number of Engines:                     1
   Engine Type:                          RECIPROCATING-CARBURETOR    


Environment/Location Information

   Basic Weather Conditions:             VISUAL METEOROLOGICAL CONDITIONS (VMC)  
   Wind Direction (deg):                 280
   Wind Speed (knots):                   8
   Visibility (sm):                      15
   Visibility RVR (ft):                  0
   Visibility RVV (sm):                  0
   Cloud Height Above Ground Level (ft): 5000
   Visibility Restrictions:              NONE
   Precipitation Type:                   NONE
   Light Condition:                      DAYLIGHT
   Departure Airport Id:                 CCR 
   Departure City:                       CONCORD        
   Departure State:                      CA
   Destination Airport Id:               1Q5 
   Destination City:                                    
   Destination State:                      
   Flight Plan Filed:                    NONE
   ATC Clearance:                        NONE
   VFR Approach/Landing:                 TRAFFIC PATTERN, GO AROUND
   Event Location:                       ON AIRPORT


Pilot-in-Command

   Certificates:                         PRIVATE
   Ratings:
     Plane:                              SINGLE ENGINE LAND
     Non-Plane:                          NONE
     Instrument:                         NONE
   Had Current BFR:                      YES
   Months Since Last BFR:                9
   Medical Certificate:                  CLASS 3
   Medical Certificate Validity:         VALID MEDICAL-NO WAIVERS/LIMITATIONS

              Flight Time (Hours)
   Total       :    191  Last 24 Hrs :    0
   Make/Model  :     53  Last 30 Days:    5
   Instrument  :     29  Last 90 Days:    8
   Multi-Engine:      0  Rotorcraft  :    0