Accident Details
Probable Cause and Findings
THE PILOT'S INADEQUATE PLANNING/DECISION CONCERNING PERFORMANCE OF AN AEROBATIC MANEUVER, AND HIS FAILURE TO MAINTAIN ADEQUATE ALTITUDE/CLEARANCE ABOVE THE RUNWAY DURING RECOVERY FROM THE MANEUVER. A FACTOR RELATED TO THE ACCIDENT WAS: THE PILOT'S LOWER TOLERANCE TO 'G'S' (PHYSIOLOGICAL CONDITION) BY NOT WEARING A 'G' SUIT (MISCELLANEOUS EQUIPMENT).
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHT
On May 2, 1993, about 1343 hours Pacific daylight time, a Canadair F- 86E Mark 6, N3842J, crashed during an aerial demonstration at the El Toro Marine Corps Air Station, Santa Ana, California. The airplane was being operated as part of an annual air show when the accident occurred. The airplane, operated by the pilot in partnership with National Airshows Inc., was destroyed by impact and post-impact fire. The certificated commercial pilot, the sole occupant, received fatal injuries. Visual meteorological conditions prevailed. The flight originated from El Toro at 1341 hours.
An Operations Inspector, Federal Aviation Administration, Long Beach Flight Standards District Office, was present at the airshow. He reported that the pilot was to participate in a mock dog-fighting routine with the pilot's partner/operator flying another aircraft as a portion of the normally planned demonstration. The pilot of the second airplane did not feel well and canceled his participation in the demonstration. The pilot of the accident aircraft then planned to perform a solo aerobatic routine. The routine that the pilot began was not one that had been practiced.
At 1318 hours, Air Traffic Control personnel cleared the accident airplane to taxi to the runway in preparation for the aerial show. Ground personnel working with the pilot reported that as the airplane taxied out from parking, the pilot's shoulder harness was observed lying back behind the seat back and unsecured. At 1324 hours, while waiting for takeoff, the pilot made a radio request for assistance with the airplane's canopy from his ground crew. A witness reported observing the pilot leaning far forward in the seat of the airplane on the right side of the airplane. At 1325 hours, the pilot canceled any assistance from his ground crew. At 1341 hours, the pilot was cleared for takeoff on runway 34L.
After departure, the pilot performed a right 90 degree climbing turn, followed by a left 270 degree descending turn. This positioned the airplane over runway 16R at about 75 feet above ground level (AGL). The pilot then began a loop with an aileron roll at the top of the maneuver. Following the descent at the bottom portion of the loop maneuver, the airplane descended in a near nose and wing level attitude until striking runway 16R about mid-field. An intense explosion occurred. Wreckage was scattered along the runway for about 1/4 mile. No spectators were injured.
The operator reported that the loop maneuver in the accident airplane required a minimum of 275 knots at the entry point, and a minimum altitude of 4,000 feet above ground level (AGL) at 125 knots at the top of the maneuver. The operator indicated to FAA personnel that he observed the accident airplane's maneuver. He reported that it appeared to him that the accident airplane did not have the minimum entry speed. The operator estimated that the maximum altitude gained at the top of the maneuver was about 2,500 feet and the airplane appeared to experience an accelerated stall at 100 to 200 feet AGL just prior to impact. Additionally, the operator indicated that it was normal for the pilot to wear a "G" suit during his aerobatic routine.
CREW INFORMATION
The pilot held a commercial pilot certificate with airplane single engine land and sea, airplane multiengine land (limited to VFR only), and instrument-airplane ratings. The most recent second class medical certificate was issued to the pilot on April 9, 1993, and contained no limitations. The pilot's airman records, maintained in the FAA's Airman and Records Center located in Oklahoma City, were reviewed by Safety Board investigators. The review noted that pilot was first issued a student pilot certificate on May 18, 1976, followed by a private pilot certificate on May 25, 1976. The pilot then received a commercial pilot certificate on July 21, 1976. The pilot held a letter of authorization (LOA) to act as pilot-in-command of North American F-86 Sabre Jets (All Models).
The operator reported that the pilot's formal aerobatic training was unknown. The pilot had owned and flown aerobatic aircraft in aerobatic flight in the past. The pilot received a checkout in the accident airplane on January 10, 1992, and the pilot completed all approved maneuvers by January 15, 1992. During 1992, the pilot did not fly any aerial demonstrations; however, he did practice the F-86 solo routine several times, down to ground level. In 1993, the pilot prepared for solo and dual air show routines by practicing in a Pitts S-2 and the accident airplane. The operator indicated that practice sessions exceeded 25 sequences.
The operator reported that the pilot portrayed himself as an ex-naval aviator and A-4 pilot. U.S. Naval Investigative Service (NIS) personnel assisted Safety Board investigators in an inquiry of the pilot's military experience. According to the NIS, the pilot was terminated from the U.S. Navy advanced jet training curriculum, Pensacola, Florida, on May 19, 1976.
Review of pilot logbook entries submitted by the operator revealed that the pilot's total aeronautical experience consisted of about 5,596.4 hours, of which 47 were accrued in the accident airplane. In the preceding 90 and 30 days prior to the accident, the logbook lists a total of 26.8 and 24.5 hours, respectively, flown in the accident airplane. On the last application for medical certificate, dated April 9, 1993, the pilot listed a total time of 6,200 hours, with 150 hours accrued in the preceding 6 months. The application did not have any entry for military experience.
Pilots participating in aerial demonstrations are required to demonstrate to the FAA their competency. The FAA utilizes air show professionals as Airshow Certification Evaluators (ACE) to evaluate other air show performers for the purpose of recommending a performer for aerobatic flight. The ACE program is administered by the International Council of Air Shows Inc. (ICAS). Evaluations and recommendations are forwarded to the FAA for review. The FAA is has the final authority to issue a Certificate of Acrobatic Competency, Form 8710-7. An FAA statement of acrobatic competency is valid for 1 year. An ACE has evaluation authority through ICAS Inc. that is valid for 2 years.
Safety Board investigators examined the evaluation records of the pilot and those of his last evaluator that are maintained by ICAS Inc. The pilot received an initial evaluation of acrobatic competency on September 19, 1991, by an ACE. The FAA issued a Form 8710-7 for solo and formation maneuvers in Pitts S-2 aircraft, with a level 2 (250 feet) altitude limitation to the pilot, with an expiration date of September 30, 1992. The evaluator indicated that the pilot's initial qualification at level 2 was based on the pilot's prior military low level and air-to-ground experience.
On October 19, 1992, the pilot applied for a statement of acrobatic competency with a level 1 (no restriction) altitude. The pilot was evaluated again by the same evaluator on January 4, January 18, and January 19, 1993, in a Pitts S-2 airplane. Additionally, the evaluator observed the pilot in formation flight in the F-86 with a MIG-15 on February 9, 1993. A review of the pilot's logbook indicated that the pilot logged flights in the Pitts on January 12 and January 18, 1993.
On February 24, 1993, the pilot was given an ACE acrobatic competency recommendation to the FAA with the following limitations: Maneuver limitations - solo/formation; Altitude limitations - Level 1, surface; Authorized aircraft - Pitts S-2, F-86 Sabre. A Level 1 authorization means that a performer may conduct aerobatic maneuvers down to the surface, not having any other altitude restriction for termination of a maneuver. On February 26, 1993, the FAA issued a statement of acrobatic competency (FAA Form 8710-7) to the pilot.
The pilot's evaluator submitted an application for designation as an evaluator on March 1, 1991, and listed 8 years of airshow performance experience. He was again evaluated on October 17, 1992, by the operator of the accident airplane for an ACE renewal. The evaluator has held and currently holds an FAA Form 8710-7 that expires on March 31, 1994.
FAA personnel interviewed the pilot's evaluator who recommended him for his aerobatic competency. The evaluator, a member of an aerobatic team and an employee of National Airshows Inc., indicated that on the preceding two days before the accident, the pilot exhibited poor control or judgement when he utilized an unusually low altitude to terminate maneuvers during his airshow performances. The evaluator indicated that he counselled the pilot about his performance and thought the issue resolved.
AIRCRAFT INFORMATION
The airplane had accumulated a total time in service of 1,666.8 flight hours. Examination of the maintenance records revealed that the most recent airframe and engine inspection was accomplished on February 3, 1993, 24.8 flight hours before the accident. The engine had accrued a total time in service of 132.9 hours of operation since being overhauled on August 1, 1977. Examination of the maintenance records revealed no unresolved maintenance discrepancies against the aircraft prior to departure.
METEOROLOGICAL INFORMATION
The closest official weather observation station is located at the El Toro Marine Corps Air Station. At 1345 hours, a surface observation was reporting in part:
Sky condition and ceiling, 20,000 feet scattered; visibility, unrestricted; temperature, 77 degrees F; dew point, 55 degrees F; wind, 150 degrees at 3 knots; altimeter, 29.88 inHg.
COMMUNICATIONS
Review of the air-ground radio communications tapes maintained by the El Toro Marine Corps Air Station facility revealed that the aircraft successfully communicated with the ground and local control positions. A transcript of the air to ground communications between the aircraft and all involved ATC pos...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# LAX93LA199