Accident Details
Probable Cause and Findings
The flight crew's failure to maintain adequate terrain clearance and their decision to continue flight into known adverse weather conditions. Contributing to the accident was overcast conditions, and terrain obscuration. A finding of the investigation is that the flight crew may have improperly used the navigation equipment, which had a graphical moving map display capability, to guide the airplane between clouds and mountainous terrain while in obscured visibility conditions.
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHT
On October 17, 2005, at 1038 Pacific daylight time (PDT), a Lancair LC-41-550FG, N285JB, collided with mountainous terrain 6 miles north of Warner Springs, California. The airplane was operated by JB Lauchner Aviation LLC under the provisions of 14 CFR Part 91. The airline transport pilot, private pilot, and single passenger were fatally injured. The airplane was destroyed. Visual meteorological conditions prevailed and a flight plan had not been filed. The personal cross-country flight originated at Gillespie Field, San Diego, California, at 1021, with a destination of Scottsdale, Arizona.
Flight track data recorded from the onboard global positioning system (GPS) was extracted from the onboard multifunctional display (MFD) compact flash memory card that was recovered from the wreckage. The flight data file starts at time 1712:48 UTC (coordinated universal time, 1012:48 PDT); the data is captured at 6-second intervals and is written to the memory card once per minute. Examination of the data revealed that engine rpm increases to 2,500 at 1021:30 PDT and remained in that range for the remainder of the data file. The track departs Gillespie Field and turns east, then northeast over Lake Jennings, and climbs to a pressure altitude of 5,000 feet. The track continues northeast over San Diego Country Estates. When over Warner Springs the track increases altitude to 6,475 feet then it decreases to 5,996 feet. The last recorded time is 1038:00, at an altitude of 5,996 feet, 1.8 miles southwest of the accident site. Radar data was available to fill in the 1.8-mile gap, and continues to depict the track in a turn from the northeast towards the east where the track ends at the south side of Combs Peak (elevation 6,150 feet) and 0.25 miles north of Bucksnort Mountain (elevation 5,995 feet).
The aircraft was a subject of an alert notice (ALNOT) missing aircraft notification and was located by the Civil Air Patrol on the afternoon of October 19, 2005.
PERSONNEL INFORMATION
A review of Federal Aviation Administration (FAA) airman records obtained from Oklahoma City, Oklahoma, revealed that two of the occupants held pilot certificates.
The airline transport pilot (ATP) held certificates for certified flight instructor (CFI) and ground instructor, with ratings for single engine and multiengine land. His ATP certificate was dated January 14, 2005. He held a first-class medical certificate that was issued on August 31, 2005. It had the restriction that the pilot must wear corrective lenses. The ATP's logbook was not obtained by the National Transporation Safety Board. The flight time reported by the pilot on his latest FAA medical certificate application, dated August 31, 2005, was 3,000 hours total time, and 150 hours in the previous 6 months.
The other pilot held a private pilot certificate dated April 11, 1985, with a single engine land rating. He held a third-class medical certificate dated September 12, 2003, with the restriction that he must wear corrective lenses for near and distant vision. The private pilot's flight logbook was not located or obtained by the Safety Board. The flight time reported by the pilot on his last FAA medical certificate application, dated September 12, 2003, was 870 hours total time, and zero hours in the previous 6 months.
AIRCRAFT INFORMATION
The airplane is a pre-molded, composite built, semi-monocoque, four seat, single engine, low wing, tricycle design airplane, and is certified in the utility category. A review of the airplane's logbook revealed that the last annual inspection was dated August 18, 2005, at a total airframe time of 309.9 hours. An accompanying service order dated October 3, 2005, listed the total aircraft time as 332.0 hours recorded from the Hobbs meter.
The airplane had a Teledyne-Continental Motors TSIO-550-C(5) engine. Examination of the engine logbook revealed a 100-hour inspection dated August 18, 2005, at an engine total time of 309.9 hours.
Standard avionics equipment included an Avidyne FlightMax EX5000 multi-function display (MFD). The airplane pilot operation handbook describes the MFD system and operation as follows; "The MFD provides a pictorial view of your flight situation based on input from your GPS navigator. It utilizes on-board database information for mapping off-route navigation data such as nearby airports, VOR's, NDB's, special use airspace and restricted airspace, etc., as well as an extensive terrain, interstate highways, water, and obstacle databases. The controls on the bezel of the FlightMax EX5000 are placed to allow you quick and intuitive access to the information you need, when you need it." "The EX5000 uses RS-232 to interface to external sensors such as the GPS."
The EX 5000 also contains a built-in Narrowcast datalink transceiver which uses two-way messaging from Avidyne Network Operations Center, or interfaces with the XM satellite radio system receiving a constant stream of weather data. This system provides NEXRAD (weather radar) images, METAR text, AIRMETS, SIGMETS, TFR's (temporary flight restriction), and route of flight. The broadcast datalink receiver continuously receives all weather data.
The airplane was equipped with crew supplemental oxygen. Supplemental oxygen would allow aircraft operation above 12,500 feet for greater than 30 minutes (FAR 91.211).
The airplane is not certified for flight into known icing conditions. The pilot operation handbook states the following under the subtitle; Icing Conditions, 'Flight into know icing is prohibited.'
METEOROLGICAL INFORMATION
A Surface Analysis chart prepared by the National Weather Service (NWS) National Centers for Environmental Prediction (NCEP) for 1100 October 17 showed an inverted trough of low pressure along the southern California coastline.
Surface weather observations for airports in the accident area surrounding the accident time, in part, follow:
Ramona Airport (KRMN), Ramona, California, field elevation is 1,393 feet mean sea level (msl), is located approximately 215 degrees at 26 nautical miles from the accident location, and is equipped with an augmented Automated Surface Observation System (ASOS). At time 1036 a special observation was recorded; wind was calm; visibility was 10 miles; sky condition was broken at 1,200 feet, and overcast at 6,500 feet; temperature was 15 degrees Celsius; dew point was 12 degrees Celsius; altimeter setting was 29.91 inches Hg; there were no remarks. At time 1053; the wind direction was 300 degrees at 4 knots; the visibility was 10 miles; sky condition was broken at 1,000 feet, overcast at 6,000 feet; temperature was 15 degrees Celsius; dew point was 12 degrees Celsius; altimeter setting was 29.92 inches Hg; there were no remarks.
Jacqueline Cochran Regional Airport (KTRM), Palm Springs, California, field elevation 114 feet msl, is located approximately 058 degrees at 26 nautical miles from the accident location, and is equipped with an unaugmented ASOS. At time 1052; the wind was calm; visibility was 10 miles; sky condition was overcast at 5,500 feet; temperature was 21 degrees Celsius; dew point was 17 degrees Celsius; and the altimeter setting was 29.88 inches Hg; there were no remarks.
Palm Springs International Airport (KPSP), Palm Springs, field elevation 477 feet msl, is located approximately 012 degrees at 26 nautical miles from the accident location, and equipped with an augmented ASOS. At time 1053; the wind was calm; visibility was 10 miles; present weather was light rain; sky condition was scattered at 4,900 feet, overcast at 6,000 feet; temperature was 19 degrees Celsius; dew point was 17 degrees Celsius; altimeter setting was 29.89 inches Hg; the remarks stated rain began at 1001, ended at 1011, and began at 1051.
The San Diego upper air station indicated that the freezing level was at approximately 8,500 feet msl. The EDAS model sounding indicated that the freezing level in vicinity of the accident location was at approximately 10,000 feet msl.
GOES-10 visible and infrared digital data centered on the accident location revealed temperatures below +6 degrees Celsius very near the accident area. This temperature range can be associated with cloud tops between 7,000 and 10,000 feet msl.
The manager of the Warner Springs Glider Port reported that there was mountain wave activity in the vicinity on Monday, October 17.
The entire meteorological factual report is contained in the docket of this investigation report.
WRECKAGE AND IMPACT INFORMATION
The wreckage was located on the summit of Combs Mountain and consisted of a 501-foot-long debris field that ran roughly south to north. The south end of the debris field was located on a 48-degree slope of rock and mud that was populated with dead manzanita bushes. The north end of the debris field was on the level summit of Combs Peak also populated with dead manzanita bushes. The general direction of the debris field was on a 340-degree bearing.
The farthest southern point of the debris field was identified as the initial point of impact (33 degrees 23.639 minutes north by 116 degrees 36.318 minutes west, elevation 6,111 feet), and contained red lens fragments and a narrow patch of disturbed earth that ran 47.2 feet long on a magnetic bearing of 331 degrees, and traveled upslope. A distinct odor similar to 100-octane aviation fuel was identified in the earth of the ground scar. Located at the end of the ground scar was the nose wheel fairing; approximately 20 feet upslope from that point was the right wing wheel fairing and a 6-inch portion of propeller tip. Distributed farther upslope were portions of the left wing, aileron torque tubes, wing wiring harness, and portions of the left side of the fuselage. The three bladed Hartzell propeller was located at the summit of Combs Peak along with sections of the engine exhaust manifold, a turbocharger section, and the right elevator.
The propeller...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# LAX06FA014