Brakett Field Airport, Laverne/Pomona, CA
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Airport Area Accident History:
Accident occurred Friday, September 07, 2007
in
La Verne, CA
Probable Cause Approval Date: 5/28/2008
Aircraft: Beech F33A, registration: N7298R
Injuries: 2 Uninjured.
The pilot said that his approach to landing
was normal, but he flew the base leg a
little wide. He reported that his airspeed
on short
final approach was too fast, and the
airplane ballooned during the flare. The
airplane landed hard, porpoised, and landed
hard again on its nose gear. The nose gear
collapsed under the fuselage crushing the
engine cowling and bending the keel beam.
The National Transportation Safety Board
determines the probable cause(s) of this
accident as follows:
An improper flare during touchdown and an
inadequate bounced landing recovery.
Contributing to the accident was an
excessive airspeed and an inadvertent
porpoise.
= = =
Accident occurred Sunday, June 25, 2006 in
La Verne, CA
Probable Cause Approval Date: 10/3/2006
Aircraft: Maule M-7-235C, registration:
N209Z
Injuries: 2 Uninjured.
The airplane veered off the runway after
landing and nosed over. In the pilot's
written statement, he said that he lost
directional control after touchdown and was
not successful in regaining control, so he
let it run off the runway. The airplane
nosed over and came to rest inverted. The
pilot stated that there were no mechanical
failures or malfunctions noted with the
airplane or engine that would have precluded
normal operation. Reported winds at the time
of the accident were variable at 4 knots.
The National Transportation Safety Board
determines the probable cause(s) of this
accident as follows:
the pilot's failure to obtain/maintain
directional control on the landing rollout.
= = =
Accident occurred Thursday, December 22,
2005 in La Verne, CA
Probable Cause Approval Date: 8/29/2006
Aircraft: Beech F33A, registration: N3084N
Injuries: 2 Uninjured.
A Beech F33A airplane impacted a Cessna 172N
on short final after lining up on the wrong
runway. According to the Beech pilot, he was
cleared by the
air traffic control tower for landing
on runway 26R, but instead, accidentally
lined up for runway 26L. On short final, the
Beech pilot felt his airplane hit something
and immediately heard the
air traffic controller instruct him
to go around. The pilot went around and
eventually performed an uneventful landing.
The Cessna student pilot was conducting his
fourth
solo flight and was practicing
takeoffs and landings on 26L. He was cleared
for the option on 26L and while on short
final was overtaken by the Beech. The
student pilot continued with an uneventful
landing.
The National Transportation Safety Board
determines the probable cause(s) of this
accident as follows:
the failure of the pilot to comply with his
air traffic control clearance and
line up for the proper runway, and his
failure to maintain an adequate visual
lookout, which resulted in his in-flight
collision with the Cessna airplane.
= = =
Accident occurred Wednesday, March 31, 2004
in La Verne, CA
Probable Cause Approval Date: 6/30/2004
Aircraft: Piper PA34-200, registration:
N74SA
Injuries: 2 Uninjured.
The airplane collided with terrain while the
pilot was attempting a go-around during a
multiengine training flight. The
certified flight instructor (CFI)
turned the right engine fuel selector to the
"off" position, in an effort to simulate an
engine failure. The student followed the
proper procedure by correctly identifying
the failed engine and flew the airplane
accordingly. On short final, about 100 feet
above ground level, the airplane was high
and not properly aligned with the runway.
The CFI opted to make a go-around, and the
student inputted full throttle on both
engines. The student was unable to maintain
airspeed and establish a positive rate of
climb. The CFI communicated that he would
take over the controls, and attempted to
continue the go-around. The airplane would
not climb and drifted to the right, across
another runway. The airplane continued in a
gradual decent, and the stall warning horn
sounded. The right wing impacted terrain,
and the
airplane spun around on the ground. The CFI
stated that he had become distracted, and
did not remember to turn the fuel selector
back to the "on" position after the student
had identified the failed engine. He thought
this was the reason that the right engine
did not respond to the throttle input during
the go-around. The CFI reported no preimpact
mechanical malfunctions or failures with the
airplane.
The National Transportation Safety Board
determines the probable cause(s) of this
accident as follows:
the CFI 's failure to correctly reconfigure
the right engine fuel selector, resulting in
a total loss of power to that engine. Also
causal was the CFI's failure to maintain
direction control of the airplane and an
adequate airspeed, which led to the airplane
stalling and colliding with terrain. A
factor in the accident was the CFI's
diverted attention.
= = =
Accident occurred Saturday, March 27, 2004
in La Verne, CA
Probable Cause Approval Date: 1/31/2006
Aircraft: Mitsubishi MU-2B-26A,
registration: N81MF
Injuries: 3 Uninjured.
The twin turboprop airplane landed hard
collapsing the nose gear, and causing
substantial damage to the airframe. The
pilot said that about 6-7 miles from the
airport, in the terminal descent, he noticed
the right engine torque meter read zero.
This had occurred before, and the torque
would come back if he manipulated the
throttle. He continued the normal approach
for landing. In the landing flare the
airplane yawed right despite his corrective
left rudder pedal input. The airplane landed
hard, bouncing on the nose twice, breaking
the nose wheel strut. It then slid about
2,000 feet down the runway. The ferry pilot,
who flew the airplane to the repair facility
after the accident, said that the engine
power levers were consistently split
throughout the entire ferry flight. In order
to have the engine power perimeters matched,
the right power lever had to be about 2
inches forward of the left one and this
positional relationship was constant from
flight
idle to full power. Maintenance records had
no record of compliance to Mitsubishi
Service Bulletin No. 097/73-001, which was
published "to assure the engine and
propeller rigging is adjusted within
manufactures specifications and to prevent
potential degraded flight handling qualities
associated with the flight idle power being
set asymmetrically or too low."
The National Transportation Safety Board
determines the probable cause(s) of this
accident as follows:
the pilot's failure to adequately compensate
for an asymmetrical thrust condition and to
maintain directional control during the
landing flare. The owner/pilot's failure to
comply with the applicable service bulletin
concerning propeller/power control rigging
was a factor.
= = =
Accident occurred Tuesday, December 11, 2001
in La Verne, CA
Probable Cause Approval Date: 10/24/2002
Aircraft: Piper PA-28-180, registration:
N7844W
Injuries: 1 Uninjured.
The pilot entered the traffic pattern for
landing on runway 26L and everything was
normal. On short final approach the airplane
was initially aligned with the runway
centerline, the airspeed was 85 miles per
hour, and the
wing flaps were at the 25-degree
extended position. During the landing flare,
about 2 feet above ground level, the
airplane yawed left. As the pilot attempted
to regain directional control, the airplane
stalled and touched down hard. Thereafter,
it veered off the left side of the runway
and collided with lights before coming to a
stop about 100 feet left of the runway's
edge. About the time of the mishap, a
30-degree, 7-knot crosswind existed. No
gusts were reported.
The National Transportation Safety Board
determines the probable cause(s) of this
accident as follows:
The pilot's failure to maintain directional
control following his misjudged landing
flare and hard touchdown.
Accident occurred Saturday, July 05, 2008 in
Pomona, CA
Probable Cause Approval Date: 7/30/2008
Aircraft: Cessna 172F, registration: N8881U
Injuries: 2 Uninjured.
The pilot said that when he started his cross-country flight, 2.4 hours
had been flown by the airplane since the fuel tanks had been topped off.
His first leg was 1.1 hours in length; he landed and spent approximately
1.5 hours on the ground. He was approximately 1.1 hours into his return
flight, turning base for landing, when the engine lost power. He
performed a forced landing to a large parking lot and impacted the fence
on its perimeter during landing roll. The airplane's right wing lift
strut was bent, and the right wing's leading edge was wrinkled and bent.
No fuel was found in the airplane's fuel tanks.
The National
Transportation Safety Board determines the probable cause(s) of
this accident as follows:
Fuel exhaustion due to the pilot's inadequate preflight planning and his
failure to refuel the airplane.
= = =
Accident occurred Wednesday, August 17, 2005 in Pomona, CA
Probable Cause Approval Date: 9/14/2007
Aircraft: Piper PA-24-250, registration: N7342P
Injuries: 2 Fatal, 1 Serious.
While on approach for the destination airport, the pilot reported engine
problems, and attempted to land in a field short of the airport. During
the forced landing, the left wing contacted the ground, and the airplane
tumbled through an impact sequence. During the postaccident engine
examination, investigators noted debris and corrosion inside the
carburetor and the main jet passage. The airframe and engine inspection
revealed no further mechanical anomalies that would have precluded
normal operation. A Safety Board metallurgist examined the carburetor
and debris/particles. The examination identified that the
debris/particles were most likely a combination of lead and soil that
had built up over time. The corrosion indicated prolonged exposure to
water. The particles probably caused a restricted flow of air-fuel
mixture in the main jet that eventually resulted in a reduction or loss
of engine power once the particulate contamination had built up to a
significant amount. There were no entries in either the airframe or
engine logbook indicating that the carburetor had ever been overhauled
in its 46-year history. The carburetor manufacturer issued a service
bulletin regarding the overhaul of the accident airplanes' carburetor.
The recommended time for the overhaul was either at the engine
manufacturer's time between overhaul, or every 10 years the carburetor
was in service, whichever came first. While service bulletins are not
mandatory, had the carburetor been inspected at the manufacturer's
recommended intervals, the corrosion and debris may have been identified
and source of the fuel system contamination corrected. Investigators
noted that the airplane had not been equipped with a shoulder harness
restraint system. The fatal injuries for the pilot and front seat
passenger were caused by head and upper torso trauma associated with the
upper body not being restrained during the impact sequence. The
airplane manufacturer had issued Service Bulletin No. 980, Shoulder
Harness Installation, in 1995, for the accident make and
model airplane. The
pilot/owner had purchased the shoulder harness restraint system kit for
his airplane, but had not installed them. The still packaged shoulder
harnesses were found in the debris field by the investigation team.
The National Transportation Safety Board determines the probable
cause(s) of this accident as follows:
A loss of engine power during the landing approach due to
fuel starvation
caused by debris and corrosion in the carburetor assembly. A factor
contributing to the accident was the failure of the owner to comply with
the manufacturer's service bulletin regarding overhaul of the
carburetor.
= = =
Accident occurred Tuesday, February 26, 2002 in Pomona, CA
Probable Cause Approval Date: 6/2/2004
Aircraft: Grumman American AA1B, registration: N1628R
Injuries: 1 Fatal.
The engine lost power in the traffic pattern base to final turn during a
post maintenance test flight and the airplane collided with a building
short of the airport. The carburetor was overhauled about 11 hours prior
to the accident. During post overhaul flights an intermittent carburetor
rich fuel/air mixture was noted in the idle circuit, which prevented the
engine from idling below about 1100 rpm without fouling and quitting
from excessive fuel. The carburetor was removed and sent back to the
overhaul shop who removed the installed
needle valve assembly
and replaced it with another identical new assembly. The carburetor was
then installed on the engine. When the main fuel
shutoff valve was
turned on, fuel began to run out of the carburetor. It was again removed
and returned to the overhaul shop. The shop owner suspected that a stuck
or hanging up float may have been also been the problem. Since the
carburetor was equipped with an Advanced Polymer
float, which is larger than either the original brass or older style
composite float, the shop owner carefully adjusted the float for lateral
clearance between the float and the bowl wall, and, between the float
clip and the needle valve.
After several attempts on the
test bench to
achieve a stabilized fuel level, the carburetor finally passed. The
pilot (an A&P) picked up the carburetor from the shop on the day of the
accident, installed it, then flew the airplane for about 15 minutes. The
accident happened on the second test flight. Post accident examination
of the engine revealed sooted spark plugs typical of a rich fuel/air
mixture. The carburetor was functionally tested by mounting it on a
tilting test fixture.
A trace amount of fuel was observed leaking from the discharge nozzle.
When the fixture was rotated to a bank angle, fuel flowed freely from
the nozzle. Tapping on the bowl stopped the flowage. Operational testing
disclosed that the
carburetor was operating at an excessively rich setting at
idle speed.
Disassembly disclosed that the Advanced Polymer float was clean and
intact with no sign of damage. The float setting and bowl clearance was
good. The needle valve
seat assembly was inspected and measured and found to meet
specifications. The float retractor clip and needle valve shoulder
clearance was measured about 0.005-inch. The pivot pin/shaft that hinges
the float assembly was found to be "tight" in the inside diameter of the
Polymer Float hinge points; however, the float and shaft combination did
rotate freely in the float bracket. The manufacturer's service manual
(and incorporated overhaul instructions) were examined. There are three
types of floats which can be installed. The originally designed floats
are hollow brass chambers. The second type, no longer in production,
consists of floats constructed out of composite materials. The third
type is the Advanced Polymer floats,
which are physically larger that either the brass or composite floats.
With either the brass or composite floats, a typical 0.081-inch
clearance exists between the float and the bowl chamber. The increased
size of the polymer float reduces the float to bowl wall clearance to a
typical 0.031 inches. The original sections of the service manual
address the original brass floats and calls for a post reassembly
minimum clearance of 0.005-inch between the
float valve seat
shoulder and the float
valve retractor clip. Instructions E-955 (dated 03/18/99) have
been incorporated into the manual and cover the installation of the
polymer floats. This document requires the assembler only to "Insure
that clearance exists between the float valve seat (shoulder) and the
float valve retractor clip." There is no published minimum clearance
limit. During final assembly, the carburetor fuel bowl and
throttle body go
together blind and without the ability to see the final
internal clearances. Float clearance and height settings are critical to
the proper metering of fuel proportional to airflow through the venturi
of the carburetor. Any float drag against the wall of the bowl assembly
could feasibly disturb the critical balance. The investigation measured
several sources of free play in the carburetor removed from the accident
airplane with a dial indicator. About 0.015-inch was measured rotating
the bowl cover and fuel bowl halves with just snug bowl screws. A source
of horizontal float centering free play not mentioned in E-955 is in the
float hinge that is attached with screws to the bowl cover; the hinge
can slide about 0.028-inch from either screw. Index marks were added by
the investigator to each float tip, and the total sideways free play of
the hinge measured about 0.229-inch at the float tips. The accident
float flange was coated with a bead of black transfer material to test
for rubbing on the bowl walls. The
float was then reassembled into the accident carburetor bowl and
throttle body assemblies following the service manual and kit
instructions E-955. The carburetor was then rotated in various
positions. Disassembly revealed black transfer markings on the inside of
the bowl walls. The arc of float travel on the hinge point can bring the
Polymer float against the bowl wall when the lateral movement is
adjusted while installing the float bracket. An improperly centered
float that rubs on the bowl wall may affect the float buoyancy and
seating of the needle valve. The float retractor clip attaches to the
needle valve. Without positive clearance from the needle valve seat
shoulder a loss of float buoyancy or pressure to seat the valve can
occur. Without proper seating of the needle valve due to float horn to
bowl contact, positive fuel shutoff would be unlikely.
The National Transportation Safety Board determines the probable
cause(s) of this accident as follows:
a total loss of engine power due to an excessively rich mixture setting
in the carburetor. The overly rich operation of the carburetor was due
to the overhaul shop's failure to obtain the proper clearance between
the float and chamber walls, which allowed the float to rub and hang up.
The overhaul shops failure to achieve the correct clearances was due in
part to the inadequacy of the manufacturer's overhaul instructions
concerning installation of the Advanced Polymer Floats.
Brakett Field
Airport Approach / Landing: