Primary finding
Probable cause
An aggressive flight maneuver performed by the pilot during low altitude flight, which resulted in an aerodynamic stall.
Investigator assessment
Analysis narrative
Radar data revealed that the introductory instructional flight departed and proceeded toward mountainous terrain adjacent to the intended destination. As the airplane approached the foothills, it entered a series of turns. The radar data did not include altitude information, most likely because the altitude reporting mode of the airplane's transponder was inoperative. A witness, located in her residence near the accident site, observed the airplane flying unusually low along the ridgeline. The airplane then made an abrupt, swooping, and descending turn. As it began to roll out of the turn, the wings started to rock from side to side, and the airplane then immediately descended nose-down into the ground. The airplane did not appear to be trailing smoke or vapor, and the engine was producing a sound consistent with high power throughout the maneuver. Examination of the wreckage revealed that the airplane struck the ground in a near vertical nose-down attitude. The impact attitude and the witness’s description of the rocking wings followed by an immediate nose-down descent both are consistent with an aerodynamic stall. Analysis of the radar data revealed that, in the final turn, the airplane was flying at a speed of about 77 knots with a turn radius of about 400 feet. To achieve the turn radius observed would have required a bank angle between 50 and 60 degrees with an associated increase in load factor that would have caused the airplane's stall speed to match or exceed its airspeed. The airplane's design was such that uncoordinated flight control input close to stall speed could result in an unrecoverable spin. Examination of the airplane's structure, the majority of which was consumed by postaccident fire, and the engine, which sustained heavy thermal damage, did not reveal any mechanical malfunctions or failures that would have precluded normal operation.
Source record
Factual narrative
HISTORY OF FLIGHT On July 23, 2011, at 1023 Pacific daylight time, an American Aviation AA-1A, N34299, collided with mountainous terrain near Corona, California. The pilot was operating the airplane under the provisions of Title 14 Code of Federal Regulations Part 91. The certified flight instructor (CFI) and student pilot sustained fatal injuries. The airplane sustained substantial damaged during the accident sequence, and was subsequently consumed by post impact fire. The local instructional flight departed Chino Airport, Chino, California, at 1015. Visual meteorological conditions prevailed, and no flight plan had been filed. The CFI recently became an instructor for Duke's Flying Club (DFC). According to the Manager of DFC, the flight was an introductory lesson for the student pilot, with a destination of Lake Matthews, located about 15 miles southeast of Chino. He stated that the CFI had joined DFC in June 2011, and that this was his second flight with the club as an instructor. A witness, located in her bedroom on the north side of her residence about 600 feet northeast of the accident site, was talking on the telephone when she heard an aircraft fly overhead. She stated that aircraft often fly in the area, but this sound was much louder, and appeared lower than usual. She became concerned, and ran outside to look for the aircraft. She looked to the west, towards the foothills, and observed an airplane flying from right to left just above the ridgeline. The airplane then made an abrupt, swooping, and descending left turn towards her position. She described the turn as extravagant, and similar to an aerobatic maneuver typically seen at air shows. As the airplane began to roll out of the turn, the wings started to rock from side to side. The airplane then immediately descended, nose-down into the ground. She stated that throughout the flight, including the descent, the airplane did not appear to be trailing smoke or vapors, and that the engine was producing a sound consistent with high power. She reported weather at the time of the accident to be calm winds and clear skies. The Federal Aviation Administration (FAA) provided radar and air traffic control audio data for the flight. The data revealed a target displaying a 1200 beacon code, and no altitude information, on a southeast track, departing Chino Airport airspace at 1018. The target continued on the same track for the next 2 minutes, traveling directly over Corona Municipal Airport. At 1023, the target began a left turn followed by a right turn, returning to a southbound track 50 seconds later. The target continued south for another minute. For the next 10 seconds, the target began a 50-degree turn to the left, followed 5 seconds later by a 90-degree right turn towards mountainous terrain. The wreckage was located about 200 feet east of this final radar return. The audio data revealed that air traffic control personnel from Chino Tower were able to locate the airplane's primary radar target just after departure, but the target did not appear to be transmitting altitude information. During multiple radio communication exchanges, the pilot reported cycling the transponder, and ultimately switching it to non-altitude reporting mode. Tower personnel subsequently provided traffic advisories, and approved the pilot to change radio frequencies. During the exchange, the pilot reported that he was climbing through 1,800 feet to 2,500 feet. The last recorder transmission made by the pilot occurred about 5 minutes after takeoff, when he inadvertently transmitted his position to Corona Airport traffic utilizing the Chino Airport radio frequency. PERSONNEL INFORMATION CFI The pilot’s flight records were not recovered, and assumed to have been destroyed by the post impact fire. A review of FAA airman records revealed that the 18-year-old pilot was first issued a private pilot certificate with a glider rating in November 2008. He progressed to a commercial pilot certificate with ratings for airplane single-engine land, and instrument airplane, on January 24, 2011. On March 21, 2011, he was issued his CFI certificate, with ratings for airplane single-engine land. According to his Airman Certificate/Rating applications, he had accrued a total of 301.2 hours flight experience at the time of the application for his commercial certificate, and 350 hours at the time of his application for a CFI certificate. According to acquaintances of the pilot, all of his glider flight experience was in Civil Air Patrol aircraft. His experience with the Grumman AA-1A series of aircraft was limited to the prior instructional flight for DFC, and an introductory flight with the manager. All of the pilot’s powered airplane check rides were conducted by the same FAA examiner. The pilot held a first-class medical certificate issued on July 15, 2010. It had no limitations or waivers. Student Pilot A review of FAA airman records revealed that the 19-year-old pilot did not hold a combined student pilot/medical certificate, or any other rating. FAA regulations do not require that a pilot hold such a certificate during dual flight training. AIRCRAFT INFORMATION The low-wing, two-seat airplane, serial number AA1A-0270, was manufactured in 1971. It was powered by a four-cylinder Lycoming O-235-C2C engine, serial number L-10639-15, and equipped with a fixed pitch McCauley metal propeller. A review of airframe and engine maintenance logbooks revealed that the airplane had undergone an annual inspection, which was completed the day prior to the accident. At that time, the airplane had accrued a total of 6,545.02 flight hours, with the engine accumulating a total of 1,652.32 hours since its overhaul in 2003. METEOROLOGICAL An automated surface weather observation at Corona Airport (elevation 533 feet msl, 5 miles northwest of the accident site) was issued 27 minutes prior to the accident. It indicated variable wind at 3 knots; 5 miles visibility in haze, with clear skies; temperature of 21 degrees C; dew point 14 degrees C; and an altimeter setting at 29.95 inches of mercury. WRECKAGE AND IMPACT INFORMATION The airplane wreckage was located in the foothills adjacent to the northern region of the Cleveland National Forest, about 10 miles south-southeast of Chino Airport, and 7 miles west of Lake Matthews. The accident site was on a 15-degree northeast-facing slope, at the 1,500-foot level. The terrain was comprised of waist-high scrub brush, interspersed with trees ranging in height from 10-30 feet. From the wreckage location, the terrain rose to the 4,007-foot peak of Mount Pleasant, located about 2.5 miles to the west. The mountain range continued further 8 miles southeast, where it reached a maximum elevation of 5,720 feet at Santiago Peak. The first identified point of impact consisted of a ground disruption in soft dirt, which contained the propeller, a section of engine cowling, and fragments of the engine flywheel, canopy frame, and clear Plexiglas. Both propeller blades sustained chordwise scoring, and remained attached to the hub. The composite propeller spinner was fragmented, with the spinner plate formed around the front and rear surfaces of both blades opposite the direction of rotation. One blade was curled aft, about 90 degrees from the root. The second blade sustained about 15 degrees of tip twist. The engine and nose landing gear structure was separated from the fuselage, and located about 20 feet downhill from the propeller. The main wreckage was located 15 feet downhill, and consisted of the primary fuselage structure, tail section, and both wings. The entire structure was thermally destroyed, with only partial ash remnants of the wings, control surfaces, and fuselage structure remaining. Both wing spars came to rest on an east-west heading, and remained partially attached to the landing gear struts, and cabin seats. Burnt remnants of the ca