Van Nuys Airport
Aircraft Accident/Incident Report

Van Nuys, California 91406
Thursday, November 14, 1996 1:19 PST

NTSB Narrative Summary Released at Completion of Accident

The pilot ascertained Burbank's weather had deteriorated and he diverted to Van Nuys. ATC issued the pilot an instrument clearance for the ILS 16R approach. The pilot proceeded inbound and ATC stated 'report canceling, I'll be monitoring.' When the airplane was north of the airport about 2,000 feet msl, the pilot informed ATC that he had the airport in sight. He did not request closure of his flight plan. The pilot descended to 900 feet, entered a fog bank, initiated a missed approach and climbed to 1,200 feet. The aircraft subsequently descended and impacted a taxiway near midfield and slid 700 feet where it collided with five parked airplanes. The impacts activated several ELTs. The controller took no action regarding the radar target's disappearance and the aircraft's instrument flight plan remained open. No FAA ground-based receiver recorded the ELT signals which were eventually heard by SARSAT. The airplane was found 4 hours after the crash, and after the pilot had succumbed to his injuries. The operator had failed to provide required training to the pilot who had a history of unsatisfactory instrument flying performance. A pilot on the ground reported that a fog bank moved over the airport from west to east at the time the aircraft was landing. The visibility was reported by the witness to be 20 feet at the time of the accident.

NTSB Probable Cause Narrative

The pilot's failure to maintain a climb following initiation of a missed approach in fog due to spatial disorientation, and his inadequate training by company personnel. Potential rescue was delayed due to the FAA radar controller's failure to follow established communication procedures for overdue aircraft.

Event Information

Type of Event Accident
Event Date 11/14/1996
Event Day of the Week Thursday
Time of Event 119
Event Time Zone Pacific Standard Time
Event City VAN NUYS
Event State CALIFORNIA
Event Country --
Zipcode of the event site 91406
Event Date Year 1996
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport VAN NUYS
Event Location Nearest Airport ID VNY
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 799
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 118 Pacific Standard Time
Direction of event from weather observation facility (degrees) 160
Weather Observation Facility ID VNY
Elevation of weather observation facility 799
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation PST
Lighting Conditions Night/Dark
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 0
Air Temperature at event time (in degrees celsius) 12
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 39
Variable Wind Indicator Unknown
Wind Speed (knots) 2
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 2001
NTSB Notification Source --
NTSB Notification Date Nov 14 1996 12:00AM
NTSB Notification Time 600
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 8 2000 10:27AM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N8046M
NTSB Number LAX97FA036
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 310I
Aircraft Series Identifier 310I
Aircraft Serial Number 310I0046
Certified Max Gross Weight 5100
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 6
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jan 19 1996 12:00AM
Airframe hours since last inspection 67
Airframe Hours 7768
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name GARRISON AVIATION INC.
Aircraft Owner Street Address 710 O STREET
Aircraft Owner City PORT TOWNSEND
Aircraft Owner State WA
Aircraft Owner Country
Aircraft Owner Zipcode 98368
Operator is an individual? --
Operator Name AEX AIR
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address P.O. BOX 9239
Operator City MESA
Operator State AZ
Operator Country
Operator Zip code 85214
Operator Code A3XA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Cargo
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code VGT
Departure City NORTH LAS VEGAS
Departure State NV
Departure Country
Departure Time 2347
Departure Time Zone PST
Destination Same as Local Flt crash at destination city
Destination Airport Code VNY
Destination City
Destination State
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 16R
Runway Length 8001
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --