Brown Field Muni Airport
Aircraft Accident/Incident Report

San Diego, California 92073
Saturday, March 16, 1991 1:43 PST

NTSB Narrative Summary Released at Completion of Accident

AFTER FLYING PSNL OF ENTERTAINMENT GROUP TO LINDBERGH FLD, ACFT WAS PSND TO NRBY BROWN FLD, SINCE LATE DEP WAS PLANNED AFTER NOISE CURFEW WAS IN EFFECT AT LINDBERGH. PLT TALKED WITH FSS SPECIALIST (SPLST) 3 TIMES BFR TKOF. HE RPRTD HE DID NOT HAVE INST DEP PROC FM ARPT. SPLST READ DEP PROC ON PHONE. ON LAST CALL TO FSS, PLT SAID HE PLANNED TO DEP VFR TWD NE & OBTAIN IFR CLNC AFTER AIRBORNE. (THIS RTE WAS TWD MTS.) DRG CALL, PLT EXPRESSED CONCERN ABT REMAINING CLR OF TCA & INQUIRED ABT STAYING BLO 3000'. SPLST AGREED WITH PLTS CONCERNS, BUT AFTER ACDNT, SPLST SAID HE THOUGHT PLT WAS REFERRING TO 3000' AGL, RATHER THAN 3000' MSL. PLT HAD FILED TO TKOF AT MIDNIGHT, BUT DIDN'T GET AIRBORNE UNTIL 0141 PST. SINCE FLT WAS OVR 1.5 HRS LATE, IFR FLT PLAN HAD 'CLOCKED OUT.' AS CTLR WAS REENTERING FLT PLAN IN COMPUTER, ACFT HIT RISING TRRN NR TOP OF MTN, ABT 8 MI NE OF ARPT AT ELEV OF ABT 3300'. NO DEFICIENCIES WERE FND WITH ACFT OR ITS ENGS. COPLT HAD NO TYPE RATING FOR THIS ACFT, THO HE RPRTDLY HAD MADE 3 TKOFS & LNDGS IN HAWKER-SIDDELEY DH.125.

NTSB Probable Cause Narrative

IMPROPER PLANNING/DECISION BY THE PILOT, THE PILOT'S FAILURE TO MAINTAIN PROPER ALTITUDE AND CLEARANCE OVER MOUNTAINOUS TERRAIN, AND THE COPILOT'S FAILURE TO ADEQUATELY MONITOR THE PROGRESS OF THE FLIGHT. FACTORS RELATED TO THE ACCIDENT WERE: INSUFFICIENT TERRAIN INFORMATION PROVIDED BY THE FLIGHT SERVICE SPECIALIST DURING THE PREFLIGHT BRIEFING AFTER THE PILOT INQUIRED ABOUT A LOW ALTITUDE DEPARTURE, DARKNESS, MOUNTAINOUS TERRAIN, BOTH PILOT'S LACK OF FAMILIARITY WITH THE GEOGRAPHICAL AREA, AND THE COPILOT'S LACK OF FAMILIARITY WITH THE AIRCRAFT.

Event Information

Type of Event Accident
Event Date 3/16/1991
Event Day of the Week Saturday
Time of Event 143
Event Time Zone Pacific Standard Time
Event City SAN DIEGO
Event State CALIFORNIA
Event Country --
Zipcode of the event site 92073
Event Date Year 1991
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport BROWN FIELD MUNI
Event Location Nearest Airport ID SDM
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 9
Degrees magnetic from airport 45
Airport Elevation 524
Weather Briefing Completeness Full
Investigator's weather source Witness
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Night/Dark
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 3800
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 20
Air Temperature at event time (in degrees celsius) --
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Unknown
Wind Speed (knots) 0
Wind Velocity Indicator Light and Variable
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
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 10
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 10
Investigating Agency NTSB
NTSB Docket Number (internal use) 576
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 44636
Date of most recent change to record Dec 12 2000 9:32AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N831LC
NTSB Number LAX91FA132
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion Ground
Aircraft Manufacturer's Full Name Hawker Siddeley
Aircraft Model DH.125-1A/522
Aircraft Series Identifier DH.125-1A/
Aircraft Serial Number 25095
Certified Max Gross Weight 21200
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 10
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Unknown
Date of Last Inspection Jan 2 2000 12:00AM
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name DUNCAN A/C SALES FLORIDA,INC
Aircraft Owner Street Address 100 AIRPORT AVENUE
Aircraft Owner City VENICE
Aircraft Owner State FL
Aircraft Owner Country
Aircraft Owner Zipcode 34285
Operator is an individual? --
Operator Name PRESTIGE TOURS, INC.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 3300 MOCKINGBIRD LANE
Operator City DALLAS
Operator State TX
Operator Country
Operator Zip code 75235
Operator Code
Owner has at least one certificate None
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code
Departure City
Departure State
Departure Country
Departure Time 140
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code AMA
Destination City AMARILLO
Destination State TX
Destination Country
Specific Phase of Flight Climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:30AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 8
Runway Length 7999
Runway Width 200
Sight Seeing flight No
Air Medical Flight No
Medical Flight --