Santa Paula Airport
Aircraft Accident/Incident Report

Santa Paula, California 93060
Wednesday, April 3, 1991 11:24 PST

NTSB Narrative Summary Released at Completion of Accident

SHORTLY AFTER LIFTOFF ON RUNWAY 22 THE TANDEM SEATING AIRPLANE EXPERIENCED A TOTAL LOSS OF POWER FOLLOWED BY THE AIRPLANE'S NOSE PITCHING UP RAPIDLY AND THEN STALL. THE AIRPLANE COLLIDED WITH A GOLF CART AND BURST INTO FLAMES. BOTH OCCUPANTS WERE KILLED FROM THE RESULTING POST IMPACT FIRE. WITNESSES REPORTED THAT ONLY THE PILOT WAS OBSERVED AT THE TIME THE AIRPLANE PITCHED UP. THE PILOT WAS FOUND LYING FORWARD AND THE REAR SEAT OCCUPANT WAS LYING SUPINE PARTLY IN THE AFT FUSELAGE. EXAMINATION DISCLOSED THE REAR SEAT PASSENGER'S SEAT FAILED IN A REARWARD DIRECTION AND THAT THE FUEL SELECTOR VALVE WAS SELECTED TO THE OFF POSITION.

NTSB Probable Cause Narrative

THAT THE PILOT INADVERTENTLY SELECTED THE WRONG FUEL TANK AND THE PASSENGER INTERFERED WITH THE FLIGHT CONTROLS WHEN THE SEAT BACK FAILED.

Event Information

Type of Event Accident
Event Date 4/3/1991
Event Day of the Week Wednesday
Time of Event 1124
Event Time Zone Pacific Standard Time
Event City SANTA PAULA
Event State CALIFORNIA
Event Country --
Zipcode of the event site 93060
Event Date Year 1991
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport SANTA PAULA
Event Location Nearest Airport ID SZP
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 245
Weather Briefing Completeness Unknown
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 Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 25
Air Temperature at event time (in degrees celsius) 24
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 250
Variable Wind Indicator Unknown
Wind Speed (knots) 5
Wind Velocity Indicator Unknown
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 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 2069
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 45376
Date of most recent change to record Dec 12 2000 9:44AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N45EM
NTSB Number LAX91FA156
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name HERBERT W. ROSS
Aircraft Model RV-4
Aircraft Series Identifier RV-4
Aircraft Serial Number 29
Certified Max Gross Weight --
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? Yes
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Dec 1 1990 12:00AM
Airframe hours since last inspection --
Airframe Hours --
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name S. K. FRANKS
Aircraft Owner Street Address NOT LISTED
Aircraft Owner City PARK CITY
Aircraft Owner State UT
Aircraft Owner Country
Aircraft Owner Zipcode
Operator is an individual? --
Operator Name S. K. FRANKS
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address NOT LISTED
Operator City PARK CITY
Operator State UT
Operator Country
Operator Zip code
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 No
Departure Point Same as Event Yes
Departure Airport Code
Departure City
Departure State
Departure Country
Departure Time 1123
Departure Time Zone PST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Takeoff
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:35AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 22
Runway Length 2650
Runway Width 40
Sight Seeing flight No
Air Medical Flight No
Medical Flight --