Van Nuys Airport
Aircraft Accident/Incident Report

Granada Hills, California 91344
Monday, July 22, 1991 17:00 PDT

NTSB Narrative Summary Released at Completion of Accident

DURING A VISUAL APPROACH TO THE AIRPORT, THE TOWER CONTROLLER NOTICED THAT THE AIRPLANE WAS HIGH, AND INSTRUCTED THE PILOT TO GO AROUND AND ENTER A RIGHT DOWNWIND. REPEATED INSTRUCTIONS TO TURN TO DOWNWIND BROUGHT NO RESPONSE UNTIL A TURN WAS FINALLY INITIATED. AT THAT TIME THE PILOT DECLARED AN EMERGENCY, REPORTING THAT HE WAS HOLDING FULL BACK ELEVATOR, TRYING TO KEEP THE AIRPLANE IN THE AIR, AND THAT IT LOOKED LIKE HIS ELEVATORS WERE STUCK. THE AIRPLANE CONTINUED AWAY FROM THE AIRPORT AND ENTERED A NEAR VERTICAL HIGH SPEED DESCENT INTO A STORAGE BUILDING. INVESTIGATION REVEALED BOTH ELEVATOR TRIM ACTUATORS AT A 4 DEG NOSE DOWN TRIM POSITION, AND EVIDENCE INDICATES A 40 DEG DOWN ELEVATOR POSITION. NO MALFUNCTION OF THE ENGINES OR FLIGHT CONTROLS WERE FOUND. THE AUTOPILOT SYSTEM CONTROL MODULE WAS DESTROYED. THE PILOT HAD RECEIVED 7 HOURS OF TRAINING IN THE AIRPLANE, AND HAD 20 HOURS TOTAL TIME IN THE AIRPLANE.

NTSB Probable Cause Narrative

A LOSS OF DIRECTIONAL CONTROL FOLLOWING AN UNDETERMINED AUTOPILOT FAILURE, DURING WHICH THE PILOT FAILED TO PERFORM THE EMERGENCY PROCEDURE TO CORRECT A MIS-TRIM CONDITION. CONTRIBUTING TO THE ACCIDENT WAS A PERCEIVED ELEVATOR CONTROL PROBLEM; THE INABILITY OF THE PILOT TO OVERPOWER THE MIS-TRIM CONDITION; AND A LACK OF UNDERSTANDING AND TRAINING IN AUTOPILOT SYSTEMS AND FAILURES.

Event Information

Type of Event Accident
Event Date 7/22/1991
Event Day of the Week Monday
Time of Event 1700
Event Time Zone Pacific Daylight Time
Event City GRANADA HILLS
Event State CALIFORNIA
Event Country --
Zipcode of the event site 91344
Event Date Year 1991
Event Date Month 7
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 Off Airport/Airstrip
Distance from airport in statute miles 4
Degrees magnetic from airport 333
Airport Elevation 799
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1705 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 153
Weather Observation Facility ID VNY
Elevation of weather observation facility 799
Distance of event from weather observation facility (units?) 4
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 20000
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) 10
Air Temperature at event time (in degrees celsius) 27
Dew Point at event time (in degress fahrenheit) 16
Wind Direction (degrees magnetic) 130
Variable Wind Indicator Unknown
Wind Speed (knots) 8
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
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 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 1952
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 46029
Date of most recent change to record Dec 12 2000 10:32AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N77CQ
NTSB Number LAX91FA324
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 None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BEECH
Aircraft Model 95-C55
Aircraft Series Identifier 95-C55
Aircraft Serial Number TE-299
Certified Max Gross Weight 5300
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 Jun 20 1991 12:00AM
Airframe hours since last inspection 16
Airframe Hours 3698
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name BARGMAN, STUART
Aircraft Owner Street Address 1846 ROCKWOOD DRIVE
Aircraft Owner City SACRAMENTO
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 95824
Operator is an individual? --
Operator Name BARGMAN, STUART
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 1846 ROCKWOOD DRIVE
Operator City SACRAMENTO
Operator State CA
Operator Country
Operator Zip code 95824
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 No
Departure Airport Code SJC
Departure City SAN JOSE
Departure State CA
Departure Country
Departure Time 1521
Departure Time Zone PDT
Destination Same as Local Flt crash at destination city
Destination Airport Code
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 10:35AM
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 --