John Wayne Airport
Aircraft Accident/Incident Report

Newport Beach, California 92660
Friday, March 31, 1989 8:35 PST

NTSB Narrative Summary Released at Completion of Accident

SVRL MECHANIC WITNESSES AT THE ARPT SAID THE RGT ENG BACKFIRED & TRAILED BLACK SMOKE DURING THE TAKEOFF GROUND ROLL. RPRTDLY, THE TAKEOFF ROLL WAS ABOUT 80% LONGER THAN NORMAL. WITNESSES SAID THE ACFT STAGGERED OFF THE GROUND, WAS SLOW & NEVER GOT ABOVE 100 FEET AGL. THE PLT RPRTD TO THE TOWER THAT THE FLT HAD TO COME BACK TO THE RWY. SHORTLY THEREAFTER, WITNESSES SAW THE ACFT ENTER A STEEP LEFT TURN, APPARENTLY STALL, THEN CRASH INTO SOME TENNIS COURTS. AN INVESTIGATION REVEALED EVIDENCE THAT THE RGT ENG HAD LOST POWER. A MODIFICATION KIT FOR THE FUEL INJECTOR REFERENCE AIR LINES WAS INCORRECTLY INSTALLED & ALLOWED AN UNFILTERED AIR SOURCE. SPECTRAL ANALYSIS OF RESIDUE (FROM THE RGT ENG TURBO CHARGER COMPRESSOR) REVEALED THAT IT HAD THE SAME COMPOSITION AS THE ALTERNATE AIR DOOR SEAL. TRACES OF THE MATERIAL WERE FOUND IN THE FUEL INJECTOR REFERENCE AIR LINE.

NTSB Probable Cause Narrative

FAILURE OF THE PILOT TO ATTAIN ADEQUATE AIRSPEED BEFORE MANEUVERING (TURNING) BACK TOWARD THE AIRPORT, WHICH RESULTED IN A LOSS OF AIRCRAFT CONTROL. A FACTOR RELATED TO THE ACCIDENT WAS: IMPROPER MAINTENANCE/INSTALLATION OF A FUEL INJECTOR REFERENCE AIR LINE, WHICH ALLOWED CONTAMINATION OF THE INJECTORS AND LOSS OF POWER IN THE RIGHT ENGINE.

Event Information

Type of Event Accident
Event Date 3/31/1989
Event Day of the Week Friday
Time of Event 835
Event Time Zone Pacific Standard Time
Event City NEWPORT BEACH
Event State CALIFORNIA
Event Country --
Zipcode of the event site 92660
Event Date Year 1989
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport JOHN WAYNE
Event Location Nearest Airport ID SNA
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0
Degrees magnetic from airport 0
Airport Elevation 54
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 835 Pacific Standard Time
Direction of event from weather observation facility (degrees) 358
Weather Observation Facility ID SNA
Elevation of weather observation facility 54
Distance of event from weather observation facility (units?) 2
Time Zone of the weather observation PST
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Partial Obscuration
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 4
Air Temperature at event time (in degrees celsius) 21
Dew Point at event time (in degress fahrenheit) 13
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Variable
Wind Speed (knots) 0
Wind Velocity Indicator Calm
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) 718
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 5
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 5
Investigating Agency NTSB
NTSB Docket Number (internal use) 6009
NTSB Notification Source --
NTSB Notification Date Mar 31 1989 12:00AM
NTSB Notification Time 847
Fiche Number and/or location -used to find docket information 41586
Date of most recent change to record Dec 13 2000 12:32PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number CGWPS
NTSB Number LAX89FA140
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 None
Aircraft Manufacturer's Full Name PIPER
Aircraft Model PA-60-601P
Aircraft Series Identifier PA-60-601P
Aircraft Serial Number 61P-0522-219
Certified Max Gross Weight 6000
Aircraft Category Airplane
Aircraft Registration Class Foreign 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 Unknown
Date of Last Inspection Jul 18 1988 12:00AM
Airframe hours since last inspection 204
Airframe Hours 1908
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name RICHARDSONS JEWELLERY LTD.
Aircraft Owner Street Address 4910 50TH STREET
Aircraft Owner City CAMROSE ALBERTA
Aircraft Owner State CD
Aircraft Owner Country
Aircraft Owner Zipcode
Operator is an individual? --
Operator Name ANTHONY DEIS
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
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 SNA
Departure City
Departure State
Departure Country
Departure Time 830
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code PIH
Destination City POCATELLO
Destination State ID
Destination Country
Specific Phase of Flight Maneuvering
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 19R
Runway Length 5700
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --