Aircraft Accident/Incident Report

Essex, California 92332
Friday, March 9, 2001 9:50 PST

NTSB Narrative Summary Released at Completion of Accident

The airplane did not return to the departure airport and an ELT signal directed searchers to the wreckage. The airplane had impacted a steep rock face near the top of a 4,900-foot mountain. Witnesses reported that, about the time of the accident, the mountain tops in the area were obscured in clouds above about 4,000 feet. The wreckage showed the airplane had "pancaked" against the side of the mountain while in a 45-degree left bank. Both communication radios were tuned to the emergency frequency. During the wreckage examination, the fuel injection flow divider diaphragm was found to have a tear in it. A tear in the diaphragm during flight would cause the engine to abruptly and completely cease operating. Examination of the diaphragm revealed that the Dacron fabric was not centered in the elastomer as called for in the manufacturer's drawing. The lack of centering in the elastomer led to micro buckling failure of the Dacron fibers due to tensile fatigue.

NTSB Probable Cause Narrative

Rupture of the fuel injection flow divider diaphragm due to improper manufacture of the raw material stock from which the diaphragm was fabricated. The diaphragm tear resulted in complete engine power loss, which required the pilot to descend into an undercast. The undercast obscured the mountain, which the airplane impacted. A factor in the accident was the manufacturer's inadequate quality control.

Event Information

Type of Event Accident
Event Date 3/9/2001
Event Day of the Week Friday
Time of Event 950
Event Time Zone Pacific Standard Time
Event City Essex
Event State CALIFORNIA
Event Country --
Zipcode of the event site 92332
Event Date Year 2001
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport --
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Partial - limited by pilot
Investigator's weather source Weather Observation Facility
Time of the weather observation 956 Pacific Standard Time
Direction of event from weather observation facility (degrees) 42
Weather Observation Facility ID EED
Elevation of weather observation facility 983
Distance of event from weather observation facility (units?) 29
Time Zone of the weather observation PST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 3500
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 18
Dew Point at event time (in degress fahrenheit) -1
Wind Direction (degrees magnetic) 80
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.91
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
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) 12532
NTSB Notification Source FAA
NTSB Notification Date Mar 10 2001 12:00AM
NTSB Notification Time 1231
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Dec 6 2002 3:26PM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-FSDO Riverside, California

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1965H
NTSB Number LAX01FA113
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-32R-300
Aircraft Series Identifier --
Aircraft Serial Number 32R7780211
Certified Max Gross Weight 3600
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 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jan 1 2001 12:00AM
Airframe hours since last inspection 193
Airframe Hours 4928
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name Aero Alliance LLC
Aircraft Owner Street Address 3390 Auto Mall Dr. Ste 200
Aircraft Owner City Westlake Village
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 91362
Operator is an individual? No
Operator Name Jay Black
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Granda Hills
Operator State CA
Operator Country USA
Operator Zip code --
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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 AO9
Departure City Bullhead City
Departure State AZ
Departure Country USA
Departure Time 1030
Departure Time Zone MST
Destination Same as Local Flt --
Destination Airport Code --
Destination City Unknown
Destination State --
Destination Country --
Specific Phase of Flight Cruise
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Oct 15 2002 5:41PM
User who most recently changed record COOS
Since inspection or accident Time of Accident
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --