Van Nuys Airport
Aircraft Accident/Incident Report

Van Nuys, California 91406
Friday, October 12, 2001 18:28 PST

NTSB Narrative Summary Released at Completion of Accident

A Piper Malibu, piloted by a private pilot, and a Piper Cherokee airplane, piloted by a student pilot on his third solo flight, collided on runway 16R at Van Nuys Airport, which is served by an air traffic control tower. The Cherokee was preparing for takeoff, and had been cleared to taxi into position and hold on the runway. The Malibu was on a visual approach and had been cleared to land on runway 16R. According to the Malibu pilot, during the landing roll he encountered the Cherokee on the runway despite his clearance to land. The accident occured shortly after sunset. During an interview with the air traffic controller (LC1) who was handling the aircraft, he indicated that he had instructed the Malibu to make a left base for runway 16R after the pilot made initial contact with the control tower. He then cleared a Hawker jet on final to land. The Cherokee pilot radioed that he was ready for departure when the Hawker jet on short final, and he instructed the pilot to hold short. According to LC!, as the Hawker jet rolled past intersection 13, the Cherokee was cleared into position and he advised the pilot of the position of the Malibu. He then observed the Cherokee. He did not clear the Cherokee for takeoff, but instructed the Cessna to follow the Malibu. LC1 was checking for extended landing gear o the Cessna on final, when someone shouted "You got a guy at 13. He said no one had mentioned the Cherokee prior to the accident. According to LC1, he believes this accident is the result of the human error, a lapse of memory and scanning. He acknowledged that he did not remember the Cherokee (holding) in position and hold on the runway. The investigation revealed an obstructed view of from the LC1 workstation. FAA Order 7110.65, para. 2-9-4(f) states: Do not authorize an aircraft to taxi into position and hold at an intersection between and sunrise or anytime when the intersection is not visible.

NTSB Probable Cause Narrative

The failure of the air traffic controller to provide effective separation on the runway surface as specified in FAA Order 7110.65, Paragraph 3-9-6.

Event Information

Type of Event Accident
Event Date 10/12/2001
Event Day of the Week Friday
Time of Event 1828
Event Time Zone Pacific Standard Time
Event City Van Nuys
Event State CALIFORNIA
Event Country --
Zipcode of the event site 91406
Event Date Year 2001
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? Yes
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 On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 799
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1838 Pacific Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID VNY
Elevation of weather observation facility 799
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation PST
Lighting Conditions Dusk
Lowest Ceiling Height --
Lowest Non-Ceiling Height 2000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 4
Air Temperature at event time (in degrees celsius) 26
Dew Point at event time (in degress fahrenheit) 8
Wind Direction (degrees magnetic) 110
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Unknown
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.93
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 2
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 13404
NTSB Notification Source
NTSB Notification Date Oct 12 2001 12:00AM
NTSB Notification Time 1908
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record May 13 2003 12:26PM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office Van Nuys, California

Aircraft Involved

Aircraft #1

Aircraft #2

Aircraft Registration Number N15831 N4BP
NTSB Number LAX02FA004A LAX02FA004B
Missing Aircraft Indicator -- --
Federal Aviation Reg. Part Part 91: General Aviation Part 91: General Aviation
Type of Flight Plan filed None None
Flight plan Was Activated? No No
Damage Substantial Substantial
Aircraft Fire None None
Aircraft Explosion None None
Aircraft Manufacturer's Full Name Piper Piper
Aircraft Model PA-28-140 PA-46-310P
Aircraft Series Identifier -- --
Aircraft Serial Number 28-7325174 46-8408065
Certified Max Gross Weight 2150 4300
Aircraft Category Airplane Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No No
Flight Crew Seats -- --
Cabin Crew Seats -- --
Passenger Seats -- --
Total number of seats on the aircraft 4 6
Number of Engines 1 1
Fixed gear or retractable gear Fixed Retractable
Aircraft, Type of Last Inspection 100 Hour Annual
Date of Last Inspection Sep 25 2001 12:00AM Apr 20 2000 12:00AM
Airframe hours since last inspection -- 200
Airframe Hours -- 4300
ELT Installed Yes Yes
ELT Activated No No
ELT Aided Location of Event Site No No
ELT Type -- --
Aircraft Owner Name Business Flights, Inc. Robert A. Philpott
Aircraft Owner Street Address 7537 Valjean Ave #4 --
Aircraft Owner City Van Nuys Encino
Aircraft Owner State CA CA
Aircraft Owner Country USA USA
Aircraft Owner Zipcode 91406 91436
Operator is an individual? No No
Operator Name Blue Skies Aviation --
Operator Same as Owner? No Yes
Operator Is Doing Business As -- --
Operator Address Same as Owner? No Yes
Operator Street Address 7535 Valjean Ave. #4 --
Operator City Van Nuys --
Operator State CA --
Operator Country USA --
Operator Zip code 91406 --
Operator Code -- --
Owner has at least one certificate None 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) Instructional Personal
Second Pilot on Board No --
Departure Point Same as Event Yes No
Departure Airport Code VNY WHP
Departure City Van Nuys Los Angeles
Departure State CA CA
Departure Country USA USA
Departure Time 1628 1815
Departure Time Zone PDT PDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere crash at destination city
Destination Airport Code -- VNY
Destination City -- Van Nuys
Destination State -- CA
Destination Country -- USA
Specific Phase of Flight Takeoff Landing - roll
Report sent to ICAO? No No
Evacuation occurred No No
Date of most recent change to record Dec 16 2002 2:03PM Dec 16 2002 2:03PM
User who most recently changed record JOND JOND
Since inspection or accident -- Time of Accident
Event Location Runway Number and Location 16R 16R
Runway Length 8001 8001
Runway Width 150 150
Sight Seeing flight No No
Air Medical Flight No No
Medical Flight -- --