Mcclellan-Palomar Airport
Aircraft Accident/Incident Report

Carlsbad, California 92011
Saturday, April 19, 2008 10:10 PDT

NTSB Narrative Summary Released at Completion of Accident

As the airplane approached the destination airport, the pilot selected vertical speed mode on the autopilot. While descending, the copilot's Primary Flight Display (PFD) began to flicker. About 5 minutes later, as the airplane transitioned through 28,000 feet mean sea level, the left PFD flashed a "PFT" alert indicating that the autopilot had disconnected. The pilot said he immediately felt heavy control forces on the control yoke that he had to exert to fly the airplane. Shortly thereafter, the pilot discovered that the electric pitch trim was not operational. While hand-flying the airplane the pilot entered instrument meteorological conditions as the airplane descended through a 2,400-foot-thick cloud layer. Thereafter, the pilot continued a visual approach to the 4,897-foot-long runway. The pilot noted that he was overwhelmed with the electrical failures and fatigued from maneuvering the airplane by hand for such a long duration (which he approximated was around 45 minutes). The airplane crossed the runway threshold about 15 knots faster than the correct landing speed and the airplane touched down past the midpoint of the runway. The pilot realized that despite his braking attempts the airplane was going to continue off the runway surface over a small downsloping cliff at the end. He determined that he would not be able to abort the landing due to the airplane's diminished ground speed and elected to perform a 180-degree turn. The airplane ground looped, coming to rest in a dirt area south of the runway; the main landing gear collapsed and the flaps folded under the wings. According to the pilot, he never attempted to reset the autopilot system. The autopilot was designed for an automatic disengagement when there is a system failure, invalid sensor data, or yaw damper failure. On the manufacturer's current Pilots' Abbreviated Checklist, Emergency Procedures section, it states that if the autopilot preflight test fail warning (red "PFT" warning on the PFD) illuminates, the pilot should reset the associated circuit breaker to clear the fault. A post-accident examination of the airplane's systems revealed no mechanical malfunctions or failures, with the exception of a flickering PFD screen.

NTSB Probable Cause Narrative

The pilot's misjudgment of speed and distance, resulting in an overshoot of the runway. Contributing to the accident was the pilot's failure to follow the Autopilot Preflight Test Fail checklist and his distraction with a flickering primary flight display screen.

Event Information

Type of Event Accident
Event Date 4/19/2008
Event Day of the Week Saturday
Time of Event 1010
Event Time Zone Pacific Daylight Time
Event City Carlsbad
Event State CALIFORNIA
Event Country --
Zipcode of the event site 92011
Event Date Year 2008
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 330741N
Event Location Longitude 1171648W
Event Location Airport McClellan-Palomar Airport
Event Location Nearest Airport ID CRQ
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 331
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1012 Pacific Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID CRQ
Elevation of weather observation facility 331
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 2700
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 8
Air Temperature at event time (in degrees celsius) 14
Dew Point at event time (in degress fahrenheit) 8
Wind Direction (degrees magnetic) 130
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.95
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 4
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 24966
NTSB Notification Source FAA
NTSB Notification Date Apr 19 2008 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Feb 10 2009 9:44PM
User who most recently changed record grol
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-SAN-FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N54PV
NTSB Number LAX08FA117
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 510
Aircraft Series Identifier --
Aircraft Serial Number 510-0028
Certified Max Gross Weight 8645
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 2
Cabin Crew Seats --
Passenger Seats 6
Total number of seats on the aircraft 8
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Apr 14 2008 12:00AM
Airframe hours since last inspection --
Airframe Hours 120.4
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name California Natural Products
Aircraft Owner Street Address 1250 E. Lathrop Rd.
Aircraft Owner City Lathrop
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 95330
Operator is an individual? No
Operator Name California Natural Products
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 1250 E. Lathrop Rd.
Operator City Lathrop
Operator State CA
Operator Country USA
Operator Zip code 95330
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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 LHM
Departure City Lincoln
Departure State CA
Departure Country USA
Departure Time 854
Departure Time Zone PDT
Destination Same as Local Flt crash at destination city
Destination Airport Code CRQ
Destination City Carlsbad
Destination State CA
Destination Country USA
Specific Phase of Flight Landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 23 2009 6:04PM
User who most recently changed record coos
Since inspection or accident Time of Accident
Event Location Runway Number and Location 24
Runway Length 4897
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --