Aircraft Accident/Incident Report

Malibu, California 90265
Tuesady, October 7, 2008 17:15 PDT

NTSB Narrative Summary Released at Completion of Accident

Witnesses observed the airplane fly at a low altitude over the water and, during a steep left turn, nose over and impact the water about 50 yards offshore. First responders rescued the pilots, a certified flight instructor (CFI) and a pilot who was receiving instruction, who told them that the airplane and engine had no mechanical failures or malfunctions during the flight. The CFI succumbed to his injuries 17 days later. Examination of the airframe and engine revealed no mechanical abnormalities that would have precluded normal operation. The airplane was equipped with a shoulder harness restraint that connected to the crotch strap; however, there was no lap belt installed. Examination of the restraint system webbing revealed no visual signs of distress or damage. During the impact sequence, the rear bulkhead separated from the fuselage allowing the rear seat and CFI to be pushed into the front seat. The investigation determined that the airplane had been designed without a lap belt restraint. The inadequacy of the restraint system likely exacerbated the CFI's injuries. The requirements under the American Society for Testing and Materials international standards stated that there must be a seat belt and harness for each occupant and adequate means to restrain the baggage.

NTSB Probable Cause Narrative

The pilot's failure to maintain aircraft control during a low-altitude maneuver. Contributing to the accident was the pilot's decision to perform a maneuver at a low altitude that was insufficient to allow him to recover from the loss of control. Contributing to the occupants’ injuries was the inadequacy of the restraint system design by the manufacturer.

Event Information

Type of Event Accident
Event Date 10/7/2008
Event Day of the Week Tuesday
Time of Event 1715
Event Time Zone Pacific Daylight Time
Event City Malibu
Event State CALIFORNIA
Event Country --
Zipcode of the event site 90265
Event Date Year 2008
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 340210N
Event Location Longitude 1184001W
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1651 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 96
Weather Observation Facility ID SMO
Elevation of weather observation facility 177
Distance of event from weather observation facility (units?) 10
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
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) 23
Dew Point at event time (in degress fahrenheit) 12
Wind Direction (degrees magnetic) 220
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) 29.94
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 1
Injury Total Minor --
Injury Total None --
Injury Total Serious 1
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 28699
NTSB Notification Source FAA
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Aug 15 2011 3:45PM
User who most recently changed record coos
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N454SA
NTSB Number WPR09FA005
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name INIZIATIVE INDUSTRIALI ITALIAN
Aircraft Model SKY ARROW 600
Aircraft Series Identifier --
Aircraft Serial Number LSA012
Certified Max Gross Weight 1320
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 2
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Aug 28 2008 12:00AM
Airframe hours since last inspection 15
Airframe Hours 136
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type C91-A
Aircraft Owner Name NORTHFIELD AVIATION LLC
Aircraft Owner Street Address 3100 DONALD DOUGLAS LOOP N
Aircraft Owner City SANTA MONICA
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 90405-3084
Operator is an individual? No
Operator Name NORTHFIELD AVIATION LLC
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 3100 DONALD DOUGLAS LOOP N
Operator City SANTA MONICA
Operator State CA
Operator Country USA
Operator Zip code 90405-3084
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) Instructional
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code SMO
Departure City Santa Monica
Departure State CA
Departure Country USA
Departure Time 1640
Departure Time Zone PDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code SMO
Destination City Santa Monica
Destination State CA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 15 2011 3:46PM
User who most recently changed record coos
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --