Aircraft Accident/Incident Report

San Gabriel, California 91775
Saturday, November 14, 2009 16:15 PST

NTSB Narrative Summary Released at Completion of Accident

About 15 minutes after takeoff, witnesses observed the airplane make a forced landing adjacent to a railroad track. The airplane touched down partially on the track and bounced several times before coming to rest about 500 yards beyond the initial point of impact. The witnesses reported that the engine was at idle power during the shallow approach. The fuselage and engine area were thermally damaged and the pilot suffered fatal injuries due to a fire. A postaccident examination revealed that a section of the upper left cowling had localized fire damage that was not attributed to the postimpact fire. The left cowling was placed in its normal position just forward of the airplane fuselage. A matching thermal pattern was noted in a small section of the airplane skin just aft of the firewall. Further examination revealed that the left exhaust system transition pipe and V-band clamp had separated from the engine and that the V-band clamp exhibited evidence of corrosion. A metallurgical examination of the V-band clamp revealed that it had fractured through the strap adjacent to a gap between the V-shaped clamping segments. The separation was a result of an overstress fracture of the strap, which was already weakened due to localized oxidation. It is likely that the failure of this clamp resulted in the initiation of an in-flight fire in the engine compartment area.

NTSB Probable Cause Narrative

Failure of the exhaust band V-clamp during cruise flight, which resulted in an in-flight fire and a subsequent forced landing.

Event Information

Type of Event Accident
Event Date 11/14/2009
Event Day of the Week Saturday
Time of Event 1615
Event Time Zone Pacific Standard Time
Event City San Gabriel
Event State CALIFORNIA
Event Country --
Zipcode of the event site 91775
Event Date Year 2009
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 340600N
Event Location Longitude 1180501W
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 1553 Pacific Standard Time
Direction of event from weather observation facility (degrees) 160
Weather Observation Facility ID FUL
Elevation of weather observation facility 96
Distance of event from weather observation facility (units?) 30
Time Zone of the weather observation PST
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) 18
Dew Point at event time (in degress fahrenheit) 6
Wind Direction (degrees magnetic) 230
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 7
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.98
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 --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 30047
NTSB Notification Source FAA AWP Operations Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jul 4 2012 1:22PM
User who most recently changed record stam
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N17803
NTSB Number WPR10FA056
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 Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name BEECH
Aircraft Model A36
Aircraft Series Identifier --
Aircraft Serial Number E-1031
Certified Max Gross Weight --
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft --
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection --
Date of Last Inspection Nov 6 2009 12:00AM
Airframe hours since last inspection --
Airframe Hours 2255
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name David E. Flotho
Aircraft Owner Street Address --
Aircraft Owner City Grants Pass
Aircraft Owner State OR
Aircraft Owner Country USA
Aircraft Owner Zipcode 97526
Operator is an individual? No
Operator Name David E. Flotho
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City Grants Pass
Operator State OR
Operator Country USA
Operator Zip code 97526
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 POC
Departure City La Verne
Departure State CA
Departure Country USA
Departure Time 1600
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code VNY
Destination City Van Nuys
Destination State CA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jul 4 2012 1:22PM
User who most recently changed record stam
Since inspection or accident --
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --