Private Airport
Aircraft Accident/Incident Report

Pleasant Grove, California 95842
Sunday, April 3, 2011 12:53 PDT

NTSB Narrative Summary Released at Completion of Accident

A pilot-rated witness said that the airplane was airborne within “a couple of minutes” after the engine was started and that, when the airplane reached an altitude of 200 to 300 feet above the ground during climb out, it appeared to slow. The witness said that the airplane then banked left and descended in a spiral until it impacted the ground. Postaccident examination of the engine revealed evidence of abnormal piston wear and cylinder damage, including mechanical scoring and vertical grooves along the forward cylinder walls and piston skirt. A representative of the engine manufacturer reported that the observed cylinder and piston damage was consistent with an in-flight cold seizure of the piston (a condition where the piston seizes within the cylinder). About 17 years before the accident, the engine manufacturer issued a Service Information Letter (SIL) that addressed the potential for such a piston seizure. The SIL stated in part “...Putting a cold engine to hard work without uniform and correct warm up will cause the piston to expand quicker than the cylinder, minimizing clearance and creating piston scuffing and seizure.” It is likely that the pilot did not allow enough time for the engine to warm up before taking off.

NTSB Probable Cause Narrative

The pilot’s failure to allow the airplane’s engine to properly warm up before applying takeoff power, which resulted in the forward cylinder's piston seizing and a subsequent loss of engine power. Also causal was the pilot's failure to maintain an adequate airspeed after the loss of engine power, which resulted in a stall-spin.

Event Information

Type of Event Accident
Event Date 4/3/2011
Event Day of the Week Sunday
Time of Event 1253
Event Time Zone Pacific Daylight Time
Event City Pleasant Grove
Event State CALIFORNIA
Event Country --
Zipcode of the event site 95842
Event Date Year 2011
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 385219N
Event Location Longitude 1212815W
Event Location Airport Private
Event Location Nearest Airport ID PVT
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 1253 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 183
Weather Observation Facility ID KSMF
Elevation of weather observation facility 27
Distance of event from weather observation facility (units?) 24
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) 17
Dew Point at event time (in degress fahrenheit) 3
Wind Direction (degrees magnetic) 330
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 18
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.07
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) 29989
NTSB Notification Source FAA ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jun 18 2012 2:18AM
User who most recently changed record stam
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N8113N
NTSB Number WPR11LA183
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name TOMEI
Aircraft Model S12 XL
Aircraft Series Identifier --
Aircraft Serial Number 07960735
Certified Max Gross Weight 1160
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 1
Cabin Crew Seats --
Passenger Seats 1
Total number of seats on the aircraft 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Conditional
Date of Last Inspection Feb 21 2011 12:00AM
Airframe hours since last inspection --
Airframe Hours 306
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type Unknown
Aircraft Owner Name TOMEI ED J
Aircraft Owner Street Address --
Aircraft Owner City YUBA CITY
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 95993-9713
Operator is an individual? No
Operator Name TOMEI ED J
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City YUBA CITY
Operator State CA
Operator Country USA
Operator Zip code 95993-9713
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 Yes
Departure Airport Code PVT
Departure City Pleasant Grove
Departure State CA
Departure Country USA
Departure Time 1253
Departure Time Zone PDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code PVT
Destination City Pleasant Grove
Destination State CA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jun 18 2012 2:19AM
User who most recently changed record stam
Since inspection or accident Last Inspection
Event Location Runway Number and Location 30
Runway Length 2300
Runway Width 50
Sight Seeing flight No
Air Medical Flight No
Medical Flight --