Pilot Debrief

NAVION B near Van Nuys, CA — 2020-09-11

Final reportWPR20LA303
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Date
2020-09-11
Location
Van Nuys, CA, USA
Airport
VNY
Aircraft
NAVION B
Registration
N37C
Category
Airplane
Highest injury
Fatal
Fatalities
2
Phase of flight
Takeoff roll

Probable cause

The pilot’s failure to maintain control of the airplane during an abrupt turn after takeoff at a low altitude, which resulted in an aerodynamic stall.

NTSB narrative

Air Traffic control reported that, at the time of the accident, the traffic volume at the airport was moderate, but not complex. The pilot contacted the tower and reported that he was ready for takeoff. The controller replied that he was cleared for takeoff from 16R without delay. The airplane took off uneventfully; shortly thereafter the controller started to instruct the pilot to turn on a right crosswind but stopped and asked the pilot if he was ok. There was no response from the pilot. Witnesses reported that the airplane took off to the south and was flying lower than normal. In addition, the airplane started a right turn much earlier than most airplanes. As the airplane started its turn, they heard a “pop,” and the airplane made a “hard right” turn. The airplane then descended nose down with the wings at a slight angle as it went out of sight. Shortly thereafter, a plume of smoke was observed. The airplane impacted nose low in a narrow parking lot about ½ mile west of the runway surface. The airplane wreckage was contained to a small area in between two rows of vehicles. A post-crash fire ensued, and a large portion of the fuselage and aft fuselage were consumed by fire. Postaccident examination of the engine and remaining airframe did not reveal any anomalies that would have precluded normal operation. Given the abrupt climbing right turn it is likely the airplane stalled at a low altitude. It could not be determined if the moderate traffic at VNY was enough to cause the pilot to rush the turn to crosswind.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilot did not respond to ATC inquiry about his condition after takeoff.

NTSB coding

Evidence available

  • ATC audio
  • Video
  • ADS-B / radar
  • Photos
  • 12 docket documents
View NTSB final reportView NTSB docket

Docket documents12

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