Pilot Debrief

NORTH AMERICAN NAVION near Waynesboro, VA — 2015-07-23

Final reportERA15LA282
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Date
2015-07-23
Location
Waynesboro, VA, USA
Airport
W13
Aircraft
NORTH AMERICAN NAVION
Registration
N91418
Category
Airplane
Highest injury
Serious
Fatalities
0
Phase of flight
Takeoff roll

Probable cause

The pilot's early rotation of the airplane and his failure to attain a positive climb rate during takeoff with the airplane near its aft center of gravity limit from a runway with little margin for error.

NTSB narrative

The private pilot was attempting to depart on a personal cross-county flight from a 2,004-ft-long-runway. The pilot reported that, before the flight, he loaded the airplane with baggage and filled both wing tanks and the auxiliary fuel tank. He added that he rotated the airplane at 65 mph and that, during the rotation, the airplane failed to climb, and the airspeed did not increase. The pilot then leveled the airplane briefly to achieve 70 mph and increased the pitch, but the airplane still would not climb. A witness reported that the airplane pitched up and remained in ground effect with the wings rocking back and forth as it flew down the length of the runway. Another witness stated that, when the airplane rotated, it appeared to lose lift and could not climb out of ground effect. The airplane hit trees past the end of the runway and then came to rest in a pond. A postaccident examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. Given the pilot's statements, it is likely he rotated the airplane early and attempted to gain airspeed while in ground effect and then pitched up the airplane as he neared the end of the runway. Postaccident calculations revealed that the airplane was near its maximum gross weight and aft center of gravity limit, which combined with the high-density altitude conditions, would have resulted in the airplane pitching up more than expected and its inability to climb and increased the required takeoff distance, leaving little margin for error.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilot should have documented weight and balance calculations before takeoff.

NTSB coding

Evidence available

  • Photos
  • 10 docket documents
View NTSB final reportView NTSB docket

Docket documents10

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