Pilot Debrief

BOEING A75 near Douglas, GA — 2010-10-20

Final reportERA11CA034
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Date
2010-10-20
Location
Douglas, GA, USA
Airport
DQH
Aircraft
BOEING A75
Registration
N63538
Category
Airplane
Highest injury
Minor
Fatalities
0
Phase of flight
Landing

Probable cause

A nose-over due to excessive brake application.

NTSB narrative

According to the pilot, he was conducting a series of scheduled flights for World War II veterans and their families in the tailwheel-equipped airplane. The flight departed, remained within 7 nautical miles of the departure airport, and returned for landing on runway 22. The pilot reported that the wind was from 230 degrees and was light and variable, but a surface observation weather report taken from the accident airport about 5 minutes before the accident indicated the wind was from 280 degrees at 7 knots. Upon touchdown, the airplane began a rapid and abnormal deceleration, which the pilot was unable to prevent. The airplane nosed over and came to rest inverted on the runway. The pilot stated that he believed the front seat passenger put her feet on the rudder pedals in order to brace for landing and inadvertently operated the brakes. The passenger stated that she remembered keeping her feet flat on the floor. Postaccident examination by a Federal Aviation Administration inspector revealed that the brakes did not show any signs of leaks and that they were functioning normally after several tests. The pilot stated that prior to the nose-over he did not experience any malfunctions or failures with the airplane that would have precluded normal operation.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilot could have ensured passenger's feet were not on rudder pedals before landing.

NTSB coding

Evidence available

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

Docket documents9

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