LAX93LA051
1992-11-22 · SANTA MARIA, California, United States · Serious · 1 aircraft · Status: Completed
Airport SMX
Aircraft involved
Probable cause & findings
1) THE INTERNAL FAILURE OF THE LEFT ENGINE, LEFT MAGNETO DUE TO INADEQUATE MAINTENANCE AND NON COMPLIANCE WITH THE MANUFACTURERS SERVICE BULLETINS AND RECOMMENDATIONS, AND 2) THE FAILURE OF THE PILOT TO ATTAIN THE PROPER TOUCHDOWN POINT DURING THE LANDING ATTEMPT. FACTORS IN THE ACCIDENT WERE THE INABILITY OF THE PILOT TO SHUT OFF THE LEFT MAGNETO AND THE FALSE LANDING GEAR INDICATIONS, BOTH FOR UNDETERMINED REASONS.
Factual narrative
TWELVE MINUTES AFTER DEPARTURE, THE LEFT ENGINE BEGAN TO RUN ROUGH & VIBRATE. THE PILOT SAID HE COULD NOT CORRECT THE PROBLEM & SHUT THE LEFT ENGINE DOWN. NO EMERGENCY WAS DECLARED & THE PILOT TOLD ATC THAT HE WOULD CONTINUE TO HIS DESTINATION, 210 NM & 1.5 HOURS AWAY. THE PILOT OVERFLEW 5 AIRPORTS WITH RUNWAYS OVER 5,000 FT LONG & A MOUNTAIN RANGE. THE PILOT EXECUTED A VOR APPROACH & ENTERED AN EXTENDED DOWNWIND PATTERN. ON SHORT FINAL THE PILOT EXECUTED A GO AROUND BECAUSE HE DID NOT GET ANY GEAR DOWN INDICATIONS. HE THEN MANEUVERED FOR A DOWNWIND LANDING ON RUNWAY 12. THE AIRCRAFT HIT THE GROUND 100 YARDS SHORT OF THE RUNWAY, THEN COLLIDED WITH A DITCH & THE AIRPORT FENCE. AN FAA INSPECTOR SAID THERE WERE THREE CLEAR TIRE TRACKS FROM THE POINT OF TOUCHDOWN TO THE DITCH, WHERE THE GEAR WAS SHEARED OFF. HE FOUND NO PROBLEMS WITH THE GEAR SYSTEM. EXAM OF THE LEFT ENGINE REVEALED A LEFT MAGNETO INTERNAL FAILURE DUE TO LACK OF LUBRICATION & WEAR, WHICH CAUSED CYLINDER CROSS FIRING. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1992_LAX93LA051.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (maintenance). All research papers
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA) From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- Semantic Scholar 2025 · Article (Applied Sciences) Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER) A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER) Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…