NTSB CAROL · Event
Event LAX95LA166
Registry · N20971
FAA Aircraft Registry record.
Make / Model
WACO UPF-7
Year of manufacture
1940 · 55 years old at event
Engine
CONT MOTOR W670-6N (220 hp)
Seats / Engines
2 seats · 1 engine
Last airworthiness date
19570816
ADS-B equipped
Yes — Mode-S A1B6D9
Registrant of record
BALDWIN DAVID M JR
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
failure of the attachment link for the master cylinder return spring, which allowed the left brake to lock.
Factual narrative
On April 22, 1995, at 1051 hours Pacific daylight time, a Waco UPF-7, N20971, sustained substantial damage when it nosed over while landing at Chino, California. The privately owned and operated aircraft was on a personal solo flight. Visual meteorological conditions prevailed and no flight plan had been filed for the operation. The certificated private pilot was not injured. The flight had originated from the Chino airport at 1030 on the day of the accident. The pilot stated that she planned to perform some touch-and-go landings at the home base airport. She said that the automated terminal information service (ATIS) "information Lima" was reporting runway 08 as the active runway with the winds from 090 degrees at 10 knots gusting to 20 knots. According to Chino Air Traffic Control Tower (ATCT) information, the pilot was cleared for takeoff at 1046 hours. During the takeoff roll, the wind direction reversed to 290 degrees at 6 knots. At 1105, a terminal observation reported the wind as 270 degrees at 10 knots. According to the pilot, she received amended pattern instructions during her takeoff roll. She was requested to make a south departure and to reenter the pattern on a downwind for runway 26. During the landing roll, she stated that she experienced directional control problems due to wind conditions. During her attempt to control the aircraft, she said she believed she had inadvertently applied the brakes which had caused the aircraft to nose over. A postaccident inspection of the aircraft conducted by the owner's mechanic revealed that the attachment link of the return spring for the left master cylinder had separated. According to the maintenance manual for the Hayes No. D-87-36 brake master cylinder, the assembly is designed so that some brake fluid is added to the pressure side of the piston during the return stroke. However, if the relief port is not opened by a complete return of the piston when the brake is released, pressure can build up in the system, causing the brake to drag or lock. THE PILOT EXPERIENCED A DIRECTIONAL CONTROL PROBLEM DURING THE LANDING ROLL. IN HER INITIAL ORAL STATEMENT, SHE INDICATED THE DIFFICULTY WAS DUE TO THE WIND CONDITION. REGARDING HER ATTEMPT TO CONTROL THE AIRCRAFT, SHE SAID SHE THOUGHT SHE MIGHT HAVE INADVERTENTLY APPLIED THE BRAKES, WHICH HAD CAUSED THE AIRCRAFT TO NOSE OVER. A POSTACCIDENT INSPECTION OF THE AIRCRAFT REVEALED THAT THE ATTACHMENT LINK OF THE RETURN SPRING FOR THE LEFT MASTER CYLINDER HAD FAILED. ACCORDING TO THE MAINTENANCE MANUAL FOR THE HAYES NO. D-87-36 BRAKE MASTER CYLINDER, THE ASSEMBLY WAS DESIGNED SO THAT SOME BRAKE FLUID WOULD BE ADDED TO THE PRESSURE SIDE OF THE PISTON DURING THE RETURN STROKE. HOWEVER, IF THE RELIEF PORT WAS NOT OPENED BY A COMPLETE RETURN OF THE PISTON, WHEN THE BRAKE WAS RELEASED, PRESSURE COULD HAVE BUILT UP IN THE SYSTEM, CAUSING THE BRAKE TO DRAG OR LOCK. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1995_LAX95LA166.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- 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 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.
- 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…
- 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 (IJAAA)
Just Culture in Aviation: A Metaphorical Study on Aircraft Maintenance Students
Just Culture, a sub-dimension of safety culture, has been a prominent and debated topic in aviation safety in recent years.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Performance PRISM: A Comprehensive Framework For Performance Measurement In Aircraft Maintenance
Aircraft maintenance is governed by rigorous safety requirements and high operational complexity, demanding robust performance measurement frameworks to ensure optimal maintenance practices.
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