WPR11LA361
2011-07-30 · Perris, California, United States · Serious · 1 aircraft · Status: Completed
Airport L65
Aircraft involved
Probable cause & findings
The pilot’s failure to maintain airplane control and the resulting encounter with an aerodynamic stall. Also causal were the pilot’s inadequate preflight planning and preflight inspection, his failure to ensure the pitch trim was positioned correctly for takeoff, his decision to operate the airplane over maximum allowable gross weight, and his attempt to operate the airplane with a center of gravity aft of the rear CG limit.
Factual narrative
On July 30, 2011, about 0825 Pacific daylight time, a Beech 76 (Duchess), N6718X, impacted terrain during initial climb seconds after takeoff from runway 15 at the Perris Valley Airport, Perris, California. Of the four occupants on board the airplane, the private pilot was seriously injured, one passenger received minor injuries, and two passengers were not injured. The airplane's fuselage and wings were deformed during the impact, and the airplane was substantially damaged. California Flight Center, Inc., Long Beach, California, operated the airplane and had rented it to the pilot for his personal flight. The flight was performed under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed. No flight plan was filed for the planned cross-country flight to Paso Robles, California. The flight was originating at the time of the crash. The pilot reported to the National Transportation Safety Board investigator that he performed a preflight inspection of the airplane and was familiar with the airplane's takeoff performance and runway distance requirements. According to the pilot, he loaded the airplane to near its maximum certificated gross weight, and he elected to depart from near the 5,100-foot-long runway's mid-field location. The pilot stated that he adhered to the prescribed procedures written in the airplane's check lists. During the engine run-up, no mechanical discrepancies were noted. Full engine power was attained, the brakes were released, and the takeoff roll commenced. However, prior to reaching the prescribed rotation airspeed, the airplane's nose pitched up, and the airplane became airborne. The pilot further reported that he continued attempting to maintain control of the airplane while in ground effect. The airplane climbed over one wingspan above the ground. When the left side cockpit door inadvertently opened, he was able to close it. Thereafter, the airplane stalled, impacted an estimated 6-foot high dirt berm, and crashed into an open field about 1,000 feet south of the runway's departure end. The winds at a nearby airport 6 miles away was from 330 degrees at 6 knots a the time of the accident. FAA inspectors from the Riverside, California, Flight Standards District Office responded to the accident site. The Chief Pilot for the operator also responded to assist in the recovery and removal of the aircraft from the site. About 40 gallons of fuel were found in each of the two wing tanks, for a total of 80 gallons onboard at the time of the accident. The elevator trim tab was found in the full nose up position, and examination of the system disclosed normal function. The FAA inspectors removed all the items from the baggage compartment and weighed them on a scale; the baggage compartment contents weighed 288 pounds. The baggage compartment structural limit is listed as 200 pounds in the airplane flight manual (AFM). Utilizing the aircraft empty weight and center of gravity listed in the weight and balance section of the AFM, the actual weights of the occupants, the fuel load found on the airplane, and the weight of the baggage compartment contents, the inspectors determined that the aircraft gross weight at the accident site was 4,173.41 pounds with a center of gravity at 117.9 inches aft of the datum. The AFM and the FAA approved Type Certificate Data sheet lists the maximum allowable gross weight as 3,900 pounds with an aft center of gravity limit at 117.5 inches. According to the pilot, he loaded the airplane to near its maximum certificated gross weight before departing from near the 5,100-foot-long runway's midfield location. The pilot selected runway 15, which had a 6-knot tailwind component at the time of the attempted takeoff. During the engine run-up, no mechanical discrepancies were noted. The engine attained full power before the pilot released the brakes to commence the takeoff roll. Prior to reaching the prescribed rotation airspeed, the airplane's nose pitched up and the airplane became airborne. The pilot reported that he continued attempting to maintain control of the airplane while in ground effect. The airplane then climbed above ground effect, and the left cockpit door inadvertently opened. Just as the pilot closed the door, the airplane stalled, impacted an estimated 6-foot high dirt berm, and crashed into an open field about 1,000 feet south of the runway's departure end. During the postaccident examination, about 40 gallons of fuel were found in each of the two wing tanks, for a total of 80 gallons onboard at the time of the accident. The elevator trim tab was found in the full nose-up position, and examination of that system disclosed normal function. All of the items from the baggage compartment were removed and weighed on a scale; the baggage compartment contents weighed 288 pounds, which is 88 pounds above the compartment limit. Using the airplane’s empty weight and center of gravity listed in the weight and balance section of the airplane flight manual (AFM), the actual weights of the occupants, the fuel load found on the airplane, and the weight of the baggage compartment contents, the investigation determined that the airplane’s gross weight at the accident site was 4,173.41 pounds, with a center of gravity (CG) 117.9 inches aft of the datum. The AFM and the FAA-approved Type Certificate Data sheet list the maximum allowable gross weight as 3,900 pounds with an aft CG limit at 117.5 inches. Airplanes at or aft of the rear CG limit are very sensitive in pitch control, and may even be at or near a dynamically unstable flight regime in terms of pitch handling and dampening characteristics. Accordingly, the airplane would have been especially sensitive to the full nose-up trim tab adjustment. Additionally, stall speeds increase as gross weight increases, so in the takeoff condition the airplane would have stalled at a higher airspeed, sooner than the pilot would have normally experienced and expected. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Aircraft-Aircraft oper/perf/capability-Aircraft capability-Maximum weight-Capability exceeded - C
- C Aircraft-Aircraft oper/perf/capability-Aircraft capability-CG/weight distribution-Capability exceeded - C
- C Aircraft-Aircraft systems-Flight control system-Elevator tab control system-Incorrect use/operation - C
- C Personnel issues-Action/decision-Info processing/decision-Decision making/judgment-Pilot - C
- C Personnel issues-Task performance-Planning/preparation-Weight/balance calculations-Pilot - C
- C Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
- — Environmental issues-Conditions/weather/phenomena-Wind-Tailwind-Not specified
Verbatim from NTSB's published report. Source file
NTSB_2011_WPR11LA361.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
Search this event elsewhere
External sources are reported, not agency: signal that something happened, not fact about what happened.
- TallyAero Live Wire Aviation press
- NTSB CAROL Agency ↗
- NTSB Docket Agency ↗
- Aviation Safety Network Aviation press ↗
- Kathryn's Report Aviation press ↗
- Aviation Herald Aviation press ↗
- AVweb Aviation press ↗
- Pilots of America Community ↗
- Reddit /r/flying Community ↗
- FlightAware Aviation press ↗
- AOPA accident database Aviation press ↗
- Google News News ↗
- DuckDuckGo News ↗
Related research
Matched on aircraft type or causal vocabulary (stall). All research papers
- NTSB Aircraft Accident Reports 2021 · Accident report Crash of Atlas Air Flight 3591, Boeing 767-300 (N1217A)
Atlas Air 3591 crashed into Trinity Bay, Texas, February 23, 2019. Investigation of the in-flight loss-of-control crash of Atlas Air 3591 into Trinity Bay, Texas.
- NTSB Aircraft Accident Reports 2018 · Accident report Atlas Air Flight 3591 Boeing 767 Loss of Control (preliminary)
Atlas Air 3591 / Boeing 767-300 / Trinity Bay TX (Feb 23 2019) — preliminary. Preliminary investigation findings; superseded by the AAR-21/01 final report.
- NASA NTRS 2026 · Conference Paper Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- arXiv 2023 · arXiv preprint Automating Bird Diverter Installation through Multi-Aerial Robots and Signal Temporal Logic Specifications
This paper tackles the task assignment and trajectory generation problem for bird diverter installation using a fleet of multi-rotors.
- arXiv 2023 · arXiv preprint Variation of Critical Crystallization Pressure for the Formation of Square Ice in Graphene Nanocapillaries
Two-dimensional square ice in graphene nanocapillaries at room temperature is a fascinating phenomenon and has been confirmed experimentally.
- arXiv 2023 · arXiv preprint Polycrystallinity enhances stress build-up around ice
Damage caused by freezing wet, porous materials is a widespread problem, but is hard to predict or control. Here, we show that polycrystallinity makes a great difference to the stress build-up process…