NTSB CAROL · Event
Event WPR19FA172
Aircraft involved
Probable cause & findings
The pilot’s continued flight into marginal visual meteorological conditions, which resulted in controlled flight into terrain.
Factual narrative
On June 15, 2019, about 0910 Pacific daylight time, an experimental Nanchang CJ6 airplane, N269AG, sustained substantial damaged when it was involved in an accident near Porter Ranch, California. The airline transport pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to radar data provided by the Federal Aviation Administration (FAA), the airplane departed Zamperini Field Airport (TOA), Torrance, California, and the first radar data point was recorded at 0845:10, just north of TOA. The airplane flew on a northeast heading, then a northerly heading, before turning back to a northwest heading and finally a northerly heading again, roughly following the coastline. During the final segment of the flight, from 0902:38 to 0903:31, the airplane gradually climbed from an altitude of 2,300 ft mean sea level (msl) to an altitude of 3,025 ft msl before it was lost off radar. The wreckage was located on 45º sloping terrain at an elevation of about 3,000 ft. The airplane remained intact, and the debris field was contained to the main wreckage. The nose section of the airplane displayed aft crushing damage. The undercarriage, as well as the undersides of both wings, sustained upward crush damage. The inboard sections of both wings were partially separated at the root and crushed. Leading edge damage was also observed on both wings. The empennage remained attached to the fuselage but had partially separated. The tail section had minor damage. Flight control continuity was confirmed from the cockpit to each flight control surface. The engine remained attached to the airframe and the propeller hub assembly remained attached to the crankshaft. The airplane was removed from the accident site and a postaccident examination of the wreckage was conducted. The crankshaft was rotated by hand using the propeller and rotational continuity was established throughout the engine and valve train. The cylinders were examined internally using a lighted borescope; no evidence of any mechanical malfunction was observed. Both the left and right magnetos produced spark on all ignition leads when the drive shafts were rotated using a hand drill. Examination of the automotive-style spark plugs revealed normal operational signatures. Satellite weather information for the time of the accident indicated low stratiform clouds over the accident area likely associated with a marine cloud layer. Instrument meteorological conditions (IMC) were reported at the closest airport to the accident site prior to the accident, with marginal visual meteorological conditions (VMC) prevailing at the time of the accident. The lowest cloud layer was reported as overcast at 1,300 ft above ground level (agl); however, conditions were likely lower at the higher elevation of the accident site. Airmen’s meteorological information advisories for IMC and mountain obscuration were in effect at the time of the accident. Although the pilot held an instrument rating, his recent instrument experience is unknown. An autopsy of the pilot was performed by the County of Los Angeles, Department of the Medical Examiner – Coroner, which listed the cause of death as “blunt trauma.” Toxicology testing performed at the Federal Aviation Administration Forensic Sciences Laboratory identified 44 (ng/mL) diphenhydramine in the pilot’s cavity blood and in his liver tissue. Tadalafil was detected in the pilot’s muscle and liver tissue but not quantified. Zolpidem was detected in the pilot’s heart blood and liver tissue but also not quantified. Diphenhydramine is a sedating antihistamine (commonly marketed as Benadryl) and is available over the counter in many products used to treat colds, allergies, and insomnia. Zolpidem is a sedative-hypnotic drug indicated for the short-term treatment of insomnia that is commonly marketed as Ambien. Tadalafil, commonly marketed as Cialis, was generally considered non-impairing. After departure, the airplane maneuvered around the coastline and then flew on a northerly heading toward the destination airport. During the final segment of the flight, the airplane gradually climbed from an altitude of 2,300 ft mean sea level (msl) to an altitude of 3,025 ft msl before being lost off radar. The airplane impacted rising terrain, in a level attitude, at an elevation of about 3,000 ft. Recorded weather information indicated marginal visual meteorological conditions prevailed at the time of the accident. The lowest cloud layer was reported as overcast at 1,300 ft above ground level (agl); however, the cloud layer was likely lower at the higher elevation of the accident site. Weather advisories for instrument meteorological conditions and mountain obscuration were in effect at the time of the accident; however, it is unknown whether the pilot obtained weather information for the flight before his departure. Postaccident examination of the airplane revealed leading edge damage to both wings and crushing damage to the front section of the airplane, indicative of a controlled flight into terrain. No evidence was observed of any preimpact mechanical malfunctions or failures that would have precluded normal operation. Toxicology testing of the pilot’s blood detected the presence of two sedating medications: diphenhydramine and zolpidem. However, the medications were detected at levels not likely to have a significant impact on performance. Thus, effects from the pilot’s use of these medications likely did not contribute to the accident. Based on the level attitude of the airplane when it impacted the rising terrain, it is likely the pilot encountered a cloud layer en route to his destination and was unable to see the terrain before impact because it was obscured by the low cloud ceiling. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- — Personnel issues-Action/decision-Info processing/decision-Decision making/judgment-Pilot
- — Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Low ceiling-Decision related to condition
Verbatim from NTSB's published report. Source file
NTSB_2019_WPR19FA172.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 (controlled flight into terrain, imc). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Flight Safety Foundation 2023 · FSF / AeroSafety World
Controlled Flight Into Terrain (CFIT) — A 2023 Industry Refresh
Foundation 2023 CFIT data refresh — three decades after the original CFIT Task Force eliminated >95% of air-carrier CFIT, the GA + Part 135 communities still account for most CFIT fatalities.
- NASA NTRS 2019 · Technical Publication (TP)
Flight Simulator Evaluation of Synthetic Vision Display Concepts to Prevent Controlled Flight Into Terrain (CFIT)
In commercial aviation, over 30-percent of all fatal accidents worldwide are categorized as Controlled Flight Into Terrain (CFIT) accidents, where a fully functioning airplane is inadvertently flown i…
- NASA NTRS 2019 · Other
Preliminary Effect of Synthetic Vision Systems Displays to Reduce Low-Visibility Loss of Control and Controlled Flight Into Terrain Accidents
An experimental investigation was conducted to study the effectiveness of Synthetic Vision Systems (SVS) flight displays as a means of eliminating Low Visibility Loss of Control (LVLOC) and Controlled…
- NASA NTRS 2019 · Technical Memorandum (TM)
Rating the Relevance of QUORUM-Selected ASRS Incident Narratives to a "Controlled Flight into Terrain" Accident
An exploratory study was conducted to identify commercial aviation incidents that are relevant to a "controlled flight into terrain" (CFIT) accident using a NASA-developed text processing method.
- Embry-Riddle Scholarly Commons 2001 · Journal article (JAAER)
Controlled Flight into Terrain: How the Airlines and the Federal Aviation Administration are Addressing the Problem
Controlled Flight into Terrain (CFIT) is not a new problem. It has been around since the beginning of manned flight. A CFIT accident occurs when an airworthy aircraft, under the control of a pilot, is…
- Embry-Riddle Scholarly Commons 2023 · Conference paper
Aircraft Energy Management: A Best Practice for Integrating Safety and Efficiency
Aircraft Energy Management: A Best Practice for Integrating Safety and Efficiency The airplane is the quintessential energy system, constantly transforming, transferring, distributing, storing, and ex…
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