Skip to content

Atlas / NTSB / WPR19MA177

NTSB CAROL · Event

Event WPR19MA177

2019-06-21 Mokuleia, Hawaii, United States Airport · HDH Fatal 1 aircraft Status: Completed

Aircraft involved

Probable cause & findings

The pilot’s aggressive takeoff maneuver, which resulted in an accelerated stall and subsequent loss of control at an altitude that was too low for recovery. Contributing to the accident were (1) the operation of the airplane near its aft center of gravity limit and the pilot’s lack of training and experience with the handling qualities of the airplane in this flight regime; (2) the failure of Oahu Parachute Center and its contract mechanic to maintain the airplane in an airworthy condition and to detect and repair the airplane’s twisted left wing, which reduced the airplane’s stall margin; and (3) the Federal Aviation Administration’s (FAA) insufficient regulatory framework for overseeing parachute jump operations. Contributing to the pilot’s training deficiencies was the FAA’s lack of awareness that the pilot’s flight instructor was providing substandard training.

Factual narrative

Factual Pending Analysis pending 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-Task performance-Use of equip/info-Aircraft control-Pilot
  • Personnel issues-Experience/knowledge-Training-Type/qual of instruct/training-Pilot
  • Personnel issues-Psychological-Personality/attitude-Self confidence-Pilot
  • Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Angle of attack-Capability exceeded
  • Aircraft-Aircraft oper/perf/capability-Aircraft capability-CG/weight distribution-Capability exceeded
  • Aircraft-Aircraft structures-Wing structure-Main frame (on wing)-Damaged/degraded
  • Organizational issues-Management-Policy/procedure-Adequacy of policy/proc-Operator
  • Aircraft-Aircraft handling/service-Maintenance/inspections-(general)-Inadequate inspection
  • Aircraft-Aircraft handling/service-Maintenance/inspections-(general)-Incorrect service/maintenance
  • Organizational issues-Support/oversight/monitoring-Oversight-Oversight of operation-FAA/Regulator
  • Organizational issues-Support/oversight/monitoring-Oversight-Oversight of maintenance-FAA/Regulator
  • Organizational issues-Support/oversight/monitoring-Training-Initial training-FAA/Regulator
  • Personnel issues-Task performance-Inspection-Scheduled/routine inspection-Maintenance personnel
  • Personnel issues-Task performance-Maintenance-Scheduled/routine maintenance-Maintenance personnel
  • Organizational issues-Management-Culture-Safety-Operator
  • Aircraft-Aircraft handling/service-Maintenance/inspections-(general)-Related records
  • Personnel issues-Action/decision-Info processing/decision-Decision making/judgment-Instructor/check pilot
  • Personnel issues-Action/decision-Info processing/decision-Decision making/judgment-Other
  • Personnel issues-Psychological-Personality/attitude-(general)-Instructor/check pilot

Verbatim from NTSB's published report. Source file NTSB_2019_WPR19MA177.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.

Related research

What the literature says.

Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall, loss of control). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.

Browse the full corpus — academia portal ↗