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Accidents · NTSB LAX91FA156 · Final report

Amateur-built RV-4 accident near Santa Paula, California, April 3, 1991

On April 3, 1991 at about 7:24 pm local time, a amateur-built RV-4, registered N45EM, was destroyed in an accident near Santa Paula, California (Santa Paula airport). It was a personal flight under general aviation rules (Part 91). 2 people were killed. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

THAT THE PILOT INADVERTENTLY SELECTED THE WRONG FUEL TANK AND THE PASSENGER INTERFERED WITH THE FLIGHT CONTROLS WHEN THE SEAT BACK FAILED.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
April 3, 1991 · about 7:24 pm local time
Place
Santa Paula, California · Santa Paula · map
Type
Accident
Injuries
2 people were killed.
Weather
visual conditions (good weather)
Aircraft
Amateur-built RV-4
Registration
N45EM · registry record · serial 29
Damage
Destroyed
Flight
Personal flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

SHORTLY AFTER LIFTOFF ON RUNWAY 22 THE TANDEM SEATING AIRPLANE EXPERIENCED A TOTAL LOSS OF POWER FOLLOWED BY THE AIRPLANE'S NOSE PITCHING UP RAPIDLY AND THEN STALL. THE AIRPLANE COLLIDED WITH A GOLF CART AND BURST INTO FLAMES. BOTH OCCUPANTS WERE KILLED FROM THE RESULTING POST IMPACT FIRE. WITNESSES REPORTED THAT ONLY THE PILOT WAS OBSERVED AT THE TIME THE AIRPLANE PITCHED UP. THE PILOT WAS FOUND LYING FORWARD AND THE REAR SEAT OCCUPANT WAS LYING SUPINE PARTLY IN THE AFT FUSELAGE. EXAMINATION DISCLOSED THE REAR SEAT PASSENGER'S SEAT FAILED IN A REARWARD DIRECTION AND THAT THE FUEL SELECTOR VALVE WAS SELECTED TO THE OFF POSITION.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

Pilot

  • Certificate: airline transport pilot
  • Ratings: multi-engine land; single-engine land; instrument: airplane
  • Flight time: 15,000 hours in all; 5 in this make and model
  • Medical certificate: Class 1 (valid medical--no waivers/lim.)
  • Seat: frt

The aircraft

  • Last inspection: continuous airworthiness programme, December 1, 1990
  • Seats: 2
  • Landing gear: fixed
  • Engine: Lycoming O-360-E2 (piston); 0 hours total
  • Fire on the ground

The flight

  • Flight plan: none
  • Runway 22, 2,650 ft by 40 ft

Weather at the time

  • Light: daylight
  • Wind: from 250° at 5 knots
  • Visibility: 25 statute miles
  • Sky: clear
  • Temperature: 75°F (24°C), dew point 0°F (-18°C)

Injuries

FatalSeriousMinorNone
Crew1
Passengers1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.