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Accidents · NTSB WPR22FA197 · Final report

Cessna 208B accident near Oceanside, California, June 3, 2022

On June 3, 2022 at about 8:47 pm local time, a 1994 Cessna 208B, registered N7581F, was substantially damaged in an accident during landing near Oceanside, California (Bob Maxwell Memorial Airfield). It was a skydiving flight under general aviation rules (Part 91). 1 person was killed and 1 person was seriously injured. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The right-seated pilot’s failure to correct the left-seated pilot’s mismanagement of the engine thrust, which resulted in undesired speed and thrust oscillations during the final approach and a subsequent descent into terrain.

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

What the record shows

Date
June 3, 2022 · about 8:47 pm local time
Place
Oceanside, California · Bob Maxwell Memorial Airfield · map
Type
Accident
Injuries
1 person was killed and 1 person was seriously injured.
Weather
visual conditions (good weather)
Aircraft
Cessna 208B Supervan, built 1994 · all 208Bs on the register
Registration
N7581F · registry record · serial 208B0389
Damage
Substantial damage
Flight
Skydiving flight · general aviation rules (Part 91)

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

The pilots were performing skydiving flights while the right-seated pilot was training the left-seated pilot on the operation. The pilots completed six flights without incident and completed the drop of the skydivers on the accident flight normally. The right-seated pilot could not completely recollect the minutes leading up to the accident due to his injuries. He did recall that airplane was descending as expected with the power at idle. The recorded ADS-B data revealed that after turning onto final approach, the airplane then completed a right 360° turn presumably because the altitude was too high. The right-seated pilot attempted to increase the power by slightly nudging the throttle forward and thought the engine power did not increase as expected. A performance study revealed that in the last 70 seconds of recorded data, the airplane underwent a series of speed and thrust oscillations consistent with a pilot increasing and then decreasing the power lever. The right seat pilot recalls aiming for an open dirt field and observing a berm in the immediate flight path. In an effort to avoid the berm, he maneuvered the airplane into a right turn. The airplane landed short of the runway, resulting in a collision with the berm. The engine was producing power at the time of impact. Postaccident examination of the airplane revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. The right-seated pilot was in the process of training the left-seated pilot and stated that he took over the controls during the final approach. It is unknown when he took over the controls, so it is unknown which pilot was at the controls during the speed oscillations. The right-seated pilot likely took over the controls too late and the airplane impacted the terrain. The left-seated pilot’s ability to hear the changes in engine power might have been hindered because she was listening to music through her headset at an elevated decibel level. The airplane was modified by a Supplemental Type Certificate that replaces the original Pratt & Whitney PT-6 turbine engine with a Honeywell TPE331 turbine engine. The TPE331 engine’s characteristics are such that if the airplane is on final approach with the power near idle, the throttle sensitivity (change in thrust per unit of power lever movement) increases around the transition between the propeller-governing and underspeed-governing modes of the engine, which corresponds to a zero-thrust condition. Near this transition point, small movements of the power lever (about ¼ to ½ inch of deflection) can result in relatively large thrust changes that can surprise pilots inexperienced with this behavior and result in pilot-induced oscillations (PIO). Given the thrust oscillations observed shortly before the end of the ADS-B data, it is likely that the left-seated pilot was at the controls and experienced such a PIO on a short final approach to land.

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

What happened, in order

  1. Landing area undershoot during landing defining event
  2. Altitude deviation during approach (VFR pattern final)
  3. Collision with terrain or object (not controlled flight into terrain) during post (impact)

The NTSB's findings

  • Personnel issues › Action/decision › Action › Delayed action › Instructor/check pilot
  • Personnel issues › Action/decision › Action › Incorrect action performance › Student/instructed pilot
  • Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Descent/approach/glide path › Not attained/maintained
  • Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Powerplant parameters › Incorrect use/operation
  • Personnel issues › Experience/knowledge › Experience/qualifications › Total experience w/ equipment › Student/instructed pilot

Pilot

  • Certificate: flight instructor, commercial pilot
  • Ratings: multi-engine land; single-engine land; instructor: airplane multi-engine; instructor: airplane single-engine; instructor: instrument airplane; instrument: airplane
  • Flight time: 6,880 hours in all; 161 in the last 90 days
  • Medical certificate: Class 2 (with waivers/limitations)
  • Seat: rgt
  • Injury: serious injuries

Pilot

  • Certificate: flight instructor, commercial pilot
  • Ratings: multi-engine land; single-engine land; instructor: airplane multi-engine; instructor: airplane single-engine; instructor: instrument airplane; instrument: airplane
  • Flight time: 805 hours in all; 25.8 in this make and model; 725 as pilot in command
  • Medical certificate: Class 1 (without waivers/limitations)
  • Seat: left
  • Injury: fatal

The aircraft

  • Airframe total time: 13,379 hours
  • Last inspection: 100-hour inspection, June 2, 2022
  • Seats: 12
  • Landing gear: fixed
  • Engine: Honeywell TPE331-12JR (turboprop); 5,115 hours total

The flight

  • Flight plan: none
  • Runway 25, 2,712 ft by 75 ft
  • A second pilot was aboard

Weather at the time

  • Light: daylight
  • Wind: from 230° at 8 knots
  • Visibility: 8 statute miles
  • Sky: clear
  • Temperature: 70°F (21°C), dew point 55°F (13°C)
  • Altimeter: 29.85 inHg
  • Observation at 1:52 pm from KOKB, 1 miles away

Weather report (METAR): KOKB 032052Z AUTO 23008KT 210V270 8SM CLR 21/13 A2985 RMK AO2 SLP108 T02110128 56010

Injuries

FatalSeriousMinorNone
Flight crew11

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

12 documents, released by the NTSB on July 10, 2024. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Other NTSB records under N7581F the same tail number, which may have belonged to a different aircraft at the time

2016-07-21CEN16LA288 · accident near Baldwin, WI · substantial damage · no injuries

About this page

Everything above comes from the NTSB's public accident database: the narrative, probable cause and findings are the NTSB's own words, and the coded tables behind its report (pilot, aircraft, flight, weather, injuries, sequence of events) are written out in plain English. Pilots' ages, home towns and medical details are left out on purpose. The documents and photographs are the NTSB's docket, the folder of records gathered during the investigation, shown as the NTSB released them (the NTSB redacts some personal details first) and listed under the NTSB's own titles. This site's own text never names pilots, passengers or anyone else involved. A preliminary report describes what is known soon after the event and can change; the final report, with the probable cause, usually follows one to two years later and this page is refreshed when it does. Case number WPR22FA197.