ANC03LA035

NTSB accident investigation · Aero Commander 100 · North Pole, AK · March 21, 2003

Accident · No injuriesLimited investigationFinal report
Date
March 21, 2003, 16:30 local (20:30 UTC)
Place
North Pole, AK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N4123XAero Commander 100
Weather
Visual (VMC) · Day
Status
Completed · report August 26, 2003
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration
Case key
56682

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The flight instructor's improper usage of the airplane's fuel mixture control, resulting in a loss of engine power during takeoff.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - nonmechanicalTakeoff - initial climb
Mixture - improper use ofPilot in command(cfi)Cause
Forced landingEmergency landing after takeoff
In flight collision with objectEmergency landing after takeoff
Object - tree(s)

Analysis

The flight instructor was providing primary flight instruction to the student pilot in a wheel-equipped airplane. The instructor pilot reported that just after takeoff from runway 15, about 100 feet above the runway, the airplane's engine began to run rough and lose power, and emergency engine procedures did not restore engine power. The airplane subsequently collided with a stand of trees at the departure end of the runway, and sustained substantial damage to the wings, fuselage, and empennage. An FAA inspector who inspected the airplane reported finding no preaccident mechanical anomalies. The student pilot reported to the FAA inspector that prior to the accident takeoff, just after starting the airplane's engine, the instructor pilot leaned the fuel mixture and applied full carburetor heat during the 15 to 20 minute engine warm-up time. He said that after the engine was warm, they taxied to the departure end of the runway, and started their takeoff roll, with the mixture control and carburetor heat in the same position. He reported that just after takeoff the engine began to run rough, and lose power. He added that the instructor pilot then took control of the airplane, pushed in the carburetor heat control (off), and all engine power was lost. The student pilot reported that immediately following the accident, both pilots noticed that the mixture control was still in the lean position.

Factual narrative

On March 21, 2003, about 1630 Alaska standard time, an Aero Commander 100 airplane, N4123X, sustained substantial damage when it collided with trees during a forced landing after takeoff from the Bradley Sky-Ranch Airport, North Pole, Alaska. The airplane was being operated as a visual flight rules (VFR) instructional flight under Title 14, CFR Part 91, when the accident occurred. The first pilot, seated in the right seat, a certificated flight instructor, and the second pilot, seated in the left seat, a student pilot, were not injured. The airplane was owned by the second pilot. Visual meteorological conditions prevailed, and no flight plan was filed. The local area flight originated at the Bradley Sky-Ranch Airport, about 1615.

During a telephone conversation with the National Transportation Safety Board investigator-in-charge on March 25, the instructor pilot reported that he was providing flight instruction to the student pilot. The instructor pilot reported that after takeoff from runway 15, about 100 feet above the runway, the airplane's engine began to run rough and lose power. He said that emergency engine procedures did not restore engine power. The airplane collided with a stand of trees at the departure end of the airport, and sustained substantial damage to the wings, fuselage, and empennage.

Prior to reporting the accident on March 25, the instructor and student pilot disassembled the airplane, transported it to a vacant lot on the airport, and covered it with a tarp. On March 28, a Federal Aviation Administration (FAA) airworthiness inspector, Fairbanks Flight Standards District Office, traveled to the Bradley Sky-Ranch Airport to inspect the accident airplane. The inspector reported finding no preaccident mechanical anomalies with the airplane. The FAA inspector added that during the inspection he spoke with the student pilot involved in the accident. The student pilot reported to the FAA inspector that prior to the accident takeoff, just after starting the airplane's engine, the instructor pilot leaned the fuel mixture and applied full carburetor heat during the 15 to 20 minute engine warm-up time. He said that after the engine was warm, they taxied to the departure end of runway 15, and started their takeoff roll, with the mixture control and carburetor heat in the same position. He reported that just after takeoff the engine began to run rough, and lose power. He said that the instructor pilot then took control of the airplane, pushed in the carburetor heat control (off), and all engine power was lost. The airplane collided with a stand of trees at the departure end of the airport. The student pilot reported that immediately following the accident, both pilots noticed that the mixture control was still in the lean position.

Aircraft

Registration
N4123X
Reported as
Aero Commander 100
Category
Airplane
Serial number
222
Airframe hours
2,023
Engine
Lycoming O-320-A2B, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Leo A. Regner
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 12, 2002 · 24 hours before
Departed
95Z · North Pole, AK
Destination
95Z · North Pole, AK
Airport
95Z · North Pole, runway 15, 3,400 × 80 ft, gravel

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
43
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Last flight review
September 29, 2001
Seat
Right
Flight hours
553 total · 21 in this make and model · 500 as pilot in command · 15 in the last 90 days · 10 in the last 30 days
Role
Student pilot
Age
64
Injuries
None
Certificate
Student
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
19 total · 19 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
5 statute miles
Temperature
1 °F

Other investigations on N4123X · 1

Matched to the same aircraft by N-number and date.