ANC09LA042

NTSB accident investigation · Piper PA-24-250 · Wasilla, AK · May 16, 2009

Accident · No injuriesLimited investigationFinal report
Date
May 16, 2009, 11:40 local (19:40 UTC)
Place
Wasilla, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N7440PPiper PA-24-250
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report May 11, 2010
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration (Airworthiness)
FAA report
20090516025829A
Case key
73853

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

A loss of engine power due to the blockage of the carburetor air inlet by a piece of engine baffling. Contributing to the accident was a worn engine baffle, and the pilot/owner's failure to have the engine baffle replaced.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Power plant: air intakeAircraft › Aircraft power plant · Not specifiedPiper PA-24-250: 1 caseAll aircraft: 50 casesProbable cause
Power plant: eng air baffle sec (recip.)Aircraft › Aircraft power plant · Damaged/degradedPiper PA-24-250: 1 caseAll aircraft: 3 casesProbable cause
MaintenancePersonnel issues › Task performance · PilotPiper PA-24-250: 2 casesAll aircraft: 143 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The private pilot was on a Title 14, CFR Part 91, local area personal flight when the accident occurred. As he approached his destination airport he applied full carburetor heat, which resulted in a loss of engine power. After completing emergency engine procedures he was unable to restore engine power, and selected a shallow lake as a forced landing site. The airplane sustained substantial damage to the fuselage during the forced landing. The pilot reported that while the airplane was being disassembled after recovery, his mechanic removed the lower engine cowling, and discovered a worn, 4 inch by 2 inch portion of rubberized baffling material lodged inside of the carburetor air box assembly. An NTSB investigator traced the origin of the baffling to a worn, frayed, and torn section of engine cowling baffling adjacent to the carburetor heat fresh air inlet duct. The pilot/owner of the airplane reported that he was aware of the worn, frayed and torn engine baffling, and he planned to have it replaced at the airplane’s next annual inspection. Given the discovery of the baffling material inside the carburetor air box, it is likely that once carburetor heat was applied, airflow pulled the baffling material into the carburetor inlet, restricting airflow to the carburetor with the resultant loss of power.

Factual narrative

On May 16, 2009, about 1140 Alaska daylight time, a Piper PA-24-250 airplane, N7440P, sustained substantial damage during a forced landing and ditching in Lake Lucille, Wasilla, Alaska, following a loss of engine power. The solo private pilot was not injured. The airplane was being operated as a visual flight rules personal flight under Title 14 Code of Federal Regulations Part 91 when the accident occurred. Visual meteorological conditions prevailed at the time of the accident, and no flight plan was filed. The flight originated at the Anderson Lake Airport, Wasilla, about 1040. During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on May 16, the pilot said that after departing the Anderson Lake Airport, he flew southeast over the Knik Glacier. He said that before returning to the Anderson Lake Airport he did a touch-and-go landing at the Wasilla Airport. After the touch-and-go landing, he climbed the airplane to 1,700 feet msl and flew east toward the Anderson Lake Airport. The pilot reported that while in cruise level flight, he applied full carburetor heat, and all engine power was lost. After completing the emergency procedures for a loss of engine power, he was unable to restart the engine. The pilot said he initially selected a portion of the Parks Highway, a four-lane highway, as an emergency landing site, but vehicle and pedestrian traffic would not allow for a safe landing. He then selected Lake Lucille for a forced landing, which is next to the Parks Highway. The pilot said that he did not lower the airplane’s landing gear, and he selected full flaps during the emergency descent to the lake. He said he ditched the airplane about 100 feet from the north shoreline of the lake. After ditching, the pilot indicated that the airplane initially floated. He said that just before the airplane sank, a small pontoon boat arrived, and took him to shore. The airplane sustained substantial damage to the fuselage during the ditching. The airplane was equipped with a Lycoming O-540-A1D5 engine. An FAA airworthiness inspector from the Anchorage Flight Standards District Office (FSDO), traveled to the accident site on May 19 and examined the wreckage. No preaccident mechanical anomalies were discovered during the examination. During a telephone conversation with the NTSB IIC on May 20, the pilot/owner of the airplane reported that as his mechanic was disassembling the airplane during recovery efforts, he removed the lower engine cowling, and discovered a 4 inch by 2 inch portion of rubberized baffling material lodged inside of the carburetor air box assembly. On May 20, an NTSB investigator traveled to the accident site to document the mechanic’s findings. The NTSB investigator traced the origin of the baffling to a worn and frayed section of engine cowling baffling that was adjacent to the carburetor heat fresh air inlet duct. During a follow up conversation on May 20, the pilot/owner of theairplane reported that he was aware of the worn, frayed and torn engine baffling and he planned to have it replaced in the near future, or at the airplane’s next annual inspection. The closest official weather observation station is at the Wasilla Airport. At 1156, an Aviation Routine Weather Report (METAR) was reporting, in part: Wind, calm; visibility, 10 statute miles; clouds and sky condition, 4,900 feet few, 9,000 feet scattered; temperature, 54 degrees F; dew point, 36 degrees F; altimeter, 30.01 inHg. .

Aircraft

Registration
N7440P
Reported as
Piper PA-24-250
Category
Airplane
Serial number
24-2629
Airframe hours
3,347
Engine
Lycoming O-540-A1D5, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Bruce W. Christie
Registered owner
Bruce W. Christie
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 13, 2008 · 32 hours before
Departed
PAWS · Wasilla, AK
Destination
0AK1 · Wasilla, AK

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
48
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
October 4, 2008
Seat
Left
Flight hours
1,300 total · 38 in this make and model · 1,250 as pilot in command · 18 in the last 90 days · 10 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 36 °F
Altimeter
30.01 inHg
Observed at
IYS, 6 nm away

Docket · 2

The files NTSB released with the investigation on March 29, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.0 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N7440P · 2

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