ANC15LA005

NTSB accident investigation · Piper PA 18-150 · Nikiski, AK · November 27, 2014

Accident · Serious injuriesLimited investigationFinal report
Date
November 27, 2014, 11:17 local (20:17 UTC)
Place
Nikiski, AK
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N9720PPiper PA 18-150
Defining event
Approach-VFR pattern final: Fuel related
Weather
Visual (VMC) · Day
Status
Completed · report March 17, 2015
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA, Lycoming Engines
FAA report
20141127022349A
Case key
90471

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 total loss of engine power due to carburetor icing, which resulted from the pilot’s failure to use carburetor heat while operating at low-power settings in an area conducive to carburetor icing.

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.

Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentPiper PA-18-150: 15 casesAll aircraft: 435 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · PilotPiper PA-18-150: 4 casesAll aircraft: 792 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 pilot reported that he had flown the airplane for about 20 to 30 minutes to survey the area for possible landing sites. After choosing a landing site, the pilot completed the prelanding checklist, cycled the carburetor heat on, and then placed it in the "off" position. When the airplane was established on short final for landing, the engine lost total power. The pilot attempted to restart the engine by switching fuel tanks and applying carburetor heat, but engine power was not restored. The airplane subsequently collided with rising terrain, which resulted in substantial damage to the fuselage and wings. A postaccident examination of the engine revealed no evidence of any preimpact mechanical problems that would have precluded normal operation. Another company pilot, who had landed his airplane at the same location only minutes before the accident airplane approached, stated that carburetor ice accumulated during the descent. Further, the atmospheric conditions at the time of the accident were conducive to the accumulation of carburetor icing at glide and cruise power settings. Therefore, it is likely that, as the pilot reduced engine power, carburetor ice formed, which caused the engine to lose power.

Factual narrative

On November 27, 2014, at 1117 Alaska standard time, a Piper PA-18-150 airplane, N9720P, collided with terrain after a total loss of engine power while maneuvering for an off-airport landing near Nikiski, Alaska. The certificated commercial pilot sustained serious injuries and the sole passenger sustained minor injuries. The aircraft was registered to Summit Leasing LLC and operated by Alaska West Air, Inc., under the provisions of 14 Code of Federal Regulations Part 135 as an on-demand commercial air taxi flight. Visual meteorological conditions prevailed for the entire flight, and a company flight plan was filed. The flight originated from Kenai, Alaska approximately 1030. In a statement provided to the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), the pilot stated that prior to the accident he flew approximately 20 to 30 minutes surveying the area for possible landing sites. During this time, he applied carburetor heat three or four times to check for carburetor ice. After a landing site had been selected, the pre-landing checklist was completed, and the carburetor heat was placed in the off position. On short final the engine lost all power. The pilot then switched fuel tanks and turned the carburetor heat back on, but the engine would not restart. The airplane subsequently collided with an area of rising terrain just short of the intended landing site, sustaining substantial damage to the fuselage and wings. On December 1, 2014, the NTSB IIC, along with another NTSB investigator performed a post-accident examination of the airframe and engine. Control cable continuity was established from the cockpit control to the engine for the throttle, mixture, carburetor heat and cabin heat. On December 11, the NTSB IIC, along with another NTSB investigator, performed a follow-up examination of the engine and fuel system. No anomalies, contamination, or evidence of malfunction was found in any of the engine accessories. The cylinders, pistons, valve train, crankshaft, and other internal components were all without evidence of anomaly or malfunction that would have precluded normal operation. Both magnetos were removed from the engine and the coupling was rotated. When the coupling was rotated, a blue spark was produced from each terminal, in rotational order. The closest weather reporting facility was the Kenai Airport, Kenai, about 31 miles southeast of the accident site. At 1053, an aviation routine weather report (METAR) from the Kenai Airport was reporting in part: wind from 010 degrees at 3 knots; sky condition, clear; visibility, 10 statute miles; temperature 10 degrees F; dewpoint 9 degrees F; barometric pressure 30.23 inHG. According to a carburetor icing probability chart, an airplane operating in the ambient conditions at the accident site could expect light carburetor icing while at cruise of glide power. Another company pilot who landed at the same location only minutes before the accident aircraft approached,stated that during the descent, his aircraft had accumulated carburetor ice during the approach. A Lycoming Service Instruction states in part, "if icing conditions are suspected, apply 'Full Heat.' In the case that full power needs to be applied under these conditions, as for an aborted landing, return the carburetor heat to 'Full Cold' after full power application.

Aircraft

Registration
N9720P
Reported as
Piper PA 18-150
Category
Airplane
Serial number
18-7509137
Built
1975
Airframe hours
7,484
Engine
Lycoming O-360 SERIES, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Alaska West Air, INC
Registered owner
Summit Leasing LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 4, 2014 · 80 hours before
Departed
ENA · Kenai, AK
Destination
Nikiski, AK
Flight plan
Company VFR

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
55
Injuries
Serious
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
June 9, 2014
Seat
Front
Flight hours
6,600 total · 3,500 in this make and model · 100 in the last 90 days · 10 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
10 °F, dew point 9 °F
Altimeter
30.22 inHg
Observed at
PAEN, 31 nm away

Docket · 8

The files NTSB released with the investigation on January 27, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.5 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 N9720P · 1

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