ANC93LA151

NTSB accident investigation · Piper PA-12 · Goose Bay, AK · August 18, 1993

Accident · Serious injuriesLimited investigationFinal report
Date
August 17, 1993, 20:15 local (Aug 18, 1993, 04:15 UTC)
Place
Goose Bay, AK
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N123TLPiper PA-12
Weather
Visual (VMC) · Day
Status
Completed · report December 2, 1994
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19930817029679A
Case key
2408

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

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Probable cause

The loss of engine power due to fuel starvation. A factor in the accident was the inadequate installation information supplied with the STC for the engine upgrade.

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
Fuel system - starvationCause
Maintenance,modification - information insufficientOther maintenance personnelFactor
Forced landingDescent - emergency
In flight collision with terrain/waterDescent - emergency

Analysis

The modified PA-12 collided with terrain during an attempted emergency landing following fuel starvation. The airplane had been modified with a 160 HP engine requiring extensive upgrade of the fuel system. The airplane had a history of sudden and complete starvation engine stoppages without associated mechanical, ignition or carburation anomalies.

Factual narrative

On August 17, 1993, at approximately 2015 Alaska daylight time, a wheeled equipped Piper PA-12 airplane, N123TL, experienced total power loss during a climb after a full stop practice landing. The private pilot was operating under 14 CFR Part 91 and had made two uneventful touch and go landings at the unattended Goose Bay airstrip near Elmendorf AFB, Alaska, when at 100 foot altitude, abrupt cessation of engine power occurred. While attempting to return for a runway landing, the airplane entered aerodynamic stall and impacted off-runway in a brushy level area. Visual meteorological conditions existed and no flight plan was filed. The pilot, as sole occupant on board, was seriously injured and the airplane was substantially damaged.

The pilot told investigators that he believed it to be "fuel starvation," and related that he learned of previous sudden stoppages of the engine when the history of the airplane was reviewed with previous operators of that aircraft. The owner/pilot told the NTSB that despite a previous carburetor change and a subsequent engine replacement, the modified aircraft (upgraded from its original Type Certificated [TC] 100 HP to a Lycoming 160 HP O-320) had experienced yet another sudden stoppage, while FAA-Certificated inspectors found no mechanical anomalies to have pre-existed the stoppage.

FAA inspectors found an undetermined amount of fuel on board the airplane at the accident site and evidence that the impact had compromised the fuel system at the wing roots. The pilot produced a copy of a fueling receipt in his name on the day of the flight which indicated that he had uploaded 31.06 gallons of aviation fuel.

In a review of the events with investigators and engineers at the Piper Aircraft Corporation, the NTSB was told that "in Piper's opinion, the PA-12 fuel system was never designed or capable of providing fuel at a rate beyond which was required for 100 HP." The accident airplane, as modified with both after-market STC's (structural changes for mounting higher horsepower engines) and parts from other Piper airplanes (such as the PA-18 header tank) is different in system and structure to the original type- certificated PA-12 "Super Cruiser" with its 100 HP engine.

An STC (Supplemental Type Certificate) (SA644AL) exists to upgrade the PA-12 to the Lycoming 160 HP engine. That STC is a multiple authorization. The STC stipulates that extensive modifications to the fuel system of the airplane be completed in order to satisfy the requirements of the STC changes in order to supply adequate fuel pressure throughout the test range specified and with the stipulated minimum fuel levels.

The NTSB was not able to determine to what extent the fuel system of the accident airplane had been modified to satisfy the fuel flow requirements stipulated by the STC. Some of the changes, but not all, to the basic airplane include the addition of a certain size header tank, fuel line sizes, modifications to the valves and fuel switches. Subsequent to the accident the airplane was sold, as is, and is reportedly being rebuilt with a Lycoming 160 HP engine installed.

Aircraft

Registration
N123TL
Reported as
Piper PA-12
Category
Airplane
Serial number
12-3969
Engine
Lycoming O-360, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Williams, David E.
Registered owner
David & Donna Williams
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · August 1, 1993 · 0 hours before
Airport
Z40 · Goose Bay, runway 7, 3,000 × 75 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
45
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Front
Flight hours
420 total · 70 in this make and model · 376 as pilot in command · 39 in the last 90 days · 13 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 3 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
61 °F

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 N123TL · 1

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