ANC98LA101

NTSB accident investigation · Piper PA-28-140 · Bethel, AK · July 18, 1998

Accident · Minor injuriesLimited investigationFinal report
Date
July 17, 1998, 21:00 local (Jul 18, 1998, 05:00 UTC)
Place
Bethel, AK
Injuries
4 minor
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N1793JPiper PA-28-140
Weather
Visual (VMC) · Day
Status
Completed · report May 19, 1999
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19980717025609A
Case key
43069

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 fracture of the flap handle position locking pin, which resulted in an uncommanded raising of the flaps during takeoff. A factor was the pilot's decision to takeoff with a suspected problem in the flap system.

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.

Airframe/component/system failure/malfunctionTakeoff - initial climb
Operation with known deficiencies in equipment - intentionalPilot in commandFactor
Flight control,flap attachment - fracturedCause
Altitude deviation,uncontrolledTakeoff - initial climb
Flight control,flap - uncommandedCause
Raising of flaps - inadvertentCause
Climb - not possiblePilot in command
In flight collision with objectTakeoff - initial climb
Object - tree(s)

Analysis

The pilot experienced binding in the flaps during landing. Unable to find a problem, he decided to takeoff on his return flight. During initial climb, the manually operated flaps abruptly retracted. The pilot was unable to hold the flaps in the extended position to climb, and the airplane contacted trees located in the departure path. Investigation revealed that the flap position locking pin, part number 480-715 (59-040-187-1500), had fallen from its hole, but the retaining roll pin was still in place. The only way to remove this pin from the hole is to first remove the retaining pin, or fracture it in two pieces. The missing pin was not recovered, but a photograph shows a similar dimensioned pin lying below the flap handle assembly.

Factual narrative

On July 17, 1998, about 2100 Alaska daylight time, a Piper PA-28-140 airplane, N1793J, was destroyed when it collided with trees during takeoff from an off airport landing site approximately 72 miles east-southeast of Bethel, Alaska, at position 60 degrees 01 minutes North latitude, 160 degrees 11 minutes West longitude. The private pilot and the three occupants sustained minor injuries. The flight was conducted under 14 CFR Part 91 as a personal flight. Visual meteorological conditions prevailed at the time of the accident, and a flight plan was filed with a relative. The flight was departing the landing site on a return leg to Bethel.

The pilot told the NTSB investigator on July 19, 1998, that during his landing at the site, the mechanical flap handle jammed in the flaps extended position, and could not be retracted. After landing, the pilot was able to retract the flaps and could not find a discrepancy. During the subsequent takeoff, while climbing through 25 feet agl, the flap handle fell to the retracted position, and the airplane began to descend. The pilot said that he again extended the flaps, but they would not lock in place. The airplane did not have room remaining to land, and collided with trees located in the takeoff path. The four occupants escaped from the airplane, which was then consumed by a postcrash fire.

Subsequent inspection of the flap handle revealed the flap locking pin, part number 480-715 (59-040-187-1500), was not located in the flap handle assembly. Loss of this locking pin will result in air loads driving the flaps to the retracted position. The retaining roll pin, part number 480-733, was visible in the hole where the locking pin should have been. This roll pin installs through a drilled pilot hole in the locking pin. In order to remove the locking pin, either the roll pin must be removed, or the locking pin must fracture into two pieces.

The airplane was cut into sections during recovery, and the missing locking pin was not found. Examination of photographs taken before recovery show what appears to be a metal pin of approximately the same dimensions as the missing locking pin lying beneath the flap handle assembly. Review of SDR records show three other cases of the locking pin fracturing and falling free of the flap handle. Early model PA-28 series airplanes used a 3/16 inch diameter pin; later model PA-28 series airplanes used a 1/4 inch pin. The accident airplane was manufactured with the smaller pin. No Service Bulletins or Airworthiness Directives apply to the locking pin, part number 480-715.

Aircraft

Registration
N1793J
Reported as
Piper PA-28-140
Category
Airplane
Serial number
28-24219
Airframe hours
2,905
Engine
Lycoming O-320-D2A, 160 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Brandon T. Leary
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 29, 1997 · 78 hours before
Departed
Canyon Creek, AK
Destination
BET · 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
29
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
291 total · 212 in this make and model · 243 as pilot in command · 25 in the last 90 days · 9 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 4 knots
Visibility
40 statute miles
Temperature
55 °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 N1793J · 1

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