ATL04LA126

NTSB accident investigation · Piper PA 32R-301 · Baxley, GA · June 14, 2004

Accident · Serious injuriesLimited investigationFinal report
Date
June 13, 2004, 22:45 local (Jun 14, 2004, 02:45 UTC)
Place
Baxley, GA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N8451EPiper PA 32R-301
Weather
Visual (VMC) · Night/dark
Status
Completed · report January 31, 2006
Report
Approved by Office Director
Parties
Atlanta FSDO
FAA report
20040613030609A
Case key
59443

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 mechanical malfunction of the autopilot pitch servo, and the pilot's inability to maintain adequate control pressure to manually retrim the pitch attitude.

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/malfunctionApproach
Autopilot/flight director,servo - failureCause
Loss of control - in flightApproach
Emergency procedure - not successfulPilot in command
Physical strength overloadPilot in commandCause
In flight collision with objectApproach
Object - tree(s)

Analysis

While flying at 2300 feet, the pilot shut off the autopilot and immediately could not maintain pitch control and the airplane went into a series of uncontrollable gyrations. The pilot attempted to regain control of the airplane but was unsuccessful. The airplane collided with trees five miles west of Baxley Municipal Airport. During the post accident functional examination of the autopilot assembly disclosed that when the unit was engaged the pitch servo would only correct the pitch attitude in one direction. Internal examination of the pitch servo revealed that three transistors had been replaced and one transistor appeared original to the unit. Additionally, the functional check of the pitch trim servo solenoid revealed that the unit was not within the design specifications. According to the pilot operating handbook, if the autopilot is disengaged when opposing mistrim forces are encountered, the pilot may be required to exert control forces in excess of 50 pounds to maintain airplane attitude. The pilot will have to maintain this control force while he manually retrim the airplane.

Factual narrative

On June 13, 2004, at 2245 eastern daylight time, a Piper PA-32R-301, N8451E registered to and operated by the private pilot collided with trees while on approach to Baxley Municipal Airport, Baxley, Georgia. The personal flight operated under the provisions of Title 14 CFR Part 91. Visual meteorological conditions prevailed and an instrument flight plan was filed. The airplane was substantially damaged. The pilot was seriously injured. The flight originated from Fulton County Airport, Wauseon, Ohio on June 13, 2004 at 1800 central daylight time.

While enroute at 2300 feet, the pilot checked the weather at Baxley Municipal Airport, and with the airport in sight, the pilot decided to cancel his instrument flight plan. The pilot shut off the autopilot and immediately afterward, the pilot discovered that he could not maintain pitch control. As the airplane went into a series of uncontrollable gyrations, the pilot attempted to disable the electric pitch trim but was limited because of the physical force needed on the yoke. The pilot's attempts to regain control of the airplane were unsuccessful. The airplane descended and collided with trees five miles west of Baxley Municipal Airport.

Examination of the airplane at the accident site revealed the left wing was severed approximately three feet outboard of fuselage, and the right stabilator assembly was deflected aft 90 -degrees severed at the right side of the airframe.

The functional examination of the autopilot components revealed the pitch servo was only correcting itself in one direction; as viewed at the capstan, the unit would run clockwise but not counter-clockwise. Internal examination of the unit revealed three transistors had been replaced and one transistor appeared to have been original to the unit. The transistor that appeared original to the unit is for the clockwise motion; the motor in the unit also appeared to have been original. The functional examination also disclosed that trim springs were out of design specifications, but the clockwise speed was within specifications and the tachometer output was out of design specifications. External examination of the tachometer revealed that it had been previously repaired and a lacquer or glue compound had been applied. The servo solenoid specifications are 21.87 lbs; the solenoid was observed to hold in the counter-clockwise direction, but would allow popping off at 15 to 18 lbs in the clockwise direction. Also, the servo mount, from the pitch servo unit, specifications are 50 lbs plus or minus 5 lbs. The unit was observed to be set at 67 lbs for clockwise direction and 65 lbs for counter-clockwise direction.

According to a caution note in the emergency procedures of the pilot operating handbook, "when disconnecting the autopilot after a trim malfunction, hold the control wheel firmly (up to 45 pounds of force on the control wheel may be necessary to hold the aircraft level)." Additionally, "if the autopilot is disengaged under these conditions ( opposing mistrim forces) the pilot may be required to exert control forces in excess of 50 pounds to maintain airplane attitude. The pilot will have to maintain this control force while he manually retrim the airplane. "

Aircraft

Registration
N8451E
Reported as
Piper PA 32R-301
Category
Airplane
Serial number
32R-8113122
Airframe hours
2,666
Engine
Lycoming IO-540 SER, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Richard Helminiak
Registered owner
Richard Helminiak
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 4, 2004 · 4 hours before
Departed
KUSE · Wauseon, OH
Destination
KBHC · Baxley, GA
Flight plan
IFR
Airport
KBHC · Baxley Municipal Airport

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
66
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
February 3, 2003
Seat
Left
Flight hours
957 total · 315 in this make and model · 43 in the last 90 days · 11 in the last 30 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
0° at 0 knots
Visibility
7 statute miles
Temperature
73 °F, dew point 72 °F
Altimeter
30.10 inHg
Observed at
KAYS, 27 nm away

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 N8451E · 1

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