ATL99FA066

NTSB accident investigation · Piper PA-34-200 · Tallahassee, FL · April 1, 1999

Accident · FatalField investigationFinal report
Date
April 1, 1999, 15:48 local (20:48 UTC)
Place
Tallahassee, FL
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N15478Piper PA-34-200
Weather
Visual (VMC) · Day
Status
Completed · report January 18, 2001
Report
Approved by Office Director
FAA report
19990401002889A
Case key
46022

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 pilot's failure to maintain flying speed during initial climb which resulted in a stall and uncontrolled collision with terrain.

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 control - in flightTakeoff - initial climb
Airspeed - not maintainedPilot in commandCause
Stall - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The pilot of another airplane, while taxiing for takeoff, observed the accident airplane during the initial climb out. The airplane was observed in a right 45-degree bank, the nose of the airplane was up about 30 degrees and the airplane appeared to have stalled. At approximately the same time, the pilot radioed and reported that he was having a problem and wanted to return; the pilot never stated the problem. The airplane suddenly started losing altitude and just before colliding with the ground, the airplane was last observed in a 20 to 30 degree right bank, and a 50 to 60 degree nose-down attitude. Seconds later, a fireball was observed in the vicinity where the airplane was last seen. The fuselage assembly received heavy fire damage. The center section of the airframe and the cockpit area was fire damaged. The subsequent examination of the engine and airframe assemblies failed to reveal a mechanical problem or component failure.

Factual narrative

History of flight

On April 1,1999, at 1548 eastern standard time, a Piper PA-34-200, N15478, collided with the ground during takeoff from runway 27 at the Tallahassee International Airport in Tallahassee, Florida. The personal flight was operated by the pilot under the provisions of Title 14 CFR Part 91 with a visual flight rules (VFR) flight plan filed. Visual weather conditions prevailed at the time of the accident. The airplane was destroyed and there was a post-impact fire. The pilot was fatally injured. The accident occurred during the takeoff from Tallahassee, Florida; the flight was en route to Memphis, Tennessee.

At 1401, a man who identified himself as the pilot of N15478 telephoned Gainesville, Florida Federal Aviation Administration Flight Service Station (AFSS). The pilot closed his flight plan from Memphis, Tennessee to Tallahassee, and requested a weather briefing from Tallahassee to Memphis. The pilot reported that he would be departing Tallahassee within an hour. According to the fixed base operator at Tallahassee, after landing the airplane was serviced with 60 gallons of aviation fuel. The pilot had flown from Fort Lauderdale, Florida, and was enroute to Memphis.

At 1501, the pilot of N15478 telephoned Gainesville AFSS and requested a standard briefing from Tallahassee to Memphis. The briefer recalled that the pilot was given a standard briefing followed by the pilot filed a flight plan. At 1526, the pilot of N15478 radioed Tallahassee Ground Control and requested taxi instructions. The flight was cleared to runway 27, and the pilot was given a radio frequency for departure control and a transponder code. At 1546, Tallahassee Tower cleared N15478 for takeoff.

The flight was cleared for a visual departure from runway 27. However, the pilot of another airplane taxiing for takeoff observed N15478 during the initial climb out. The pilot of the other airplane reported that as N15478 continued the climb, it was observed in a right 45-degree bank, and turning through a 360-degree magnetic heading. At this point, the nose of N15478 was up about 30 degrees and the airplane appeared to have stalled.

At approximately the same time, the pilot of N15478 radioed Tallahassee Tower and reported that he was having a problem and wanted to return; the pilot never stated the problem. The airplane suddenly started losing altitude and appeared to have stalled a second time. The pilot of the other airplane further stated that the "stabilator" assembly appeared to be "full pitch up." Both propellers appeared to be turning throughout the entire sequence of flight gyrations. Just before colliding with the ground, N15478 was last observed in a 20 to 30 degree right bank, and a 50 to 60 degree nose-down attitude. Seconds later, a fireball was observed in the vicinity where N15478 was last seen.

Aircraft information

Information on the airplane is included in this report on page 2 of the factual report under the data field labeled ''Aircraft Information". A review of the fire damaged airplane maintenance logs disclosed that the airplane had been issued a special flight permit (ferry permit) for the flight from St. Vincent, West Indies, to Fort Lauderdale, Florida, only.

Personnel information

Information about the First Pilot is included in this report on page 3 of the factual report under the data field labeled "First Pilot Information".

Meteorological nformation

Visual weather conditions prevailed at the time of the accident. Weather information is contained in this report on page 3 of the factual report under the data field labeled "Weather Information".

Wreckage and impact information

Examination of the accident site disclosed that wreckage debris was scattered over an area 210 feet long and 90 feet wide. The wreckage path was oriented on a 070-degree magnetic heading. The vegetation and the wreckage debris in the immediate vicinity of the fuselage were burned. The center and nose sections of the fuselage sustained heavy fire damage. The accessory sections of both engines were also fire damaged.

Examination of the left wing assembly showed that the wing remained attached to the fuselage and sustained extensive fire damage throughout the entire structure. The nacelle area of the left wing along with the cowl assembly also sustained fire damage. Both fuel tanks were fire damaged. The left wing flight control surfaces were recovered at the accident site. The flight control cables, connecting rods, bell cranks and attach fittings were also located at the accident site.

A four-foot section of the right wing assembly was located about 30 feet from the main wreckage. Both right wing fuel tanks sustained fire damage and they were destroyed. Examination of the right main landing gear hydraulic cylinder assembly was in the extended position.

The fuselage assembly received heavy fire damage. The center section of the airframe and the cockpit area was fire damage. All flight control surfaces and related assemblies were located in the immediate vicinity of the main wreckage. The subsequent examination of the horizontal stabilator and the rudder control failed to disclose a mechanical problem with control cables, pulley assemblies and control surface attach fittings.

The subsequent examination of the engine assemblies failed to reveal a mechanical problem or component failure. No mechanical problems were discovered during the examination of the airframe wreckage.

Medical and pathological information

On April 2, 1999, the postmortem examination on the pilot was conducted by Dr. Stewart at the Office of the State Medical Examiner in Tallahassee, Florida. The toxicological examinations were negative for alcohol and other drugs.

Additional information

On April 2, 1999, at about 2100, the hangar where the airframe wreckage was secured for the accident investigation was forcibly entered. None of the wreckage or associated components were missing after break-in. The Tallahassee Police Department conducted a criminal investigation of the break-in (see attached police report).

The aircraft wreckage was released to Mr. Harry Brooks (insurance adjuster) Atlanta, Georgia.

Aircraft

Registration
N15478
Reported as
Piper PA-34-200
Category
Airplane
Serial number
347350067
Airframe hours
2,650
Engine
Lycoming IO-360-C1E6, 200 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Carlos G. Bocock
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 17, 2009
Departed
TLH
Destination
Memphis, TN
Flight plan
VFR
Airport
TLH · Tallahassee, runway 27, 8,001 × 150 ft, asphalt

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
43
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
2,000 total

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 11 knots
Visibility
10 statute miles
Lowest ceiling
8,500 ft broken
Temperature
27 °F, dew point 19 °F
Altimeter
29.00 inHg
Observed at
TLH, 1 nm away

Docket · 25

The files NTSB released with the investigation on June 21, 2000, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.6 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.