CEN11CA526

NTSB accident investigation · Piper PA-36-375 · Cambridge, NE · July 23, 2011

Accident · No injuriesData collectionFinal report
Date
July 23, 2011, 06:38 local (11:38 UTC)
Place
Cambridge, NE
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N3963EPiper PA-36-375
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report October 20, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Lincoln FSDO
FAA report
20110723015989A
Case key
81280

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 pilot's failure to reset the engine's mixture control lever to the full rich position prior to takeoff.

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.

Action: lack of actionPersonnel issues › Action/decision · PilotPiper PA-36-375: 1 caseAll aircraft: 792 casesProbable cause
Engine controls: mixture controlAircraft › Aircraft power plant · Not used/operatedPiper PA-36-375: 1 caseAll aircraft: 41 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 was departing on the first agricultural application flight of the day. He said that as he taxiing, he noticed the engine temperature rising, so he leaned the mixture. He completed his engine run-up and departed. He said that as the airplane was accelerating down the runway, he noticed the airplane was not developing enough power, but he had used up most of the runway and could not abort the takeoff. During climb, the airplane experienced a degrade in performance and struck terrain about 600 feet from the airport. The impact collapsed the landing gear and caused substantial damage to the airframe and elevator. The pilot reported that he inadvertently departed with the engine's mixture control lever at the halfway leaned setting. The pilot reported that there were no mechanical anomalies with the airplane, and the accident could have been prevented if he had used a checklist.

Factual narrative

The airplane departed from a runway with a slight uphill grade, for the first agricultural application flight of the day. The pilot reported that his acceleration was less than expected, and he lifted off near the departure end of the runway with minimum airspeed. The airplane failed to accelerate or climb, and struck terrain about 600 feet from the airport. The impact collapsed the landing gear and caused substantial damage to the airframe and elevator. The pilot reported that he inadvertently departed with the engine mixture control leaned at approximately the halfway setting. The pilot added there was no preimpact mechanical malfunction or failure with the airplane. He also reported that the accident could have been prevented if he had used the checklist.

Aircraft

Registration
N3963E
Reported as
Piper PA-36-375
Category
Airplane
Serial number
36-7902029
Airframe hours
5,670
Engine
Lycoming IO-720, 400 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Joseph M Sides, doing business as Behnke Aviation
Registered owner
Mike E Sides
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · December 15, 2010
Departed
CSB · Cambridge, NE
Destination
CSB · Cambridge, NE
Airport
CSB · Cambridge Municipal Airport, runway 32, 4,098 × 60 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
40
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
October 19, 2010
Seat
Single
Flight hours
480 total · 198 in this make and model · 438 as pilot in command · 99 in the last 90 days · 63 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 63 °F
Altimeter
29.85 inHg
Observed at
KMCK, 21 nm away

Docket · 3

The files NTSB released with the investigation on September 15, 2011, 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.