CEN12FA158

NTSB accident investigation · Piper PA-28-180 · Osborn, MO · February 14, 2012

Accident · FatalField investigationFinal report
Date
February 14, 2012, 16:30 local (22:30 UTC)
Place
Osborn, MO
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N4824LPiper PA-28-180
Defining event
Maneuvering-low-alt flying: Low altitude operation/event
Weather
Visual (VMC) · Day
Status
Completed · report June 24, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA-Kansas City FSDO
FAA report
20120214002179A
Case key
82901

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 decision to conduct low-level passes above a residence and his failure to maintain sufficient altitude.

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.

Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-28-180: 12 casesAll aircraft: 1,310 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Effect on equipmentPiper PA-28-180: 14 casesAll aircraft: 933 cases

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 airplane was observed making two low-level (just above tree level) passes in front of a witness’s house. The witness made a video recording of the first pass. She reported seeing and hearing the airplane strike trees on the second pass before impacting the ground. An on-scene examination revealed airplane and tree damage consistent with the witness’s description of events. Examination of the airplane’s wreckage revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation.

Factual narrative

HISTORY OF FLIGHT On February 14, 2012, about 1630 central standard time, a Piper PA-28-180, N4824L, impacted trees and terrain while maneuvering near Osborn, Missouri. The pilot and passenger were fatally injured. The airplane sustained substantial damage to the fuselage and both wings. The aircraft was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed for the flight, which was not on a flight plan. The flight originated from the East Kansas City Airport (3GV), Grain Valley, Missouri, at an undetermined time. A witness that lived in the house on the property where the accident took place reported that her husband called and told her that a friend would be flying by in an airplane. She said that she heard a small plane operating near the house and went outside. The witness reported that the airplane approached from the southeast, banked around the house and passed in front of the house just east of the trees that were in front of the house. She said that the airplane then circled behind the house and made a second pass. As the airplane was making the second pass, the witness heard the airplane hit two trees and then saw the airplane strike the ground and cartwheel into a small field north of the house. The witness had used the video recording capabilities of her cellular telephone to record the airplane in flight and provided a copy of the recording for use in the investigation. The recorded video showed the accident airplane making a low-level flight past the front of the house; however, the video did not capture the accident sequence. In the video, the airplane appeared to be just above treetop level traveling from the south to the north. After passing the house, the airplane began a right turn at which point the recording ended. PERSONNEL INFORMATION The 68 year old pilot held a commercial pilot certificate with airplane single-engine land, airplane multiengine land, airplane single-engine seaplane, glider, and instrument airplane ratings issued on September 25, 2008. He was issued a third-class airman medical certificate, with a restriction for glasses for near vision, on December 27, 2010. A review of the pilot’s flight logbooks indicated that he had accumulated 5,798 hours total flight experience. His most recent flight review as required by 14 CFR Part 61.56 was accomplished on January 4, 2011. AIRCRAFT INFORMATION The accident airplane was a Piper model PA-28-180, serial number 28-4166. It was a four-place, low wing, single engine airplane, with a tricycle landing gear configuration. The airplane was powered by a 180-horsepower Lycoming O-360 four-cylinder, reciprocating engine. The airplane’s most recent annual inspection was completed on July 8, 2011. The total airframe time was not recorded in the logbook entry for that date. The previous annual inspection was completed on June 12, 2010, and the total airframe time asof that date was 1,876.27 hours. METEOROLOGICAL INFORMATION Weather conditions recorded by the Rosecrans Memorial Airport, St. Joseph, Missouri, Automated Surface Observing System (ASOS), located about 25 miles west of the accident site, at 1653, were; wind from 180 degrees at 6 knots, visibility 10 miles, broken clouds at 11,000 feet above ground level, temperature 7 degrees Celsius, dew point 1 degree Celsius, and altimeter 29.86 inches of mercury. WRECKAGE AND IMPACT INFORMATION The airplane impacted trees and an open agricultural field adjacent to a house in a rural area. A broken tree limb was observed and was estimated to be about 25 feet above the ground. The main wreckage of the airplane came to rest about 350 feet north of the last tree impacted. The airplane’s right wing was separated from the fuselage at the root and came to rest between the last tree impacted and the main wreckage. The flap and aileron remained attached to the wing and the outboard 5 feet of the wing was crushed rearward. There was a semi-circular indentation about one foot inboard from the wing tip that was consistent with a tree impact. The indentation had crushed the leading edge rearward to a depth of about one-half of the wing's chord. The remainder of the airplane came to rest with the fuselage inverted. The left wing was partially separated from the fuselage and was lying parallel to the bottom of the fuselage. The tail surfaces remained attached to the aft fuselage and appeared undamaged. The cabin section of the fuselage had been partially consumed by a post-impact fire. The engine and propeller remained attached to the airframe. Examination of the control system confirmed continuity from the cockpit area to the tail surfaces. Continuity of the aileron control system revealed breaks in the control cables; however, all of the cable breaks exhibited signatures consistent with overstress. Examination of the airplane’s wreckage revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy of the pilot was performed at the First Call Morgue, Kansas City, Kansas, on February 16, 2012. The pilot's death was attributed to injuries received in the accident. Toxicology testing was performed by the FAA Civil Aerospace Medical Institute. Testing results found 2.31 ug/ml cyanide detected in the pilot’s blood. This finding was consistent with post mortem diffusion resulting from the post-impact fire. All other tests were negative for substances in the screening profile.

Aircraft

Registration
N4824L
Reported as
Piper PA-28-180
Category
Airplane
Serial number
28-4166
Engine
Lycoming O-360, 180 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 8, 2011
Departed
3GV · Grain Valley, MO
Destination
3GV · Grain Valley, MO

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
68
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
January 4, 2011
Seat
Left
Toxicology
Performed
Flight hours
5,798 total

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 6 knots
Visibility
10 statute miles
Lowest ceiling
11,000 ft broken
Temperature
45 °F, dew point 34 °F
Altimeter
29.86 inHg
Observed at
STJ, 25 nm away

Docket · 8

The files NTSB released with the investigation on April 30, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.6 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.