CEN12LA023

NTSB accident investigation · Piper PA-28-235 · Wadsworth, OH · October 8, 2011

Accident · No injuriesLimited investigationFinal report
Date
October 8, 2011, 13:00 local (17:00 UTC)
Place
Wadsworth, OH
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N9444WPiper PA-28-235
Defining event
Landing-landing roll: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report January 18, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Admininstration
FAA report
20111008025569A
Case key
82083

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 failure of the brake system during the landing roll, which was caused by a loss of hydraulic fluid as a result of a leak in the piston seal due to brake plates worn beyond their service limits.

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.

Landing gear system: brakeAircraft › Aircraft systems · FailurePiper PA-28-235: 1 caseAll aircraft: 297 casesProbable cause
MaintenancePersonnel issues › Task performance · Maintenance personnelPiper PA-28-235: 1 caseAll aircraft: 143 cases
Object/animal/substance: runway/taxi/approach lightEnvironmental issues › Physical environment · Contributed to outcomePiper PA-28-235: 2 casesAll aircraft: 106 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 pilot reported that, prior to the flight, he noted no anomalies with the airplane or its braking system. After touchdown, the pilot applied the brakes to slow the airplane to exit the runway, but the airplane did not slow down. The airplane then departed the runway surface and the right wing contacted the visual approach slope indicator system. The airplane came to rest upright adjacent to the runway. A postaccident examination of the airplane revealed that the left brake caliper was leaking hydraulic fluid; no fluid was found in the brake system’s reservoir. Hydraulic fluid was then added to the reservoir, and a leak was noticed at the brake caliper without any brake pressure being applied to the system. The brake caliper and brake plates were removed and the brake plates were found to be worn beyond service limits, which resulted in an overextension of the brake piston and failure of the piston seal. The failure of the piston seal resulted in the loss of hydraulic fluid.

Factual narrative

On October 8, 2011, approximately 1300 eastern daylight time, a Piper PA-28-235 single-engine airplane, N9444W, sustained substantial damage when it impacted the visual approach slope indicator equipment during landing at Weltzien Skypark Airport (15G), Wadsworth, Ohio. The commercial pilot and three passengers were not injured. The airplane was registered to a private individual and operated by the pilot. Visual meteorological conditions prevailed, and a flight plan was not filed for the 14 Code of Federal Regulations Part 91 personal flight. The flight departed Parkersburg, West Virginia, approximately 1215. According to the pilot, he and the passengers departed 15G earlier in the day to attend a breakfast in Parkersburg. The pilot reported that prior to the flight to Parkersburg and the return flight to Wadsworth, no anomalies were noted with the airplane and its brake system. After touchdown at 15G, the pilot applied the brakes to slow the airplane to exit the runway and "nothing happened." The airplane departed the runway surface, and the right wing contacted the visual approach slope indicator (VASI) system. The airplane came to rest upright adjacent to the runway. Postaccident examination of the airplane by the Federal Aviation Administration inspectors and the airplane owner revealed the left brake caliper was leaking fluid, and no fluid was noted in the brake system reservoir. Fluid was then added to the reservoir and a leak was noticed at the brake caliper without any brake pressure being applied to the system. The brake caliper and brake plates were removed. The brake plates showed that they were worn beyond service limits, which resulted in an over extension of the brake piston and failure of the piston seal. The failure of the piston seal resulted in the loss of hydraulic fluid. A review the airframe logbooks showed the most recent annual inspection was completed in March 2011. The brakes were replaced in 2008 and no additional entries in the logbooks were noted that specified the brake system. Since 2008, the airplane had completed approximately 55 landings, and 12 landings since the most recent annual inspection.

Aircraft

Registration
N9444W
Reported as
Piper PA-28-235
Category
Airplane
Serial number
28-11163
Airframe hours
4,964
Engine
Lycoming IO-540-B405, 235 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 1, 2011
Departed
PKB · Parkersburg, WV
Destination
15G · Wadsworth, OH
Airport
15G · Weltzien Skypark Airport, runway 21, 2,410 × 37 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
69
Injuries
None
Certificates
Flight instructor, Commercial, Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
June 3, 2011
Seat
Left
Flight hours
6,900 total · 210 in this make and model · 6,714 as pilot in command · 52 in the last 90 days · 31 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
6 statute miles
Lowest ceiling
None
Temperature
50 °F
Observed at
BJJ, 10 nm away

Docket · 3

The files NTSB released with the investigation on December 1, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.1 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.