CEN14CA164

NTSB accident investigation · Piper PA 28R-201 · Ruidoso, NM · March 19, 2014

Accident · No injuriesData collectionFinal report
Date
March 19, 2014, 17:32 local (23:32 UTC)
Place
Ruidoso, NM
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N3398MPiper PA 28R-201
Defining event
Maneuvering-low-alt flying: Low altitude operation/event
Weather
Visual (VMC) · Day
Status
Completed · report April 23, 2014
Report
Approved by Office Director
NTSB office
Central Region
FAA report
20140319002329A
Case key
88938

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 adjust the engine's fuel-air mixture and decision to takeoff in high density attitude conditions which degraded the airplane's performance.

Findings · 4

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.

Temp/humidity/pressure: high density altitudeEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionPiper PA-28R-201: 2 casesAll aircraft: 278 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · PilotPiper PA-28R-201: 4 casesAll aircraft: 792 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomePiper PA-28R-201: 2 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 pilot initiated the takeoff roll from runway 30 with the throttle and mixture control in the full forward position. When the airspeed reached 65 knots, the airplane began to climb and the pilot noticed that the airplane was not accelerating. He flew over the departure end of runway 30 at 100 feet and started a shallow left turn. He noticed that the landing gear indicator lights were illuminated green so he adjusted the landing gear lever down and then up again. The pilot continued to be distracted when the green lights remained illuminated. He then decided to fly to runway 6 and make a forced landing. The airplane was still 100 above the ground and began to lose altitude. The pilot made a forced landing straight ahead into a field and the airplane struck several trees. Prior to departure, the fuel tanks were filled with 40 gallons of fuel and the airplane contained 40 pounds of luggage. The calculated density altitude for the flight was about 7,800 feet. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation. Based on the information gathered, it is likely that the airplanes performance was degraded due to a high density altitude and a rich fuel-air mixture.

Factual narrative

The pilot initiated the takeoff roll from runway 30 with the throttle and mixture control in the full forward position. When the airspeed reached 65 knots, the airplane began to climb and the pilot noticed that the airplane was not accelerating. He flew over the departure end of runway 30 at 100 feet and started a shallow left turn. He noticed that the landing gear indicator lights were illuminated green so he adjusted the landing gear lever down and then up again. The green lights remained illuminated. He then decided to fly to runway 6 and make a forced landing. The airplane was still 100 above the ground and began to lose altitude. The pilot made a forced landing straight ahead into a field and the airplane struck several trees. Prior to departure, the fuel tanks were filled with 40 gallons of fuel and the airplane contained 40 pounds of luggage. The calculated density altitude for the flight was about 7,800 feet. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Aircraft

Registration
N3398M
Reported as
Piper PA 28R-201 (201)
Category
Airplane
Serial number
28R-7837113
Built
1977
Airframe hours
13,031
Engine
Lycoming IO360, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Harvey and Rihn Aviation, TX
Registered owner
De Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 12, 2013 · 94 hours before
Departed
SRR · Ruidoso, NM
Destination
CNM · Carlsbad, NM
Airport
SRR · Sierra Blanca Rgnl, runway 06, 8,120 × 100 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
54
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
September 9, 2013
Seat
Left
Restraint
Lap only
Flight hours
3,787 total · 137 in this make and model · 3,207 as pilot in command · 64 in the last 90 days · 45 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 11 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 7 °F
Altimeter
30.19 inHg
Observed at
KSRR, 2 nm away

Docket · 4

The files NTSB released with the investigation on April 3, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.2 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.