CEN14LA519

NTSB accident investigation · Piper PA 36-285 · Woodburn, IN · September 19, 2014

Accident · No injuriesLimited investigationFinal report
Date
September 19, 2014, 19:00 local (23:00 UTC)
Place
Woodburn, IN
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N9913PPiper PA 36-285
Defining event
Takeoff: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report November 19, 2015
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards
FAA report
20140919019749A
Case key
90152

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

A loss of engine power during takeoff for reasons that could not be determined based on the available information.

Findings · 2

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.

Not determinedNot determined › Not determined · Unknown/Not determinedPiper PA-36-285: 2 casesAll aircraft: 2,247 casesProbable cause
TerrainEnvironmental issues › Physical environment · Contributed to outcomePiper PA-36-285: 1 caseAll aircraft: 267 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 the engine lost power during the takeoff roll. He was unable to stop the airplane on the remaining runway, and it subsequently impacted a berm and then came to rest in a corn field. The pilot reported that, on the day after the accident, he observed about 30 gallons of fuel in the right wing fuel tank and no fuel in the left wing fuel tank. The pilot reported the accident 3 days later, and a postaccident examination was conducted the following day. About 2 gallons of fuel was found in the right wing fuel tank, and the left wing fuel tank was empty. Fuel was placed in each wing fuel tank, and positive fuel flow was observed at the engine fuel inlet. Given these findings, it is possible that the loss of engine power was due to fuel exhaustion; however, the delay in the reporting of the accident precluded an accurate determination of the amount of fuel on board the airplane at the time of the accident. During an engine test run, the engine ran normally on just the left magneto and with both magnetos selected; however, the engine did not run normally on just the right magneto. Each magneto produced a spark across all leads when bench tested. Subsequent examination of the right magneto revealed that the distributor bushing was worn, which allowed excessive play between the distributor gear and the block. It is possible that the worn distributor bushing interfered with the proper timing of the right magneto during the accident takeoff; however, this would have caused a disruption in engine operation, which is not consistent with a sudden or complete loss of power.

Factual narrative

On September 19, 2014, about 1900 eastern daylight time, a Piper PA-36-285 airplane, N9913P, sustained substantial damage during a runway excursion following a loss of engine power on takeoff from Steinman Airport (53II), Woodburn, Indiana. The pilot was not injured. The airplane was registered to and operated by Gaerte Ag Service LLC under the provisions of 14 Code of Federal Regulations Part 137 as an aerial application flight. Visual meteorological conditions prevailed for the flight, which was not operated on a flight plan. The flight was originating at the time of the accident.The pilot reported that the engine lost power during the takeoff roll and he was unable to stop the airplane on the remaining runway. The airplane subsequently encountered an embankment and a roadway off the end of the runway, before coming to rest in an adjacent corn field. Upon exiting the airplane, he smelled fuel and subsequently set the fuel control cutoff valve to the Off position. The airplane came to rest upright in the corn field about 260 feet from the end of the runway. Depressions in the grass and skid marks across the roadway pavement were consistent with the airplane being on the ground as it departed the end of the runway. A set of power lines running along the south side of the roadway were undamaged. The tops of the corn plants adjacent to the roadway appeared have been impacted; however, the remainder of the plants appeared to be undamaged. The proximity of the power lines to the end of the runway and the presence of the skid marks suggested that the airplane traveled under the power lines, while becoming airborne for a short period of time as it crossed the road allowing it to clear a portion of the corn crop. A flight activity log submitted by the pilot indicated that the accident flight was the 23rd flight of the day. The airplane was refueled before the 17th flight of the day and departed for that flight with 60 gallons fuel on board. According to the log, the recording tachometer indicated 2,976.8 hours at that time. The pilot reported that the recording tachometer subsequently indicated 2,978.2 hours after the accident. He noted that the normal fuel burn was about 25 gallons per hour. The pilot stated that the day after the accident he observed about 30 gallons of fuel in the right wing fuel tank. No fuel was visible in the left wing fuel tank. He speculated that the right wing fuel tank might have had some type of obstruction that resulted in fuel starvation on the accident takeoff. The Federal Aviation Administration (FAA) was notified of the accident on September 23rd, and a postaccident examination was initiated by FAA inspectors the following day. The examination revealed that the main landing gear had collapsed and the firewall was deformed. The engine cowling was dislocated; however, the engine and engine mount remained secured to the firewall. At the time of the examination, approximately 2 gallons of fuel were recovered from the rightwing fuel tank and no fuel was recovered from the left wing fuel tank. At the time of recovery of the airplane, about 6 weeks after the accident, fuel was placed in the right fuel tank and positive fuel flow was observed at engine. The fuel tank inlet strainers were removed; they were clear and unobstructed. The engine rotated freely and compression was obtained at each cylinder. The spark plugs exhibited normal operating signatures. The engine was removed and subjected to a test run. The engine ran to 2,650 rpm and 29 inches manifold pressure on the left magneto only. A representative of the engine test facility noted that the engine also ran when both magnetos were selected. However, the engine did not run normally on the right magneto only. The magnetos were bench tested under the direct supervision of the National Transportation Safety Board investigator-in-charge. Each magneto produced a spark across all leads. A teardown examination of the right magneto revealed that the distributor bushing was worn allowing excessive play between the distributor gear and the block. The contacts exhibited excessive wear consistent with the worn bushing and metallic deposits were observed within the magneto housing. Maintenance records indicated that an overhaul of the engine and both magnetos was completed in February 2014. The most recent annual inspection was completed on May 16, 2014, after installation of the overhauled engine. At the time of the annual inspection, the airframe and engine total service times were 3,347.7 hours and 2,683.7 hours, respectively. According to the records, the left magneto was replaced on September 16, 2014, at a recording tachometer time of 2,959.0 hours (275.3 hours since overhaul). The maintenance logbook did not contain any entries related to the right magneto subsequent to the overhaul. The recording tachometer indicated 2,978.2 hours at the time of the postaccident examination.

Aircraft

Registration
N9913P
Reported as
Piper PA 36-285
Category
Airplane
Serial number
36-7560021
Built
1975
Airframe hours
3,642
Engine
Lycoming IO-720-A1B, 400 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Gaerte AG Service LLC
Registered owner
Gaerte AG Service LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · May 16, 2014 · 295 hours before
Departed
53II · Woodburn, IN
Destination
53II · Woodburn, IN
Airport
53II · Steinman, runway 18, 2,300 × 50 ft, grass/turf

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
37
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
September 24, 2014
Seat
Single
Restraint
4-point
Flight hours
2,199 total · 597 in this make and model · 2,140 as pilot in command · 263 in the last 90 days · 75 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 6 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
66 °F, dew point 50 °F
Altimeter
30.09 inHg
Observed at
FWA, 18 nm away

Docket · 8

The files NTSB released with the investigation on October 19, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.8 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.