CEN16LA186

NTSB accident investigation · Piper PA 32R · Alpine, TX · May 15, 2016

Accident · No injuriesLimited investigationFinal report
Date
May 15, 2016, 14:30 local (19:30 UTC)
Place
Alpine, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N185DXPiper PA 32R
Defining event
Initial climb: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report December 12, 2016
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
Case key
93183

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 engine’s decreased performance due to high-density altitude conditions and a partially obstructed fuel injector nozzle. Contributing to the pilot's decision to perform an off-field landing was the anomalous high exhaust gas temperature reading.

Findings · 6

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: climb rateAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-32R-301: 1 caseAll aircraft: 265 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomePiper PA-32R-301: 2 casesAll aircraft: 933 cases
Temp/humidity/pressure: high density altitudeEnvironmental issues › Conditions/weather/phenomena · Effect on operationPiper PA-32R-301: 2 casesAll aircraft: 278 casesProbable cause
Engine fuel and control: fuel injector nozzleAircraft › Aircraft power plant · Related operating infoPiper PA-32R-301: 1 caseAll aircraft: 20 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 private pilot and passenger had just departed for a personal flight. The pilot reported that the takeoff roll required "a good bit of runway." The pilot reported that, during the initial climb, he noted that the exhaust gas temperature (EGT) was "pegged," so he reversed course to return to the airport. He was not able to find a "responsive power setting" and adjusted the mixture in attempt to cool the engine. The pilot attempted to troubleshoot the high EGT without result, and he subsequently conducted a precautionary off-field, gear-up landing, during which the right wing and fuselage sustained substantial damage. Postaccident examination of the engine revealed that the No. 6 fuel injector nozzle was partially obstructed. It is likely that the partially obstructed fuel injector nozzle and the high-density altitude, which was calculated to be 5,750 ft at the time of the accident, resulted in less-than-expected engine performance. During a postaccident engine run, the engine ran normally; however, the EGT was providing anomalous indications. Therefore, the information provided to the pilot by the EGT during the flight was likely anomalous; however, the pilot had no way of knowing this, and it likely contributed to his decision to perform an off-field landing. The decreased engine performance was not supported by any of the other engine gauges.

Factual narrative

On May 15, 2016, about 1430 central daylight time, a Piper PA-32R-301 airplane, N185DX, was substantially damaged when it impacted terrain following a precautionary landing 1 mile east of the Alpine-Casparis Municipal Airport (E38), Alpine, Texas. The private pilot and passenger were not injured. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no Federal Aviation Administration (FAA) flight plan had been filed for the flight. The flight was originating at the time of the accident.According to the pilot, he had difficulty starting the engine after refueling. He followed the flooded engine start procedures and "ran the engine up" and checked the magnetos. The rpms "seemed satisfactory." The takeoff roll from runway 23 (5,018 feet by 60 feet, asphalt) required "a good bit of runway." During the climb the pilot noted that the exhaust gas temperature (EGT) was "pegged" and he reversed course to return to the airport. He stated that he was not able to find a "responsive power setting" and adjusted the mixture in attempt to cool the engine. He stated that the engine was not "missing." He left the landing gear up and after the airplane cleared powerlines the pilot "cut the engine." He performed a gear-up precautionary landing at which time the right wing and fuselage sustained substantial damage. The engine was examined under the auspices of the National Transportation Safety Board investigator-in-charge. The number six spark plug exhibited signatures consistent with a lean mixture. The remaining lower spark plugs and the engine cylinders contained carbon deposits consistent with a rich fuel/air mixture. The flame tubes within the muffler were cracked and deteriorating but remained in place. The EGT was connected to the engine via a single probe attached to the number six cylinder. The connection was secure and the probe cable was unremarkable. An external examination of the engine revealed no mechanical anomalies that would have precluded normal operation. The engine remained on the airframe. The airframe was secured to a trailer and an external fuel supply was connected to the engine. The propeller was impact damage and exhibited rotational scoring and bending on each blade. For the examination and test run it was replaced with a test propeller. The engine started without hesitation and ran for 15 to 20 minutes at varying power settings. The magneto check and propeller governor check were normal and 2,700 rpm and 29 to 30 inches of manifold pressure were obtained. The investigator noted that the EGT was immediately high (near or above the peak EGT) and fluctuated at varying power and mixture settings. At the higher power settings the EGT increased to the maximum reading and then fell off to zero. The engine was shut down and examined. All six spark plugs were darker in color consistent with a rich fuel/air mixture. The number six fuel injector was foundpartially occluded and the obstruction was removed. A second engine test run was conducted about two hours later. The EGT continued to fluctuate at lower power settings and was generally high (near or above the peak EGT). At higher power settings the EGT increased to the maximum reading and then fell off to zero. An examination of the engine and related systems revealed no mechanical anomalies that would have precluded normal operation. Calculations of relevant meteorological data revealed that the density altitude at the time of the accident was 5,750 feet.

Aircraft

Registration
N185DX
Reported as
Piper PA 32R (301)
Category
Airplane
Serial number
32R-8013039
Built
1979
Airframe hours
5,611.4
Engine
Lycoming IO-540-K165D, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 2, 2015
Departed
E38 · Alpine, TX
Destination
RBO · Robstown, TX
Airport
E38 · Alpine-Casparis Municipal Airp
Equipment
Auto-pilot, Handheld GPS

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
57
Injuries
None
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
January 16, 2016
Seat
Left
Restraint
3-point
Flight hours
2,257 total · 275 in this make and model · 2,200 as pilot in command · 75 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 57 °F
Altimeter
30.17 inHg
Observed at
E38, 1 nm away

Docket · 1

The files NTSB released with the investigation on September 6, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.2 MB in all.