CEN18LA378

NTSB accident investigation · Piper PA32 · Hereford, TX · September 9, 2018

Accident · Serious injuriesLimited investigationFinal report
Date
September 9, 2018, 11:17 local (16:17 UTC)
Place
Hereford, TX
Injuries
4 serious
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
N4078WPiper PA32
Defining event
Takeoff: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report November 19, 2019
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA -- Flight Standards
FAA report
20180909015669A
Case key
98272

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 pilot’s exceedance of the airplane’s critical angle of attack during takeoff, which resulted in an aerodynamic stall.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotPiper PA-32-300: 25 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-32-300: 3 casesAll aircraft: 990 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 private pilot lost control of the airplane during takeoff; it subsequently impacted the ground near the departure end of the runway and was destroyed. The pilot reported that she had no memory of her preflight activity or takeoff. A witness observed the airplane in a nose-high, tail-low attitude during the takeoff but lost sight of the airplane behind hangars. He noted that the engine sounded like it was at full power. Postaccident examination of the airplane did not reveal any evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation. Data recovered from an onboard engine monitor did not reveal any indication of a loss of engine power during takeoff. The airplane was loaded within the gross weight and center-of-gravity limits. Performance data indicated that the available runway length was sufficient for takeoff. It is likely that the pilot overrotated during takeoff and the airplane entered an aerodynamic stall, which resulted in the airplane departing controlled flight and impacting the ground.

Factual narrative

On September 9, 2018, at 1117 central daylight time, a Piper PA-32-300 airplane, N4078W, impacted terrain after takeoff from runway 20 at the Hereford Municipal Airport (HRX), Hereford, Texas. The pilot and three passengers were seriously injured and the airplane was destroyed. The airplane was registered to and operated by the pilot as a Title 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed for the personal flight that was not being operated on a flight plan. The flight was originating at the time of the accident and was destined for the Reagan County Airport (E41), Big Lake, Texas.The pilot reported that she had no memory of any portion of the accident flight, including her arrival at the airport that morning and the pre-flight activity. A witness reported that he was in a T-hangar on the airport when he observed a portion of the takeoff. He stated that the airplane was in a nose high, tail low attitude before he lost sight of it behind a line of hangars. The engine sounded like it was operating at full power. The airplane came to rest in a grass field about 350 yards southeast of the departure end of the runway. The main wreckage consisted of the fuselage, engine/propeller, right wing and empennage. The fuselage came to rest on its right side. The right wing had separated at the root and was located immediately adjacent to the fuselage. The left wing was separated at the root and was located about 50 yards north of the main wreckage. A postrecovery examination of the airplane did not reveal any anomalies consistent with a preimpact failure or malfunction. The airplane was equipped with an engine monitor which was downloaded. The data did not reveal any indication of a loss of engine power during takeoff. The data indicated that the takeoff began about 1116:40 as the engine speed increased to 2,659 rpm. The engine speed remained at or above 2,643 rpm until the penultimate data point, which was recorded at 1117:34. The final data point was recorded at 1117:40; the corresponding engine speed at that time was 2,209 rpm. The rated engine speed was 2,700 rpm. The remaining engine parameters were within normal operating limits during the engine run-up and takeoff. A weight and balance calculation based on the available loading information revealed that the takeoff gross weight was approximately 3,249 lbs. and the center-of-gravity location was about 92.59 inches. This was within the allowable loading envelope for the airplane. A current airplane weight and balance record was not available to the investigation. The calculation used a previous airplane empty weight noted in the Federal Aviation Administration airworthiness records. Performance information contained in the airplane owner's manual indicated that the expected takeoff ground roll with 10° flaps was about 1,800 ft and about 2,900 ft required to clear a 50 ft obstacle. With 25° flaps, the takeoff ground roll was expected to be about 1,700ft and about 2,700 ft required to clear a 50 ft obstacle. The density altitude at the time of the accident was about 5,647 ft. The available runway length was 6,100 ft. The airplane owner's manual stated that during takeoff the airplane should be allowed to accelerate to 65 to 70 mph. The manual noted, "premature raising of the nose, or raising it to an excessive angle will result in a delayed take-off." The manual recommended a normal takeoff flap setting of 10° (first notch), and a short-field takeoff flap setting of 25° (second notch).

Aircraft

Registration
N4078W
Reported as
Piper PA32 (300)
Category
Airplane
Serial number
32-40121
Built
1966
Airframe hours
6,953
Engine
Lycoming IO-540-K1A5, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 11, 2018 · 21 hours before
Departed
HRX · Hereford, TX
Destination
E41 · Big Lake, TX
Airport
HRX · Hereford Muni, runway 20, 6,100 × 100 ft, concrete
Equipment
Stall warning system

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
30
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
November 12, 2017
Seat
Left
Restraint
Lap only
Flight hours
272 total · 44 in this make and model · 213 as pilot in command · 15 in the last 90 days · 4 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 8 knots
Visibility
10 statute miles
Lowest ceiling
3,000 ft broken
Temperature
73 °F, dew point 63 °F
Altimeter
30.11 inHg
Observed at
HRX, 1 nm away

Docket · 14

The files NTSB released with the investigation on March 19, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.5 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.