CEN19FA044

NTSB accident investigation · Piper PA24 · Valparaiso, IN · December 13, 2018

Accident · FatalField investigationFinal report
Date
December 13, 2018, 10:44 local (16:44 UTC)
Place
Valparaiso, IN
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N6785PPiper PA24
Defining event
Initial climb: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed · report July 13, 2020
Report
Approved by Office Director
NTSB office
Central Region
Parties
Piper Aircraft, FAA - Dupage FSDO, Textron Lycoming
FAA report
20181213023479A
Case key
98768

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 maintain adequate airspeed during the initial climb after takeoff, which resulted in an exceedance of the airplane's critical angle of attack and a subsequent aerodynamic stall and spin.

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.

Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-24-250: 12 casesAll aircraft: 1,681 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Capability exceededPiper PA-24-250: 9 casesAll aircraft: 990 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotPiper PA-24-250: 34 casesAll aircraft: 9,295 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 pilot was departing on a personal flight. Witness observations and surveillance video captured the airplane during the initial climb; the right wing dropped and then the airplane entered a right spin. A surveillance video from a camera mounted on a building near the accident captured the final portion of the accident sequence; the airplane completed one revolution in the spin before it impacted the ground in a near vertical attitude. Examination of the airplane, engine, and systems revealed no evidence of any preimpact anomalies. The circumstances of the accident are consistent with the pilot's failure to maintain adequate airspeed during the initial climb after takeoff, which resulted in an exceedance of the airplane's critical angle of attack and a subsequent aerodynamic stall and spin.

Factual narrative

On December 13, 2018, at 1044 central standard time, a Piper PA24-250 airplane, N6785P, was destroyed when it was involved in an accident near Valparaiso, Indiana. The pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. Witnesses, including a flight instructor, reported seeing the accident airplane take off from runway 9. When the airplane was a few hundred feet above the runway, the right wing dropped; the airplane entered a spin to the right and subsequently impacted the ground. Surveillance video captured the final portion of the accident sequence. The airplane could be seen entering the frame of the video in a right bank. The airplane then entered a spin to the right, which continued until it impacted the ground in a near-vertical attitude. According to the autopsy performed by Pathologix Private Autopsy Services, Valparaiso, Indiana, the pilot's cause of death was multiple blunt force trauma. Toxicology testing performed by the Federal Aviation Administration (FAA) Forensic Sciences Laboratory was negative for all substances. The airplane impacted the ground about 3,700 ft east of the approach end of runway 9 and 250 ft south of the runway centerline. The airplane was facing east and displayed crushing of the forward fuselage and the leading edges of both wings. There was wrinkling of the fuselage skin aft of the cabin. The wings and tail surfaces remained attached to the fuselage and all control surfaces remained attached. Examination of the airplane after its removal from the site revealed that all control system cables were intact from the cockpit controls to their respective control surfaces. Examination of the engine confirmed compression and suction on the forward 4 cylinders. The aft 2 cylinders did not initially produce compression due to impact damage to the rocker arm pushrods. Removal of the rocker arms allowed the valves to close and resulted in compression and suction on the aft 2 cylinders. Crankshaft, valve train, and accessory gear continuity were confirmed during rotation of the engine. Both magnetos were broken loose from the engine accessory case and one magneto produced spark on all leads when rotated. The second magneto did not produce spark, but was impact damaged. Disassembly of the magneto confirmed that the impact fractured the ignition points' pivot block. The carburetor was fractured and the bowl was broken open; disassembly did not reveal any preimpact anomalies. The mechanical fuel pump was fractured and could not be tested, but disassembly revealed no preimpact anomalies. The airplane was equipped with four fuel tanks. Each wing had a rubber bladder-type main fuel tank and a tip-mounted tank. All four fuel tanks were ruptured and no fuel remained. No fuel odor was detected at the site; however, it was raining during the initial on-scene examination. The fuel selector valve was found positioned to the right main fuel tank and the handle was inthe corresponding detent. The two electric fuel pumps were removed from the airframe; both pumps pumped a liquid when electrical power was supplied.

Aircraft

Registration
N6785P
Reported as
Piper PA24 (250)
Category
Airplane
Serial number
24-1916
Built
1960
Airframe hours
6,065
Engine
Lycoming O-540 SERIES, 250 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 5, 2018
Departed
VPZ · Valparaiso, IN
Airport
VPZ · Porter County Rgnl, runway 09, 7,001 × 150 ft, asphalt
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
40
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
149.3 total · 21.1 in this make and model · 74.3 as pilot in command · 27.3 in the last 90 days · 12.1 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 7 knots, gusting 15
Visibility
9 statute miles
Lowest ceiling
None
Temperature
39 °F, dew point 28 °F
Altimeter
30.09 inHg
Observed at
VPZ

Docket · 8

The files NTSB released with the investigation on May 20, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.9 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.

Other investigations on N6785P · 1

Matched to the same aircraft by N-number and date.