CEN23LA266

NTSB accident investigation · Piper PA-28-181 · Howell, MI · June 24, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 24, 2023, 10:30 local (14:30 UTC)
Place
Howell, MI
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N4008QPiper PA-28-181
Defining event
Approach-VFR pattern downwind: Fuel related
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA East Michigan FSDO
FAA report
20230624009199A
Case key
192460

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

A loss of engine power due to the formation of carburetor ice that resulted from the pilot’s delayed use of carburetor heat during the landing approach.

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.

Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentPiper PA-28-181: 6 casesAll aircraft: 435 casesProbable cause
Object/animal/substance: airport structureEnvironmental issues › Physical environment · Contributed to outcomePiper PA-28-181: 1 caseAll aircraft: 50 cases
Action: delayed actionPersonnel issues › Action/decision · PilotPiper PA-28-181: 11 casesAll aircraft: 894 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 reported that during a local flight, while in the traffic pattern, the airplane’s engine power decreased to 900 rpm. He attempted to restore engine power but was unsuccessful and attempted to make a forced landing to the runway. He landed on the grass about 1,000 ft short of the runway surface, bounced, and impacted the localizer antenna. The airplane sustained substantial damage to the fuselage and both wings. Postaccident examination of the engine and fuel systems revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. The weather conditions at the time of the accident were conducive to a serious accumulation of carburetor ice at glide power. The pilot reported that he used carburetor heat while attempting to restore engine power, but not before he made his descent in the traffic pattern and the loss of engine power. Based on the available information, the loss of engine power was likely due to carburetor ice accumulation. Additionally, the low altitude at which the loss of engine power occurred significantly reduced the amount of time available to the pilot to troubleshoot and restore engine power before the forced landing.

Factual narrative

On June 24, 2023, about 1030 eastern daylight time, a Piper PA-28-181, N4008Q, was substantially damaged when it was involved in an accident near Livingston County Spencer J Hardy Airport (OZW), Howell, Michigan. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, a 100-hour inspection had just been completed. The pilot reported that the engine run-up was completed with no anomalies noted. After liftoff, the pilot remained in the traffic pattern for runway 31 at OZW. The first traffic pattern and touch-and-go landing was uneventful. On the second traffic pattern, the pilot extended his downwind leg by five seconds for spacing from another airplane in the traffic pattern. When the pilot reduced power and added 10° of flaps for the descent, he noticed that engine rpms had decreased to 900. The pilot attempted to restore engine power by turning on carburetor heat and verifying the electric fuel pump was on. The pilot was unable to restore engine power and transitioned to attempt a forced landing to runway 31. During the forced landing attempt, the pilot glided underneath powerlines and over the airport perimeter fence. The airplane touched down in the grass short of runway 31. The airplane bounced on an embankment, impacted the localizer antenna, and came to rest upright. The airplane came to rest 1,000 ft before the arrival end of runway 31. The right wing separated at the wing root. The left wing was damaged and leaked fuel. A postaccident examination did not reveal any preimpact mechanical malfunctions or failures that would have precluded normal operation. The carburetor linkage was connected and moved freely. The carburetor heat valve moved freely from open to closed. The electric fuel pump was tested and fuel flow was noted from the output line. Fuel was present throughout the fuel system, carburetor, and fuel filters, and no water or debris was detected in the fuel. The engine-driven fuel pump was observed to pump fuel during engine rotation. The carburetor accelerator pump had positive pressure during manual actuation. The fuel selector moved freely to all positions. The oil filter was new and appeared to be installed properly. An oil sample was obtained and no contaminants or metal were noted. The engine’s crankshaft was rotated by hand and internal and valvetrain continuity was established. The top spark plugs were removed from the cylinders and remained attached to the magneto leads. The spark plugs produced spark when the engine was rotated. At 1035, the weather reported at OZW included a temperature of 22°C and a dew point of 20°C. The calculated relative humidity at that temperature and dewpoint was 88%. Review of the icing probability chart contained in Federal Aviation Administration (FAA) Special Airworthiness Information Bulletin CE-09-35 revealed that the weather conditions at the time of the accident were "conducive toserious icing at glide [idle] power." According to FAA Advisory Circular 20-113, "To prevent accidents due to induction system icing, the pilot should regularly use [carburetor] heat under conditions known to be conducive to atmospheric icing and be alert at all times for indications of icing in the fuel system." The circular recommended that when operating in conditions where the relative humidity is greater than 50%, "…apply carburetor heat briefly immediately before takeoff, particularly with float type carburetors, to remove any ice which may have been accumulated during taxi and runup." It also stated, "Remain alert for indications of induction system icing during takeoff and climb-out, especially when the relative humidity is above 50 percent, or when visible moisture is present in the atmosphere."

Aircraft

Registration
N4008Q
Reported as
Piper PA-28-181
Category
Airplane
Serial number
28-7790468
Built
1977
Airframe hours
5,335.68
Engine
Lycoming O-360A4M, 180 hp, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Dippold Lois Marie
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 24, 2023 · 0.2 hours before
Destination
Same as departure
Flight plan
VFR
Airport
OZW · Livingston County Spencer J Hardy, runway 31, 5,000 × 100 ft, concrete
Equipment
ADS-B, Auto-pilot, 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
39
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 1, With waivers/limitations
Last flight review
November 1, 2021
Seat
Left
Restraint
Lap only
Flight hours
328 total · 109 in this make and model · 241 as pilot in command · 10.2 in the last 90 days · 1.7 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
1,300 ft broken
Temperature
72 °F, dew point 68 °F
Altimeter
29.96 inHg
Observed at
KOZW, 1 nm away
METAR
KOZW 241435Z AUTO 00000KT 10SM BKN013 BKN085 OVC110 22/20 A2996 RMK AO2 T02200197

Docket · 5

The files NTSB released with the investigation on May 9, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.7 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 N4008Q · 1

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