CEN24LA360

NTSB accident investigation · Piper PA-44-180 · Shakopee, MN · September 20, 2024

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
September 20, 2024, 12:04 local (17:04 UTC)
Place
Shakopee, MN
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N2083DPiper PA-44-180
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, Piper Aircraft Inc
FAA report
20240920014009A
Case key
195153

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 pilots’ failure to apply carburetor heat during the descent, which resulted in a loss of power on both engines due to carburetor ice.

Findings · 4

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 · Response/compensationPiper PA-44-180: 2 casesAll aircraft: 435 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · Flight crewPiper PA-44-180: 5 casesAll aircraft: 792 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

One of the pilots, a flight instructor, was recently hired to instruct in the airplane and was receiving a check out flight from the assistant chief flight instructor. The pilots reported that they were preparing to enter the traffic pattern, so they began a descent from their cruising altitude of about 5,500 ft msl to 1,000 ft msl. About three miles from the airport, both engines on the multi-engine airplane began to run rough. Shortly thereafter, both engines lost all power. Despite the pilots advancing the propellers, mixtures, and throttles to their full forward position, engine power was not restored. The airplane continued to descend, and the pilots performed an off-airport landing onto a field. One of the pilots stated that they did not perform an emergency checklist because there was no checklist for a dual engine failure. Also, due to their proximity to the ground, they did not have time to perform an emergency checklist. The airplane sustained substantial damage to the fuselage and both wings. A postaccident examination revealed that there were about 25 gallons of fuel in each nacelle, and both fuel selectors were in the “ON” position. The carburetor heat for each engine was in the “OFF” position. Examination of the engines and fuel system did not reveal any mechanical anomalies or failures that would have precluded normal operation. The recorded temperature and dew point near the accident site were conducive to “serious icing” at glide power settings. The pilot operating handbook for the airplane stated that carburetor heat should be used “as required” during approach and landing or if engine roughness occurs. Based on this information, it is likely that carburetor ice formed while the throttles were retarded during the descent which resulted in the initial engine roughness and subsequent loss of engine power due to carburetor ice.

Factual narrative

On September 20, 2024, at 12:04 central daylight time, a Piper PA-44-180 airplane, N2083D, was substantially damaged when it was involved in an accident near Shakopee, Minnesota. Both pilots were seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. One of the pilots, a flight instructor, was recently hired to instruct in the airplane and was receiving a check out flight from the assistant chief flight instructor. According to both pilots, they departed Flying Cloud Airport (FCM) for a local one-hour flight. The run-up, taxi, and takeoff were all normal. The airplane departed to the southwest and climbed to about 5,500 ft mean sea level. The flight instructor receiving the check-out performed several flight maneuvers in the airplane, then began a descent and proceeded back to FCM. About 3 miles from FCM, and about 800 ft to 1,000 ft above ground level, the right engine began to lose power followed by a loss of manifold pressure. Shortly thereafter, the left engine lost power accompanied by a decrease in manifold pressure. Then both engines lost power completely. The assistant chief flight instructor took control of the airplane while the other pilot pushed the mixture, propeller, and throttle controls to their full forward position, but the airplane continued to lose altitude. The pilots executed a forced landing to a field southwest of FCM. The assistant chief flight instructor stated that they did not execute an emergency checklist because there was no checklist for a dual engine failure, nor did they have time due to their proximity to the ground. The wings, fuselage, and empennage sustained substantial damage. A postaccident examination revealed that there were about 25 gallons of fuel in each nacelle, and both fuel selectors were in the “on” position. No water was detected in the fuel contained in either engine carburetor float bowl. Valvetrain continuity was established in both engines. Compression was achieved on all cylinders when the crankshaft was rotated in each engine. The magnetos on both engines produced spark when their respective impulse couplings were rotated. The carburetor heat for both engines were in the up or “off” position. The temperature, 24°C, and dew point, 12°C, recorded at the destination airport were conducive to “serious icing” at glide power setting. According to the pilot operating handbook for the airplane, carburetor heat should be used “as required” during approach and landing and if engine roughness occurs.

Aircraft

Registration
N2083D
Reported as
Piper PA-44-180
Category
Airplane
Serial number
44-7995126
Built
1978
Airframe hours
12,593
Engines
Lycoming O-360-E1A6D, 180 horsepower, reciprocatingLycoming O-360-E1A6D, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Thunderbird Aircraft Co
Registered owner
Thunderbird Aircraft Co
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 18, 2024
Departed
FCM · Eden Prairie, MN
Airport
FCM · Flying Cloud AIrport
Equipment
Unknown

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
69
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
September 13, 2023
Seat
Left
Flight hours
8,654 total · 1,021 in this make and model · 7,853 as pilot in command · 89 in the last 90 days · 34 in the last 30 days
Role
Co-pilot
Age
47
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Right
Flight hours
0 total · 0 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 9 knots, gusting 17
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 54 °F
Altimeter
29.83 inHg
Observed at
KFCM, 3 nm away
METAR
KFCM 201653Z 27009G17KT 10SM CLR 24/12 A2983

Docket · 8

The files NTSB released with the investigation on June 4, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.1 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.