CHI02FA112

NTSB accident investigation · Piper 601P · Moscow, KS · April 23, 2002

Accident · FatalField investigationFinal report
Date
April 23, 2002, 13:43 local (18:43 UTC)
Place
Moscow, KS
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
N101LTPiper 601P
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 2003
Report
Approved by Office Director
Parties
Textron Lycoming, The New Piper Aircraft, FAA-Wichita-FSDO
FAA report
20020423013249A
Case key
54609

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 intentional operation of the airplane with a known engine boost problem resulting in the improper use of brakes to maintain directional control during takeoff, the brake system fire, and the loss of control for undetermined reasons during the emergency landing. A factor was the loss of engine power due to a restricted wastegate filter.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine powerTakeoff - roll/run
Lubricating system,oil filter/screen - flow restrictedFactor
Operation with known deficiencies in equipment - intentionalPilot in commandCause
Brakes(normal) - improper use ofPilot in commandCause
FireCruise
Landing gear,normal brake system - fireCause
In flight collision with terrain/waterEmergency landing
Aircraft control - not maintainedCause
Reason for occurrence undeterminedCause

Analysis

The airplane was destroyed during an attempted forced landing following an in-flight fire in cruise flight. The pilot was reported to be flying the airplane to an airport in order to have maintenance work performed on the right engine due to a boost problem. It was reported that the pilot had another mechanic at another airport look at the airplane. A work order for a transient airplane was found that indicated work performed on the right engine turbocharger system about 1 month before the accident. The work order shows that the wastegate oil filter was found clogged and collapsed and that it was cleaned, straightened and reinstalled. The pilot operated the airplane with a right engine boost problem. The boost problem with the right engine is evidenced by the previous work order, the excessive amount of runway used during takeoff, the reported smoke from the right engine after takeoff, and the airplane not climbing as expected after takeoff. Due to the reduced power from the right engine, the pilot was required to apply left brake in order to maintain directional control during takeoff, as evidenced by the blued left brake disk with metal transfer into the relief holes and slots. As a result of the pilot using left brake during takeoff, a fire erupted in the left wheel well, which spread to the aft fuselage. This is evidenced by the sooting, fire, and heat damage to the wheel well, the carpet above the wheel well, and aft fuselage. The fuselage immediately behind the baggage compartment had extensive fire damage. The damage in this area included blistered paint on the upper surface, and a two foot square section of the left fuselage skin that was burned away. The area that was burned away was in the vicinity of the hydraulic fluid reservoir. The aluminum hydraulic fluid reservoir was not found, only the steel filler neck, mounting screws, and cap were found. No evidence of fire was found within the right main landing gear wheel well or in the engine compartments. A witness reported seeing the airplane flying south and trailing smoke then banking to the left making a complete circle before descending and ultimately impacting the ground.

Factual narrative

History of flight

On April 23, 2002, at 1343 central daylight time (CDT), a Piper Aerostar 601P, N101LT, piloted by an airline transport pilot, was destroyed when it impacted terrain while attempting a forced landing following an in-flight fire during cruise flight. The airplane came to rest in a harvested cornfield near Moscow, Kansas. The 14 CFR Part 91 personal flight was operating in visual meteorological conditions and was not on a flight plan. The pilot, who was the sole occupant, was fatally injured. The flight originated from the Lamar Municipal Airport, Lamar, Colorado, about 1200 mountain daylight time, and was en route to the Liberal Municipal Airport (LBL), Liberal Kansas.

A witness near the accident site reported seeing the airplane flying south and trailing smoke. The witness said that the airplane banked to the left and made a complete circle before descending. He said that the airplane descended "like a spray plane but was not leveling out," and he then saw a large puff of smoke and reported the accident to authorities.

A witness at the departure airport reported that the airplane was fueled with 34 gallons of fuel prior to departure. She said that while the airplane was taking off, a flight instructor standing in the airport lobby commented that the airplane was using too much runway and did not gain altitude, as it should have. The witness said that she then looked and saw black smoke coming from the right engine.

Personnel information

The pilot held an airline transport pilot certificate with an airplane multiengine land rating. The pilot also had commercial privileges for single engine land airplanes. The pilot was type rated for DC-9, DC-10, and Lear Jet operations. According to training records, the pilot received his most recent flight review on December 14, 2001. The record indicates that the review was performed in the accident airplane.

The pilot's most recent second-class medical certificate was issued on June 19, 2001, with the limitation "Must wear corrective lenses."

According to Federal Aviation Administration (FAA) records, the pilot had accumulated 17,725 hours of flight experience as of the date of his most recent medical examination.

Aircraft information

The accident airplane was a Piper Aerostar 601P twin-engine airplane with retractable landing gear. The pressurized airplane was of aluminum construction and could seat six occupants.

A set of partially burned aircraft maintenance logs were found among the wreckage. The maintenance logs were reviewed during the on-scene investigation. Due to the damage to the logs, a complete maintenance history could not be determined. However, the records showed that the airplane had been modified in accordance with a supplemental type certificate and two Lycoming IO-540-S1A5-MM engines were installed on March 22, 1986. The records also showed that the left engine had been overhauled on April 20, 1993, and the right engine was overhauled on December 27, 1993. The most recent annual inspection was performed by the fixed base operator (FBO) at LBL on January 12, 2002.

Meteorological information

The weather reporting station located at the Hugoton Municipal Airport, about 10 nautical miles southwest of the accident site recorded the following weather observations:

Observation time: 1325 CDT

Wind direction: 220 degrees magnetic

Wind speed: 6 knots

Visibility: 10 statute miles

Sky condition: Clear

Temperature: 25 degrees Celsius

Dew point: 10 degrees Celsius

Altimeter setting: 29.91 inches of mercury

Observation time: 1340 CDT

Wind direction: 280 degrees magnetic

Wind speed: 5 knots

Visibility: 10 statute miles

Sky condition: Clear

Temperature: 25 degrees Celsius

Dew point: 8 degrees Celsius

Altimeter setting: 29.90 inches of mercury

Observation time: 1355 CDT

Wind direction: 240 degrees magnetic

Wind speed: 8 knots gusting to 15 knots

Visibility: 10 statute miles

Sky condition: Clear

Temperature: 26 degrees Celsius

Dew point: 6 degrees Celsius

Altimeter setting: 29.89 inches of mercury

Wreckage and impact information

The airplane impacted into a level harvested cornfield about 3 nautical miles south-southwest of Moscow, Kansas. The accident location was determined using a global positioning system receiver as 37-degrees 17.242-minutes north latitude and 101-degrees 14.321-minutes west longitude. The line of wreckage was distributed across approximately 700 feet and oriented in a 110-degree magnetic direction.

The fuselage forward of the aft pressure bulkhead remained primarily intact with crush damage to the nose section. The aft fuselage was destroyed, as were the wings and empennage. Portions of all of the major structural components of the airplane were located at the accident site.

The farthest component from the initial impact point was the fuselage mounted fuel tank. This fuel tank was partially burned and had evidence of fire damage. There was also evidence of ground fire leading from the initial impact to the final position of the fuel tank. This fuel tank was installed in the aft fuselage immediately behind the aft pressure bulkhead.

The horizontal stabilizer remained attached to the last few feet of fuselage structure. The elevators were still attached to the horizontal stabilizer. The vertical stabilizer was separated from the fuselage structure and was found a few feet from the horizontal stabilizer. The rudder remained attached to the vertical stabilizer. All of the tail surfaces exhibited evidence of soot streaking in the longitudinal direction. The soot trails emanated from gaps and holes in the aft fuselage structure that were used for such items as pushrod routing, lightening holes, drain holes, etc.

Portions of aft fuselage skins were found which had blistered paint and heat damage. The skin pieces with the most extensive damage were those above and immediately behind the baggage compartment.

The steel filler neck assembly, including the cap, attaching screws, and nut plates, for the aluminum hydraulic fluid reservoir was found along the wreckage path. The hydraulic fluid reservoir was not found. The filler neck assembly had evidence of heat and fire damage. The hydraulic fluid reservoir mounts immediately behind the aft baggage compartment bulkhead.

The left engine was found lying upside down adjacent to the left engine nacelle of the wing. The engine was attached to the engine mount and the engine mount was broken loose from the firewall. Visual examination of the engine revealed no signs of a catastrophic engine failure. The engine was examined in further detail after the wreckage was moved to a hangar at a nearby airport. During that examination, the upper set of spark plugs was removed. The spark plugs exhibited signatures consistent with normal engine operation. A lighted borescope was used to examine the cylinder combustion chambers and no pre-impact defects were found. No evidence of an engine compartment fire was observed.

The left propeller was broken loose from the engine and was found along the wreckage path.

The right engine was found lying upright near the main wreckage with the propeller still attached. The engine was attached to the engine mount and the engine mount was broken loose from the firewall. Visual examination of the engine revealed no signs of a catastrophic engine failure. The engine was examined in further detail after the wreckage was moved to a hangar at a nearby airport. During that examination, the upper set of spark plugs was removed. The spark plug deposits were black and sooty in appearance. A lighted borescope was used to examine the cylinder combustion chambers and no pre-impact defects were found. No evidence of an engine compartment

Aircraft

Registration
N101LT
Reported as
Piper 601P
Category
Airplane
Serial number
61P-0760-8063377
Airframe hours
2,442
Engines
Lycoming IO-540-S1A5-M, 340 horsepower, reciprocatingLycoming IO-540-S1A5-M, 340 horsepower, reciprocating
Damage
Destroyed
Fire
Both
Flight
Personal · Part 91
Registered owner
Columbine Farm LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 12, 2002 · 17.2 hours before
Departed
LAA · Lamar, CO
Destination
LBL · Liberal, KS

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
65
Injuries
Fatal
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
December 14, 2001
Seat
Left
Toxicology
Performed
Flight hours
17,725 total

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 46 °F
Altimeter
29.89 inHg
Observed at
HQG, 10 nm away

Docket · 27

The files NTSB released with the investigation on August 13, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.4 MB in all.

Materials Laboratory 15 - Factual Report 02-104Item 1 · .PDF · 3 photos · 558 KBWitness StatementsItem 2 · .PDF · 99 KBWeather InformationItem 3 · .PDF · 441 KBRecord of Annual InspectionItem 4 · .PDF · 49 KBMaintenance Work OrderItem 5 · .PDF · 44 KBFlight Training RecordItem 6 · .PDF · 47 KBToxicological ReportItem 7 · .PDF · 54 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 8 · .PDF · 74 KBPhoto 1. Overall View of Main WreckageItem 9 · .PDF · 154 KBPhoto 2. Upper Aft Fuselage SkinItem 10 · .PDF · 162 KBPhoto 3. View of Wreckage PathItem 11 · .PDF · 161 KBPhoto 4. View of Main Wreckage and Right EngineItem 12 · .PDF · 155 KBPhoto 5. View of Right EngineItem 13 · .PDF · 145 KBPhoto 6. View of Left EngineItem 14 · .PDF · 155 KBPhoto 7. View of Wreckage Path Including TailItem 15 · .PDF · 162 KBPhoto 8. View of Carpet Above Main Wheel WellsItem 16 · .PDF · 162 KBPhoto 9. View of Hydraulic Reservoir Filler Neck and CapItem 17 · .PDF · 160 KBPhoto 10. View of Horizontal Tail Showing Soot StreakingItem 18 · .PDF · 159 KBPhoto 11. View of Interior of Tail Section of Exemplar AircraftItem 19 · .PDF · 157 KBPhoto 12. View of Right EngineItem 20 · .PDF · 159 KBPhoto 13. View of Left EngineItem 21 · .PDF · 162 KBPhoto 14. View of Left Main Landing Gear Tire and BrakeItem 22 · .PDF · 162 KBPhoto 15. View of Left Brake Disk Showing Bluing and Metal TransferItem 23 · .PDF · 162 KBPhoto 16. View of Left Main TireItem 24 · .PDF · 161 KBPhoto 17. View of Right Main Landing GearItem 25 · .PDF · 159 KBPhoto 18. View of Left PropItem 26 · .PDF · 159 KBPhoto 19. View of Right PropItem 27 · .PDF · 158 KB

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.