CHI02FA193

NTSB accident investigation · Piper PA-28-180 · Lee's Summit, MO · July 18, 2002

Accident · FatalField investigationFinal report
Date
July 18, 2002, 07:40 local (12:40 UTC)
Place
Lee's Summit, MO
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N5164LPiper PA-28-180
Weather
Instrument (IMC) · Day
Status
Completed · report December 30, 2003
Report
Approved by Office Director
Parties
Federal Aviation Administration, The New Piper Aircraft, Inc., Textron Lycoming
FAA report
20020718027619A
Case key
55271

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 inadequate preflight planning/preparation, the flight into instrument meteorological conditions, and lack of instrument certification by the pilot. Contributing factors were fog/clouds and the pilot's nondisclosure of his physical condition to the Federal Aviation Administration.

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 control - in flightClimb
Weather condition - cloudsFactor
Preflight planning/preparation - inadequatePilot in commandCause
Physiological conditionPilot in commandFactor
Vfr flight into imc - performedPilot in commandCause
Lack of certificationPilot in commandCause
Weather condition - fogFactor
Use of inappropriate medication/drugPilot in command
In flight collision with objectDescent - uncontrolled
Object - residence
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The airplane was destroyed when it impacted terrain and a single family home adjacent to the departure airport after the pilot took off into instrument meteorological conditions. The airplane was seen descending out of these conditions in a steep right turn over the airport. The non-instrument rated pilot had a total flight time of 228 hours over the past seven years, of which 7.4 hours were in the past year, 4.1 hours were in the past 90 days, and 0 hours were in the past 30 days.

The pilot had been under treatment for multiple chronic painful conditions, and had been prescribed tramadol as a primary treatment for those conditions. The medication was found at a level several times higher than the maximum expected from the dose prescribed to the pilot. Tramadol is a prescription narcotic-like painkiller used for the management of moderate to severe pain. Common side effects of tramadol include dizziness and sleepiness, and at least one study has noted a decrease in complex task performance with the use of the drug. The pilot had also been treated for anxiety and depression. He withheld information regarding treatment for these conditions from the Federal Aviation Administration and was issued a third class medical certificate.

Examination of the airplane revealed no anomalies which would have precluded normal operation.

Factual narrative

History of flight

On July 18, 2002, at 0740 central daylight time, a Piper PA-28-180, N5164L, operated by Midwest Executive Aircraft, Inc., as a rental airplane, was destroyed when it impacted terrain and a single-family home after takeoff from runway 18 (4,015 feet by 75 feet, concrete) at Lee's Summit Municipal Airport (LXT), Lee's Summit, Missouri. A postcrash fire of the airplane and home ensued. Instrument meteorological conditions prevailed at the time of the accident. The 14 CFR Part 91 personal flight was not operating on a flight plan. The non-instrument rated private pilot and passenger were fatally injured. There were no ground injuries. The flight was originating at the time of the accident and was en route to Miami, Oklahoma.

A witness stated, "Early on the morning of Thursday, July 18, 2002, I arrived at Lee's Summit Airport at approximately 6:30 a.m. intending to initiate a VFR flight to Jefferson City. I needed additional fuel so I brought my Skylane to the fuel pumps. It became obvious to me that a thick bank of fog was approaching the airport from the south. As my plane was being fueled, I checked the duats terminal and noticed that there was marginal VFR and 100-foot ceiling at Johnson Country Executive Airport. Also, at that time, a Cessna 150 in the pattern landed and taxied up; the instructor and student commented on the approaching fog. We were all taken a bit by surprise of the sudden arrival of the fog. It approached steadily from the south and soon the south end of the runway and trees on the horizon were obscured. The ceiling probably was a 100-feet, or less, and visibility under the fog was probably one-half of a mile to one-third of a mile. There was very limited light, and no blue sky was visible through it. This was probably a little after 7:00 a.m."

"After paying for my fuel I walked with the line boy towards my airplane. We were both shocked to hear an aircraft power up at the north end of the runway, and we walked towards the runway; I commented that this is not a day to be flying IFR or VFR. The aircraft in question was a Piper Cherokee, probably a 160 or 180. There were clearly two occupants in the front seats; both appeared to be large males. The plane rotated, in my estimation, a bit prematurely and then gained additional airspeed. It did not lose any altitude and took off smoothly at about midfield, climbed appropriately, and disappeared into the fog bank before reaching the end of the runway. This was probably at an altitude of 100 feet of so. I commented to the line boy, "I hope we are not seeing what I think we are going to see." I walked back to my airplane, approximately 30 to 40 feet. I was at the door of my craft probably 20 to 30 seconds after that craft took off, when I heard a plane in rapid decent, the engine accelerating. I looked up and he was making a very steep right hand turn directly over the airport and the terminal building, probably at an altitude of 150 to 200 feet. He was visible briefly as he came out of the fog. Basically, he made about one-half of a pattern, which would have been a right hand pattern, and came back over the field near the runway, and disappeared into the cloud bank again. The engine sounds were muffled by the clouds; I did not detect any decrease or increase in rpm."

"I actually approached the building fearing that this aircraft may come out right on top of the airport again. I then ventured about 20 steps to the east at which time we felt and heard a very significant impact and explosion..."

The homeowner whose house was hit by the airplane stated, "I was in the kitchen and did not hear anything unusual. Suddenly there was a couple of large 'thuds' and instant huge fire-ball all around the house. The south end of the house started completely on fire. We ran out of the house as a guy from the airport came to help. We saw that is was a plane, totally destroyed and on fire. We grabbed a garden hose and tried to knock down the flames, especially around the engine where we saw 2 people. After we could get closer it was evident that they were dead. The fire department soon arrived and put out the rest of the fire. The weather was foggy [and] hazy. The clouds were very close. We never heard anything until the explosion. We are used to the sound of small planes, but this one was totally quiet until it hit the house,"

Personnel information

The pilot, age 62, held a private pilot certificate with a single engine land rating issued on March 15, 1995. On March 29, 2001, he received his last biennial flight review, at a total flight time of 219.5 hours, which was accomplished in the accident airplane. His last recorded flight was on June 16, 2002 at a total flight time of 228 hours in the accident airplane. He accumulated a total flight time of 7.4 hours in the last year, of which 4.1 hours were in the last 90 days, and 0 hours were in the last 30 days.

He received a third class medical certificate on March 18, 2002, with the following limitations: "Holder must shall wear corrective lenses."

Aircraft information

The 1967 Piper PA-28-180, serial number 28-4449, was operated as a flight instruction and rental airplane by Midwest Executive Aircraft, Inc, based at LXT. The airplane received its last inspection during an annual inspection on June 20, 2002, at a tachometer time of 880 hours; a new tachometer was installed on March 10, 2000, replacing the previous tachometer at 1,842 hours.

The airplane was powered by a Textron Lycoming O-360-A4A, serial number L-24664-36A, 180-horsepower engine was last inspected during an annual inspection on June 20, 2002, at 880 hours. The engine was installed on February 28, 1999, at a tachometer time of 1,503 hours.

Meteorological information

The LXT automated surface observing system recorded, at 0743: winds 210 degrees at 7 knots; visibility 1 3/4 statute miles mist; ceiling overcast 300 feet above ground level (agl); temperature 22 degrees Celsius (C); dew point 22 degrees C; altimeter setting 30.02 inches of mercury. The remarks section of the report stated that the ceiling was variable from 100-600 feet agl.

Wreckage and impact information

The airplane impacted a power line over a residential road and a single family home before coming to rest about 0.3 nautical miles and 259 degrees from LXT. The wreckage path was about 205 feet in length and oriented on a heading of 320 degrees from the power line to the main wreckage. The engine, empennage, and left wing were attached to the fuselage. The left wing tip and right wing were located along the wreckage path.

There was a series of parallel scrapes in the road oriented along the wreckage path heading about 50 feet from the power lines, which were about 30 feet in height. The scrapes extended about 15 feet outward from two slash marks that were forward from these scrapes. The slash marks were separated by a distance of about 3 feet 7 inches. The propeller exhibited S-shaped bending and twisting with chordwise gouging of the tips.

The cockpit and instrument panel were destroyed by fire. The fuel selector was in the left fuel tank position.

Left aileron control continuity was confirmed from the control chain to the bellcrank. Control continuity of from the empennage to the rudder pedals was confirmed. The flap handle was in the 0 degree flap position. The horizontal stabilizer trim jack screw was extended about 1 1/8 inches which equates to a nose up trim of about 4.5 degrees.

Borescope examination of each cylinder revealed no anomalies. The spark plugs were removed and the engine was then rotated by hand. Continuity of the engine valve train and rear gears was noted. The suction and expulsion of air from each cylinder was noted when the engine was rotated. The engine driven vacuum pump drive shaft was intact. No anomalies were noted when the vacuum pump was rotated by hand an

Aircraft

Registration
N5164L
Reported as
Piper PA-28-180
Category
Airplane
Serial number
28-4449
Engine
Lycoming O-360-A4A, 180 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Midwest Executive Aircraft, Inc.
Registered owner
P and K Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 20, 2002
Departed
LXT · Lee Summit, MO
Destination
Miami, OK
Airport
LXT · Lee's Summit Municipal, runway 18, 4,015 × 75 ft, concrete

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
62
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
March 29, 2001
Seat
Left
Toxicology
Performed
Flight hours
228 total · 83 in this make and model · 180 as pilot in command · 4 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
210° at 7 knots
Visibility
1.75 statute miles
Lowest ceiling
300 ft overcast
Temperature
72 °F, dew point 72 °F
Altimeter
30.02 inHg
Observed at
LXT

Docket · 40

The files NTSB released with the investigation on October 23, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.6 MB in all.

Witness StatementsItem 1 · .PDF · 210 KBWreckage DiagramItem 2 · .PDF · 15 KBWeather InformationItem 3 · .PDF · 116 KBMedical Records InformationItem 4 · .PDF · 9 KBPilot LogsItem 5 · .PDF · 6.6 MBAirplane RecordsItem 6 · .PDF · 1.2 MBToxicology ReportItem 7 · .PDF · 95 KBStatement of Party Representatives to NTSB InvestigationItem 8 · .PDF · 335 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 9 · .PDF · 42 KBPhoto 1. Wreckage PathItem 10 · .PDF · 153 KBPhoto 2. Wreckage PathItem 11 · .PDF · 161 KBPhoto 3. ScrapesItem 12 · .PDF · 219 KBPhoto 4. ScrapesItem 13 · .PDF · 268 KBPhoto 5. Slash MarkItem 14 · .PDF · 324 KBPhoto 6. Slash MarkItem 15 · .PDF · 308 KBPhoto 7. Wreckage PathItem 16 · .PDF · 296 KBPhoto 8. Right WingItem 17 · .PDF · 200 KBPhoto 9. Main WreckageItem 18 · .PDF · 246 KBPhoto 10. Main WreckageItem 19 · .PDF · 236 KBPhoto 11. Main WreckageItem 20 · .PDF · 232 KBPhoto 12. Main WreckageItem 21 · .PDF · 242 KBPhoto 13. EngineItem 22 · .PDF · 162 KBPhoto 14. EngineItem 23 · .PDF · 126 KBPhoto 15. EngineItem 24 · .PDF · 162 KBPhoto 16. EngineItem 25 · .PDF · 187 KBPhoto 17. EngineItem 26 · .PDF · 176 KBPhoto 18. PropellerItem 27 · .PDF · 59 KBPhoto 19. PropellerItem 28 · .PDF · 83 KBPhoto 20. PropellerItem 29 · .PDF · 55 KBPhoto 21. Spark PlugsItem 30 · .PDF · 116 KBPhoto 22. CarburetorItem 31 · .PDF · 92 KBPhoto 23. CarburetorItem 32 · .PDF · 91 KBPhoto 24. CarburetorItem 33 · .PDF · 93 KBPhoto 25. Oil Screen and FilterItem 34 · .PDF · 119 KBPhoto 26. Vacuum PumpItem 35 · .PDF · 97 KBPhoto 27. Vacuum PumpItem 36 · .PDF · 123 KBPhoto 28. Fuel SelectorItem 37 · .PDF · 75 KBPhoto 29. Attitude IndicatorItem 38 · .PDF · 128 KBPhoto 30. Attitude Indicator GyroItem 39 · .PDF · 69 KBPhoto 31. Attitude Indicator GyroItem 40 · .PDF · 77 KB

FAA reports on this event · 1

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