CHI03LA051

NTSB accident investigation · Piper PA-38-112 · Mansfield, MO · January 13, 2003

Accident · No injuriesLimited investigationFinal report
Date
January 13, 2003, 16:00 local (22:00 UTC)
Place
Mansfield, MO
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N2400KPiper PA-38-112
Weather
Visual (VMC) · Day
Status
Completed · report June 25, 2003
Report
Approved by Office Director
Parties
FAA - Kansas City FSDO
FAA report
20030113001279A
Case key
56344

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 pilot's failure to use carburetor heat, which resulted in the formation of carburetor ice and the loss of engine power.

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 power(total) - nonmechanicalApproach - vfr pattern - final approach
Weather condition - carburetor icing conditionsFactor
Fuel system,carburetor - iceCause
Carburetor heat - not usedPilot in commandFactor
Forced landingEmergency descent/landing
On ground/water collision with objectLanding - roll
Object - tree(s)Factor

Analysis

The airplane contacted a tree during an off airport forced landing. The pilot reported that she flew to 03B to practice a couple of takeoffs and landings. She stated she entered the traffic pattern and pulled the power back when she was 180 degrees from the end of the runway. When she made the base leg turn, she realized that the wind was pushing her away from the runway so she added power, but there was no response from the engine. The pilot stated she tried adding a little more power, but again there was no response. She stated she then pulled the throttle back and advanced it to the full power setting, but there was still no response from the engine. The pilot stated she chose a two-lane dirt lane on wooded farmland on which to land. The left wing contacted a tree during the landing roll and the airplane spun around 180 degrees before coming to rest. Following the accident, the engine was started and it operated normally. The temperature and dewpoint reported 41 nautical miles northwest of the accident site, were 1 degree Celsius and -1 degree Celsius, respectively. These conditions are conducive for serious icing at any power setting. The Lycoming O-235-C Series engine manual, page 3-7, states, "(3) Landing Approach - In making an approach for a landing, carburetor air heat should generally be in the "Full Cold" position. However, if icing conditions are suspected, the "Full Heat" should be applied. In the case that full power need be applied under these conditions, as for an aborted landing, the carburetor heat should be returned to "Full Cold" after power application. See aircraft flight manual for specific instructions." The PA-38-112, Pilot Operating Handbook, pages 4-21and 22, state, "Carburetor heat should not be applied unless there is an indication of carburetor icing, since the use of carburetor heat causes a reduction in power which may be critical in case of a go-around. Full throttle operation with carburetor heat on can cause detonation."

Factual narrative

On January 13, 2003, at 1600 central standard time, a Piper PA-38-112, N2400K, collided with a sapling during an off airport forced landing while on approach to land on runway 25 at the Mansfield Municipal Airport (03B), Mansfield, Missouri. The pilot was not injured. The airplane was substantially damaged. The 14 CFR Part 91 flight was operating in visual meteorological conditions without a flight plan. The flight last departed the Mountain Grove Memorial Airport, Mountain Grove, Missouri, at 1535.

The pilot reported that she flew to 03B to practice a couple of touch-and-goes. She stated she entered the traffic pattern and pulled the power back when she was 180 degrees from the end of the runway. She stated that after she leveled off on base leg, she realized that the wind was pushing her away from the runway so she added power, but there was no response from the engine. The pilot stated she tried adding a little more power, but again there was no response. She stated she then pulled the throttle back and advanced it to the full power setting, but there was still no response from the engine. The pilot stated she chose a two-lane dirt lane on wooded farmland on which to land. She stated the landing gear width was wider than the lane, and the land on both sides of the lane was uncut grass, brush, and trees. She continued to report, "There were soft spots in the earth to the side of the lane. This caused the airplane to rock somewhat from side to side as it rolled, alternately dragging one wingtip then the other on the ground. There was a very large, very solid-looking dead tree coming up on the right side of the lane. Ultimately, the left wing clipped a sapling surrounded by brush, ground-looping the airplane 180 [degrees], then it slid sideways to the outside of the loop for another 10 or 12 feet and came to rest suddenly."

The pilot reported that the airplane had just had an annual inspection and the engine was overhauled. During the overhaul an STC was installed upgrading the engine from 112 to 125 horsepower. She stated that her A&P mechanic instructed her to keep the engine rpm up for a while since the engine was just overhauled. She stated because of this, she flew the entire flight at 2,400 rpm until pulling the power back in the traffic pattern at 03B. The pilot reported that she did not use carburetor heat at anytime during the flight.

Following the accident, the engine was started and it operated normally.

The temperature and dewpoint reported at Springfield, Missouri, 41 nautical miles northwest of the accident site, at 1553, were 1 degree Celsius and -1 degree Celsius, respectively. According to the Transport Canada Carburetor Icing Chart, these conditions are conducive for serious icing at any power setting.

The Lycoming O-235-C Series engine manual, page 3-7, states, "(3) Landing Approach - In making an approach for a landing, carburetor air heat should generally be in the "Full Cold" position. However, if icing conditions are suspected, the "Full Heat" should be applied. In the case that full power need be applied under these conditions, as for an aborted landing, the carburetor heat should be returned to "Full Cold" after power application. See aircraft flight manual for specific instructions."

The PA-38-112, Pilot Operating Handbook, pages 4-21and 22, state, "Carburetor heat should not be applied unless there is an indication of carburetor icing, since the use of carburetor heat causes a reduction in power which may be critical in case of a go-around. Full throttle operation with carburetor heat on can cause detonation."

Aircraft

Registration
N2400K
Reported as
Piper PA-38-112
Category
Airplane
Serial number
38-79A0617
Airframe hours
2,223
Engine
Lycoming O-235-L2C, 125 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Friedrich & Susan Kalhoefer
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 2, 2003 · 3 hours before
Departed
MNF · Mountain Grove, MO
Destination
03B · Mansfield, MO
Airport
03B · Mansfield Municipal

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
61
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
140 total · 139 in this make and model · 63 as pilot in command · 3 in the last 90 days · 3 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 5 knots
Visibility
5 statute miles
Lowest ceiling
800 ft broken
Temperature
34 °F, dew point 30 °F
Altimeter
30.21 inHg
Observed at
SGF, 41 nm away

Docket · 8

The files NTSB released with the investigation on May 11, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.8 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.