CHI04LA080

NTSB accident investigation · Piper PA-28-236 · Bourbon, IN · February 28, 2004

Accident · No injuriesLimited investigationFinal report
Date
February 28, 2004, 10:30 local (15:30 UTC)
Place
Bourbon, IN
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N8438BPiper PA-28-236
Weather
Visual (VMC) · Day
Status
Completed · report February 24, 2005
Report
Approved by Office Director
Parties
FAA
FAA report
20040228006169A
Case key
58842

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 annual inspection in that the worn brake disks were not replaced which resulted in diminished braking capability during the landing roll. A factor associated with the accident was the utility pole that the airplane contacted.

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.

OverrunLanding - roll
Maintenance,annual inspection - inadequateOther maintenance personnelCause
Landing gear,normal brake system - wornCause
Brakes(normal) - diminishedCause
Remedial action - attemptedPilot in command
On ground/water collision with objectLanding - roll
Object - utility poleFactor

Analysis

The airplane contacted a utility pole during an overrun landing on a 1,280 foot long, damp, upsloping grass airstrip. The pilot stated he touched down with the throttle at idle, in a full stall with full flaps and noticed he was having difficulty slowing the airplane. The pilot reported he applied "stand-on-the-brakes emergency stopping pressure," but he only received minimal braking. The airplane continued off the airstrip, across a country road, and onto a concrete driveway where the left wing contacted a utility pole swinging the airplane around 90 degrees prior to it stopping. Tire marks in the grass revealed the right main gear touched down 272 feet past the runway threshold and the left main touched down 42 feet later. The airplane traveled 30 feet 6 inches past the departure end of the airstrip prior to contacting the utility pole. The pilot reported that although tire marks were visible on the airstrip, the only skid marks visible were when the airplane spun around after contacting the pole. The pilot purchased the airplane on October 1, 2003. The last annual inspection was dated September 27, 2003. The airframe logbook indicates that new brake linings were installed at the last annual inspection. The pilot reported he flew the airplane 46 hours prior to the accident. The pilot reported he did not experience any problems with the brakes prior to this accident. Examination of the airplane revealed the brake disks were worn to the point that they were concave. The inspector reported that only 20 percent of the brake pads were in contact with the disks.

Factual narrative

On February 28, 2004, about 1030 eastern standard time, a Piper PA-28-236, N8438B, operated by a commercial pilot, sustained substantial damage when it contacted a utility pole during a landing roll at the Rust Landing Airstrip (II95) in Bourbon, Indiana. The flight was operated under 14 CFR Part 91. Visual meteorological conditions prevailed at the time of the accident. The pilot and one passenger sustained no injuries. The local flight originated at the airstrip in Bourbon, Indiana, at 0945.

The pilot reported he used runway 09 (1,280 feet by 80 feet, grass) for the landing. He reported the grass runway was damp, not wet, and there is a slight upslope while landing to the east. The pilot reported the local winds were from 160 degrees at 5 miles per hour. He stated he touched down with the throttle at idle, in a full stall with full flaps and noticed he was having difficulty slowing the airplane. The pilot reported he applied "stand-on-the-brakes emergency stopping pressure," but he only received minimal braking. The airplane continued off the airstrip, across a country road, and onto a concrete driveway where the left wing contacted a utility pole swinging the airplane around 90 degrees prior to it stopping.

The pilot reported that according to tire marks on the airstrip, the right main gear touched down 272 feet past the runway threshold and the left main touched down 42 feet later. The airplane traveled 30 feet 6 inches past the departure end of the airstrip prior to contacting the utility pole. The pilot reported that although tire marks were visible on the airstrip, the only skid marks visible were when the airplane spun around after contacting the pole.

Examination of the airplane by an inspector from the Federal Aviation Administration South Bend, Indiana, Flight Standards District Office revealed the brake disks (rotors) were worn to the point that they were concave. The inspector reported that only 20 percent of the brake pads were in contact with the disks.

The pilot purchased the airplane on October 1, 2003. The last annual inspection was dated September 27, 2003. The airframe logbook indicates that new brake linings were installed at the last annual inspection. The pilot reported he flew the airplane 46 hours prior to the accident. Logbook records show the brake disks were last replaced on January 7, 1994. The airplane had been operated 994 hours since that time. The pilot reported he did not experience any problems with the brakes prior to this accident.

Aircraft

Registration
N8438B
Reported as
Piper PA-28-236
Category
Airplane
Serial number
28-8211002
Airframe hours
1,790
Engine
Lycoming O-540-J3A5D, 235 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Universal Safety Associates, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 27, 2003 · 46 hours before
Departed
II95 · Bourbon, IN
Destination
II95 · Bourbon, IN
Airport
II95 · Rust Landing Airstrip, runway 09, 1,280 × 80 ft, grass/turf

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
51
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
July 6, 2003
Seat
Left
Flight hours
1,300 total · 40 in this make and model · 1,222 as pilot in command · 5 in the last 90 days · 1 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
43 °F, dew point 30 °F
Altimeter
30.04 inHg
Observed at
KASW, 17 nm away

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 N8438B · 1

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