CHI04LA201

NTSB accident investigation · Piper PA-28-140 · Custer, SD · July 31, 2004

Accident · No injuriesLimited investigationFinal report
Date
July 31, 2004, 09:50 local (15:50 UTC)
Place
Custer, SD
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N4345JPiper PA-28-140
Weather
Visual (VMC) · Day
Status
Completed · report June 8, 2005
Report
Approved by Office Director
Parties
FAA, Rapid City, SD FSDO
FAA report
20040731018169A
Case key
59806

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 poor preflight planning/preparation and the pilot used improper aborted takeoff procedures by not reducing the throttle. Factors associated with the accident were the high density altitude and the tailwind.

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.

OverrunTakeoff - aborted
Preflight planning/preparation - poorPilot in commandCause
Wrong runway - usedPilot in commandFactor
Weather condition - high density altitudeFactor
Weather condition - tailwindFactor
Aborted takeoff - improperPilot in commandCause
Throttle/power control - improper use ofPilot in commandCause
On ground/water encounter with terrain/waterTakeoff - aborted
Terrain condition - ground

Analysis

The airplane collided with rough terrain when it overran the end of the runway during an aborted takeoff. The certificated flight instructor (CFI) was demonstrating a "ground effect acceleration takeoff" when the accident occurred. The CFI stated the airplane did not accelerate in ground effect to his target speed of 90 miles per hours so he initiated an aborted takeoff about 1,500 feet prior to the end of the runway. The CFI stated that upon touchdown, the braking action was poor. He stated he reduced back pressure and applied brakes firmly, before applying back pressure again, but the airplane did not stop. The CFI stated the airplane departed the end of the runway at a speed of about 70 mph. The student pilot stated the CFI "... cut power immediately, and began to flare. When it was evident that the aircraft was not slowing at a sufficient rate, the instructor dropped the nose and both instructor and student applied full brakes." The airport manager who witnessed the accident reported the airplane was about 10 feet above the runway when it settled back to the runway. He stated the airplane was "... still under full power all the remaining way to the white marks at the end of runway eight." He stated the engine power was then reduced and the airplane skidded between the runway end lights. The manager stated, "From the point of impact to the point where the throttle was fully retarded, there was a continuous cloud of blue smoke." The airplane came to rest in the grass approximately 250 feet from the departure end of the runway. Black skid marks and metallic scrape marks were visible on the runway. These marks began about 300 feet prior to the departure end of the runway and continued to the end of the runway. Density altitude at the time of the takeoff was 8,110 feet. The takeoff was being made on runway 08 and the wind was from 250 degrees at 9 knots. The PA-28-140 Owner's Handbook provides a takeoff distance versus density altitude chart. The chart contains information for density altitudes up to 7,000 feet. The chart states "Extrapolation of chart above 7000 ft. is invalid." The landing distance versus density altitude chart indicates that at a density altitude of 7,000 feet, with 40 degrees of flaps, at gross weight with no wind, the landing distance would be 1,250 feet.

Factual narrative

On July 31, 2004, at 0950 mountain daylight time, a Piper PA-28-140, N4345J, collided with rough terrain when it overran the departure end of runway 08 (5,500 feet by 60 feet, dry asphalt) during an aborted takeoff, at the Custer County Airport (CUT), Custer, South Dakota. The certified flight instructor (CFI) and the student pilot were not injured. The airplane was substantially damaged. The 14 CFR Part 91 instructional flight was operating in visual meteorological conditions without a flight plan. The local flight was originating at the time of the accident.

The CFI reported he was demonstrating a "ground effect acceleration takeoff" to his student when the accident occurred. The CFI reported the density altitude at the time of the accident was 7,800 feet. The CFI stated the airplane did not accelerate in ground effect to his target speed of 90 miles per hour (mph) so he initiated an aborted takeoff about 1,500 feet prior to the end of the runway. The CFI stated that upon touchdown, the braking action was poor. He stated, "I reduced back pressure for a more positive traction and applied brakes firmly, before applying back pressure again. It wasn't until this point that I was concerned as it became obvious that there was virtually no braking action. Moments later I asked the student to assist me in braking with her toe brakes." The CFI stated the airplane departed the end of the runway at a speed of about 70 mph.

The student pilot reported the target speed was not achieved, so the takeoff was aborted. She stated the CFI "... cut power immediately, and began to flare. When it was evident that the aircraft was not slowing at a sufficient rate, the instructor dropped the nose and both instructor and student applied full brakes."

The airport manager who witnessed the takeoff reported the airplane "... appeared to hit the runway from a height of approximately 10', two thirds of the way down runway eight. From which point, the 140 was still under full power all the remaining way to the white marks at the end of runway eight." He stated the engine power was then reduced and the airplane skidded between the runway end lights. The manager stated, "From the point of impact to the point where the throttle was fully retarded, there was a continuous cloud of blue smoke."

The airplane came to rest in the grass approximately 250 feet from the departure end of the runway. Black skid marks and metallic scrape marks were visible on the runway. These marks began about 300 feet prior to the departure end of the runway and continued to the end of the runway.

The airplane came to a stop with both main landing gear turned sideways. The scissors mechanisms on both main landing gear separated and the gear were turned sideways. The right wing was pulled away from the fuselage and the bottom of both wings were wrinkled near the landing gear attach points.

The weather reporting station at CUT reported the conditions at 0953 were: wind 250 at 9 knots; 10 statute miles visibility; clear skies; temperature 26 degrees Celsius; dew point 5 degrees Celsius; and a barometric pressure of 30.04 inches of mercury.

Using the current weather information along with a field elevation of 5,602 feet mean sea level (msl), the density altitude was calculated to be 8,110 feet. The takeoff was being made on runway 08 and the wind was from 250 degrees at 9 knots.

The PA-28-140 Owner's Handbook provides a takeoff distance versus density altitude chart. The chart contains information for density altitudes up to 7,000 feet. The chart states "Extrapolation of chart above 7000 ft. is invalid." The landing distance versus density altitude chart indicates that at a density altitude of 7,000 feet, with 40 degrees of flaps, at gross weight with no wind, the landing distance would be 1,250 feet.

Aircraft

Registration
N4345J
Reported as
Piper PA-28-140
Category
Airplane
Serial number
28-22721
Airframe hours
3,553
Engine
Lycoming O-320-E2A, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Flight Training Adventure Camps
Registered owner
Dominik J. Strobel
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 2, 2004 · 50 hours before
Departed
CUT · Custer, SD
Destination
CUT · Custer, SD
Airport
CUT · Custer County, runway 08, 5,500 × 60 ft, asphalt

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
45
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
July 29, 2004
Seat
Right
Flight hours
2,500 total · 1,000 in this make and model · 2,450 as pilot in command · 8 in the last 90 days · 8 in the last 30 days · 2 in the last 24 hours
Role
Student pilot
Age
20
Injuries
None
Certificate
Student
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
5 total · 5 in this make and model · 5 in the last 90 days · 5 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 41 °F
Altimeter
30.04 inHg
Observed at
CUT

FAA reports on this event · 1

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