CHI05FA189

NTSB accident investigation · Piper PA-30 · Aurora, MO · July 18, 2005

Accident · FatalField investigationFinal report
Date
July 18, 2005, 09:07 local (14:07 UTC)
Place
Aurora, MO
Injuries
3 fatal, 1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N7868YPiper PA-30
Weather
Visual (VMC) · Day
Status
Completed · report September 27, 2007
Report
Approved by Office Director
Parties
Federal Aviation Administration - Kansas City FSDO, Textron Lycoming Engines, Piper Aircraft, Inc.
FAA report
20050718016539A
Case key
62073

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 not maintaining adequate airspeed and aircraft control during initial climb, which resulted in an inadvertent stall/spin at a low altitude. A factor to the accident was the pilot operating the airplane over its certified maximum gross weight.

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 flightTakeoff - initial climb
Airspeed - not maintainedPilot in commandCause
Aircraft control - not maintainedPilot in commandCause
Stall/spin - inadvertentPilot in commandCause
Altitude - low
Aircraft weight and balance - exceededPilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - grass

Analysis

The multiengine airplane impacted terrain shortly after taking off from runway 18 (3,002 feet by 60 feet, asphalt). The surviving passenger reported that during the takeoff roll the airplane seemed "sluggish" and "wasn't picking up speed." After liftoff, the airplane's "stall alarm" sounded as the airplane crossed over a tree line which was situated south of the airport. The pilot "slightly leveled" the airplane and the "stall alarm" silenced momentarily before sounding again. The passenger stated that the right wingtip "went up high and the nose went down" simultaneously when the stall warning horn sounded for the second time. The airplane impacted about 1,900 feet south of the departure end of the runway in a vacant grass field. The on-scene investigation did not reveal any preimpact anomalies that would have prevented the normal operation of the airplane or its associated systems. At the time of the accident, the airplane was approximately 177 lbs over its certified maximum gross weight. Winds reported at a nearby airport were 220 degrees true at 8 knots.

Factual narrative

History of flight

On July 18, 2005, at 0907 central daylight time (cdt), a Piper PA-30 (Twin Comanche), N7868Y, piloted by a commercial pilot, sustained substantial damage during impact with terrain shortly after takeoff from runway 18 (3,002 feet by 60 feet, asphalt) at the Aurora Municipal Airport (2H2), Aurora, Missouri. Visual meteorological conditions prevailed at the time of the accident. The business flight was operating under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91 with an instrument flight plan on file with the Federal Aviation Administration (FAA). The pilot and two passengers were fatally injured. A third passenger was seriously injured. The flight was originating at the time of the accident and was en route to Kentucky Dam State Park Airport (M34), Gilbertsville, Kentucky.

The surviving passenger reported that the airplane had been flown earlier that morning to get fuel. The pilot performed a preflight inspection of the airplane before the passengers boarded. The pilot started the left engine without any noted problems, but he had some difficulties getting the right engine to start. The airplane's owner told the pilot that the engine was "still tight" after a recent top overhaul. The passenger stated that after the right engine started it "sounded okay." The pilot then taxied to the end of runway 18 to perform a run-up. The pilot used a checklist during the run-up and no problems were noted when the pilot "checked the engines."

The passenger reported that during the takeoff roll the airplane seemed "sluggish" and "wasn't picking up speed." After liftoff, the airplane's "stall alarm" sounded as the airplane crossed over a tree line which was situated south of the airport. The pilot "slightly leveled" the airplane and the "stall alarm" silenced momentarily before sounding again. The passenger stated that the right wingtip "went up high and the nose went down" simultaneously when the stall warning horn sounded for the second time.

A witness reported seeing the airplane takeoff as he was driving past the airport. As the airplane passed over his position it "showed no sign of trouble" and "it was well above the trees." The witness did not think the airplane was climbing and it "started to bank to the left and sliced into the ground left wing and nose first."

Another witness driving near the airport reported seeing the airplane "[teeter-tottering] side to side, altitude stayed the same." The witness noted that the next thing he saw was a "cloud of dust."

The airplane impacted about 1,900 feet south of the departure end of runway 18 in a vacant grass field.

Personnel information

According to FAA records, the pilot held a commercial pilot certificate with single-engine land, multiengine land, and instrument airplane ratings. The pilot also held a certified flight instructor certificate with single-engine, multiengine, and instrument airplane ratings. FAA records show the pilot's last medical examination was completed on January 14, 2004, when he was issued a first-class medical certificate with no restrictions or limitations.

The last entry in the pilot's flight logbook was dated December 31, 2003. At this time the pilot had accumulated 1,519 hours of flight time, of which 1,458 hours were as pilot-in-command. The pilot had accumulated 1,012 hours in single-engine airplanes and 507 hours in multiengine airplanes. The logbook indicated that he had flown 277 hours at night, 112 hours in actual instrument conditions, and 92 hours in simulated instrument conditions. The pilot had provided 408 hours of dual instruction.

The pilot reportedly kept a contemporaneous record of his recent flying and would occasionally transpose the flights into his permanent flight logbook. During the investigation several papers containing historical flight information were recovered. The information included the flight's month and day, the flight's duration, and sometimes the aircraft utilized. The listed dates did not include their respective calendar year, so an accurate portrayal of the pilot's flight time at the time of the accident was not possible.

The pilot's application for the January 2004 medical examination indicated that his total flight time was 1,515 hours and that he had flown 300 hours during the previous 6 months.

On August 17, 2004, the pilot completed a flight review, as required by Title 14 CFR Part 61.56. The logbook contained a flight instructor endorsement for the flight review, but there was no corresponding flight entry in the logbook.

Aircraft information

The accident airplane was a 1965 Piper PA-30, Twin Comanche, serial number 30-940. The Twin Comanche was an all-metal, multiengine airplane that incorporated a semimonocoque fuselage and empennage design. The airplane was equipped with fully cantilevered wings, wing flaps, constant speed propellers, and a retractable tricycle landing gear. The airplane was configured to seat four occupants and had a certified maximum takeoff weight of 3,725 lbs.

The accident airplane was issued a standard airworthiness certificate on December 9, 1965. A review of the maintenance records showed that the airplane had undergone an annual inspection on June 23, 2005. The airplane had accumulated about 6,115 hours total time in service at the annual inspection. The airplane's recording hour meter was never recovered, which prevented the calculation of a total service time at the time of the accident.

The airplane was equipped with two 160-horsepower Lycoming IO-320-B1A engines. The IO-320-B1A engine is a four-cylinder, 320 cubic-inch displacement, fuel injected, reciprocating engine.

The left engine, serial number L-2387-55A, was overhauled on October 5, 1979. At the last annual inspection, the engine had accumulated about 1,852 hours since major overhaul. The left propeller was a two bladed Hartzell HC-E2YL-2BSF model, serial number BG 1997. At the last annual inspection, the constant-speed propeller had accumulated about 917 hours since overhaul.

The right engine, serial number L-2404-55A, was overhauled on October 5, 1979. At the last annual inspection, the engine had accumulated about 1,852 hours since major overhaul. The right propeller was a two bladed Hartzell HC-E2YL-2BSF model, serial number BG 1928. At the last annual inspection, the constant-speed propeller had accumulated about 917 hours since overhaul.

Meteorological information

The closest weather reporting station to the accident site was located at the Springfield-Branson National Airport (SGF), Springfield, Missouri, about 22 nm northeast of the accident site. The following weather conditions were reported by the SGF Automated Surface Observing System:

At 0852: Wind 220 degrees true at 8 knots; visibility 10 statute miles (sm); clear skies; temperature 27 degrees Celsius; dew point 21 degrees Celsius; altimeter setting 30.04 inches of mercury.

Airport information

The Aurora Municipal Airport (2H2) is located about 1.5 sm southeast of Aurora, Missouri. The airport has one runway: 18/36 (3,002 feet by 60 feet, asphalt). The general airport elevation is listed as 1,434 feet mean sea level (msl). FAA runway obstruction data indicated that there were trees about 66 feet tall located 695 feet off the departure end of runway 18. The trees were located 250 feet left of the runway centerline. An 8.1-degree slope was required to clear the trees.

Wreckage and impact information

The National Transportation Safety Board's on-scene investigation began on July 19, 2005.

A global positioning system (GPS) receiver was used to identify the position of the main wreckage as 36 degrees 57.172 minutes north latitude, 93 degrees 41.692 minutes west longitude. The GPS elevation of the accident site was 1,431 feet msl. The main wreckage was located about 1,900 feet south of the departure end of runway 18 in a vacant gras

Aircraft

Registration
N7868Y
Reported as
Piper PA-30
Category
Airplane
Serial number
30-940
Airframe hours
6,115
Engines
Lycoming IO-320-B1A, reciprocatingLycoming IO-320-B1A, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Kevin Patrick Saffold
Registered owner
Justin L. Richmond
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 1, 2005
Departed
2H2 · Aurora, MO
Destination
M34 · Gilbertsville, KY
Flight plan
IFR
Airport
2H2 · Aurora Municipal Airport, runway 18, 3,002 × 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
25
Injuries
Fatal
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
August 1, 2004
Seat
Left
Toxicology
Performed
Flight hours
1,519 total · 1,458 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 70 °F
Altimeter
30.04 inHg
Observed at
SGF, 22 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.