CHI97LA081

NTSB accident investigation · Piper PA-28-181 · Mosinee, WI · March 7, 1997

Accident · No injuriesLimited investigationFinal report
Date
March 7, 1997, 17:40 local (23:40 UTC)
Place
Mosinee, WI
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8259MPiper PA-28-181
Weather
Instrument (IMC) · Day
Status
Completed · report February 15, 2000
Report
Approved by Office Director
FAA report
19970307002669A
Case key
10526

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 formation of carburetor ice and the instructor pilot's failure to recognize conditions leading to carburetor icing and to take appropriate preventative action. Factors relating to this accident were the late application of carburetor heat, the icing conditions and snow.

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 powerManeuvering - holding(ifr)
Fuel system,carburetor - iceCause
In-flight planning/decision - improperPilot in command(cfi)Cause
Carburetor heat - improper use ofPilot in command(cfi)Factor
Weather condition - icing conditionsFactor
Weather condition - snowFactor
Forced landingEmergency descent/landing
In flight collision with objectEmergency descent/landing
Object - tree(s)
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The dual student stated that they were holding in instrument meteorological conditions at 4,000 feet mean sea level (msl) when Minneapolis air route traffic control center (ARTCC) cleared them for the approach. ' We were told overfly the airport at 4,000 feet on the localizer back course and then intercept the ILS. As I left the holding pattern, the engine shook violently for 2 to 3 seconds, followed by complete engine failure. I established a glide and declared an emergency with ARTCC.' The pilots attempted to restart the engine. The airplane broke out of the clouds at approximately 500 feet above the ground and over a forest. The dual student said, 'I looked for the least dense area and headed for that site. We began encountering the trees just as I was attempting to stall the plane. We came to rest in a wooded, swampy area.' Examination of the wreckage revealed no anomalies. According to Department of Transportation/FAA/CT-82/44 Publication: Light Aircraft Piston Engine Carburetor Ice Detector/Warning Device Sensitivity/Effectiveness, June 1982, Carburetor Icing Probability Chart; the temperature (21 degrees Fahrenheit) and dew point (16 degrees Fahrenheit) at the time the airplane lost power places the probability for carburetor icing in the 'icing - glide and cruise power' area of the chart.

Factual narrative

On March 7, 1997, at 1740 central standard time (cst), a Piper PA-28-181, N8259M, operated by a commercial pilot, sustained substantial damage when during holding, the airplane's engine lost power. The airplane subsequently impacted the terrain in a wooded area, 7 miles east of Mosinee, Wisconsin. Instrument meteorological conditions (IMC) prevailed at the time of the accident. The instructional flight was being conducted under 14 CFR Part 91. An IFR flight plan was on file. The instructor pilot and dual student reported no injuries. The local flight originated in Green Bay, Wisconsin, at 1620 cst.

In his written statement, the dual student in the left seat of the airplane said that they were given instructions by air traffic control (ATC) to hold at the "Witen" intersection at 4,000 feet mean sea level (msl). "We were in IMC during the holding pattern. We were cleared for the approach at approximately 1735 (cst). We were told overfly the airport at 4,000 feet on the localizer back course and then intercept the ILS. As I left the holding pattern, the engine shook violently for 2 to 3 seconds, followed by complete engine failure. I established a glide and declared an emergency with Minneapolis air route traffic control center." The pilots attempted to restart the engine. The airplane broke out of the clouds at approximately 500 feet above ground level (agl). The pilots found themselves over a forest. The dual student said, "I looked for the least dense area and headed for that site. We began encountering the trees just as I was attempting to stall the plane. We came to rest in a wooded, swampy area."

The instructor pilot stated that as they were leaving the holding pattern, "the power went from 2200 rpm to 900 rpm." He said that they established best glide speed and "pulled carburetor heat and switched tanks." He also said that the engine mixture was "leaned 50 degrees rich of peak EGT."

The Federal Aviation Administration (FAA) inspector who examined the wreckage at the accident site found the airplane resting upright in a wooded swamp. The leading edges of both wings were crushed aft and bent inward. The leading edge of the right wing was also torn open. The engine remained attached to the mounts. The engine mounts were bent 10 degrees right. Both propeller blades were bent aft. The fuselage remained intact. It showed minor dents and wrinkles. The outboard 18 inches of the right horizontal stabilizer was broken off. Both stabilizers were bent upward approximately 20 degrees at the roots. Flight control continuity was confirmed. Examination of the engine at the accident site revealed no anomalies. Examination of the airplane's engine controls and other systems revealed no anomalies.

According to Department of Transportation/FAA/CT-82/44 Publication: Light Aircraft Piston Engine Carburetor Ice Detector/Warning Device Sensitivity/Effectiveness, June 1982, Carburetor Icing Probability Chart; the temperature (21 degrees Fahrenheit) and dew point (16 degrees Fahrenheit) at the time the airplane lost power places the probability for carburetor icing in the "icing - glide and cruise power" area of the chart.

Aircraft

Registration
N8259M
Reported as
Piper PA-28-181
Category
Airplane
Serial number
28-8190023
Airframe hours
2,829
Engine
Lycoming O-360-A4M, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Allen C. Timmerman
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 8, 1996 · 39 hours before
Departed
GRB · Green Bay, WI
Destination
CWA
Flight plan
IFR

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
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
1,500 total · 100 in this make and model

Weather

Conditions
Instrument (IMC) · Day
Wind
80° at 3 knots
Visibility
0.5 statute miles
Lowest ceiling
500 ft overcast
Temperature
21 °F, dew point 16 °F
Altimeter
30.00 inHg
Observed at
CWA, 1 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 N8259M · 1

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