CHI98LA097

NTSB accident investigation · Piper PA-23-250 · Peoria, IL · February 23, 1998

Accident · No injuriesLimited investigationFinal report
Date
February 23, 1998, 08:15 local (14:15 UTC)
Place
Peoria, IL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N54231Piper PA-23-250
Weather
Instrument (IMC) · Day
Status
Completed · report February 16, 2001
Report
Approved by Office Director
FAA report
19980223001679A
Case key
10831

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

an improper preflight inspection of the airplane by the pilot and the inadvertant stall/mush which was encountered. A factor associated with this accident was the pilot's decision to continue to use the emergency hydraulic hand pump rather than the CO2 bottle to extend the landing gear which resulted in the landing gear not fully extending.

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) - nonmechanicalClimb - to cruise
1 engine
Cooling system,cowling - blocked(total)
Aircraft preflight - improperPilot in commandCause
Powerplant - overtemperature
Engine shutdown - intentionalPilot in command
Loss of control - in flightGo-around (vfr)
Gear down and locked - not obtainedPilot in commandFactor
Go-around - attemptedPilot in command
Stall/mush - encounteredPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The pilot said his left engine was overheating during a climb to cruise altitude at which time he determined that he left the cowl plugs in the engine's cowl opening. The pilot shut the engine down and returned to the airport. During the instrument approach the pilot attempted to extend the landing gear and flaps. While on a 1-mile final approach the tower advised the pilot to go- around because the landing gear wasn't fully extended. The pilot said the airplane was past mid-field before he applied power to go-around. He said the airplane continued to descend prior to entering a stall/mush. The airplane collided with a taxiway and slid onto a grass area. The on-scene investigation revealed no anomalies with the normal and emergency hydraulic systems. The CO2-operated emergency landing gear extension system was capable of functioning. It had not been used. The flaps were found in the full 'DOWN' position.

Factual narrative

On February 23, 1998, at 0815 central standard time (cst), a Piper PA-23-250, N54231, operated as Prompt Air Flight 179, and piloted by a commercial pilot, was substantially damaged when it collided with the ground following a pilot-described stall/mush during a single-engine go-around maneuver. The 14 CFR Part 135 flight was operating on an IFR flight plan. Instrument meteorological conditions prevailed at the time of the accident. The pilot reported no injuries. The flight departed Peoria, Illinois, at 0748 cst.

According to the pilot's written statement, the airplane was climbing past "...4,000 feet, and at that point I noticed the left engine [temperature] go past the redline on the CHT [cylinder head temperature] gage. I realized the cowl plugs were in there." He said the company cowl plugs were gray with no ropes or streamers attached to them.

The pilot said he reduced the power to idle and eventually shut the engine down, feathering the propeller. He said he attempted to restart the engine "...several times while intercepting the localizer." The engine would not, and did not restart. The pilot said he attempted to extend the landing gear while on the localizer and realized it would not extend unless the flaps were partially extended. He said he selected "...the first notch of flaps..." and realized the landing gear did not extend. While on a 1-mile final approach to the landing runway, the pilot said, he was pumping the landing gear down. The pilot reported that while at the runway threshold the tower told him to go-around because the landing gear was not down. He stated he continued pumping.

The pilot said the airplane was past the midfield position when he, "...realized the gear still [wasn't] down... ." He said he applied full power to the right engine with the intention of going around. The pilot said the right engine "...wouldn't develop enough power to permit a go-around" and "... a gear up landing was necessary to avoid a loss of directional control." The pilot said the airplane continued to descend, ultimately entering a stall/mush and uncontrolled descent into a taxiway. The airplane slid onto the clearway grass.

According to the Piper PA-23-250 pilot's operating handbook (POH), the landing gear can be extended using 3 methods: Normal, and emergency system that has 2 procedures available to the pilot: An emergency hand pump and CO2 driven system. The landing flaps are extended only by the emergency hydraulic hand pump. The POH says that the landing gear or flaps can be extended by "...placing the pertinent selector handle in the down position and operating the manual pump... ." The Federal Aviation Administration Principal Maintenance Inspector who examined the airplane said that if the flap extension handle is placed into the "extend" position first, and the landing gear extension handle is placed into the "extend" position afterwards, the flaps will extend to the chosen setting before the landing gear begins to extend.

The investigation revealed that the landing gear horn functioned when the throttle was placed into the "Idle" position. The landing gear "Green" lights, showing landing gear fully extended and locked in the "Down" position, were illuminated for the left main landing gear. The nose gear assembly was partially out of its well, but jammed between the fuselage and trailer the airplane was resting on. The right main landing gear was broken free from the airframe. The wiring related to the gear "Down" light had separated from the wheel well attach points.

The main and emergency hydraulic systems did not have any leaks in them. The emergency hand pump and system operated to the airplane manufacturer's specifications. The flaps were found in the "full" down position.

According to the pilot's employer records, the pilot was hired on July 15, 1996. He received his 14 CFR Part 135 proficiency check in the Piper PA-23-250 on September 9, 1997, after a 1.8 hour flight test. Company records showed the pilot had received 15 hours of airplane transition training ground school that was completed on September 8, 1997. Flight training in the PA-23-250 occurred on September 2, 7, and 8, 1997, for a total of 5.3 hours.

Aircraft

Registration
N54231
Reported as
Piper PA-23-250
Category
Airplane
Serial number
27-7554025
Airframe hours
6,656
Engine
Lycoming IO-540, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Registered owner
Gail Force, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · December 20, 1997 · 81 hours before
Departed
PIA
Destination
PIA
Flight plan
IFR
Airport
PIA · Greater Peoria Reg., runway 13, 10,000 × 150 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
31
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
2,700 total · 125 in this make and model · 2,620 as pilot in command · 190 in the last 90 days · 65 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
60° at 5 knots
Visibility
2 statute miles
Lowest ceiling
None
Temperature
34 °F, dew point 34 °F
Altimeter
29.00 inHg
Observed at
PIA, 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.