DCA95MA019

NTSB accident investigation · Piper PA-31-350 · Tusayan, AZ · February 13, 1995

Accident · FatalMajor investigationFinal report
Date
February 13, 1995, 15:36 local (22:36 UTC)
Place
Tusayan, AZ
Injuries
8 fatal, 2 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N27245Piper PA-31-350
Weather
Visual (VMC) · Day
Status
Completed · report December 16, 1996
Report
Approved by Office Director
NTSB office
Major Investigations Division
FAA report
19950213001689A
Case key
10995

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

a loss of power on one engine for an undetermined reason(s), and the pilot's improper decision to return to the departure airport for landing which neccessitated maneuvering over increasingly higher terrain. Factors in the accident were: the high gusting wind, the high density altitude, the rising terrain, and the reduced single-engine performance capability of the airplane under these conditions.

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 powerTakeoff - initial climb
1 engine
Reason for occurrence undeterminedCause
Forced landingEmergency landing after takeoff
In flight collision with terrain/waterManeuvering - turn to landing area (emergency)
Weather condition - high windFactor
Weather condition - high density altitudeFactor
Terrain condition - risingFactor
Aircraft performance,engine out capability - deterioratedFactor
Maintenance,aaip/progressive program - inadequateCompany/operator management
Inadequate substantiation processFaa(organization)
In-flight planning/decision - improperPilot in commandCause

Analysis

The charter flight was on a return tour trip after landing at the Grand Canyon National Park airport. No fueling or maintenance was performed on the airplane while it sat on the ground for three hours. Shortly after takeoff from runway 21, the pilot transmitted that he had a problem and was declaring an emergency. He then stated '...i'm single engine right now....' The airplane was observed to be 100-200 feet above the terrain at the time. It continued flying for about 6 minutes, turning onto a crosswind, downwind, and then a right base leg for runway 21 before colliding with trees about 2.5 miles northeast of the airport. The airport is located in terrain that slopes upward from south to north and west to east. Winds were gusting to 29 knots. The density altiude was 6,870 feet. Examination of the suspect left engine did not reveal any evidence of failures or malfunctions. The investigation revealed deficiencies in the Federal Aviation Administration's oversight of the airline's maintenance program, and in the airline's extension of the time-in-service interval of the engines. The airline's AAIP does not require a maximum rated power check of the engines as required by the engine manufacturer's service instruction. In addition, the TBO of the engines had been extended from 1,800 to 2,400 hours.

Factual narrative

On February 13, 1995, at 1536 MST, a Piper PA-31-350, N27245, operated by Las Vegas Airlines as flight 45, was destroyed during a forced landing approach at Tusayan, Arizona. The pilot and seven passengers received fatal injuries. Two passengers received serious injuries. The airplane, operating under 14 CFR Part 135 as an on demand charter flight, crashed about 2.5 miles northeast of the Grand Canyon Airport (GCN), Tusayan, Arizona. The flight was enroute to Las Vegas, Nevada. The pilot declared an emergency during the initial climb phase of flight after departure from runway 21.

The aircraft departed GCN at 1429 on a VFR company flight plan for Las Vegas, Nevada, as a return tour flight. Visual meteorological conditions prevailed for the flight. Weather was reported as multiple ceiling layers with 7 miles visibility in rain showers, winds out of 200 degrees at 23 knots gusting to 29 knots, temperature 42 degrees and dew point 37 degrees. According to the ATC records, the airplane declared an emergency due to a loss of engine power. The airplane was not equipped with a CVR or FDR.

After the aircraft landed from its sightseeing flight into the Grand Canyon area, it sat on the ground for 3 hours. No fuel or maintenance was performed on the aircraft before it departed. The operator was on an FAA Approved Airplane Inspection Program (AAIP) and maintenance records revealed that, on February 12, 1995, the engines were inspected in accordance with event number 6 and cycle number 1 of an 8 event 4 cycle maintenance program.

Aircraft

Registration
N27245
Reported as
Piper PA-31-350
Category
Airplane
Serial number
31-7752121
Airframe hours
13,367
Engine
Lycoming TIO-540-J2BD, 350 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Part 135
Operator
Las Vegas Airlines
Registered owner
Chartercraft Leasing And Sales
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · February 12, 1995 · 1 hours before
Departed
GCN · AZ
Destination
VGT · Las Vegas, NV
Flight plan
Company VFR
Airport
GCN · Grand Canyon Natl Park, runway 21, 8,999 × 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
48
Injuries
Fatal
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
5,086 total · 480 in this make and model · 196 in the last 90 days · 72 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 23 knots
Visibility
7 statute miles
Lowest ceiling
2,900 ft broken
Temperature
43 °F, dew point 37 °F
Altimeter
29.00 inHg
Observed at
GCN, 2 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.