ERA09LA496

NTSB accident investigation · Piper PA28-151 · Mansfield, MA · September 1, 2009

Accident · No injuriesLimited investigationFinal report
Date
September 1, 2009, 10:53 local (14:53 UTC)
Place
Mansfield, MA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N32146Piper PA28-151
Defining event
Maneuvering: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report October 21, 2010
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
MA Division of Aeronautics, FAA/FSDO
FAA report
20090901049259A
Case key
74641

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

A loss of engine power due to carburetor icing as a result of the pilot's delayed use of carburetor heat.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Object/animal/substance: wall/barricadeEnvironmental issues › Physical environment · Contributed to outcomePiper PA-28-151: 2 casesAll aircraft: 29 cases
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentPiper PA-28-151: 4 casesAll aircraft: 435 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotPiper PA-28-151: 2 casesAll aircraft: 1,391 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot performed a preflight inspection prior to departure, including "topping off" the fuel tanks, and he observed no contamination in the fuel. After departure, the pilot maneuvered in the local area for about 20 minutes. He performed a stall maneuver and shortly after the airplane’s engine started to "sputter and run rough." The pilot attempted unsuccessfully to troubleshoot the problem, including turning on the carburetor heat and switching fuel tanks. When he realized that he would be unable to make it to a nearby airport, the pilot prepared for a forced landing to the highway below. During the landing, the left wing struck a barrier resulting in substantial damage. Examination of the airplane revealed sufficient fuel in the right tank and the left tank was breached. Examination of the engine revealed no mechanical anomalies. Review of the Federal Aviation Administration carburetor ice probability chart revealed that the temperature and dew point at the time of the accident were conducive to "serious icing" conditions at glide power.

Factual narrative

On September 1, 2009, at 1053 eastern daylight time, a Piper PA-28-151, N32146, was substantially damaged during a forced landing in Mansfield, Massachusetts. The certificated commercial pilot and passenger were not injured. Visual meteorological conditions prevailed, and no flight plan had been filed for the local flight which originated at Laurence Hanscom Field Airport (BED), Bedford, Massachusetts, at 1010. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. According to the pilot, prior to takeoff he performed a pre-flight inspection and "topped off" the fuel tanks. He strained the fuel tanks and noted no contamination. The pilot also noted no anomalies during the pre-flight inspection or the subsequent run-up inspection. The pilot departed to the northeast, flew around Boston, and then toward Gillette Stadium. As the airplane was southeast of the stadium, the pilot performed a power-on stall at an altitude of 2,500 feet. Shortly after recovery from the stall, the airplane's engine started to "sputter and run rough." The pilot turned the carburetor heat on, adjusted the airplane's pitch attitude to maintain "best glide airspeed," and flew toward the Mansfield Airport. The airplane's engine maintained 1500 RPM. The pilot noted the oil pressure, oil temperature, and fuel pressure were "in the green." Both fuel tanks indicated "plenty of fuel," and the pilot subsequently switched fuel tanks. The pilot realized the airplane would not be able to reach Mansfield Airport and prepared for a landing on the highway below (I-495). During the approach, he overflew a sign and touched down prior to an overpass. The left wing struck a barrier during the landing, and the airplane came to rest on the side of the highway. Examination of the airplane after the accident by a Federal Aviation Administration (FAA) inspector revealed substantial damage to both wings and the nose of the airplane. Fuel was drained from the right fuel tank, and no contamination was noted in the fuel. The left fuel tank was ruptured during the accident. The engine crankshaft was rotated, and valvetrain continuity and thumb compression was confirmed on all cylinders. Testing of both magnetos revealed spark at all terminal leads, and examination of the spark plugs revealed normal wear. No anomalies or contamination was noted with the fuel pump or fuel lines. The pilot held a commercial pilot certificate with ratings for airplane single-engine land and instrument airplane. He also held a flight instructor certificate with a rating for airplane single engine. His most recent FAA second-class medical certificate was issued on January 29, 2009. At the time of the accident, the pilot reported 664 hours of total flight experience, 64 of which were accumulated in the previous 90 days. Examination of the airplane and engine logbooks revealed the airplane was on an Approved Inspection Program. The most recent inspection was performed on the airplaneon August 13, 2009 at a tachometer time of 917 hours. The engine had accumulated 774 hours since major overhaul. Weather reported at Norwood Memorial Airport, about 10 miles from the accident site, at 1053, included wind from 350 degrees at 4 knots, 10 miles visibility, clear skies, temperature 68 degrees F, dew point 45 degrees F, and altimeter setting 30.29 inches mercury. Review of the FAA carburetor ice probability chart revealed that the temperature and dew point at the time of the accident were conducive to "serious icing" conditions at glide power.

Aircraft

Registration
N32146
Reported as
Piper PA28-151
Category
Airplane
Serial number
28-7515079
Airframe hours
12,681
Engine
Lycoming O-320 SERIES, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Plane Nonsense Inc
Registered owner
Plane Nonsense Inc
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · August 12, 2009 · 20 hours before
Departed
BED · Bedford, MA
Destination
BED · Bedford, MA

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
24
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
October 23, 2007
Seat
Left
Flight hours
664 total · 405 in this make and model · 502 as pilot in command · 64 in the last 90 days · 24 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
68 °F, dew point 45 °F
Altimeter
30.29 inHg
Observed at
OWD, 10 nm away

Docket · 16

The files NTSB released with the investigation on July 28, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.6 MB in all.

FAA reports on this event · 1

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