ERA10LA438

NTSB accident investigation · Piper PA-30 · Douglas, GA · August 23, 2010

Accident · Serious injuriesLimited investigationFinal report
Date
August 23, 2010, 13:20 local (17:20 UTC)
Place
Douglas, GA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N8734YPiper PA-30
Defining event
Initial climb: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed · report August 11, 2011
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Piper Aircraft Inc., Lycoming Engines
FAA report
20100823048099A
Case key
77051

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 engine power during takeoff due to fuel contamination. Contributing to the accident was the pilot's inadequate preflight inspection and inadequate maintenance of the fuel system.

Findings · 4

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionPiper PA-30: 14 casesAll aircraft: 1,695 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotPiper PA-30: 7 casesAll aircraft: 551 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelPiper PA-30: 3 casesAll aircraft: 320 casesProbable cause
Inspection: scheduled/routine inspectionPersonnel issues › Task performance · Maintenance personnelPiper PA-30: 1 caseAll aircraft: 167 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 airplane had been parked outside and not flown for about 1 year, except for a test flight conducted about 1 month prior to the accident. During a preflight inspection, the pilot observed water in the airplane's main fuel tanks, and debris in the right wingtip fuel tank. A series of engine ground run-ups and maintenance was conducted prior to the pilot attempting a test-flight. The airplane subsequently experienced a rough running left engine during the takeoff and impacted trees. Postaccident inspection of the airplane revealed the presence of water and corrosion in the fuel distribution system. Water was observed in both of the main fuel tank strainers and the left engine fuel injector. In addition, fuel drained from the airplane by recovery personnel contained water and unidentified debris. An annual inspection was performed on the airplane about 6 weeks prior to the accident, and additional maintenance was performed, which included flushing the fuel tanks and cleaning the fuel lines to each respective flow divider after the left engine "missed" during the test flight conducted about 1 month prior. The pilot had only accumulated about 22 hours of multiengine flight experience and lacked experience in the make and model of the accident airplane.

Factual narrative

On August 23, 2010, about 1320 eastern daylight time, a Piper PA-30, N8734Y, owned and operated by a private individual, was substantially damaged when it impacted terrain, during takeoff from Douglas Municipal Airport (DQH), Douglas, Georgia. The certificated airline transport pilot was seriously injured. Visual meteorological conditions prevailed and no flight plan had been filed for the local personal flight conducted under the provisions of Title 14 Code of Federal Regulations Part 91. According to the owner, the airplane had been parked outside at DQH, and not flown for about 1 year. On July 7, 2010, an annual inspection was performed on the airplane, however, during a subsequent test-flight on July 25, the left engine "missed" and additional maintenance was performed, which included "flushing the fuel tanks and cleaning the fuel lines to each respective flow divider." On the date of the accident, the pilot intended to fly the airplane to Florida, where the owner planned to sell it. According to the pilot, during the preflight inspection, he observed water in the airplane's main fuel tanks, and debris in the right wingtip fuel tank. During two subsequent ground-runs, both engines had periods of rough running operation and unidentifiable debris was observed in the fuel injectors. A third ground-run was conducted without any anomalies noted, and the pilot intended to conduct a test-flight in the airport traffic pattern. After normal preflight checks, the pilot attempted to depart from runway 22, a 6,000-foot-long, 100-foot-wide, asphalt runway. During the takeoff roll, the right engine rpm exceeded redline on a digital rpm gauge. The pilot adjusted the engine power and continued with the takeoff. The airplane lifted off the runway and was accelerating in ground effect, when the left engine began to run rough. The pilot believed that there was insufficient runway remaining to land and stop on the runway. He attempted to climb; however, the airplane began to settle and slowly yaw to the left. The airplane subsequently impacted trees, and came to rest about a 1/4-mile southwest of the airport. The airplane sustained substantial damage to both wings, the fuselage, and empennage. The airplane was equipped with two Lycoming IO-360-C1C series engines. The position of the wreckage precluded examination at the accident site. Subsequent examination of the wreckage conducted by representatives of the airframe and engine manufacturers, under the supervision of a Federal Aviation Administration (FAA) inspector revealed the presence of water and corrosion in the fuel distribution system. Water was observed in both of the main fuel tank strainers and the left engine fuel injector. In addition, fuel that was drained from the airplane by recovery personnel contained water and unidentified debris. No additional anomalies were noted, which would have prevented normal engine operation. According to fuel records, the airplane was "topped-off" with 30 gallons of100-low-lead aviation gasoline on the morning of the accident. Three airplanes were refueled on the day prior to the accident, and one airplane was refueled after the accident airplane. The airport manager reported that he specifically contacted the owners and/or pilots of those airplanes, and they reported that they did not experience any fuel related problems. The pilot reported 3,465 hours of total flight experience, which included 3,297 hours in rotorcraft, 141 hours in single-engine airplanes, and 22 hours in multiengine airplanes. The pilot had no previous experience in the same make and model as the accident airplane beyond the test flight that was performed in July, and the accident flight.

Aircraft

Registration
N8734Y
Reported as
Piper PA-30
Category
Airplane
Serial number
30-1888
Airframe hours
6,936
Engines
reciprocatingLycoming IO-360-C1C, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Thomas B Newman
Registered owner
Thomas B Newman
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 7, 2010 · 1 hours before
Departed
DQH · Douglas, GA
Destination
DQH · Douglas, GA
Airport
DQH · Douglas Municipal, runway 22, 6,000 × 100 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
45
Injuries
Serious
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, With waivers/limitations
Last flight review
March 19, 2010
Seat
Left
Flight hours
3,465 total · 1 in this make and model · 3,304 as pilot in command · 27 in the last 90 days · 9 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 5 knots
Visibility
10 statute miles
Lowest ceiling
3,100 ft broken
Temperature
88 °F, dew point 72 °F
Altimeter
29.87 inHg
Observed at
DQH

Docket · 11

The files NTSB released with the investigation on June 14, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.6 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.