# NTSB ERA11CA192: Piper PA28, N9212E, Vero Beach, FL, March 15, 2011 - Type: NTSB accident investigation - Classification: Accident · No injuries · Data collection · Final report - Date: March 15, 2011, 15:30 local (19:30 UTC) - Place: Vero Beach, FL - Coordinates: 27.653333, -80.401107 - Nearby events: https://openairdocs.org/map.md?lat=27.6533&lon=-80.4011&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing-landing roll: Runway excursion](https://openairdocs.org/ntsb-events/300) - Highest injury: No injuries - Injuries: 1 uninjured - Status: Completed, report July 18, 2011 - Report: Approved by Office Director - NTSB office: Eastern Region Aviation - Parties: FAA/FSDO - NTSB case key (mKey): 78586 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ERA11CA192 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/78586/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=78586 - Page: https://openairdocs.org/ntsb/ERA11CA192 ## Probable cause The student pilot's failure to maintain directional control during the landing rollout. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Performance/control parameters: directional control](https://openairdocs.org/ntsb-findings/01062020): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Piper PA-28-161, 27 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md?model=7102803), [All aircraft, 3,958 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md) - [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Student/instructed pilot (probable cause); cases with it: [Piper PA-28-161, 40 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=7102803), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Landing-landing roll: Runway excursion](https://openairdocs.org/ntsb-events/300) (defining event); cases with it: [Piper PA-28-161, 30 cases](https://openairdocs.org/ntsb-events/300/sequence.md?model=7102803), [All aircraft, 3,643 cases](https://openairdocs.org/ntsb-events/300/sequence.md) - [Landing-landing roll: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Piper PA-28-161, 58 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=7102803), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis The student pilot stated that he was conducting his second solo flight. After performing maneuvers in the practice area, he returned to the airport to conduct takeoffs and landings. After the second landing, he tried to expedite exiting the runway and attempted to depress the brakes fully. The airplane turned to the right, travelled into a grassy area on the right side of the runway, and impacted a taxiway sign. It sustained substantial damage to the left wing. A postaccident examination by a Federal Aviation Administration inspector revealed no evidence of mechanical malfunctions or anomalies. ## Factual narrative The student pilot stated that he was conducting his second solo flight. After performing maneuvers in the practice area, he returned to the airport to conduct takeoffs and landings. The student pilot stated that, after the second landing, he was "in a hurry" to exit the runway and attempted to depress the brakes "all the way." The airplane "turned to the right," travelled into a grassy area on the right side of the runway, and impacted a taxiway sign, resulting in substantial damage to the left wing. Postaccident examination by a Federal Aviation Administration inspector revealed no mechanical malfunctions or anomalies. ## Aircraft - Registration: [N9212E](https://openairdocs.org/deregistered/N9212E-2018-04-04), registration cancelled 2018-04-04, S/N 2841017, built 1988 (OpenAirDocs) - Reported make and model: PIPER PA28 (161) - Registry model: [Piper PA-28-161](https://openairdocs.org/model/piper-pa-28-161) (registry code 7102803) (OpenAirDocs) - Registry engine: [Lycoming 0-320 series](https://openairdocs.org/engine/lycoming-0-320-series) (registry code 41508, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 2841017 - Airframe hours: 10085 - Engines: LYCOMING O-320 160 horsepower reciprocating - Damage: Substantial damage - Flight: Instructional, Part 91 - Operator: FlightSafety International - Registered owner: FlightSafety International - Airworthiness certificate: Standard, Normal - Last inspection: AAIP, March 10, 2011 - Departed: VRB, Vero Beach, FL - Destination: VRB, Vero Beach, FL - Airport: VRB, Vero Beach Municipal, runway 11L, 3,504 × 75 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Student pilot; age 30; injuries: none; student; medical: class 1, without waivers/limitations; seat: left; flight hours: 34 total, 34 in this make and model, 2 as pilot in command, 34 in the last 90 days, 8 in the last 30 days, 0 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 100° at 7 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 75 °F, dew point 55 °F - Altimeter: 30.27 inHg - Observed at: VRB ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20110315005849A](https://openairdocs.org/incident/20110315005849A), Mar 15, 2011: Piper PA-28-161, Vero Beach, FL, Substantial damage. After landing pilot lost directional (unknown reason) control of a/c, exited runway to the right and hit taxi sign with left wing. ## Docket (3 files) The files NTSB released with the investigation on April 19, 2011, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=78586. 878 KB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 667 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40346214&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Memorandum for Record - FAA Inspector (item 2, .PDF, 79 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40346294&FileExtension=.PDF&FileName=Memorandum%20for%20Record%20-%20FAA%20Inspector-Master.PDF - Photo (Courtesy FAA) (item 3, .PDF, 133 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40346295&FileExtension=.PDF&FileName=Photo%20(Courtesy%20FAA)-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.