ERA14LA388

NTSB accident investigation · Piper PA-28-161 · Buffalo, NY · August 14, 2014

Accident · Minor injuriesLimited investigationFinal report
Date
August 14, 2014, 14:45 local (18:45 UTC)
Place
Buffalo, NY
Injuries
1 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N706GSPiper PA-28-161
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report July 11, 2016
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Lycoming Engines, Prior Aviation Services Inc., Piper Aircraft Inc.
FAA report
20140814015749A
Case key
89885

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 total loss of engine power for reasons that could not be determined because a postaccident examination of the airframe and engine test run revealed no mechanical malfunctions or failures that would have precluded normal operation.

Findings · 1

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.

Not determinedNot determined › Not determined · Unknown/Not determinedPiper PA-28-161: 14 casesAll aircraft: 2,247 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 flight instructor was providing an introductory flight to the passengers. Following an uneventful preflight inspection and engine run-up, the flight instructor prepared to depart. An air traffic controller offered, and the instructor accepted, an intersection takeoff that reduced the runway's 8,800-ft available takeoff length by about half. Shortly after rotation, the engine briefly lost all power. As the flight instructor attempted to troubleshoot the problem, the engine power was briefly restored, and she then decided to return to the airport and land. As she turned the airplane back toward the runway, the engine again lost total power. As the airplane's airspeed decreased, she chose to perform a forced landing to a parking lot, during which the airplane was substantially damaged. A postaccident engine test run revealed no anomalies, and examination of the airframe and fuel system revealed no mechanical malfunctions or failures. The reason for the loss of engine power could not be determined.

Factual narrative

On August 14, 2014, about 1445 eastern daylight time, a Piper PA-28-161, N706GS, was substantially damaged during a forced landing shortly after takeoff from Buffalo International Airport (BUF), Buffalo, New York. The flight instructor and two passengers were not injured. Visual meteorological conditions prevailed, and no flight plan was filed for the local instructional flight, which was conducted under the provisions of Title 14 Code of Federal Regulations Part 91.The flight instructor was providing an introductory flight to both of the passengers, and following an uneventful preflight inspection and run-up check of the airplane's engine, began taxiing to the departure runway. During the taxi, air traffic control offered, and the flight instructor accepted, an intersection departure from runway 23 at its intersection with runway 14. The flight instructor subsequently guided the front seated passenger through the takeoff. Shortly after rotation, the engine experienced a total loss of power. The instructor responded by verifying that the throttle and mixture controls were both pushed fully forward. The engine then resumed producing power, and the instructor elected to return to the airport and land. As the flight instructor turned the airplane left toward runway 32, the engine again experienced a total loss of power. She attempted to restore engine power and verified the position of the throttle, mixture, and auxiliary fuel pump, but heard the aural stall warning sound. She then lowered the airplane's nose and decided to forgo troubleshooting the engine, as the airplane was close to the ground. During the subsequent forced landing, the airplane struck several bushes, and eventually landed hard in a parking lot adjacent to the airport, resulting in substantial damage to the airframe. The airplane was recovered from the accident site to the operator's maintenance facility for initial examination. Both wings remained attached to the fuselage, and the fuselage exhibited extensive damage to the left and right lower structure from the firewall aft to the aft bulkhead. Both of the propeller blades were damaged, with one blade tip bent slightly forward and the other bent slightly aft. The firewall and engine mounts were impact damaged, and the engine controls were not free to move, due to deformation of surrounding components. The fuel system to the engine was examined, and fuel was found within the engine-driven fuel pump, fuel boost pump, and fuel filter bowl, and the carburetor float bowl. A fuel sample was tested for the presence of water, none was noted. The fuel selector was found on the right tank position, and was free to move through all positions. The right wing was attached to the fuselage and the fuel tank was intact with its fuel cap installed. The right fuel tank vent was unobstructed. The left wing was partially attached to the fuselage, and the fuel tank was intact, with its fuel cap installed. Flight control continuity was confirmedfrom each control surface to the cockpit. The stabilator trim actuator was measured, and correlated to a slightly nose-up pitch trim setting. The rudder trim was fully nose right, as observed on the cockpit trim indicator. The flaps were found in the fully retracted position. While still attached to the airframe, an abbreviated engine test run was performed. The engine was started, allowed to idle, then the throttle was advanced. A heavy vibration was noted at any engine power setting above idle. The engine was then shut down and the propeller was replaced with a like-pitched and diameter propeller. The engine was then restarted and could be accelerated to an approximate setting slightly above 1,000-1500 rpm. Due to the un-balanced condition of the second propeller, the engine run was suspended without testing at any higher power setting. The engine was subsequently removed from the airframe and forwarded to the engine manufacturer for a full-power test run. After mounting in a test cell, the engine was started and run in accordance with the manufacturer's standard engine run-in procedure. The engine produced full rated power during the test, and no anomalies were noted. Following the test run, the carburetor was tested and examined in detail and tested in accordance with the manufacturer's standard procedures. No anomalies were noted during the testing or disassembly examinations. According to Federal Aviation Administration (FAA) airworthiness and aircraft registration records, the airplane was manufactured in September 2013. Review of maintenance records revealed that the airplane's most recent 100-hour inspection was completed on August 13, 2014. At that time the airframe and engine had accumulated 187 total hours of operation. No discrepancies of the engine were discovered during the inspection. The flight instructor held a commercial pilot certificate with numerous ratings including airplane single engine land. She also held a flight instructor certificate with a rating for airplane single engine. She held an FAA-issued first-class medical certificate, and her most recent flight review was completed in December 2013. She had accumulated 453 total hours of flight experience, of which 352 hours were in the accident airplane make and model. She had accumulated 51 hours of flight experience in the 30 days preceding the accident. The runway configuration at BUF resembled an 'X' layout. Runway 23 was 8,829 feet long by 150 feet wide, and was intersected by runway 14 about 4,175 feet from the runway 23 threshold.

Aircraft

Registration
N706GS
Reported as
Piper PA-28-161
Category
Airplane
Serial number
2842391
Built
2013
Airframe hours
187
Engine
Lycoming O-320-D3G, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Prior Aviation Service Inc
Registered owner
Prior Aviation Service Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 13, 2014 · 0 hours before
Departed
BUF · Buffalo, NY
Destination
BUF · Buffalo, NY
Airport
BUF · Buffalo Niagara Intl, runway 23, 8,829 × 150 ft, asphalt
Equipment
Stall warning system, Electronic primary flight display, Electronic multifunction display

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
Flight instructor
Age
31
Injuries
Minor
Certificates
Flight instructor, Private, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
December 15, 2013
Seat
Right
Restraint
3-point
Flight hours
453 total · 352 in this make and model · 403 as pilot in command · 109 in the last 90 days · 51 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 16 knots, gusting 21
Visibility
10 statute miles
Lowest ceiling
4,000 ft broken
Temperature
64 °F, dew point 46 °F
Altimeter
29.87 inHg
Observed at
KBUF

Docket · 7

The files NTSB released with the investigation on May 31, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.9 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.