ERA16LA183

NTSB accident investigation · Piper PA 22 · Gallatin, TN · May 13, 2016

Accident · No injuriesLimited investigationFinal report
Date
May 13, 2016, 14:30 local (19:30 UTC)
Place
Gallatin, TN
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N5823ZPiper PA 22
Defining event
Initial climb: Fire/smoke (non-impact)
Weather
Visual (VMC) · Day
Status
Completed · report January 26, 2017
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA-FSDO
FAA report
20160513006699A
Case key
93167

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

The pilot's inadequate preflight inspection, which resulted in an inflight fire due to the presence of a bird nest in the engine compartment.

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.

Inspection: preflight inspectionPersonnel issues › Task performance · PilotPiper PA-22-108: 2 casesAll aircraft: 551 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

During preflight inspection of the airplane, the pilot discovered three baby birds in the cockpit. After removing the birds, he continued his preflight inspection, looking for a nest. He noticed that the rag normally used to cover one of the elevator openings was missing, but he did not find a nest inside. Immediately after takeoff, about 100 ft above ground level, a fire started within the engine compartment, and smoke began to enter the cockpit. The pilot turned the airplane back toward the runway, but lost control as the airplane touched down because his visibility was limited by the smoke. The occupants egressed the airplane, which was subsequently consumed by fire. Postaccident examination of the wreckage revealed remnants of a bird nest between the exhaust manifold and the engine firewall, which was the likely origin of the fire.

Factual narrative

On May 13, 2016, about 1430 central daylight time, a Piper PA-22, N5823Z, was substantially damaged during an emergency landing at Sumner County Regional Airport (M33) Gallatin, Tennessee. The private pilot and two passengers were uninjured. The airplane was privately owned and operated. Visual meteorological conditions prevailed and no flight plan was filed for the local, personal flight that was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. The pilot stated that when he arrived at the airplane to conduct his preflight inspection, the cockpit area contained "three live baby birds." He did not see any sign of a nest, but did notice that one of the elevator openings was not covered up by a rag that he placed in the opening several months before. He resumed his preflight inspection and did not see any additional evidence of bird activity or a nest. After engine start and a 5-minute taxi, he departed runway 35. During the initial climb, about 100 feet above ground level, black smoke started pouring out of the left side rudder area. The pilot attempted to make a 180-degree steep turn back to runway 17. During the turn, fire emanated out of the left side of the rudder pedal area. The pilot stated he attempted to stomp out the fire near his left foot but was unable to extinguish the blaze. The cockpit filled with smoke and limited ability to see the runway. He touched down at an airspeed between 30 and 40 knots but could not see the runway. A witness reported that after touching down on the runway, the airplane's "tail started going back and forth." The airplane bounced several times, swerved and departed the right side of the paved surface of the runway and nosed over into the grass, approximately two-thirds of the way down the runway. After it came to rest, the passengers and pilot evacuated before the airplane became engulfed in flames. According to the pilot and Federal Aviation Administration (FAA) records, the pilot held a private pilot certificate with a rating for airplane single-engine land. The pilot reported 959 total hours of flight experience, and 159 of those hours where in the accident airplane make and model. According to FAA and airplane maintenance records, an annual inspection was completed on September 1, 2015 and at that time the airframe had accumulated 4,013 total hours. The airplane came to rest on its nose, about 45 degrees nose down, approximately 3,700 feet down runway 17, and 6 feet off the paved surface. Both propeller blades exhibited chordwise scraping and were curled aft. The engine compartment was fire-damaged, with the most severe damage located aft of the engine near the firewall. The fire propagated aft from the engine compartment, through the cockpit and to the left wing, fuselage and tail. The right wing and right elevator remained covered with fabric and remained largely intact. An exterior examination of the engine revealed remnants of a bird nest between the top of the exhaustmanifold and the firewall. No other abnormalities were noted.

Aircraft

Registration
N5823Z
Reported as
Piper PA 22 (108)
Category
Airplane
Serial number
22-9680
Built
1963
Airframe hours
4,013.75
Engine
Lycoming O-235, 108 horsepower, reciprocating
Damage
Substantial damage
Fire
In-Flight
Flight
Personal · Part 91
Operator
Harms Gregory F
Registered owner
Harms Gregory F
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 1, 2015
Departed
M33 · Gallatin, TN
Destination
M33 · Gallatin, TN
Airport
M33 · Sumner County Rgnl, runway 17, 6,300 × 100 ft, asphalt
Equipment
None

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
74
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3
Last flight review
June 6, 2014
Seat
Left
Restraint
Lap only
Flight hours
959 total · 159 in this make and model · 959 as pilot in command · 1 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 3 knots, gusting 13
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 46 °F
Altimeter
30.11 inHg
Observed at
M33

Docket · 8

The files NTSB released with the investigation on December 2, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.0 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.