ERA16LA230

NTSB accident investigation · Piper PA28 · Hollywood, FL · June 25, 2016

Accident · Minor injuriesLimited investigationFinal report
Date
June 25, 2016, 17:45 local (21:45 UTC)
Place
Hollywood, FL
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N9836WPiper PA28
Defining event
Initial climb: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed · report May 25, 2017
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20160625008239A
Case key
93456

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 of the fuel system, which resulted in a total loss of engine power due to water contamination.

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.

Fuel systemAircraft › Aircraft systems · Inadequate inspectionPiper PA-28-140: 2 casesAll aircraft: 181 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionPiper PA-28-140: 32 casesAll aircraft: 1,695 casesProbable cause
Object/animal/substance: water/moistureEnvironmental issues › Physical environment · Effect on equipmentPiper PA-28-140: 1 caseAll aircraft: 10 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 private pilot reported that, during an extended absence, a family member checked on his airplane and found that the right wing fuel cap was missing. The pilot ordered a new fuel cap, and it was installed on the airplane. After the pilot's return, about 1 week before the accident, he added fuel to the right tank and then drained it; he repeated the process several times and then performed an extended engine run-up and taxi check; he did not fly the airplane that day. On the day of the accident, he sampled both fuel tanks, performed a prolonged engine run-up, and taxied for about 30 to 45 minutes before departing on the accident flight. Shortly after takeoff, the engine lost all power. The pilot conducted a forced landing, and the airplane impacted terrain 1,000 ft from the departure end of the runway. Postaccident examination of the fuel system revealed the presence of water at the firewall-mounted fuel strainer. Although the pilot reported that he performed a thorough preflight inspection, it is likely that water remained in the fuel system, which resulted in the loss of engine power.

Factual narrative

On June 25, 2016, about 1745 eastern daylight time, a Piper PA-28-140, N9836W, was substantially damaged during a forced landing shortly after takeoff from North Perry Airport (HWO), Hollywood, Florida. The private pilot sustained minor injuries. Visual meteorological conditions prevailed, and no flight plan was filed for the local personal flight conducted under the provisions of 14 Code of Federal Regulations Part 91.According to a written statement provided by the pilot, several weeks before the accident, a family member noted that the airplane's right fuel tank cap was missing. The pilot ordered a new fuel cap that was installed and remained in place until his return. On June 18, the pilot added 3 gallons of fuel to the right fuel tank, drained it, and then repeated this process several times. He then started the engine with the left fuel tank selected, and switched to the right fuel tank to perform an extended engine run-up and taxi check; he did not fly the airplane that day. When the pilot arrived at HWO on the day of the accident, he sampled both fuel tanks, performed a prolonged engine run-up and taxied for about 30 to 45 minutes. During the subsequent takeoff, when the airplane was about 80 to 100 feet above ground level (agl), the engine started to "tremble," and then lost all power. The airplane impacted terrain about 1,000 feet beyond the departure end of the runway. A Federal Aviation Administration (FAA) inspector responded to the accident site and examined the wreckage. The airplane's nose and main landing gear were sheared off, and the left wing forward spar was separated at the wing root. One propeller blade was bent aft, the other blade was not damaged. Fuel sampled from the firewall-mounted fuel strainer contained mostly water. The airplane was equipped with a Lycoming O-320 series, 140-horsepower engine. The airplane had been operated for about 333 hours since its most recent annual inspection, which was performed on September 19, 2015. The pilot reported 262 hours of total flight experience, of which 98 hours were in the accident airplane make and model.

Aircraft

Registration
N9836W
Reported as
Piper PA28 (140)
Category
Airplane
Serial number
28-23342
Built
1967
Airframe hours
2,557
Engine
Lycoming O-320-E2A, 140 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 19, 2015 · 1,565 hours before
Departed
HWO · Hollywood, FL
Destination
HWO · Hollywood, FL
Airport
HWO · North Perry, runway 10R, 3,255 × 100 ft, asphalt
Equipment
Stall warning system

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
32
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
August 20, 2015
Seat
Left
Restraint
Lap only
Flight hours
262 total · 98 in this make and model · 8 in the last 90 days · 4 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 72 °F
Altimeter
30.06 inHg
Observed at
KHWO

Docket · 3

The files NTSB released with the investigation on April 6, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.1 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.