ERA17FA210

NTSB accident investigation · Piper PA28 · Fort Myers, FL · June 24, 2017

Accident · FatalField investigationFinal report
Date
June 24, 2017, 07:48 local (11:48 UTC)
Place
Fort Myers, FL
Injuries
1 fatal, 1 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N199PAPiper PA28
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report May 9, 2018
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Lycoming, FAA, Piper Aircraft Co.
FAA report
20170624011419A
Case key
95425

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 partial loss of engine power during initial climb for reasons that could not be determined because extensive fire damage precluded thorough examination of the engine and its associated systems.

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-28-181: 8 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 private pilot and passenger were departing on a cross-country flight. Shortly after takeoff, the engine experienced a partial loss of power and the airplane would not climb. The pilot chose to perform a forced landing to a road, during which the airplane impacted a building, then the ground; a postimpact fire ensued. The airplane was operated by a flying club. On two separate occasions before the accident, two different pilots experienced a loss of engine power in the accident airplane. About 1 month before the accident, a pilot experienced a partial loss of engine power shortly after takeoff; he subsequently landed the airplane on the remaining runway. Following that incident, a maintenance inspection revealed no anomalies. Maintenance personnel flushed both right and left fuel tanks, installed new fuel cap seals, drained the carburetor fuel bowl, cleaned and inspected the fuel filter, and flushed the fuel lines. A subsequent test run of the engine revealed no anomalies. Another pilot reported that, about 2 weeks before the accident, while in cruise flight at 8,000 ft, the engine experienced a total loss of power. The pilot was able to restart the engine at an altitude of 3,000 ft and uneventfully performed a precautionary landing. A subsequent maintenance inspection did not reveal any anomalies. Postaccident examination of the engine did not reveal any preimpact mechanical malfunctions. Continuity of the crankshaft and camshaft were observed during manual rotation of the engine and the interiors of each cylinder revealed no anomalies. However, postimpact fire damage precluded a thorough examination of the ignition, fuel, and induction systems, and the reason for the partial loss of engine power could not be determined based on the available information.

Factual narrative

HISTORY OF FLIGHT On June 24, 2017, about 0748 eastern daylight time, a Piper PA28-181, N199PA, impacted a building and terrain during a forced landing shortly after takeoff from Page Field Airport (FMY), Fort Myers, Florida. The private pilot sustained serious injuries and the pilot-rated passenger was fatally injured; the airplane was destroyed by a postimpact fire. The airplane was operated by Fort Myers Flying Club in accordance with the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed for the personal flight, which was destined for Marion County Airport, Dunnellon, Florida. The pilot stated that he conducted a normal preflight inspection of the airplane and observed no anomalies. He sampled fuel from both of the fuel tanks twice and found no water or debris. The engine start was normal with all instruments in the normal operating range, and he observed similar indications during the engine run-up. After starting the takeoff roll, he verified the engine power output, which was 2,450 rpm. The airplane lifted off the runway at 65 knots, and the pilot pitched the airplane to 5° nose up, with a goal of 80 knots airspeed. At 75 knots, he felt a loss of engine power and the indicated engine rpm started to decrease. He switched fuel tanks and applied carburetor heat, but the engine continued to lose power. The pilot decided to make a forced landing on a nearby road. He turned right to line up with the road, but the wing contacted a tree and the airplane collided with the side of a building before impacting the ground. A member of the flying club reported that he had experienced a loss of engine power in the accident airplane about 1 month before the accident when he was going to make a short flight to Orlando. During the initial climb after takeoff, about 100 ft above ground level, the engine experienced a partial loss of power. The pilot quickly reduced engine power further and landed straight-ahead on the remaining runway. The pilot taxied the airplane to a local maintenance facility, where maintenance personnel flushed the right and left fuel tanks, installed new fuel cap seals, drained the carburetor fuel bowl, cleaned and inspected the fuel filter, and flushed the fuel lines. They conducted a test run of the engine and found no anomalies. About 1 week later, another pilot was flying the accident airplane in cruise flight at 8,000 ft when the engine experienced a total loss of power. The pilot was maneuvering the airplane to land at a local airport when, at 3,000 ft, the engine regained power. The pilot decided to make a precautionary landing at the closest airport and have a local maintenance inspect the airplane. The maintenance facility took fuel samples and stated they were blue and clear of debris. The intake tube was unobstructed, and the engine performed satisfactorily during ground test runs. PERSONNEL INFORMATION According toFederal Aviation Administration (FAA) records, the pilot held a private pilot certificate with ratings for airplane single-engine land and instrument airplane. He held an FAA third-class medical certificate issued January 5, 2017. At the time of the medical examination, the pilot reported 523 total hours of flight experience. The pilot reported a total flight experience of 535 hours at the time of the accident, of which 155 hours were in the accident airplane make and model. The pilot had flown 13 and 2.7 hours during the 90-day and 30-day periods preceding the accident, respectively. AIRCRAFT INFORMATION The four-seat, low-wing airplane was manufactured in 1999. It was powered by a Lycoming O-360-A4M, 180-horsepower engine, equipped with a two-blade Sensenich propeller. According to the airplane logbook, the last annual inspection was performed on June 20, 2017. At that time, the airplane had accumulated a total time of 1,847.1 hours on both the airframe and engine. METEOROLOGICAL INFORMATION The 0753 recorded weather at FMY included wind from 100° at 4 knots, visibility 10 statute miles, and a clear sky. WRECKAGE AND IMPACT INFROMATION The airplane came to rest against a building across the street from the airport. The airframe was examined at the accident site, and all major components were accounted for at the scene. The engine compartment, cockpit, cabin area, empennage and the majority of both wings were consumed by post-crash fire. Flight control cable continuity was confirmed from the cockpit area to the flight control surfaces. The two-blade propeller fractured off the engine and was located in the ceiling of the building. One blade exhibited "S" bending; the other blade was fractured in several pieces. The starter ring gear, starter ring gear support, cowling, and windshield pieces were located inside the building. The engine was moved to a hangar at FMY for further examination. The rear-mounted engine accessories were damaged in the postcrash fire. The engine initially could not be rotated by hand due to impact damage to the No. 2 cylinder. The cylinders were removed, and the crankshaft was rotated by hand. Continuity of the crankshaft to the rear accessory gears and to the camshaft was confirmed. Continuity to the valvetrain was confirmed by visual examination. The interiors of the cylinders exhibited no anomalies. The magnetos and carburetor were fire damaged and could not be inspected. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy was performed on the pilot-rated passenger by the Office of the Medical Examiner, Fort Myers, Florida. The report listed the cause of death as blunt force trauma. Forensic toxicology was performed on specimens from the pilot-rated passenger by the FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma. The results were negative for drugs and carbon monoxide.

Aircraft

Registration
N199PA
Reported as
Piper PA28 (181)
Category
Airplane
Serial number
2843218
Built
1999
Airframe hours
1,847.1
Engine
Lycoming O&VO-360 SER, 180 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 20, 2017 · 5 hours before
Departed
FMY · Fort Myers, FL
Destination
X35 · Dunnellon, FL
Flight plan
IFR
Airport
FMY · Page Field, runway 13, 4,912 × 150 ft, asphalt
Equipment
Stall warning system, Auto-pilot, Electronic flight bag or handheld device

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
55
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
555 total · 158 in this make and model · 509 as pilot in command · 32 in the last 90 days · 3 in the last 30 days · 0 in the last 24 hours
Role
Pilot-rated passenger
Age
37
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Unknown
Seat
Right
Restraint
3-point
Toxicology
Performed
Flight hours
115 total · 9,999 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 79 °F
Altimeter
30.04 inHg
Observed at
FMY, 1 nm away

Docket · 9

The files NTSB released with the investigation on April 30, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 20.4 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.