ERA18LA096

NTSB accident investigation · Piper PA 28 · Edgewater, FL · March 6, 2018

Accident · Serious injuriesLimited investigationFinal report
Date
March 6, 2018, 10:05 local (15:05 UTC)
Place
Edgewater, FL
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N6764WPiper PA 28
Defining event
Approach-VFR pattern final: Collision during takeoff/land
Weather
Visual (VMC) · Day
Status
Completed · report June 3, 2020
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Lycoming Engines, Piper Aircraft, FAA/FSDO
FAA report
20180306001509A
Case key
96826

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 flight instructor's failure to maintain the appropriate glidepath to the runway, which resulted in a collision with trees and terrain during final approach.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · Instructor/check pilotPiper PA-28-140: 103 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: descent/approach/glide pathAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-28-140: 9 casesAll aircraft: 809 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomePiper PA-28-140: 9 casesAll aircraft: 933 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 and a student pilot were practicing pattern work at the airport. Due to their injuries, they did not recall any events before the accident. A witness reported that during a landing just before the accident, the airplane was "low" on the final leg of the traffic pattern, appeared to have increased engine power to clear the tree line, and then continued on the approach. The witness did not observe the accident sequence. Examination of the accident site and wreckage revealed that the airplane struck trees before impacting the ground about 750 ft before the runway. Examination of the airplane revealed no evidence of preimpact mechanical malfunctions or failures that would have precluded normal engine operation. Given the available information, it is likely that the flight instructor allowed the airplane to descend below a normal approach path to the runway, as seen on a previous approach, which resulted in the collision with trees and terrain.

Factual narrative

On March 6, 2018, about 1005 eastern standard time, a Piper PA-28-140, N6764W, was substantially damaged when it impacted terrain while on approach to Massey Ranch Airpark (X50), Edgewater, Florida. The flight instructor and student pilot were seriously injured. The airplane was privately owned and operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. Visual meteorological conditions prevailed at the time of the accident and no flight plan was filed for the local flight.According to a witness, who was also a pilot, the airplane was on the final approach leg of the airport traffic pattern at "low" altitudes on the previous landing while doing pattern work. The airplane descended below the treeline, the witness perceived that the airplane's engine power increased before it cleared the treeline prior to continuing the final approach. The witness then left the airport and did not witness the accident sequence. The pilot and passenger reported to a Federal Aviation Administration (FAA) inspector that due to the injuries they sustained during the accident, they had no recollection of the events preceding the accident. Examination of the airplane by the FAA inspector revealed that it impacted the ground in a nose down attitude about 750 ft prior to the threshold of runway 18. The top section of a tree was separated and located beneath the wreckage. In addition, there were several small branches with 45° cuts in them. The inboard section of the left wing was impact crushed aft and the left-wing tip was impact crushed. The outboard section of the right wing was impact crushed aft. The empennage was buckled and the horizontal stabilator and rudder remained undamaged. A total of 25 gallons of aviation fuel was noted in the wing fuel tanks during recovery. An examination of the engine by an NTSB investigator revealed that it remained attached to the engine mounts. Thumb compression was obtained on all cylinders and crankshaft and valve train continuity were confirmed through the engine and accessories by rotating the propeller through 360° of rotation. The left and right magnetos produced spark on all ignition towers during hand rotation. The propeller remained attached to the engine and chordwise scratching was noted on the blades. The oil suction screen was free of debris and about 4.5 quarts of oil were noted in the engine per the oil dipstick. The carburetor inlet screen and the main fuel strainer were examined and free of debris. A review of the airframe revealed that flight control continuity was confirmed from the flight controls to the respective flight control surfaces. The fuel selector was tested with low pressure air and no anomalies were noted. There were no anomalies noted with the airplane that would have precluded normal operation prior to the accident.

Aircraft

Registration
N6764W
Reported as
Piper PA 28 (140)
Category
Airplane
Serial number
28-20890
Built
1965
Airframe hours
3,605.53
Engine
Lycoming O-320 SERIES, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 15, 2017 · 15 hours before
Departed
X50 · Edgewater, FL
Destination
X50 · Edgewater, FL
Airport
X50 · Massey Ranch Airpark, runway 18, 4,360 × 60 ft, asphalt
Equipment
Unknown

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
Flight instructor
Age
23
Injuries
Serious
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Flight hours
850 total
Role
Student pilot
Age
20
Injuries
Serious
Certificate
Student
Medical
Class 1, Without waivers/limitations
Flight hours
2 total

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 11 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 50 °F
Altimeter
30.03 inHg
Observed at
EVB, 4 nm away

Docket · 8

The files NTSB released with the investigation on December 20, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.4 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.

Other investigations on N6764W · 1

Matched to the same aircraft by N-number and date.