ERA19LA021

NTSB accident investigation · Piper PA28 · Plant City, FL · October 18, 2018

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
October 18, 2018, 14:05 local (18:05 UTC)
Place
Plant City, FL
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N3631KPiper PA28
Defining event
Initial climb: Fuel related
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20181018020309A
Case key
98519

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 failure to utilize carburetor heat in conditions conducive to the formation of carburetor icing, which resulted in a total loss of engine power.

Findings · 2

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.

Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentPiper PA-28-140: 10 casesAll aircraft: 435 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 pilot reported that he was practicing flight maneuvers before returning to the departure airport. As he approached the airport, he entered on the downwind leg of the traffic pattern for a touch-and-go landing. After the touch-and-go landing, while the airplane was climbing out and accelerating, the engine began to “sputtering” several times and then lost power completely. The pilot performed a forced landing to trees below and the airplane’s wings and fuselage were substantially damaged. Postaccident examination of the engine did not reveal evidence of any mechanical malfunctions or failures that would have precluded normal operation. Based on the pilot’s description of the fuel onboard at the time he departed, and the duration of the flight, sufficient fuel should have been available when the loss of engine power occurred. The pilot also reported that at the time of the loss of engine power, the carburetor heat was off. He did not report activating it prior to or following the time the engine began losing power. The temperature and dew point at the time of the accident was conducive to the formation of carburetor icing. Given this information, it is likely that the loss of engine power was due to the formation of carburetor ice during the approach to landing and subsequent takeoff.

Factual narrative

On October 18, 2018, about 1405 eastern daylight time, a Piper PA-28-140, N3631K, sustained substantial damage when it was involved in an accident near Plant City, Florida. The commercial pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. Before departure, the pilot conducted a preflight inspection, and no anomalies were noted. The pilot also recalled that all pre-takeoff checks were normal, and there were 6 quarts of oil in the engine. He confirmed that both fuel tanks were full, which amounted to 18 gallons in each tank. The pilot was practicing flight maneuvers that consisted of visual approaches, pattern work and landings at Plant City Airport (PCM), Plant City, Florida. After takeoff from PCM, and about 45 minutes into the flight, the pilot switched fuel tanks from the right tank to the left tank. After finishing his flight maneuvers, he proceeded back to PCM and entered on the downwind leg of the traffic pattern for runway 10 for a touch-and-go landing. After the touch-and-go landing, while climbing out and accelerating to 85 mph, the engine “sputtered” several times. The pilot leveled off the airplane about 400 ft mean sea level and checked the engine indications and controls, with all appearing normal. The carburetor heat was off, and the pilot did not activate it before or during the loss of engine power. The engine then lost power completely. The pilot was unable to turn the airplane due to the low airspeed and performed a forced landing into the trees below. The pilot exited the airplane and waited for emergency services to arrive. Pictures taken at the accident site showed that the airplane sustained substantial damage to the wings and fuselage. The left wing was broken away from the fuselage, and the right wing and cabin section buckled. Postaccident examination of the engine revealed that while the engine could not be test run due to damage sustained during the accident, no mechanical anomalies were discovered that would have prevented normal operation. The weather conditions at PCM about the time of the accident included a temperature of 33° C, and a dew point of 20° C. Review of the icing probability chart contained within Federal Aviation Administration Special Airworthiness Information Bulletin CE-09-35 revealed the atmospheric conditions at the time of the accident were conducive to the formation of carburetor icing at cruise and serious icing at glide power settings.

Aircraft

Registration
N3631K
Reported as
Piper PA28 (140)
Category
Airplane
Serial number
28-23661
Built
1967
Airframe hours
5,312
Engine
Lycoming 320-E2A, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 15, 2018 · 19 hours before
Departed
PCM · Plant City, FL
Destination
PCM · Plant City, FL
Airport
PCM · Plant City, runway 10, 3,950 × 75 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
76
Injuries
Minor
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
June 18, 2018
Seat
Left
Restraint
Lap only
Flight hours
4,839 total · 538 in this make and model · 3,000 as pilot in command · 14 in the last 90 days · 5 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 9 knots
Visibility
10 statute miles
Lowest ceiling
4,700 ft broken
Temperature
91 °F, dew point 68 °F
Altimeter
30.15 inHg
Observed at
KPCM

Docket · 6

The files NTSB released with the investigation on July 15, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.3 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.