ERA19LA041

NTSB accident investigation · Piper PA28R · Lake City, FL · November 11, 2018

Accident · Serious injuriesLimited investigationFinal report
Date
November 11, 2018, 13:14 local (18:14 UTC)
Place
Lake City, FL
Injuries
3 serious, 1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N52737Piper PA28R
Defining event
Initial climb: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report April 13, 2020
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA
FAA report
20181111021699A
Case key
98626

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 attain adequate airspeed before attempting the takeoff with a tailwind, which resulted in the airplane being unable to sustain flight.

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.

Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-28R-201: 3 casesAll aircraft: 1,681 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotPiper PA-28R-201: 4 casesAll aircraft: 1,391 casesProbable cause
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Effect on operationPiper PA-28R-201: 1 caseAll aircraft: 594 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 was attempting to depart from a 2,600-ft-long turf runway with a right quartering tailwind with three passengers onboard. A witness estimated that the tailwind was about 8 knots. The pilot reported that the only thing he could recall about the flight was that he had "difficulty getting the airplane into the air." Another witness reported that, immediately after becoming airborne, the airplane entered a series of pitch oscillations; during each oscillation, the airplane appeared to be near the stall speed and lose altitude. After several oscillations, the airplane neared the left side of the runway and impacted treetops before impacting the ground and cartwheeling. One of the witnesses stated that the engine sound did not change during takeoff and that the engine appeared to be running well the entire time. Given the evidence, it is likely that the pilot's failure to attain adequate airspeed before attempting the takeoff with a tailwind, which led to the airplane being unable to sustain flight.

Factual narrative

On November 11, 2018, about 1314 eastern standard time, a Piper PA-28R-201, N52737, was substantially damaged when it impacted the ground during the initial climb after takeoff from Cannon Creek Airpark (15FL), Lake City, Florida. The private pilot and two passengers were seriously injured, and one passenger sustained minor injuries. Visual meteorological conditions prevailed, and no flight plan was filed for the local flight. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91.The right front seat passenger stated that as soon as they took off, he knew something was wrong because the airplane was not climbing very fast. He thought the airplane was going to touch back down on the runway when he noticed the airplane's nose going "up and down." The airplane made several nose-up and nose-down oscillations before going to the left side of the runway and contacting tree tops. The airplane then impacted the ground and cartwheeled. The pilot stated that he remembered the takeoff roll. He stated he was "having difficulty getting the airplane in the air." The next thing he remembered was waking up in the hospital several days later. A witness, who was parked on the side of the runway to watch the airplane taking off, stated he observed the pilot perform a preflight engine run-up and the airplane begin the departure on runway 27, a 2,600 ft-long turf runway. The wind was a right quartering tailwind at an estimated velocity about 8 to 10 mph. He thought the pilot "forced" the airplane off the ground and it immediately began "oscillations." When the airplane appeared to be near stall speed, the nose lowered and would then raise again, which repeated until the airplane contacted some tree tops. He further stated that each time the airplane oscillated, it resulted in a lower altitude. Another witness, who was also a pilot, watched the airplane during the takeoff. He stated that it appeared as if the accident pilot had "pulled" the airplane off the ground too early, and he watched as the airplane "porpoised" 3 to 4 times down the runway, while flying at or near stall speed. The witness further described that there was no change in the engine's sounded throughout the takeoff, and that it appeared to be running well the entire time. Examination of the wreckage by a Federal Aviation Administration (FAA) inspector revealed that the airplane's wings sustained buckling and tears. The left main landing gear collapsed. The fuselage had buckling along its length aft to the elevator. The rudder was undamaged. The four seat, low-wing, tricycle gear airplane was manufactured in 1989. It was powered by a Lycoming IO-360 series, 200-horsepower engine, equipped with a two-bladed McCauley propeller. The pilot held a private pilot certificate, with ratings for airplane single-engine land and instrument airplane. His FAA third class medical certificate was issued on August 20, 2015. He reported 3,583 total hours of flightexperience at that time.

Aircraft

Registration
N52737
Reported as
Piper PA28R (201)
Category
Airplane
Serial number
28-37021
Built
1989
Engine
Lycoming IO-360, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Departed
15FL · Lake City, FL
Destination
15FL · Lake City, FL
Airport
15FL · Cannon Creek Airpark, runway 27, 2,600 × 50 ft, grass/turf
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
75
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
3,583 total

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 7 knots
Visibility
10 statute miles
Lowest ceiling
2,700 ft broken
Temperature
77 °F, dew point 63 °F
Altimeter
30.19 inHg
Observed at
KGNV, 34 nm away

Docket · 5

The files NTSB released with the investigation on November 26, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 830 KB 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.