ERA19LA227

NTSB accident investigation · Piper PA22 · Hastings, FL · July 14, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
July 14, 2019, 07:59 local (11:59 UTC)
Place
Hastings, FL
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N7833DPiper PA22
Defining event
Takeoff: 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
20190714017519A
Case key
99837

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 secure the engine primer control, which resulted in an overly rich fuel/air mixture and degraded engine performance. Contributing to the accident was the pilot’s failure to abort the takeoff in a timely manner.

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.

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, during takeoff, the airplane did not accelerate to rotation speed within its normal takeoff roll distance, but he continued the takeoff and the airplane lifted off near the end of the runway. Just after liftoff, the landing gear impacted vegetation at the end of the runway. The pilot believed the airplane was stalling and attempted to “get the airspeed up”; however, the airplane impacted a tree and then the ground, resulting in substantial damage. Examination of the wreckage revealed that the engine primer was in the unlocked position, and the spark plugs were black and sooty. The unlocked primer, which fed fuel to all four cylinders, likely resulted in an overly rich fuel mixture. The pilot recalled that, at the time of liftoff, the engine speed was 2,400 rpm. According to the owner’s manual, the maximum engine speed was 2,700 rpm. It is likely that the excessively rich fuel mixture prevented the engine from reaching full power during the takeoff roll and resulted in the increased takeoff distance and poor climb performance. Additionally, the wheel bearings on all three landing gear were found to have excessive side play. This may have resulted in additional drag during the takeoff roll, which if present, would have further decreased the takeoff performance. The extent to which this may have contributed to the accident could not be determined.

Factual narrative

On July 14, 2019, at 0759 eastern daylight time, a Piper PA22-150, N7833D, was substantially damaged when it was involved in an accident in Hastings, Florida. The pilot and passenger sustained serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that, before takeoff, he completed a preflight inspection and engine runup that revealed no anomalies. He applied the brakes, advanced the throttle to full power, and released the brakes to take off. During the takeoff roll, he noticed that the airplane did not lift off in its “normal distance” and he continued the takeoff roll until the airspeed reached 50 to 55 knots, as the airplane neared the end of the runway. The airplane became airborne and the landing gear impacted vegetation at the end of the runway. He believed that the airplane was stalling and attempted to “get the airspeed up”; however, the airplane impacted a tree and then the ground. According to a witness who was mowing the turf runway, the grass was "really high and wet." He was mowing the perimeter of the runway when he noticed the accident airplane performing an engine run-up, so he mowed one 12-ft pass down the center of the runway before the airplane took off. He watched the airplane take off to the north and noticed that it used nearly the entire 2,300-ft-long runway before lifting off. The airplane remained within the recently-mowed section of the runway during the takeoff roll. He stated that after liftoff, the airplane flew through tall cornstalks located in a field adjacent to the runway and continued to gain altitude. The airplane then made a left turn toward a crosswind traffic pattern leg followed by another left turn toward a downwind leg. During the turns, the airplane descended behind a row of trees before he lost sight of it. The pilot stated that the engine “was fine” and that he “just didn’t get enough airspeed.” He recalled that, at the time of rotation, the engine speed was 2,400 rpm. A review of an airplane owner’s manual for the same make and model airplane revealed that the engine’s maximum speed was 2,700 rpm. The engine data plate and tachometer markings found on the airplane both indicated the maximum speed was 2,700 rpm. Examination of the wreckage by a Federal Aviation Administration (FAA) inspector revealed that all major components of the airplane were present at the accident site. The airplane came to rest inverted. Both wings were impact damaged and separated from the fuselage at the wing root. The engine and upper cowling were separated at the firewall. The fuel primer control was unlocked and extended about 1/8 to 1/4 inch from the closed position. The mixture control and throttle were at or near the full forward position. A follow-up examination of the engine revealed that the spark plug electrodes were black in color and sooty. The engine crankshaft was rotated manually using a tool attached to an accessory drive gear, andthumb compression and suction was present on all four cylinders. Continuity of the crankshaft and valvetrain was confirmed. Both magnetos produced spark on all towers when rotated by hand. The engine priming system was of the type that fed fuel to all four cylinders independently. The wheel bearings in all three landing gear were found to have excessive side play.

Aircraft

Registration
N7833D
Reported as
Piper PA22 (150)
Category
Airplane
Serial number
22-5479
Built
1957
Engine
Lycoming O-320 -A2B, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 1, 2019
Destination
Same as departure
Airport
13FA · Earle Airpark, runway 36, 2,300 × 100 ft, grass/turf
Equipment
Handheld GPS

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
62
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
August 13, 2017
Seat
Left
Restraint
Lap only
Flight hours
227 total · 84.8 in this make and model · 104.3 as pilot in command · 10.3 in the last 90 days · 3.9 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 75 °F
Altimeter
30.15 inHg
Observed at
SGJ, 18 nm away

Docket · 8

The files NTSB released with the investigation on March 9, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.8 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.