ERA20LA275

NTSB accident investigation · Piper PA25 · Miami, FL · August 5, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
August 5, 2020, 13:33 local (17:33 UTC)
Place
Miami, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N223ABPiper PA25
Defining event
Enroute-descent: 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
20200805010169A
Case key
101745

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 total loss of engine power due to carburetor ice that was not detected by the pilot.

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 equipmentAll aircraft: 435 casesProbable cause
Info processing/decision: identification/recognitionPersonnel issues › Action/decision · PilotAll aircraft: 559 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 commercial pilot departed on a banner tow flight and after takeoff, as part of his procedures, briefly checked two times for carburetor ice. Prior to beginning a descent, he applied carburetor heat a third time, but before he had time to adjust the throttle, the engine lost total power. Unable to restore power he maneuvered over water and dropped the banner as to avoid injury to any persons or property then maneuvered for a forced landing on a road. After touchdown on the road, the airplane collided with a fence and went down a slight embankment before coming to rest upright. Postaccident examination and operational test run of the engine, as well as the carburetor heat system, revealed no evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation. The weather conditions at the time of the accident were conducive to the formation of carburetor icing at glide (idle) and cruise engine power settings. Thus, it is likely that during cruise flight before the third application of carburetor heat, carburetor ice formed that was not detected by the pilot.

Factual narrative

On August 5, 2020, about 1333 eastern daylight time, a Piper PA-25-235, N223AB, was substantially damaged when it was involved in an accident near Miami, Florida. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 banner tow flight. The pilot picked up a banner and climbed on an easterly heading to 1,300 ft mean sea level (msl). He leaned the mixture, then at the top of the climb he checked the carburetor heat by applying it for 15 to 30 seconds and noted a 100-rpm drop. He removed carburetor heat and flew in a southeast direction, then proceeded in a southerly direction. He flew over the Port of Miami at 1,100 ft msl where he checked the carburetor heat a 2nd time, applying it and leaving on for 15 to 30 seconds, again noting a 100-rpm drop. He removed carburetor heat and continued in a southerly direction. When the flight was south of Fisher Island, he made a radio call on the Watson Island Advisory air-to-air frequency that the flight was at 1,100 ft msl, turning to the north, descending to 700 ft msl. He applied carburetor heat before beginning to descend, but before he had time to adjust the throttle control, the engine rpm dropped to between 1,000 and 1,200. The pilot maneuvered the airplane over water where he dropped the banner. With full power applied, the mixture leaned, and carburetor heat on it felt to him like the engine was not producing power. He picked out the landing site, checked the magnetos, applied full rich mixture and with carburetor heat still applied, he descended to between 50 and 100 ft. About that time the engine sputtered "like it wanted to come back," but it did not recover. Just before touchdown he pulled the throttle and mixture controls and was fast at the intended landing site. The airplane touched down and collided with a fence. He reported that the engine was stopped when he came to rest, and he then secured the airplane. According to the Federal Aviation Administration (FAA) inspector who examined the airplane at the accident site, there was no fuel contamination in the fuel tank or airframe fuel strainer, and only scratches to the propeller blades, though the propeller spinner was damaged. While he and the pilot were present, a company employee started the engine and briefly operated it to idle. Following recovery of the airplane an inspection of the carburetor heat system revealed no discrepancies. The engine was operated using the fuel that was in the fuel tank at the time of the accident. At 1353, the weather reported at Miami International Airport (MIA), about 8 miles west-northwest of the accident site, included a temperature of 28°C and a dew point 25°C. The calculated relative humidity at those conditions was about 80%. Review of the icing probability chart contained within FAA Special Airworthiness Information Bulletin CE-09-35 revealed the atmospheric conditions at the time of the accident were "conducive to icing at glide [idle] and cruise power."

Aircraft

Registration
N223AB
Reported as
Piper PA25 (235)
Category
Airplane
Serial number
25-3996
Built
1966
Airframe hours
7,639.3
Engine
Lycoming O-540-B2C5, 235 horsepower, reciprocating
Damage
Substantial damage
Flight
Banner tow · Part 91
Operator
Aerial Banners North, Inc.
Registered owner
Aerial Banners Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 22, 2020 · 86 hours before
Departed
HWO · Hollywood, FL
Destination
HWO · Hollywood, FL
Equipment
ADS-B, Handheld GPS, Satellite tracking device, Stall warning system

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
21
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
January 25, 2019
Seat
Center
Restraint
4-point
Flight hours
379 total · 82 in this make and model · 301 as pilot in command · 93 in the last 90 days · 59 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
82 °F, dew point 77 °F
Altimeter
30.02 inHg
Observed at
MIA, 8 nm away

Docket · 7

The files NTSB released with the investigation on August 30, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 16.8 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.