ERA21LA070

NTSB accident investigation · Piper PA24 · Nashville, TN · December 12, 2020

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
December 12, 2020, 12:50 local (18:50 UTC)
Place
Nashville, TN
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N7639PPiper PA24
Defining event
Approach: 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
20201212021979A
Case key
102407

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 use carburetor heat during the approach, which resulted in a loss of engine power due to carburetor icing.

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.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotPiper PA-24-180: 2 casesAll aircraft: 1,391 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionPiper PA-24-180: 3 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 private pilot had completed most of a cross-country flight and about 7 miles from the destination airport during the approach, the engine lost all power. Despite several troubleshooting actions, the pilot was unable to restore engine power. He subsequently completed a forced landing in a field where the airplane touched down hard resulting in substantial damage to the fuselage and both wings. A postaccident examination of the airplane and engine found no evidence of mechanical malfunctions or failures that would have precluded normal operation and the fuel tanks were not breached. A carburetor icing probability chart revealed that serious icing was to be expected at glide power. The pilot had not used carburetor heat within the preceding 30 minutes prior to the loss of engine power, and he could not recall using carburetor heat after the loss of engine power. Additional examination of the airplane found about 7 gallons of fuel in the left fuel tank, which was the reported tank selected at the time of the engine failure. About 1/4 to 1/8 of a cup of fuel was found in the right tank, which was the tank the pilot switched to after the engine failure. Trace amounts of fuel were located throughout the fuel lines and carburetor. Given that sufficient fuel was found in the tank that was selected when the loss of power occurred, it is likely that the accumulation of carburetor resulted in a total loss of engine power. In addition, after the loss of engine power, the fuel selector was switched to a tank that was found to have an unusable amount of fuel, which further reduced the possibility that engine power could be restored.

Factual narrative

On December 12, 2020, about 1250 central standard time, a Piper PA-24-180 airplane, N7639P, was substantially damaged when it was involved in an accident near Nashville, Tennessee. The commercial pilot incurred minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that he departed with 54 gallons of fuel for the cross-country flight and switched tanks every 30 minutes while en route. During the approach, about 7 nautical miles from the destination, the pilot reported that he observed a “significant drop in manifold pressure and change in engine noise, best described as a steady roll-back.” He reported that at the time of the loss of total engine power, the airplane was still in a “cruise configuration” with the mixture leaned, the rpm was 2,400, and the manifold pressure was 23 inches. The pilot pitched the airplane for best glide speed, began looking for an open area to land, and started troubleshooting the loss of power. He reported that he switched the fuel selector from the left tank to the right tank, moved the mixture and propeller levers full forward, turned on the boost pump, and engaged the engine starter; however, none of the actions restored power. The pilot continued his approach to a field that had trees and a house in the flight path. Just prior to impact the pilot reported that he could feel the onset of an aerodynamic stall as the airplane cleared the top of the house. He subsequently lowered the nose, and the airplane touched down hard and skidded to a stop in the field. Examination of the airplane by a Federal Aviation Administration (FAA) inspector found that the fuselage and both wings sustained substantial damage. Flight and engine control continuity was established. A total of about 7 gallons of fuel was drained from the left fuel tank, and 1/8 to 1/4 cup was drained from the right fuel tank. There was no debris or discoloration noted with the fuel, and no damage to the fuel tanks or evidence of fuel leakage was discovered at the accident site. An engine examination found that when the propeller was manually rotated, all cylinder valves operated normally, and thumb compression was found on each cylinder. Magneto spark and timing was confirmed. When the carburetor was disassembled, 4-5 teaspoons of fuel remained in the float bowl. The main fuel line was disconnected from the carburetor inlet and about 5 to 6 drops of fuel was observed to drain from the line. There was no evidence of fuel at the inlet side of the electrical fuel pump nor was there any remnants of fuel discovered at the outlet side of the engine driven fuel pump. The carburetor heat lever was found in the off position. The pilot reported postaccident that he had not turned on the carburetor heat in the 30 minutes before the loss of engine power and could not recall using the carburetor heat after the loss of engine power. He also estimated that each fuel tank should have been about 1/3to 1/2 full about the time of the loss of power. He reported the total flight time was about 2 hours and 20 minutes. Data downloaded from the engine monitoring instrument was consistent with what the pilot reported. Review of the FAA Carburetor Icing Chart found that the airplane was at risk of serious icing at glide power given the atmospheric conditions reported near the accident site. The airplanes pilot’s operating handbook (POH) stated that the total fuel capacity was 60 gallons, with 2 gallons of unusable fuel for the left- and right-wing fuel tanks. The following emergency procedure was provided for a loss of engine power during flight (see figure 1). Figure 1- Excerpt from the POH referencing the engine power loss during flight emergency procedure

Aircraft

Registration
N7639P
Reported as
Piper PA24 (180)
Category
Airplane
Serial number
24-2851
Built
1961
Airframe hours
3,639.6
Engine
Lycoming O-360-A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 16, 2020 · 50 hours before
Departed
EDN · Enterprise, AL
Destination
JWN · Nashville, TN
Flight plan
IFR
Equipment
Electronic flight bag or handheld device, Angle of attack indicator, ADS-B, Electronic primary flight display

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
32
Injuries
Minor
Certificates
Private, Military, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
April 23, 2020
Seat
Left
Restraint
Lap only
Flight hours
1,873 total · 36 in this make and model · 1,699 as pilot in command · 42 in the last 90 days · 26 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 52 °F
Altimeter
29.84 inHg
Observed at
JWN, 8 nm away

Docket · 9

The files NTSB released with the investigation on September 29, 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.

Other investigations on N7639P · 1

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