ERA22LA054

NTSB accident investigation · Piper PA28 · Sarasota, FL · November 9, 2021

Accident · No injuriesClass 3 · LimitedFinal report
Date
November 9, 2021, 16:05 local (21:05 UTC)
Place
Sarasota, FL · Shallow water off runway
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N40831Piper PA28
Defining event
Approach-VFR pattern base: Sys/Comp malf/fail (non-power)
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
20211109019169A
Case key
104230

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 partial loss of engine power due to a failed throttle cable.

Findings · 1

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.

Engine controls: power leverAircraft › Aircraft power plant · Fatigue/wear/corrosionPiper PA-28-151: 1 caseAll aircraft: 95 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 student pilot was turning from downwind to base in the traffic pattern, with 10° flap extension, when he noticed that the throttle lever was stuck with the engine operating at 2,000 rpm. He turned onto final approach with 25° flap extension and realized that the descent rate was too great and that the airplane was not going to make it to the runway. He retracted the flaps to 0° to reduce drag, turned right to avoid houses at the approach end of the runway, and landed the airplane in an adjacent bay. Metallurgical examination of the throttle cable revealed a worn Teflon liner. When intact, the liner supported the inner cable and prevented metal-to-metal contact with the helical coil of the cable housing. Six of the seven wires of the inner cable had separated due to metal-to-metal contact wear. The seventh (single central) wire did not have the capacity to resist compressive and torsional loading of the cable, which led to collapse and torsional unfurling of the cable. The airplane was manufactured 48 years before the accident and had accrued about 14,000 hours of operation. There were no life-limited components on the make and model airplane and no requirement to replace the throttle cable at a scheduled interval. Review of maintenance records dating back 2 years before the accident did not reveal any problems with the throttle.

Factual narrative

On November 9, 2021, about 1605 eastern standard time, a Piper PA-28-151, N40831, was substantially damaged when it was involved in an accident near Sarasota, Florida. The student pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The student pilot reported that he was returning to his home airport at the end of a roundtrip cross-country flight. While turning from left downwind leg to left base leg for runway 14 at Bradenton International Airport (SRQ), with 10° flap extension, he noticed that the throttle lever was stuck at the 2,000 rpm position. He then turned on to final approach with 25° flap extension and realized that the descent rate was too great and that the airplane was not going to make it to the runway. He completely retracted the flaps to reduce drag and checked the throttle friction lock to loosen the throttle but this had no affect. In an effort to avoid houses at the approach end of the runway, the pilot elected to turn right and ditch in an adjacent bay. The student pilot subsequently egressed and the airplane sank. The wreckage was recovered from the bay and examined by a Federal Aviation Administration inspector. The inspector noted substantial damage to the right wing. He also observed that the throttle cable was jammed inside its housing. The throttle cable was forwarded to the National Transportation Safety Board Materials Laboratory, Washington, DC. Metallurgical examination of the cable revealed that the Teflon liner, which supported the inner cable and prevented metal to metal contact with the helical coil of the cable housing, was worn. Six of the seven wires of the inner cable had separated due to metal to metal contact wear. The seventh (single central) wire did not have the capacity to resist compressive and torsional loading of the cable, which led to collapse and torsional unfurling of the cable (for more information, see Materials Laboratory Factual Report for this accident in the public docket). The airplane was manufactured in 1973 and had accrued about 14,000 hours of operation at the time of the accident. There were no life limited components on the make and model airplane and no published schedule to replace them. Review of the maintenance manual for the 100-hour (500-hour, and 1,000-hour) inspections for the make and model airplane revealed a checklist item (item 37) in the engine group section related to the throttle cable. It stated, “Inspect throttle, carburetor heat, and mixture controls for security, travel, and operating condition.” Review of maintenance records dating back 2 years before the accident did not reveal any problems with the throttle.

Aircraft

Registration
N40831
Reported as
Piper PA28 (151)
Category
Airplane
Serial number
28-7415092
Built
1973
Airframe hours
13,867
Engine
Lycoming O-320, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Cirrus Aviation Inc
Registered owner
Cirrus Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 6, 2021 · 82 hours before
Departed
SEF · Sebring, FL
Destination
Same as departure
Airport
SRQ · Sarasota/Bradenton Intl, runway 14, 9,500 × 150 ft, asphalt
Equipment
Onboard weather, Electronic primary flight display, Electronic multifunction display, ADS-B, 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
Student pilot
Age
25
Injuries
None
Certificate
Student
Medical
Class 2, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
65 total · 65 in this make and model · 4 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 8 knots
Visibility
10 statute miles
Lowest ceiling
6,000 ft broken
Temperature
75 °F, dew point 55 °F
Altimeter
30.11 inHg
Observed at
SRQ, 2 nm away
METAR
KSRQ 092053Z 07008KT 10SM BKN060 24/13 A3011

Docket · 8

The files NTSB released with the investigation on July 6, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.1 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.