ERA22LA107

NTSB accident investigation · Piper J3C · Winter Haven, FL · January 12, 2022

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
January 12, 2022, 14:27 local (19:27 UTC)
Place
Winter Haven, FL · orange grove
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N88509Piper J3C
Defining event
Approach-VFR go-around: Loss of control in flight
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
20220112000549A
Case key
104523

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 receiving instruction’s failure to maintain airspeed during a turn, which resulted in an exceedance of the airplane's critical angle of attack and a subsequent aerodynamic stall. Contributing to the accident was the flight instructor’s failure to take remedial action in a timely manner.

Findings · 5

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: angle of attackAircraft › Aircraft oper/perf/capability · Capability exceededPiper J3C-65: 4 casesAll aircraft: 990 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotPiper J3C-65: 43 casesAll aircraft: 9,295 casesProbable cause
Action: delayed actionPersonnel issues › Action/decision · Instructor/check pilotPiper J3C-65: 3 casesAll aircraft: 894 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper J3C-65: 8 casesAll aircraft: 1,681 casesProbable cause
Performance/control parameters: lateral/bank controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper J3C-65: 4 casesAll aircraft: 390 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 pilot receiving instruction had not flown a float-equipped airplane in 3 years, so the flight instructor considered the training flights as review. The flight instructor stated that, during their 2-hour morning flight, the pilot receiving instruction sat in the front seat and that he tended to “fly too slow” and “turn sharply.” The instructor had to “push the nose down on several occasions.” After eating lunch and refueling the airplane, the afternoon flight began, with the pilot receiving instruction sitting in the rear seat. The flight instructor estimated that they had been flying for about 1 hour when the accident occurred. Neither the flight instructor nor the pilot receiving instruction had recollection of the accident, but the flight instructor recalled thinking that the pilot receiving instruction might not have been able to see the instruments well from the rear seat or that he was being inattentive. A witness stated that the airplane made two passes over a lake and that, as the airplane descended toward the lake during the second pass, the right float made a small splash as it touched the water. The airplane then climbed a couple hundred feet, turned to the right in a steep angle, and descended toward the ground in a near-vertical nose-down attitude. The witness did not hear the engine during the descent. Postaccident examination of the airframe and engine revealed no evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation. Given the reported application of carburetor heat during all approaches, it is unlikely that carburetor icing affected engine performance. After learning about the witness’ observations, the flight instructor stated that the pilot receiving instruction had been “making really steep turns” and “was too slow on airspeed.” The flight instructor further stated that he was too slow to correct the pilot. Thus, it is likely that the pilot receiving instruction maintained insufficient airspeed and banked too steeply, which resulted in an exceedance of the airplane's critical angle of attack and a subsequent aerodynamic stall, and that the flight instructor did not take action in time to prevent the accident.

Factual narrative

On January 12, 2022, about 1427 eastern standard time, a Piper J3C-65 airplane, N88509, was substantially damaged when it was involved in an accident near Winter Haven, Florida. The flight instructor and pilot receiving instruction sustained serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The flight instructor reported that the airline transport pilot receiving instruction had not flown a float-equipped airplane in 3 years, so the flight instructor considered the training flights as review. The flight instructor stated that, during their 2-hour morning flight, the pilot receiving instruction sat in the front seat and that he tended to “fly too slow” after takeoff and “turn sharply.” The instructor further stated that he had to “push the nose down on several occasions.” After eating lunch and refueling the airplane, the afternoon flight began, with the pilot receiving instruction sitting in the rear seat. The instructor estimated that they flew about 1 hour when the accident occurred. Although the flight instructor did not recall the details of the accident, he did recall thinking that the pilot receiving instruction might not have been able to see the instruments well from the rear seat or that he was being inattentive. The pilot receiving instruction had no recollection of the accident flight. A witness near the accident site stated that he saw the accident airplane fly one low pass over the lake, circle to the right, and then come around and descend again toward the lake. The witness stated that airplanes typically either land on the lake or fly a low pass but that the accident airplane made a small splash on the second pass when the right float touched the water. The airplane then “accelerated up” a couple hundred feet and started veering to the right in a “big arc.” The witness also stated that the turn “seemed like a steep angle” and that, at the top of the arc, he saw “the whole top of the airplane and it just continued downward.” The witness could not hear the engine when the airplane was descending. He stated that the airplane impacted the ground in a near-vertical nose-down attitude and that the airplane stayed in that position for a short time before the tail settled toward the ground. During a postaccident interview, the flight instructor stated that the witness’ description of the second pass sounded as if it were a go-around maneuver. The flight instructor also stated that the pilot receiving instruction had been “making really steep turns and he was too slow on airspeed.” The instructor added that he did not correct it in time. Postaccident examination of the wreckage revealed that the airplane came to rest in a near-vertical nose-down attitude with no ground scars or tree damage leading toward the wreckage, consistent with a near-vertical flightpath angle. The left wing sustained substantial damage. Control cable continuity from the cockpit area to the respectiveailerons, rudder, and elevator control surfaces were confirmed. Further examination of the airplane revealed that the engine remained attached to the airframe with the propeller attached and canted left. Both propeller blades exhibited leading-edge abrasion. One propeller blade was cut to facilitate propeller rotation. All the spark plugs were removed and visually examined, and their condition was noted as normal-to-worn-out based on Champion Aviation’s Check-A-Plug Guide. Rotation of the engine’s crankshaft produced compression on all cylinders, and normal valvetrain movement was observed when the crankshaft was rotated. Examination of the engine’s cylinders with a lighted borescope revealed no damage to the cylinders or pistons. Both magnetos produced spark at all towers when their input drives were rotated. Borescope examination of all cylinders revealed carbon deposits consistent with a rich mixture and/or the use of automotive fuel. All cylinders passed a cold compression check. Fuel was present in the carburetor bowl and was absent of water or debris. Examination of the engine revealed no preimpact mechanical malfunctions or anomalies that would have precluded normal operation. Review of the icing probability chart contained within Federal Aviation Administration Special Airworthiness Information Bulletin CE-09-35 revealed that the atmospheric conditions at the time of the accident were conducive to “serious icing at glide power.” The flight instructor explained, during a postaccident interview, that carburetor heat was used on all approaches and would have been turned off at the initiation of the go-around maneuver.

Aircraft

Registration
N88509
Reported as
Piper J3C (65)
Category
Airplane
Serial number
16133
Built
1946
Airframe hours
4,636.44
Engine
Continental Motors C-90, 90 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Jack Brown's Seaplane Base, Inc
Registered owner
Jack Brown's Seaplane Base, Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 20, 2021 · 26.6 hours before
Departed
F57 · Winter Haven, FL
Airport
F57 · Jack Browns
Equipment
None

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
22
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
October 7, 2021
Seat
Front
Restraint
Lap only
Flight hours
280.4 total · 24 in this make and model · 212.4 as pilot in command · 21.2 in the last 90 days · 20.8 in the last 30 days
Role
Pilot
Age
77
Injuries
Serious
Certificates
Flight instructor, Airline transport, Flight engineer
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
BasicMed
Seat
Rear
Restraint
Lap only

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 6 knots
Visibility
10 statute miles
Temperature
75 °F, dew point 52 °F
Altimeter
30.15 inHg
Turbulence
Unknown
Observed at
GIF, 2 nm away
METAR
KGIF 121853Z AUTO 06006KT 10SM FEW045 24/11 A3015 RMK AO2 SLP208 T02390106

Docket · 8

The files NTSB released with the investigation on September 20, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 22.5 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.