ERA22LA265

NTSB accident investigation · Piper PA-23 · Stockbridge, GA · June 11, 2022

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
June 11, 2022, 12:07 local (16:07 UTC)
Place
Stockbridge, GA · Received Lat/Long from ATL Air Recovery
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N3477PPiper PA-23
Defining event
Takeoff: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
Lycoming Engines, FAA/FSDO
FAA report
20220611021449A
Case key
105240

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

A total loss of right engine power during initial climb for reasons that could not be determined.

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.

Not determinedNot determined › Not determined · Unknown/Not determinedPiper PA-23: 4 casesAll aircraft: 2,247 casesProbable cause
AircraftAircraft › Aircraft power plant · Unknown/Not determinedPiper PA-23: 1 caseAll aircraft: 151 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 had recently purchased the twin-engine airplane, and before the accident flight had completed a preflight inspection, which included sampling fuel from both main fuel tanks and cross feed lines. He started both engines and noted no anomalies during the run-up. During the initial climb the airplane started to yaw to the right and shake. He subsequently transferred control of the airplane to the pilot-rated passenger, who was the previous owner of the airplane. The pilot-rated passenger told the pilot to secure the right engine, which he did. The pilot-rated passenger then attempted to return to the airport but the airplane struck trees, resulting in substantial damage to the fuselage, both wings, the tail, and serious injuries to both occupants. Postaccident examination of both engines found no evidence of a preimpact mechanical malfunctions or failures that would have precluded normal operation. The airplane’s fuel tanks were breached during the accident sequence, and the quantity and condition of the fuel onboard the airplane could not be confirmed. The pilot reported obtaining fuel before the flight, and a witness reported smelling a fuel-like odor when he arrived at the accident site immediately after the accident. The fueler reported that the fuel supply had been tested twice with negative results for water contamination. While the temperature and dewpoint at the time of the accident were favorable for the formation of carburetor ice at glide [idle] engine power settings, given that the airplane was taking off when the loss of engine power to one engine occurred, it is not likely that carburetor icing played a role in the loss of engine power. Based on available information, the reason for the total loss of engine power for the right engine could not be determined.

Factual narrative

On June 11, 2022, at 1207 eastern daylight time, a Piper PA-23-180, N3477P, was substantially damaged when it was involved in an accident near Stockbridge, Georgia. The private pilot and pilot-rated passenger were seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot stated he had just purchased the airplane and that it had just undergone an annual inspection. The purpose of the accident flight was for the pilot and the airplane’s previous owner to fly to Covington, Georgia. According to the pilot he conducted a preflight inspection of the airplane and noted no anomalies. The pilot reported that fuel was drained from the main and cross feed fuel lines and was “clean with no water”. He also noted that the fuel was bluish in color similar to 100 low-lead aviation fuel. The pilot stated (and a review of fuel receipts confirmed) that he purchased 43 gallons of 100 low-lead aviation fuel before the flight. The fueler reported the fuel supply was tested twice with negative results for water contamination. After completing an engine run-up with no anomalies noted, the pilot stated he positioned the airplane as far back on the runway as possible, held the brakes, and applied full power. He stated that he “looked at the engine instruments and all were within the green and producing power,” so he released the brakes for takeoff. After takeoff, the airplane started to shake and yaw to the right, and the pilot believed that the right engine had lost power. The pilot applied left rudder to correct and noted the airspeed was below the placarded blue line airspeed (best rate of climb airspeed for single-engine operation), so he decreased the airplane’s pitch attitude to gain airspeed. He stated, “the airplane was a hand full,” and the pilot then told the pilot-rated passenger to take the controls. The pilot-rated passenger told the pilot to “feather the right engine” and the pilot reported seeing the propeller stop. The pilot-rated passenger then attempted to return to the airport. The airplane impacted trees, resulting in substantial damage to the fuselage, both wings, both horizontal stabilizers and elevators, and the vertical stabilizer and rudder. The pilot and pilot-rated passenger were seriously injured. A witness reported that upon arriving on scene he smelled a “chemical or fuel like odor in the air.” Postaccident examination of the airplane was performed under the oversight of a Federal Aviation Administration (FAA) inspector. The inspector reported that all the airplane’s fuel bladders were breached, absent of fuel, and subsequently were unable to be tested for contamination. The fuel selectors were both found positioned to their respective main fuel tank positions, and the cables that connected the selector levers to the selector valves could not be examined due to impact damage. A postaccident examination of the left engine found there was continuity of the engine crankshaft to therear accessory drive gears and valvetrain when the crankshaft was rotated by hand. Compression and suction were observed from all four cylinders. No anomalies were noted on the interior of any of the cylinders when examined with a lighted borescope. The induction air box was partially crushed, and the exhaust system was examined with no obstructions noted. Both magnetos remained attached to the engine and produced a spark on all leads when the input drive was rotated by hand. The spark plugs electrodes exhibited normal wear and the No. 1 upper and Nos. 2 and 4 lower spark plugs were oil soaked. The carburetor remained attached to the oil sump and the fuel line from the engine-driven fuel pump to the carburetor was impact separated from the pump but remained attached to the carburetor. The throttle and mixture control cables remained attached to their respective control arms. The carburetor heat control cable was impact-separated from the air box control arm. No liquid was observed in the carburetor float bowl. The carburetor fuel inlet screen was absent of debris and no damage was observed to other carburetor internal parts. The engine-driven fuel pump was fractured across the drive section and the pumping section was impact separated. No anomalies were noted with the engine-driven fuel pump’s internal components. No liquid was observed in the fuel pump or in the corresponding fuel lines forward of the firewall. The oil suction screen and oil filter media were absent of any debris. Postaccident examination of the left propeller found the propeller remained attached to the engine crankshaft flange and the spinner was impact damaged. The propellers were arbitrarily labeled A and B for identification purposes. Propeller blade A was bent aft about 20° about 10 inches from the tip. Blade A’s tip exhibited impact damage and spanwise scratching. Blade B was bent aft about 45° and exhibited chordwise scratching and trailing edge damage. The propeller control cable remained attached to the governor control arm. The left propeller governor was removed, the drive spline rotated freely by hand, and the governor oil screen was absent of debris. Postaccident examination of the right engine found engine crankshaft continuity to the rear accessory drive gears and valvetrain when the crankshaft was rotated using the propeller. Compression and suction were observed on all cylinders when the crankshaft was rotated. The interiors of the cylinders were examined with a lighted borescope and no anomalies were noted. The induction air box was impact crushed and the exhaust system was removed with no obstructions noted. Both magnetos remained attached to the engine and the left magneto sparked from all leads when the input drive was rotated by hand. The right magneto did not spark from any lead when the input drive was rotated by hand. Oil was observed on the right magneto distributor block, in the ignition contact points compartment, on the ignition coil, and on thecoil high tension contact. The spark plugs exhibited normal wear and the Nos. 2 and 4 upper spark plugs were oil soaked. The carburetor remained attached to the engine oil sump. The aluminum fuel line from the engine-driven fuel pump to the carburetor fuel inlet fitting was impact separated from the pump but remained attached to the carburetor. The throttle control cable remained attached to the throttle control arm. The mixture control cable was impact separated from the carburetor mixture control arm. The carburetor heat control cable was impact separated from the air box control arm. No liquid was observed in the carburetor float bowl and the carburetor fuel inlet screen was absent of any debris. Heavy wear was observed to the rubber tip of the needle in the needle seat assembly. No other damage was observed to the other internal carburetor parts. The engine-driven fuel pump was fractured across the drive section and the pumping section was impact separated. No damage was observed to the pumping section’s rubber diaphragms or check valves. No liquid was observed in either the pump or the corresponding fuel lines forward of the firewall. The oil suction screen and oil filter media were absent of any debris. Postaccident examination of the right propeller found the propeller remained attached to the engine crankshaft flange and the spinner was impact damaged. The propellers were arbitrarily labeled A and B for identification purposes. No damage was noted to propeller blade A. Propeller blade B exhibited trailing edge damage. The propeller control cable remained attached to the governor control arm. The right propeller governor was removed, the drive spline rotated freely by hand, and the governor oil screen was absent of debris. At 1026, the weather reported at Hartsfield – Jackson Atlanta International Airport (ATL), Atlanta, Georgia, which was located about 15 nautical miles northwest of the accident site, included a temperature of 29°C and a dew point 17°C. The calculated relative humidity at this temperature and dewpoint was 48 percent. Review of the icing probability chart contained within Federal Aviation Administration Special Airworthiness Information Bulletin CE-09-35 revealed the atmospheric conditions at the time of the accident were "conducive to serious icing at glide [idle] power."

Aircraft

Registration
N3477P
Reported as
Piper PA-23 (180)
Category
Airplane
Serial number
23-1451
Built
1958
Airframe hours
3,531.2
Engines
Lycoming O-360-A1D, 180 horsepower, reciprocatingLycoming O-360-A1D, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 8, 2022
Departed
7GA7 · Stockbridge, GA
Destination
CVC · Covington, GA
Airport
7GA7 · Berry Hill, runway 11, 3,000 × 40 ft, asphalt

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
Pilot
Age
58
Injuries
Serious
Certificates
Private, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
June 17, 2020
Seat
Left
Restraint
Lap only
Flight hours
846 total · 170 in this make and model · 703 as pilot in command · 0 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours
Role
Pilot-rated passenger
Age
44
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Unknown
Seat
Right
Restraint
Lap only
Flight hours
1,478 total

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Temperature
84 °F, dew point 63 °F
Altimeter
29.92 inHg
Observed at
ATL, 15 nm away
METAR
KATL 111652Z VRB04KT 10SM SCT047 SCT140 SCT250 29/17 A2992 RMK AO2 SLP120 T02890172 $

Docket · 10

The files NTSB released with the investigation on November 8, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.0 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.