ERA23LA066

NTSB accident investigation · Piper PA-18-150 · St. Augustine, FL · November 14, 2022

Accident · No injuriesClass 3 · LimitedFinal report
Date
November 14, 2022, 11:34 local (16:34 UTC)
Place
St. Augustine, FL · Shoreline on Eastern Side of Anastasia State Park
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N9858PPiper PA-18-150
Defining event
Maneuvering: 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
20221114020239A
Case key
106315

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

The pilot’s failure to appropriately use carburetor heat, which resulted in a total loss of engine power due to carburetor icing.

Findings · 3

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 bleed air system: engine anti-icing systemAircraft › Aircraft power plant · Not used/operatedPiper PA-18-150: 1 caseAll aircraft: 4 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotPiper PA-18-150: 20 casesAll aircraft: 1,391 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Response/compensationPiper PA-18-150: 15 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 aerial observation pilot was mapping costal erosion; about 2 hours and 20 minutes into the flight, the engine “sputtered” three times over the course of 30 to 60 seconds before completely losing power. The pilot then began troubleshooting the loss of engine power while searching for a forced landing location. The pilot landed the airplane on a relatively sparsely populated area of the beach below. During the landing, the main landing gear dug into the sand and the airplane nosed over, resulting in substantial damage to the engine mounts, vertical stabilizer, and rudder. Postaccident examination of the airplane’s engine revealed no evidence of any preimpact mechanical malfunctions or failures. The temperature and dewpoint conditions about the time of the accident were conducive to the formation of “serious icing at glide [idle] power.” Given the lack of any mechanical anomalies observed during the postaccident examination of the engine, it is likely that the loss of engine power was due to carburetor icing. Additionally, the pilot reported that he did not begin troubleshooting the engine anomalies until after the total power loss had occurred. Had the pilot used carburetor heat to prevent the formation of carburetor ice, or applied it immediately after the engine roughness began, the loss of engine power may have been avoided.

Factual narrative

On November 14, 2022, about 1134 eastern standard time, a Piper PA-18-150, N9858P, was substantially damaged when it was involved in an accident near St. Augustine, Florida. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 aerial observation flight. The purpose of the flight was to map erosion from a hurricane that had passed through the area. The pilot departed Daytona Beach International Airport (DAB), Daytona Beach, Florida, at 0910, destined for Northeast Florida Regional Airport (SGJ), St. Augustine, Florida. According to the pilot, before departure he performed his normal preflight inspection of the airplane, during which he checked the flight controls, oil level, and fuel level. He also checked the fuel quality by sampling the fuel tanks and gascolator (fuel strainer). The fuel tanks had been topped off with fuel the previous day per the operator’s normal procedures. After takeoff from DAB, the pilot flew north and began mapping the coastline from around Palm Coast, Florida, to St. Augustine, Florida. He contacted the SGJ air traffic control tower and stayed on frequency for traffic advisories as he was flying a north-south grid and entered and exited the airspace surrounding SGJ. About 1130, the engine “sputtered” for 30 to 60 seconds twice, and then sputtered a third time before it lost power completely. The pilot established the airplane in a glide configuration between the St. Augustine inlet to the north and the St. Augustine beach pier to the south. The pilot elected to land to the north, which was the direction of the headwind and where he had observed fewer people walking along the beach. The pilot began his “troubleshoot checklist,” followed by the “shutdown checklist,” as he spiraled the airplane down over St. Augustine beach. In the process of his final spiraling maneuver, as he was heading south, the airplane began sinking rapidly and faster than he had anticipated. He immediately leveled the wings and pitched the airplane’s nose farther down to keep the airplane gliding to the south. On short approach to the beach, he began to see people on the beach and decided to land the airplane into the shore break to avoid them. During the landing roll, as the weight fully transferred to the main landing gear, the main landing gear dug into the sand, and the airplane nosed over and came to rest inverted. The pilot then unlatched his seatbelt and egressed. The pilot stated that bystanders ran up to assist and several mentioned that they could smell fuel leaking out of the back of the wings. He also smelled “avgas.” During the recovery of the wreckage, the pilot observed that both the left and right fuel tank caps were missing. About two weeks after the accident, the pilot advised that a person with a metal detector had located the missing fuel caps, which were buried in the sand on the beach in the vicinity of where the airplane had come to rest. Postaccident examination of theairplane revealed that the engine mounts, vertical stabilizer, and rudder were substantially damaged during the accident sequence. The engine was examined after it was recovered from the accident site and thumb compression was attained on all four cylinders when the crankshaft was manually rotated. All of the exhaust and intake valves were functional, and all of the top sparkplug electrodes were normal gray in color. Internal examination of the cylinders by borescope did not reveal any anomalies. Both magnetos produced spark at all towers, oil was in the rocker boxes and galleries, and drivetrain continuity was confirmed from the propeller flange to the rear accessory gears. Examination of the fuel system revealed only trace amounts of fuel in the system. Testing with water-finding paste did not indicate the presence of water. The gascolator displayed a small amount of debris in the bottom of the bowl (external to the screen). The carburetor float bowl was clean and was devoid of fuel; the float valve and accelerator pump were both functional, and the floats did not exhibit any indications of leakage. Further examination of the fuel system did not reveal any indication of pull-out or impact damage to the tops of the filler necks or fuel cap locking slots. At 1643, the weather reported at SGJ, about 7 nautical miles northwest of the accident site, included a temperature of 21°C and a dew point 19°C. The calculated relative humidity at this temperature and dewpoint was 88%. 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
N9858P
Reported as
Piper PA-18-150
Category
Airplane
Serial number
18-7709006
Built
1976
Airframe hours
8,323.3
Engine
Lycoming O-360-A4P, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial observation · Part 91
Operator
SMG Drones LLC, doing business as Dronelegally.com
Registered owner
Bentley Aero Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2022
Departed
DAB · Daytona Beach, FL
Destination
SGJ · Saint Augustine, FL
Equipment
Handheld GPS, 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
Pilot
Age
38
Injuries
None
Certificates
Commercial, Flight instructor, Private
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
August 28, 2021
Seat
Front
Restraint
4-point
Flight hours
1,572.7 total · 593.3 in this make and model · 1,486.8 as pilot in command · 158.6 in the last 90 days · 94.8 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 13 knots, gusting 20
Visibility
8 statute miles
Lowest ceiling
3,400 ft broken
Temperature
70 °F, dew point 66 °F
Altimeter
30.16 inHg
Observed at
SGJ, 7 nm away
METAR
SPECI KSGJ 141643Z 01013G20KT 8SM BKN034 BKN047 21/19 A3016 RMK AO2=

Docket · 7

The files NTSB released with the investigation on December 18, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.1 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.