FTW90FA077

NTSB accident investigation · Piper PA-24-180 · Fabens, TX · March 4, 1990

Accident · FatalField investigationFinal report
Date
March 4, 1990, 12:45 local (19:45 UTC)
Place
Fabens, TX
Injuries
2 fatal, 1 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N5354PPiper PA-24-180
Weather
Visual (VMC) · Day
Status
Completed · report August 17, 1992
Report
Approved by Office Director
FAA report
19900304003119A
Case key
23013

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 maintain adequate airspeed during a takeoff with less than full power resulting in a stall. Contributing factors were the pilot's failure to lean the mixture to compensate for the high density altitude, and the gross improper, inadequate maintenance that had been performed on the engine resulting in an unairworthy engine.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine powerTakeoff - initial climb
Weather condition - high density altitudeFactor
Mixture - improper use ofPilot in commandFactor
Propeller system/accessories,governor - leakFactor
Maintenance,compliance with ad - not performedOther maintenance personnelFactor
Propeller system/accessories,governor - contaminationFactor
Propeller system/accessories,governor - blocked(partial)Factor
Fuel system,carburetor float - wornFactor
Engine assembly,rocker arm/tappet - improperFactor
Maintenance,installation - improperOther maintenance personnelFactor
Engine assembly,bearing - wornFactor
Engine assembly,crankcase - wornFactor
Engine assembly,piston - wornFactor
Maintenance - inadequateOther maintenance personnelFactor
Loss of control - in flightTakeoff - initial climb
Airspeed - not maintainedPilot in commandCause
Stall - inadvertentPilot in command

Analysis

After liftoff, the airplane appeared to stop climbing at about 90-100 ft AGL; its wings rocked side-to-side, and it then pitched nose down into the ground. The engine was heard until impact. Mixture control found in full rich position; density altitude aprx 5,000 ft. oil stain found near prop governor; AD 90-04-06 and Lycoming sb no. 488, prop gov line & elbow fitting, ncw. Engine teardown showed prop gov screen blocked with numerous contaminants; metallic flakes on oil filter; carb body dirty; carb float attach pin worn; plugs showed rich fuel condition; mag timing 3 deg off; intake/exhaust rocker arms improperly installed; piston rings worn beyond life limits; no.2 cyl top ring broken; numerous rod caps & bearings installed backwards; all crank pins worn beyond service limits; all main bearings worn beyond service limits. Serial number on data plate did not match case number of the engine. Airplane was purchased 1/23/90 by the pilot.

Aircraft

Registration
N5354P
Reported as
Piper PA-24-180
Category
Airplane
Serial number
24-402
Engine
Lycoming O-360-A1A, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Rufus C. Cain
Destination
9F0 · Dublin, TX
Airport
E35 · Fabens, runway 26, 4,200 × 60 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Toxicology
Performed
Flight hours
745 total · 17 in this make and model · 690 as pilot in command · 22 in the last 90 days · 15 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 3 knots
Visibility
50 statute miles
Lowest ceiling
25,000 ft broken
Temperature
68 °F, dew point 34 °F
Altimeter
29.00 inHg
Observed at
ELP, 20 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.