- Date
- October 25, 1994, 19:06 local (Oct 26, 1994, 01:06 UTC)
- Place
- Aurora, CO
- Injuries
- 2 fatal
- Damage
- Destroyed
- Phase of flight
- Initial climb
- Aircraft
- N8954WPiper PA-28-235
- Weather
- Visual (VMC) · Night/dark
- Status
- Completed · report August 23, 1995
- Report
- Approved by Office Director
- FAA report
- 19941025035849A
- Case key
- 19195
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 CFI's FAILURE TO MAINTAIN AIRCRAFT CONTROL DUE TO SPATIAL DISORIENTATION. FACTORS WERE: A DARK, MOONLESS NIGHT WITH NO VISIBLE HORIZON AND RECENCY OF NIGHT EXPERIENCE BY THE FLIGHT INSTRUCTOR.
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.
Analysis
While conducting a night check out instructional flight, and while in the pattern, the aircraft struck the ground while in a left turn off the end of the departure runway. Weather conditions were clear, dark night with no moon. There was no visible horizon in the direction the aircraft was flying at the time of impact. The flight instructor had no night experience in the recent past.
Factual narrative
History of flight
On October 25, 1994, at 1906 mountain daylight time, a Piper PA- 28-235, N8954W, was destroyed by ground impact and postimpact fire near Aurora Airpark, Aurora, Colorado. Both pilots sustained fatal injuries. Visual meteorological conditions prevailed for this local area instructional flight and no flight plan was filed. The flight originated about 1800.
Persons at the airpark stated that they received a request for an airport advisory from the aircraft about 1900 on the UNICOM frequency. About 1910, the airport manager saw a fire burning southeast of the field and went to investigate. He found the aircraft in flames with both occupants still on board. Emergency crews arrived about 5 minutes later. They were notified by another person who saw the fire and called 911.
The accident site is located approximately 900 feet off the southeast end of runway 14 at Aurora Airpark. Runway 14 was the preferred runway in use at the time of the accident.
According to personnel at the airpark, the owner of the aircraft was receiving a night check out. The flight had been airborne about an hour and had returned to the pattern when the accident occurred.
The terrain off the end of the runway where the accident occurred consists of farm fields. There is a farm house with a yard light approximately a mile off the end of the runway, and a second farm house with a yard light about one half mile to the east of the runway end. Those are the only lights off the end of the runway where the accident occurred.
Personnel information
According to persons who knew the flight instructor, he had flown out of Aurora Airpark for some time and was familiar with the area. Available information indicates that he had not flown at night in the recent past.
Records provided by the airpark indicate the owner of the aircraft, who was receiving instruction, had flown for six tenths of an hour on October 1, 1994, and one hour on October 21, 1994. No other records of recent flight time were found. FAA records provided information that this pilot had 145 hours total flight time and his certificate was issued on March 15, 1994.
Meteorological information
According to the National Weather Service, weather at the time of the accident was clear skies with 40 miles of visibility. Persons at the airpark stated that it was dark and there was no moon. Observation by this investigator, the night following the accident, provided information that on a clear, dark, moonless night there was no visible horizon to the south and southeast off the end of runway 14.
Aerodrome information
Aurora Airpark is a private airport open to the public and is located 11 miles east of the city of Aurora. It is bordered on the north by an interstate highway and on the other three sides by open farm land. Lighting consists of threshold and runway lights which are pilot controlled. The airport is VFR only.
Wreckage and impact information
The first ground scar found consisted of a shallow gouge which contained the pitot tube. From that witness mark, the ground scar track was on a base heading of 74 degrees. Fifteen feet from the first mark was a deep gouge which contained some engine oil residue.
Twenty two feet to the southeast from the deep gouge the left wing was found. The wing was fire damaged and the tip tank was missing.
The fuselage, oriented towards the northeast, was located 37 feet beyond the deep gouge. The engine was attached and the forward half of the fuselage and engine were fire damaged.
The right wing remained attached to the fuselage by cables and was oriented to the north. The aileron was attached and flight control continuity through the wing was established. The tip tank was attached. The left tip tank was found 31 feet to the northwest of the fuselage. The tip tank was damaged. (Refer to wreckage diagram.)
Fuel was not found in the left wing. However, the wing had burned and evidence of a fuel fire was present along with a fuel odor in the vicinity of the wing. The right wing tank was about one half full and the fuel selector in the fuselage was positioned on the right main tank. Neither tip tank contained fuel or evidence that they had contained fuel at the time of the accident.
The engine sustained some fire damage around the bottom of cylinders 2 and 4. In addition, the following damage was observed.
Number 2 intake pipe was pushed back. Number 2 exhaust pipe was flattened into number 4 intake pipe. Number 4 exhaust pipe was pushed back into number 6 intake pipe. The alternator was displaced rearward. The carburetor was broken off just below the mounting flange. Three ignition leads were smashed at the right magneto cap. The top of the mounting flange of the left magneto was broken. Five of the ignition leads from the left magneto were smashed at the cap. The airbox was smashed up against the bottom of the carburetor.
The above noted damage was associated with impact forces and fire.
The propeller remained attached and both blades were bent rearward. One blade exhibited chordwise scratches.
The empennage was intact and sustained minor damage. All flight control surfaces were properly attached and flight control continuity was established.
Medical and pathological information
An autopsy and toxicological examination was conducted on both victims by the Arapahoe County Medical Examiner. No abnormalities were noted and death was attributed to blunt force trauma associated with impact forces.
Tests and research
An engine examination was conducted at the facilities of Beegles Aircraft Services, Greeley, Colorado. That examination is detailed as follows:
Following removal of one spark plug from each cylinder, engine continuity was checked and found to be normal. The crankshaft was rotated and thumb compression was confirmed on cylinders 2,3,4, and 6. Compression on cylinder number 3 was noticeably lower than 2,4, and 6. There was no compression found on cylinders 1 and 5.
All cylinders were removed and examined. Number 5 cylinder exhibited some scuffing near the top of the barrel. Corresponding scuffing was noted near the top of the piston. The top compression ring was broken into six pieces. Rubbing damage to several of the fracture surfaces provided evidence that the engine had operated with the broken ring for some time. Visual examination of the ring revealed wear on the sides. The corresponding ring groove exhibited a similar wear pattern. The second compression ring was intact and free in the groove.
Number 1 cylinder had light scuffing near the top of the barrel and corresponding scuffing near the top of the piston. The top compression ring was broken near the gap. The broken section measured approximately .375 inches in length. The second compression ring and the oil ring were both intact and free in the piston ring grooves.
The other cylinders had varying degrees of scuffing in the barrels and on the pistons. The piston rings were intact and free in the ring grooves. The valves and valve springs all appeared normal. No evidence was found to indicate why the compression in number 3 cylinder was low.
The accessory housing was removed and all accessory drive gears were intact. The crankshaft gear bolt, lockplate, and dowel were intact and showed no evidence of wear. The oil pump turned freely by hand. Disassembly of the pump revealed that the gears and shaft were intact and operable.
The right magneto was a Bendix S6LN-20 (red label), S/N 863093. Spark was produced at all lead towers when the shaft was rotated with an electric drill.
The left magneto was a Bendix S6LN-21 (blue label), S/N 450276. It produced spark at all lead towers when the shaft was turned with an electric drill. The impulse coupling functioned.
The carburetor was
Aircraft
- Registration
- N8954W
- Reported as
- Piper PA-28-235
- Category
- Airplane
- Serial number
- 28-10527
- Airframe hours
- 2,253
- Engine
- Lycoming O-540-B4B5, 235 horsepower, reciprocating
- Damage
- Destroyed
- Fire
- On-Ground
- Flight
- Instructional · Part 91
- Registered owner
- Krama, Desha K.
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · July 21, 1994
- Departed
- O1V
- Airport
- O1V · Aurora Airpark, runway 14, 4,694 × 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
As NTSB recorded them. NTSB leaves out names.
- Role
- Pilot
- Age
- 62
- Certificates
- Commercial, Flight instructor
- Airplane ratings
- Single-engine land, Multi-engine land, Single-engine sea
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--w/ waivers/lim
- Seat
- Right
- Toxicology
- Performed
- Flight hours
- 5,220 total · 45 in this make and model · 5,110 as pilot in command · 265 in the last 90 days · 43 in the last 30 days
Weather
- Conditions
- Visual (VMC) · Night/dark
- Wind
- 80° at 5 knots
- Visibility
- 40 statute miles
- Lowest ceiling
- None
- Temperature
- 52 °F, dew point 19 °F
- Altimeter
- 30.00 inHg
- Observed at
- DEN, 5 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.