FTW96LA358

NTSB accident investigation · Piper PA-28-235 · Tulsa, OK · August 24, 1996

Accident · Serious injuriesLimited investigationFinal report
Date
August 24, 1996, 12:30 local (17:30 UTC)
Place
Tulsa, OK
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N8565WPiper PA-28-235
Weather
Visual (VMC) · Day
Status
Completed · report December 23, 1996
Report
Approved by Office Director
FAA report
19960824024069A
Case key
19955

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

low fluid level in the hydraulic reservoir, due to inadequate maintenance/inspection, which resulted in an inoperative brake system. Factors relating to the accident were: the down sloping runway, and trees at the departure end of the runway.

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.

OverrunLanding - roll
Maintenance,inspection - inadequateOther maintenance personnelCause
Fluid,hydraulic - low levelCause
Landing gear,normal brake system - inoperativeCause
On ground/water collision with objectLanding - roll
Airport facilities,runway/landing area condition - downhillFactor
Object - tree(s)Factor

Analysis

According to the pilot, he executed a normal approach with two notches of flaps. He added that as 'he pulled the brake handle after touching down, the handle came all the way back and [he] realized the brakes had failed.' The pilot added that he pumped the brake handle a few more times in an attempt to stop, but without success. The pilot further stated that he elected not to abort the landing, because he was too far down the runway and too close to the 25 foot trees, obstructing the departure end of the runway. The airplane subsequently overran the 300 foot grass overrun area and impacted a tree stump and bushes. No tire skid marks were found on the freshly sealed 2,580 foot asphalt runway. Postaccident examination of the airplane confirmed that the brake fluid reservoir was empty. A review of the aircraft maintenance records revealed that maintenance was performed on the brake system during the last annual inspection, which was completed 12 flight hours prior to the accident. The runway sloped downhill in the direction of landing.

Factual narrative

On August 24, 1996, at 1230 central daylight time, a Piper PA-28-235, N8565W, was substantially damaged during a runway overrun while landing near Tulsa, Oklahoma. The airplane, owned and operated by a private owner, was being operated as a personal flight under Title 14 CFR Part 91. The private pilot, sole occupant of the airplane, was seriously injured. Visual meteorological conditions prevailed for the cross country flight for which a VFR flight plan was filed. The airplane departed from Kirk Field in Paragould, Arkansas, at approximately 1030.

According to witnesses who were waiting for the airplane's arrival at the Harvey Young Airport, the airplane "made a normal approach and touchdown on runway 35." According to the pilot, he executed a normal approach with two notches of flaps. He added that as "he pulled the brake handle after touching down, the handle came all the way back and [he] realized the brakes had failed." The pilot added that he pumped the brake handle a few more times to stop without success. The pilot further stated that he elected not to abort the landing because he was too far down the runway and too close to the 25 foot trees obstructing the departure end of the runway.

The airplane subsequently overran the 300 foot grass overrun area at the departure end of the runway and impacted a tree stump and bushes. No tire skid marks were found on the freshly sealed 2,580 foot asphalt runway. Photos submitted by the pilot's sister of the landing sequence of the airplane indicated that the pilot did not land long (as was initially reported by local law enforcement personnel).

Post-accident examination of the airplane confirmed that the brake fluid reservoir was empty. A review of the aircraft maintenance records revealed that maintenance was performed on the brake system of the 1963 model airplane during the last annual inspection completed 12 flight hours prior to the accident. Pertinent maintenance records and invoices are enclosed.

Both wings, the left side of the fuselage, and the nose section of the airframe sustained structural damage. A pilot who operates a similar single engine airplane from the airport stated that "the fact that runway 35 slopes slightly downhill probably contributed to the airplane's poor deceleration during the landing roll."

Aircraft

Registration
N8565W
Reported as
Piper PA-28-235
Category
Airplane
Serial number
28-10077
Airframe hours
2,313
Engine
Lycoming O-540, 235 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Alvin D. And Linda Wells
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · April 23, 1996 · 12 hours before
Departed
PGR · Paragould, AR
Destination
1H6
Flight plan
VFR
Airport
IH6 · Harvey Young, runway 35, 2,580 × 20 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
59
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
483 total · 9 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 72 °F
Altimeter
30.00 inHg
Observed at
TUL, 4 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.