GAA18CA559

NTSB accident investigation · Piper PA34 · Miami, FL · September 11, 2018

Accident · No injuriesData collectionFinal report
Date
September 11, 2018, 10:30 local (14:30 UTC)
Place
Miami, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N88AGPiper PA34
Defining event
Landing: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report September 26, 2019
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20180911016259A
Case key
98314

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 pilot under instruction’s failure to maintain the twin-engine airplane’s minimum control airspeed with one engine inoperative and the flight instructor’s distraction when reconfiguring the airplane following the simulated engine failure, which resulted in no power being available to the left engine and a loss of control during landing when the throttles were advanced to increase airspeed.

Findings · 5

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.

Use of equip/info: use of policy/procedurePersonnel issues › Task performance · Instructor/check pilotPiper PA-34-200: 1 caseAll aircraft: 191 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotPiper PA-34-200: 6 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-34-200: 4 casesAll aircraft: 1,681 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-34-200: 3 casesAll aircraft: 3,958 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · Instructor/check pilotPiper PA-34-200: 1 caseAll aircraft: 792 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 flight instructor in the multiengine airplane reported that the pilot under instruction was conducting a simulated instrument approach in visual flight rules conditions. The instructor placed the left engine fuel selector in the "off" position to simulate an engine out, and the pilot under instruction initiated the left engine failure procedure by placing the engine and propeller levers in a simulated feathered zero-thrust configuration. The instructor became distracted by traffic and failed to place the left engine fuel selector back to the "on" position. With full flaps and the landing gear extended and while about 250 ft above ground level, the instructor terminated the simulated instrument approach and instructed the pilot to land visually; however, the airspeed decreased below safe limits, and he instructed the pilot to increase the airspeed. The pilot increased power on both engines; however, the left engine power did not increase, and the airplane rolled to the left about 45°. The instructor took the controls and applied right aileron and rudder, but the airplane settled down in a level attitude in a shallow lagoon on the left side of the runway. The airplane sustained substantial damage to the forward fuselage bulkheads. The instructor reported that there were no mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Factual narrative

The flight instructor in the multi-engine airplane reported that the pilot under instruction was wearing a view limiting device during a simulated instrument approach in visual flight rules conditions. The instructor placed the left engine fuel selector in the off position to simulate an engine out, and the pilot under instruction initiated the left engine failure procedure placing the engine and propeller levers in a simulated feathered zero thrust configuration. The instructor became distracted by traffic and failed to place the left engine fuel selector in the on position. With full flaps applied and the landing gear extended, about 250 feet AGL the instructor terminated the simulated instrument approach and instructed the pilot to land visually, however, the airspeed decreased below safe limits and he instructed the pilot to increase the airspeed. The pilot increased power on both engines, however, there was no increase in power on the left engine and the airplane rolled to the left about 45°. The instructor came on the controls and applied right aileron and right rudder, but the airplane touched down in a level attitude in a shallow lagoon on the left side of the runway. The airplane sustained substantial damage to the forward fuselage bulkheads. The pilot reported that there were no mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Aircraft

Registration
N88AG
Reported as
Piper PA34 (200)
Category
Airplane
Serial number
34-7450093
Built
1974
Airframe hours
6,698.6
Engines
Lycoming IO360 SER, 200 horsepower, reciprocatingLycoming IO-360-C1E6, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Wayman Flight Training
Registered owner
My Way Aviation Llc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 23, 2018
Departed
HWO · Hollywood, FL
Destination
HWO · Hollywood, FL
Airport
TNT · Dade-Collier Training And Tran, runway 09, 10,499 × 150 ft, asphalt
Equipment
Stall warning system, ADS-B

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
Flight instructor
Age
73
Injuries
None
Certificates
Flight instructor, Airline transport, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
June 22, 2018
Seat
Right
Restraint
3-point
Flight hours
28,000 total · 600 in this make and model · 15,000 as pilot in command · 60 in the last 90 days · 30 in the last 30 days · 3 in the last 24 hours
Role
Pilot
Age
30
Injuries
None
Certificates
Foreign, Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
August 7, 2017
Seat
Left
Restraint
3-point
Flight hours
221 total · 8.5 in this make and model · 72.6 as pilot in command · 22.2 in the last 90 days · 9.6 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 5 knots
Visibility
10 statute miles
Lowest ceiling
23,000 ft broken
Temperature
84 °F, dew point 77 °F
Altimeter
30.02 inHg
Observed at
KMIA, 32 nm away

Docket · 2

The files NTSB released with the investigation on June 26, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.3 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.