GAA19CA511

NTSB accident investigation · Piper PA28 · Cottonwood, AZ · August 25, 2019

Accident · No injuriesData collectionFinal report
Date
August 25, 2019, 11:20 local (18:20 UTC)
Place
Cottonwood, AZ
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N8619WPiper PA28
Defining event
Takeoff: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report February 11, 2020
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
Case key
100141

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 student pilot's improper pitch and lateral control during a soft-field takeoff, which resulted in impact with terrain. Contributing to the accident was the student pilot's failure to relinquish control of the airplane to the instructor.

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.

Performance/control parameters: pitch controlAircraft › Aircraft oper/perf/capability · Incorrect use/operationPiper PA-28-235: 1 caseAll aircraft: 526 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotPiper PA-28-235: 28 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: lateral/bank controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-28-235: 1 caseAll aircraft: 390 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · Student/instructed pilotPiper PA-28-235: 5 casesAll aircraft: 792 casesProbable cause
Runway/land/takeoff/taxi surface: soft surfaceEnvironmental issues › Physical environment · Effect on operationPiper PA-28-235: 1 caseAll aircraft: 264 cases

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 reported that, during a soft-field takeoff with the student pilot at the flight controls, the airplane was in ground effect and yawed left with a high angle of attack. He added that, as the student was correcting, a wind gust from the right caused the airplane to drift left and put the airplane into a "cross controlled situation." The instructor attempted to assume control of the airplane, but the student did not relinquish control of the airplane. The instructor reported that he was unable to overpower the student and became concerned that the airplane was not producing enough lift and would aerodynamically stall or spin. The instructor pushed forward hard on the yoke to prevent a stall, and the airplane impacted terrain off the side of the runway about midfield. The airplane sustained substantial damage to the fuselage and the left and right wings. The instructor reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The student did not submit a written statement as requested. An automated weather observation station located 14 miles northeast of the accident site reported that, about the time of the accident, the wind was from 210° at 8 knots and variable between 180° and 240°. The airplane was departing from runway 14. The Federal Aviation Administration's Airplane Flying Handbook, FAA-H-8083-3B, contained a subsection titled, "Soft/Rough-Field Takeoff and Climb," which stated, in part, the following: An attempt to climb prematurely or too steeply may cause the airplane to settle back to the surface as a result of the loss of ground effect. During the transition out of the ground effect area, the pilot should not attempt to climb out of ground effect before reaching the sufficient climb airspeed, as this may result in the airplane being unable to climb further, even with full power applied. Therefore, it is essential that the airplane remain in ground effect until at least VX is reached.

Factual narrative

The flight instructor reported that, during a soft field takeoff with the student pilot at the flight controls, the airplane was in ground effect and yawed to the left with a high angle of attack. As the student was correcting, a wind gust from the right caused the airplane to drift left and put the airplane into a "cross controlled situation." The instructor attempted to assume control of the airplane, but the student pilot only heard his name and continued to fly the airplane. The instructor reported he was unable to overpower the student and became concerned that the airplane was not producing enough lift and would aerodynamically stall or spin. The instructor pushed forward hard on the yoke to prevent the stall, and the airplane impacted terrain 50 yards off the side of the runway about midfield. The airplane sustained substantial damage to the fuselage, left and right wings. The flight instructor reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The student pilot did not submit a written statement as requested. An airport's automated weather observation station, located 14 miles to the north east, reported that, about the time of the accident, the wind was from 210° at 8 knots and variable from 180° to 240°. The airplane was departing from runway 14. The Federal Aviation Administration's Airplane Flying Handbook, FAA-H-8083-3B, provides information and guidance in a section titled "Soft/Rough-Field Takeoff and Climb" which stated in part: The pilot must be aware that the correct takeoff procedure for soft fields is quite different from the takeoff procedures used for short fields with firm, smooth surfaces. To minimize the hazards associated with takeoffs from soft or rough fields, the pilot should transfer the support of the airplane's weight as rapidly as possible from the wheels to the wings as the takeoff roll proceeds by establishing and maintaining a relatively high AOA or nose-high pitch attitude as early as possible. The pilot should lower the wing flaps prior to starting the takeoff (if recommended by the manufacturer) to provide additional lift and to transfer the airplane's weight from the wheels to the wings as early as possible. After the airplane becomes airborne, the pilot should gently lower the nose with the wheels clear of the surface to allow the airplane to accelerate to VY, or VX if obstacles must be cleared. Immediately after the airplane becomes airborne and while it accelerates, the pilot should be aware that, while transitioning out of the ground effect area, the airplane will have a tendency to settle back onto the surface. An attempt to climb prematurely or too steeply may cause the airplane to settle back to the surface as a result of the loss of ground effect. During the transition out of the ground effect area, the pilot should not attempt to climb out of ground effect before reaching the sufficient climb airspeed, as thismay result in the airplane being unable to climb further, even with full power applied. Therefore, it is essential that the airplane remain in ground effect until at least VX is reached.

Aircraft

Registration
N8619W
Reported as
Piper PA28 (235)
Category
Airplane
Serial number
28-10133
Built
1963
Airframe hours
1,723.8
Engine
Lycoming O-540, 235 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
N8619W Llc
Registered owner
N8619W Llc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 15, 2019
Departed
HII · Lake Havasu, AZ
Destination
PRC · Prescott, AZ
Flight plan
VFR
Airport
P52 · Cottonwood, runway 14, 4,252 × 75 ft, asphalt
Equipment
None

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
Student pilot
Age
42
Injuries
None
Certificate
Student
Medical
Class 1, With waivers/limitations
Seat
Left
Restraint
4-point
Flight hours
124 total · 19.3 in this make and model · 17 as pilot in command · 17 in the last 90 days · 17 in the last 30 days · 17 in the last 24 hours
Role
Flight instructor
Age
41
Injuries
None
Certificates
Flight instructor, Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
May 23, 2019
Seat
Right
Restraint
4-point
Flight hours
7,110 total · 113 in this make and model · 6,625 as pilot in command · 362 in the last 90 days · 104 in the last 30 days · 3.2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 55 °F
Altimeter
30.19 inHg
Observed at
KSEZ, 14 nm away

Docket · 2

The files NTSB released with the investigation on October 24, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.5 MB in all.

Other investigations on N8619W · 1

Matched to the same aircraft by N-number and date.