- Date
- November 15, 1996, 18:00 local (23:00 UTC)
- Place
- West Milton, OH
- Injuries
- 2 fatal
- Damage
- Destroyed
- Phase of flight
- Enroute
- Aircraft
- N8468HPiper PA-34-220T
- Weather
- Visual (VMC) · Day
- Status
- Completed · report July 23, 1999
- Report
- Approved by Office Director
- FAA report
- 19961115035859A
- Case key
- 28121
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's inability to maintain aircraft control after an undetermined failure of the automatic flight control. A contributing factor was failure of the maintenance technician to have the airplane test flown prior to release.
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
The pilot and passenger were dropped off to pick up the pilot's airplane, after a new Global Positioning Satellite (GPS) unit had been installed. After takeoff, the pilot stated to the flight instructor over the Unicom frequency that he was having problems with his trim and was heading for Dayton. Before contacting the Dayton Airport, the pilot stated the airplane had a full deflection of elevator down trim, and he was having difficulty holding his altitude. The instructor asked if he had pulled the circuit breaker for the trim, and the pilot answered yes. Shortly thereafter the airplane impacted into a farm field in a near vertical attitude. The King KLN 89 GPS unit was wired to the number one VOR and the autopilot in such a manner that the GPS could be coupled to the autopilot. According to the technician, after installation the system was checked on the ground and found to be operational. The repair technician failed to have the aircraft test flown in accordance with FAR 91.407 (b) prior to releasing it to the pilot.
Factual narrative
History of flight
On November 15, 1996, about 1800 eastern standard time, a Piper PA-34-220T, N8468H, owned and operated by the private pilot, collided with terrain in the vicinity of West Milton, Ohio, after declaring an in-flight emergency with approach control at Dayton International Airport, Dayton Ohio. The pilot and one passenger, the sole occupants, received fatal injuries, and the aircraft was destroyed. Visual meteorological conditions prevailed and no flight plan was filed. The personal flight departed Brookville Airpark in Brookville, Ohio about 1750, and was conducted under Title 14 CFR Part 91.
According to a witness, the pilot's flight instructor, the pilot and passenger were flown by him to Brookville Airpark to pick up the airplane which was dropped off on November 11, 1996 to have a navigational Global Positioning System (GPS) unit installed. Ground witnesses stated the pilot had difficulty starting his airplane because of a low battery. Additionally, he was observed after starting the airplane, taxiing a short distance and shutting down the engine, exiting the airplane, walking to the back of it and examining the elevators. According to the unicom operator he heard the pilot ask his instructor over the unicom frequency, what flap settings to use for takeoff and told his instructor that he was stopping to check his trim. Two minutes after the takeoff the pilot reported to his instructor that he was having problems with his trim.
After takeoff, the pilot stated to the flight instructor that he was having problems with his trim and was heading for Dayton. Before contacting the Dayton Airport, the pilot stated the airplane had a full deflection of elevator down trim and he was having difficulty holding his altitude. The instructor asked if he had pulled the circuit breaker for the trim and the pilot answered yes. According to the flight instructor, he and the pilot remained in communication with each other until he switched over to Dayton. Shortly after that the airplane impacted into a farm field in a near vertical attitude.
Personnel information
Entries in the pilot's logbook indicated that he obtained his private certificate and single engine land rating on January 19, 1988. He also held a multi-engine land rating which he obtained on September 23, 1996. A third class medical was issued to the pilot on April 3, 1995, with the limitation to possess glasses for near vision. Entries in the pilot's logbook indicated that he had accumulated 626 hours total flight time, 56 hours total multi-engine time in this airplane, with 13 hours as pilot in command. The last entry into the logbook was dated October 15, 1996. According to the flight instructor the pilot was meticulous about his airplane and always did a thorough pre-flight inspection. Additional pilot information is contained on page 3 of this form, under the heading First Pilot Information.
Aircraft information
N8468H, a Piper PA-34-220T was a seven seat, twin engine, cabin class airplane. It was registered to the pilot on August 20, 1996. On November 11, 1996, the airplane was flown to Brookville Airpark to have a Global Positioning System (GPS) installed. The King KLN 89 GPS unit was wired to the number one VOR and the autopilot in such a manner that the GPS could be coupled to the autopilot. According to the technician, after installation the system was checked on the ground and found to be operational. The technician stated that a test flight was needed but had not been accomplished prior to the accident flight.
Meteorological information
Visual meteorological conditions prevailed at the time of the accident. Additional meteorological information may be obtained in this report on page 4 under the section titled Weather Information.
Wreckage and impact information
The main wreckage was found in an empty freshly plowed corn field, GPS Coordinates North 39 degrees 57 minutes, 09 seconds, and West 084 degrees, 22 minutes 24 seconds. The airplane wreckage was found in an open, harvested, and plowed farm field. A three foot deep crater was observed in the field, about 50 west of the main wreckage. The crater contained pieces of aluminum and composite material similar to that found in the main wreckage. Airplane debris was found scattered about 250 feet east of the main wreckage along a magnetic azimuth of about 077 degrees. The debris consisted mainly of papers and items of mass, i.e., radio's, instruments, electronic components, propeller blades, landing gear components, and engine components. Examination on scene of the King KNS 200 autopilot, and the King KLN 89 GPS, found them destroyed by impact.
The fuselage, wings, and empennage exhibited accordion like damage along the longitudinal axis of the airplane. Both wings, ailerons, flaps, vertical stabilizer, horizontal stabilizers and engines were separated from their attachment points. The left wing main spar was separated at its attachment points. The left main spar from the engine nacelle inboard to its attachment point was bent upwards about 70 degrees, and the entire main spar was twisted 45 degrees. The entire leading edge of the left wing was crushed aft to the main spar and ripped away including the rivet line. A portion of the left aileron was found attached to the center hinge. A portion of the left flap was found attached to the center attachment point.
The right wing main spar was separated at the outboard edge of the nacelle and at the wing attachment points. Nearly all wing skin was ripped from the wing. The nacelle was found crushed upwards, and the wing was bent upwards approximately 80 degrees from the nacelle, outboard. A portion of the flap remained attached but was bent upwards at the center attachment point. The aileron had separated.
The top portion of the vertical stabilizer had separated, and the leading edge was crushed. The right horizontal stabilizer was bent downward about 90 degrees, and the entire leading edge was crushed aft. The left horizontal stabilizer was bent downward about 45 degrees. The stabilizer trim tabs were found attached. The stabilizer trim jackscrew was found fully extended, consistent with a full nose down position. The cabin, cockpit and empennage were destroyed by impact.
Medical and pathological information
Post mortem examinations of the pilot and the passenger were performed by the Montgomery County Coroner's Office on November 17, 1996. A toxicological examination of the pilot was performed by the Federal Aviation Administration on November 19, 1996. According to the report, post mortem ethanol was detected in the pilot's muscle fluid.
Tests and research
The elevator trim jackscrew assembly was sent to the NTSB Materials Laboratory Division for examination. The jackscrew was found jammed in the extended position consistent with the elevator trim in the full nose down position. Examination of the assembly found that the jam was a result of impact damage.
The elevator and elevator trim cables were sent to the NTSB Materials Laboratory Division for testing. Both elevator cables appeared to have been cut at one end and had a clevis or fork on the other. Along both the cables, there was a turnbuckle and a red elevator trim block to which the autopilot trim cable was attached. Both were heavily stretched and deformed.
Six pieces of elevator trim cable were examined at the laboratory. Microscopic examination showed that all fractures of the cables were consistent with overstress separations. The broken ends of the wires showed typical overstress features such as 45 degree fracture planes, cup cone fractures, necking and dimpled fracture surfaces. Some of the trim cable showed deformations near the fractures consistent with rubbing of the wires or the wires being squeezed together under high loads. There were dents and reduced cross sections close to the fracture.
Additional information
Examinatio
Aircraft
- Registration
- N8468H
- Reported as
- Piper PA-34-220T
- Category
- Airplane
- Serial number
- 34-8233038
- Engine
- Lycoming TSIO-360-KB, 360 horsepower, reciprocating
- Damage
- Destroyed
- Flight
- Personal · Part 91
- Registered owner
- John Lincoln West
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · August 8, 1996
- Departed
- I62 · Brookville, OH
- Destination
- AOH · Lima, OH
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
- 61
- Certificate
- Private
- Airplane ratings
- Single-engine land, Multi-engine land
- Medical
- Class 3, Valid Medical--w/ waivers/lim
- Seat
- Left
- Toxicology
- Performed
- Flight hours
- 626 total · 56 in this make and model · 485 as pilot in command · 33 in the last 90 days · 3 in the last 30 days
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 0° at 12 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 37 °F, dew point 48 °F
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.
Other investigations on N8468H · 1
Matched to the same aircraft by N-number and date.