IAD97LA034

NTSB accident investigation · Piper PA-28-140 · Beverly, MA · December 21, 1996

Accident · FatalLimited investigationFinal report
Date
December 21, 1996, 11:22 local (16:22 UTC)
Place
Beverly, MA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N7246FPiper PA-28-140
Weather
Visual (VMC) · Day
Status
Completed · report September 4, 1998
Report
Approved by Office Director
FAA report
19961221039779A
Case key
28168

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

The NTSB’s determination of the probable cause, and any contributing factors.

loss of engine power for undetermined reason(s), and failure of the pilot to maintain adequate airspeed, while maneuvering for a forced landing, which resulted in a stall and subsequent in-flight collision with terrain.

Analysis

According to the air traffic controller, the pilot had completed a touch-and-go landing and was on climb-out, when he reported having engine difficulty. The airplane was at approximately 500 feet. After the pilot was cleared to land, the airplane turned left and banked about 90 degrees. A witness stated that the airplane 'seemed to fall backwards to the ground.' He stated the airplane was in a nose high altitude, about 50 degrees above the horizon. The airplane then seemed to fall off over the left wing and make a slight rotation. He did not hear any sound from the airplane. The airplane impacted the ground in a nose down attitude. No airframe or engine anomaly was noted during a post-accident examination of the aircraft wreckage.

Factual narrative

The factual narrative659 words

History of flight

On December 21, 1996, at about 1122 eastern standard time, a Piper PA-28-140, N7246F, owned and operated by the private pilot, collided with terrain shortly after takeoff following a touch and go landing, at the Beverly Municipal Airport, in Beverly, Massachusetts. The pilot, the sole occupant, received fatal injuries, and the airplane was destroyed. Visual meteorological conditions prevailed and no flight plan was filed for this local flight. The personal flight was conducted under Title 14 CFR Part 91.

A witness stated that the airplane "seemed to fall backwards to the ground". He stated the airplane was in a nose high altitude, about 50 degrees above the horizon. The airplane then seemed to fall off over the left wing and make a slight rotation. He did not hear any sound from the airplane.

According to the Air Traffic Controller, the pilot completed a touch and go, and was climbing when he reported having engine difficulty. The airplane was at approximately 500 feet. After clearing the pilot to land, the airplane began a left turn. After the left turn began, the left wing dipped to "about a 90 degree angle with the ground", and the airplane impacted the ground in a nose down attitude.

A local pilot stated he had flown with the first pilot earlier that year. He indicated that the airspeed indicator was not working properly, and the pilot did not appear to notice the error. Several times, in the opinion of the witness, the airplane got slow, and the witness was forced to lower the nose. Upon landing, the witness found mud in the static port which he removed. He indicated that it was not covering the static port hole, so he was unsure if that was the problem.

Personnel information

The pilot held a private pilot certificate with a single engine land rating. His certificate was issued April 20, 1996. His last medical, a third class, was issued November 17, 1995. It contained the limitation that the pilot must wear corrective lenses in order to exercise the privileges of the airman's certificate.

Aircraft records

The engine and aircraft records were examined. The engine had its last annual on June 20, 1996. It had accumulated 99 hours since the last annual. The airframe was inspected the same day. No discrepancies were noted.

Wreckage examination

According to the representative from Piper Aircraft, no airframe anomalies were noted. Control continuity was established to all flight control surfaces. The fuel system was examined, and continuity was established from the fuel tanks to the carburetor. The engine crankshaft was rotated by hand, and continuity throughout the drive train was confirmed. Thumb compression was verified on all cylinders.

According to the representative from Textron Lycoming, there were 50 gallons of 100 LL aviation fuel in the airplane upon departure. After examining the engine, he stated the impulse coupling did not function when the crankshaft was rotated by hand. After removing the impulse coupling from the engine and placing it on a test machine, it produced a spark to all plug leads. The carburetor was broken by impact just below the mounting flange. The fuel pump produced suction at the inlet port, and contained some cloudy fuel. All spark plugs exhibited moderate wear, except the bottom spark plug in the fourth cylinder which showed severe wear. The propeller blades were both damaged. One blade was twisted at approximately two thirds span and was bent aft. The second blade had heavy gouges in the leading edge.

Toxicology

A toxicological examination was performed by the Federal Aviation Administration on April 28, 1997. It concluded that Pentobarbital was detected in the blood, liver fluid, and muscle fluid, Phenytoin was detected in the blood, liver fluid, and muscle fluid, and Acetaminophen was detected in the blood. Medical personnel stated that these drugs were administered as part of the treatment the pilot received after the accident. No post mortem examination was performed on the pilot.

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.

Loss of engine powerTakeoff - initial climb
Reason for occurrence undeterminedCause
Forced landingManeuvering - turn to landing area (emergency)
Loss of control - in flightManeuvering - turn to landing area (emergency)
Airspeed - not maintainedPilot in commandCause
Stall - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Aircraft

Registration
N7246F
Reported as
Piper PA-28-140
Category
Airplane
Serial number
28-25162
Airframe hours
2,900
Engine
Lycoming O-320-E2A, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Michael R. Lebel
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 20, 1996 · 99 hours before
Departed
BVY
Destination
BVY
Airport
BVY · Beverly Municipal, runway 34, 4,634 × 100 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
39
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
230 total · 230 in this make and model · 178 as pilot in command · 63 in the last 90 days · 8 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 13 knots
Visibility
15 statute miles
Lowest ceiling
None
Altimeter
30.00 inHg
Observed at
BVY

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 N7246F · 1

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