LAX04CA173

NTSB accident investigation · Piper PA34-200 · La Verne, CA · March 31, 2004

Accident · No injuriesData collectionFinal report
Date
March 31, 2004, 12:55 local (20:55 UTC)
Place
La Verne, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N74SAPiper PA34-200
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20040331004509A
Case key
58983

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 CFI 's failure to correctly reconfigure the right engine fuel selector, resulting in a total loss of power to that engine. Also causal was the CFI's failure to maintain direction control of the airplane and an adequate airspeed, which led to the airplane stalling and colliding with terrain. A factor in the accident was the CFI's diverted attention.

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 power(total) - nonmechanicalApproach
Emergency procedure - simulatedPilot in command(cfi)
1 engine - loss,totalCause
Fuel tank selector position - not correctedPilot in command(cfi)Cause
Diverted attentionPilot in command(cfi)Factor
Fuel supply - restrictedPilot in command(cfi)Cause
Loss of control - in flightGo-around (vfr)
Directional control - not maintainedPilot in command(cfi)Cause
Airspeed - not maintainedPilot in command(cfi)Cause
Stall/mush - encounteredPilot in command(cfi)
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The airplane collided with terrain while the pilot was attempting a go-around during a multiengine training flight. The certified flight instructor (CFI) turned the right engine fuel selector to the "off" position, in an effort to simulate an engine failure. The student followed the proper procedure by correctly identifying the failed engine and flew the airplane accordingly. On short final, about 100 feet above ground level, the airplane was high and not properly aligned with the runway. The CFI opted to make a go-around, and the student inputted full throttle on both engines. The student was unable to maintain airspeed and establish a positive rate of climb. The CFI communicated that he would take over the controls, and attempted to continue the go-around. The airplane would not climb and drifted to the right, across another runway. The airplane continued in a gradual decent, and the stall warning horn sounded. The right wing impacted terrain, and the airplane spun around on the ground. The CFI stated that he had become distracted, and did not remember to turn the fuel selector back to the "on" position after the student had identified the failed engine. He thought this was the reason that the right engine did not respond to the throttle input during the go-around. The CFI reported no preimpact mechanical malfunctions or failures with the airplane.

Factual narrative

On March 31 2004, about 1255 Pacific standard time, a Piper PA-34-200, N74SA, collided with terrain while attempting a go-around at Brackett Field Airport, La Verne, California. Air Desert Pacific was operating the airplane under the provisions of 14 CFR Part 91. The certified flight instructor (CFI) and student pilot were not injured; the airplane sustained substantial damage. The local instructional flight originated from La Verne about 1150. Day visual meteorological conditions prevailed, and a flight plan had not been filed.

In a written statement, the CFI reported that he was overseeing the student's landing attempt on runway 26R. While inbound, about 4,000 feet mean sea level, the CFI turned the right engine fuel selector to the "off" position, in an effort to simulate an engine failure. The student followed the proper procedure by correctly identifying the failed engine and positioning the left throttle, mixture, and propeller controls in their full forward position, and the right throttle control in the idle position. While on the downwind portion of the traffic pattern, the air traffic control tower cleared them to land on runway 26L. On final approach, the student configured the airplane with full flaps and the landing gear in the extended position.

On short final, about 100 feet above ground level, the airplane was high and not properly aligned with the runway. The CFI opted to make a go-around, and the student inputted full throttle on both engines. The student was unable to maintain airspeed and establish a positive rate of climb. The CFI communicated that he would take over the controls, and attempted to continue the go-around. The airplane would not climb and drifted to the right, across runway 26R. The airplane continued in a gradual decent, and the stall warning horn sounded. The right wing impacted terrain, and the airplane spun around on the ground.

The CFI stated that he had become distracted, and did not remember to turn the fuel selector back to the "on" position after the student had identified the failed engine while inbound. He thought this was the reason that the right engine did not respond to the throttle input during the go-around. He added that it was possible that he could not maintain directional control of the airplane because the student may have failed to relinquish the controls. The CFI reported no preimpact mechanical malfunctions or failures with the airplane.

Aircraft

Registration
N74SA
Reported as
Piper PA34-200
Category
Airplane
Serial number
34-7250336
Engines
Lycoming 10/LIO-360, reciprocatingLycoming 10/LIO-360, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Air Desert Pacific
Airworthiness certificate
Standard, Normal
Departed
KPOC · La Verne, CA
Destination
KPOC · La Verne, CA
Airport
KPOC · Brackett Field Airport, runway 26L

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
Pilot
Age
25
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
620 total · 22 in this make and model · 142 in the last 90 days · 43 in the last 30 days
Role
Student pilot
Age
24
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Flight hours
223 total · 3 in this make and model · 56 in the last 90 days · 56 in the last 30 days

Weather

Conditions
Visual (VMC) · Day

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.