LAX89LA263

NTSB accident investigation · Piper PA-23-180 · Lancaster, CA · August 4, 1989

Accident · Minor injuriesLimited investigationFinal report
Date
August 4, 1989, 12:40 local (19:40 UTC)
Place
Lancaster, CA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4376PPiper PA-23-180
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 1992
Report
Approved by Office Director
FAA report
19890804027359A
Case key
26467

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 pilot's failure to follow established procedures in restarting the engine that drives the hydrualic pump and his failure to follow published emergency landing gear extension procedures. The pilot's decision to shut down an engine and feather the propeller before assuring himself that the propeller would unfeather and his inadequate training in emergency procedures were factors in the accident.

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(partial) - nonmechanicalCruise - normal
1 engine
Propeller feathering - intentionalPilot in command
Starting procedure - improperPilot in commandCause
Inadequate training(emergency procedure(s))Pilot in commandFactor
Gear not extendedApproach - vfr pattern - final approach
Hydraulic system,pump - inoperativeFactor
Landing gear,emergency extension assembly - not engagedCause
Emergency procedure - not performedPilot in commandFactor
Inadequate trainingPilot in commandFactor
In flight collision with terrain/waterGo-around (vfr)
Aircraft performance,engine out capability - exceeded
Descent - not correctedPilot in command

Analysis

After completion of an annual inspection, the aircraft owner elected to conduct a maintenance test flight. While airborne, he shut down the right engine, then feathered and unfeathered the propeller, and restarted the engine by letting the propeller windmill. When he followed the same procedure with the left engine and propeller, the propeller failed to unfeather and he could not restart the engine. The pilot returned to the airport with one engine operating and attempted to extend the landing gear during pattern entry. The landing gear did not extend and the pilot initiated a go-around. The aircraft did not climb and began to loose altitude. Eventually, it collided with the ground off airport during an unarrested descent. The landing gear extension and retraction system was hydraulic and powered by a pump on the left engine. The flight manual provided two alternate means of emergency gear extension, neither of which the pilot attempted on the first landing approach.

Aircraft

Registration
N4376P
Reported as
Piper PA-23-180
Category
Airplane
Serial number
23-1881
Engine
Lycoming O-360-A1D, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 91
Operator
Simanski, Donald E.
Departed
WJF
Airport
GWF · Gen. William J. Fox, runway 24, 5,001 × 150 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
49
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 1, Valid Medical--w/ waivers/lim
Flight hours
1,159 total · 155 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 18 knots
Visibility
59 statute miles
Lowest ceiling
None
Temperature
-0 °F, dew point -0 °F
Altimeter
29.00 inHg
Observed at
WJF, 1 nm away

FAA reports on this event · 1

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