LAX94LA153

NTSB accident investigation · Piper PA-23-180 · Fairfield, AZ · March 5, 1994

Accident · Serious injuriesLimited investigationFinal report
Date
March 5, 1994, 11:00 local (18:00 UTC)
Place
Fairfield, AZ
Injuries
2 serious, 2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N2142PPiper PA-23-180
Weather
Visual (VMC) · Day
Status
Completed · report November 18, 1994
Report
Approved by Office Director
FAA report
19940305003689A
Case key
28689

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 flight instructor's inadvertent movement of the left engine propeller control into the feather position, his decision to by-pass suitable landing sites in an attempt to restart the left engine as the aircraft energy and performance capability deteriorated, his failure to maintain an airpseed at or above VMC, his failure to maintain control of the aircraft, and his inadequate supervision of the flight.

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) - nonmechanicalTakeoff - initial climb
1 engine - switched off
Propeller feathering - inadvertentPilot in command(cfi)Cause
Loss of control - in flightDescent - emergency
In-flight planning/decision - inadequatePilot in command(cfi)Cause
Airspeed(vmc) - not maintainedPilot in command(cfi)Cause
Aircraft control - not maintainedPilot in command(cfi)Cause
Supervision - inadequatePilot in command(cfi)Cause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

During the accident flight, the CFI was in the final process of preparing the second pilot to take his multiengine CFI check ride. After completing a touch-and-go landing, the airplane climbed to between 200- and 300-feet AGL. The CFI attempted to retard the left engine's throttle, but accidentally retarded the left engine's propeller control into the feather detent. The CFI maneuvered the airplane while attempting to restart the left engine. During this time, the aircraft by-passed several suitable landing sites and ended up overflying hilly terrain as the aircraft continued a gradual descent. The pilot lost control of the airplane as the airspeed decreased; the aircraft rolled to the left and collided with hilly terrain. The left engine and propeller combination was removed from the aircraft and installed in an engine test cell. The engine, propeller, and propeller governor were found to function normally throughout their normal operating ranges.

Factual narrative

On March 5, 1994, at 1100 mountain standard time, a Piper PA-23- 180, N2142P, collided with terrain following an in-flight loss of control near Fairfield, Arizona. The accident sequence was precipitated by the flight instructor inadvertently feathering the left propeller. The aircraft was operated by Proflight of Las Vegas, Nevada, and was on a dual instructional flight. Visual meteorological conditions prevailed at the time of the instructional flight. The airplane was substantially damaged upon colliding with terrain about 10 miles south of the airport in the state of Arizona. The airline transport certificated instructor pilot and the second pilot, who was receiving instruction for a multiengine flight instructor rating, were seriously injured. The two passengers were not injured. The flight originated from Las Vegas, Nevada, on March 5, 1994, at 0815 Pacific standard time as a dual instructional flight.

According to the pilot under instruction and the passengers, during the accident flight the flight instructor was in the final process of preparing the second pilot to take his multiengine flight instructor check ride. At the completion of the (accident) flight, the second pilot had planned to use the airplane for the check flight.

The occupants further reported that after completing a touch-and- go landing at St. George, Utah, the airplane climbed between 200 and 300 feet above the 2,938-foot mean sea level field elevation. Then, the flight instructor attempted to retard the left engine's throttle, but accidentally retarded the left engine's propeller control. The left engine's propeller blades feathered. The flight instructor maneuvered the airplane over lower elevation terrain while attempting to restart the left engine; however, the aircraft ended up crossing the Arizona border and overflying hilly terrain. The pilot lost control of the airplane as the airspeed decreased. The left wing lowered and the airplane collided with hilly terrain.

The pilot under training reported that the instructor retarded the left engine propeller control as the landing gear was retracting. The only engine-driven hydraulic pump is located on the left engine and the flight instructor had to pump the landing gear completely up by hand. During this time, the aircraft continued a gradual descent toward the ground. The pilot under training and the two passengers reported that the flight instructor by-passed several suitable forced landing sites in his attempt to restart the left engine.

After recovery of the aircraft, the left engine and propeller combination was removed from the aircraft and installed in an engine test cell. Under supervision of a Federal Aviation Administration (FAA) inspector, the engine was started three times, twice with the propeller feathered. During all three test runs, the engine started immediately and was exercised throughout its normal operating range. The propeller governor was noted to function smoothly and maintained control of the propeller rpm; the propeller blades were exercised into and out of the feather position easily with no hesitation.

Aircraft

Registration
N2142P
Reported as
Piper PA-23-180
Category
Airplane
Serial number
23-737
Airframe hours
4,805
Engine
Lycoming IO-360-B1B, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Proflight
Registered owner
James D. Hossler
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 25, 1994 · 31 hours before
Departed
L15 · Las Vegas, NV
Destination
SGU

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
37
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
6,343 total · 190 in this make and model · 4,763 as pilot in command · 125 in the last 90 days · 55 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
50 statute miles
Lowest ceiling
None
Temperature
70 °F

FAA reports on this event · 1

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