LAX99LA023

NTSB accident investigation · Piper PA-46-350P · Mammoth, CA · November 4, 1998

Accident · Serious injuriesLimited investigationFinal report
Date
November 4, 1998, 10:45 local (18:45 UTC)
Place
Mammoth, CA
Injuries
2 serious, 2 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N50JGPiper PA-46-350P
Weather
Visual (VMC) · Day
Status
Completed · report June 22, 2000
Report
Approved by Office Director
FAA report
19981104031359A
Case key
45250

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 ensure that the autopilot was off prior to takeoff, and, his failure to maintain pitch control during the resultant pitch trim excursion during the takeoff ground roll.

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 control - in flightTakeoff - initial climb
Checklist - improper use ofPilot in commandCause
Autopilot - inadvertent activation
Aircraft control - not maintainedPilot in commandCause
Stall/mush - encounteredPilot in command
In flight collision with terrain/waterDescent - uncontrolled

Analysis

Witnesses said the aircraft took off prematurely and over rotated to a nose high attitude. Shortly thereafter, the aircraft hit the ground tail first then the nose. The aircraft veered off the side runway and came to rest on a taxiway. The winds were reported as calm at the time. The pilot told the witness that he stalled on takeoff. Immediately after the accident, the position of the elevator trim tab and the cockpit elevator trim indicator were found in the full nose up trim positions. The pilot reported that the aircraft had a dead battery and required external power for the start. During this process, the autopilot cycled twice. The pilot stated that he performed a normal run-up and trimmed the aircraft for takeoff. He said that at 62 knots the autopilot ran the pitch trim to the full nose up position and the aircraft pitched prematurely to a nose high attitude and lifted off the ground. The pilot then retracted the landing gear. The left wing dropped and the airplane settled back to the ground. According to the auto pilot manufacturer, the pitch servo capstans are designed with a clutch that will slip at 25 pounds of control wheel force. According to flight test data supplied by Piper, the control wheel force required to hold 62-knot speed at full trim tab deflection would be less than 40 pounds.

Factual narrative

On November 4, 1998, at 1045 hours Pacific standard time, a Piper PA-46-350P, N50JG, crashed during takeoff from runway 09 at the Mammoth, California, airport. The aircraft, owned and operated by the pilot under 14 CFR Part 91, was substantially damaged. The private pilot and one passenger received serious injuries. The other two passengers received minor injuries. Visual meteorological conditions existed at the time and no flight plan was filed for the personal VFR flight to Las Vegas, Nevada.

According to the airport manager, the aircraft took off prematurely and over rotated to a nose high attitude. Shortly thereafter, the aircraft hit the ground tail first then the nose. The aircraft veered off the side of the 7,000-foot-long runway and came to rest on a taxiway. The winds were reported as calm at the time. The pilot told the manager that he "stalled on takeoff." At the request of the Safety Board, the airport manager documented the position of the elevator trim tab and the cockpit elevator trim indicator in the full nose up trim positions.

In his written report to the Safety Board, the pilot said that the aircraft had a dead battery and required external power for the start. During this process, the autopilot "cycled twice." The pilot stated that he performed a normal run-up and trimmed the aircraft for takeoff. At 62 knots, the aircraft pitched prematurely to a nose high attitude and lifted off the ground. The pilot retracted the landing gear and the airplane settled back to the ground.

The pilot told Federal Aviation Administration inspectors from the Reno, Nevada, Flight Standards District Office that the autopilot ran the pitch trim to the full nose up position just prior to rotation speed. The aircraft lifted off and immediately "felt mushy." The pilot said the left wing dropped and the airplane settled back onto the runway.

According to the autopilot manufacturer, the autopilot pitch servo capstans are designed with a clutch that will slip at 25 pounds of control wheel force.

Flight test data was supplied by Piper Aircraft concerning control wheel force versus pitch trim tab position. The two speeds for which data points were supplied were 110 KCAS and 200 KCAS. The control wheel force required to hold speed at full trim tab deflection was 48 and 71 pounds, respectively.

Aircraft

Registration
N50JG
Reported as
Piper PA-46-350P
Category
Airplane
Serial number
46-22198
Airframe hours
400
Engine
Lycoming TSIO-540-AE2A, 350 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Robert Friedman
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 12, 1998 · 176 hours before
Departed
MMH
Destination
LAS · Las Vegas, NV
Airport
MMH · Mammouth Lakes Airport, runway 9, 7,000 × 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
45
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
837 total · 113 in this make and model · 837 as pilot in command · 47 in the last 90 days · 18 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
20 statute miles
Lowest ceiling
None
Temperature
52 °F
Altimeter
29.00 inHg
Observed at
MMH

FAA reports on this event · 1

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