MIA02FA113

NTSB accident investigation · Piper PA-46-310P · Naples, FL · June 19, 2002

Accident · FatalField investigationFinal report
Date
June 19, 2002, 09:58 local (13:58 UTC)
Place
Naples, FL
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N9127LPiper PA-46-310P
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 2004
Report
Approved by Office Director
Parties
Teledyne Continental Motors, The New Piper Aircraft Company, FAA FSDO
FAA report
20020619014369A
Case key
55024

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 maintain airspeed above the stall speed while maneuvering to land after the engine ceased operating for undetermined reasons, which resulted in a stall/spin, an uncontrolled descent, and an impact with the ground.

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 undetermined
Loss of control - in flightManeuvering - turn to landing area (emergency)
Impairment(drugs)Pilot in command
Airspeed - not maintainedPilot in commandCause
Stall/spin - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

An annual inspection had been completed on the airplane the same day, and on its first flight after the annual inspection, as the airplane was departing from runway 05, at Naples Municipal Airport, witnesses said the engine ceased operating. They also said that the propeller was rotating either slowly or had stopped, and they then observed the airplane enter a steep turn, followed by an abrupt and uncontrolled nose-low descent and subsequent impact with the ground. The airplane came to rest in a nose-low, near vertical position, suspended at its tail section by a fence and some trees along the eastern perimeter of the airport. It had incurred substantial damage and the pilot and two passengers who were onboard the airplane were fatally injured. Postaccident examination of the airframe, flight controls and the engine did not reveal any mechanical failure or malfunction. The flaps were found to have been set to 10 degrees, and the propeller showed little or no evidence of rotation at impact. The FAA Toxicology Laboratory, Oklahoma City, Oklahoma, performed toxicological studies on specimens obtained from the pilot and the results showed that diphenhydramine was found to be present in urine, and 0.139 (ug/ml, ug/g) diphenhydramine was detected in blood. Diphenhydramine, commonly known by the trade name Benadryl, is an over-the-counter antihistamine with sedative side effects, and is commonly used to treat allergy symptoms. Published research (Weiler et. al. Effects of Fexofenadine, Diphenhydramine, and Alcohol on Driving Performance. Annals of Internal Medicine 2000; 132:354-363), has noted the effect of a maximal over the counter dose of diphenhydramine to be worse than the effect of a 0.10% blood alcohol level on certain measures of simulated driving performance. The level of diphenydramine in the blood of the pilot was consistent with recent use of more than a typical maximum single over-the-counter dose of the medication.

Factual narrative

History of flight

On June 19, 2002, about 0958 eastern daylight time, a Piper PA-46-310P, N9127L, registered to and operated by a private individual, as a Title 14 CFR Part 91 personal flight, crashed shortly after takeoff from Naples Municipal Airport, Naples, Florida. Visual meteorological conditions prevailed, and no flight plan was filed. The private-rated pilot and two passengers received fatal injuries, and the airplane was destroyed. The flight was originating at the time of the accident.

The mechanic who performed the annual inspection stated that after he completed the inspection, he tested the airplane by performing low and high power static tests for about 30 minutes. He further stated that all tests were normal, and he then endorsed the logbooks, and returned the airplane to service. While the annual was being conducted, the mechanic said that the pilot arrived with two passengers, and was anxious to proceed on his planned flight to St. Petersburg, Florida. After the airplane was returned to the pilot, the mechanic said he saw the pilot perform a short preflight, and then he and his passengers embarked the airplane, and taxied from the maintenance facility. Information obtained from the FAA Air Traffic Control Tower showed that from the time the pilot requested a clearance to taxi, to the time the clearance was issued for takeoff on the active runway, was about 5 minutes.

The airplane was departing from runway 05, at Naples Municipal Airport, and according to witnesses, it was at a low altitude in the vicinity of the departure end of the runway, when all of a sudden it entered into a steep bank, followed by a nose-down pitch attitude, and subsequently it impacted the ground. One of the witnesses stated that when he saw the airplane he did not hear the engine operating, and it appeared as if the propeller was moving slowly. Another witness stated that when the noise of the airplane's engine ceased, it drew his attention to the airplane, and he then turned to see what was happening. He said he saw the airplane enter a steep bank to the right, and descend.

The FAA Air Traffic Control Tower controller on duty at the airport stated that he had watched the accident airplane as it was cleared onto the active runway. He said he then saw it proceed down the runway and climb to an altitude of about 50-to 75 feet above the runway, but at that time his attention was diverted to inbound traffic. He said that there had been no further radio communications transmissions with the pilot of the accident airplane after the takeoff clearance had been issued.

Personnel information

The pilot/owner of N9127L held a FAA private pilot certificate, with airplane single and multiengine land and instrument ratings, last issued on October 25, 1993, when the multiengine rating was added. He also held an FAA third class medical certificate, issued on March 5, 2002. The pilot's medical certificate did not show any limitations.

The NTSB did not obtain access to the pilot's flight logbook, but according to information obtained from his last FAA medical examination, the pilot stated that he had accumulated a total of 3,000 hours of flight experience at the time of his application for the medical certificate.

Aircraft information

N9127L, is a 1987 Piper Malibu, model number PA-46-310P, serial number 46-08102. The airplane was equipped with a Teledyne Continental Motors, TSIO-520-BE2G, 310 horsepower engine. It is also equipped with a Hartzell two-bladed constant speed propeller, model number CHC-2YF-1BF. At the time of the accident, records showed that the airplane had accumulated about 4,643.3 flight hours on the airframe, and about 898 hours on the factory rebuilt/zero timed engine. The airplane had last received an annual inspection on June 19, 2002, and this was the first flight since that inspection.

Meteorological information

Visual meteorological conditions prevailed at the time of the accident. The Naples Municipal Airport 0953, surface weather observation was, winds from 110 degrees at 4 knots, visibility 10 statute miles, few clouds at 2,000 feet, temperature 84 degrees Fahrenheit, dew point temperature 75 degrees Fahrenheit, altimeter setting 30.11 inHg.

Wreckage and impact information

The airplane impacted the ground on airport property behind the Humane Society building, located at 160 Aviation Drive, Naples, Florida. The airplane came to rest in a nose-low, near vertical attitude, suspended at its tail section by a fence and some sparse trees along the eastern perimeter of the airport. The geographic position of the accident site was 26 degrees, 09.398 minutes north latitude, 081 degrees, 46.112 minutes west longitude, and the position is about 100 feet beyond the end, and about 400 feet to the right of the departure runway's centerline.

All components of the airplane necessary to sustain flight, were located in the immediate vicinity of the main wreckage. The airplane had incurred impact damage to its nose areas, to include the propeller, spinner, cowling and engine. Compression wrinkles were evident, and the nose section had been pushed up, and to the rear. The aft fuselage/empennage, was been bent about 30 degrees from the vertical, but it otherwise had minimal damage. There were no indications of a fire and/or explosion having occurred at the scene.

No evidence of any preaccident mechanical failure or malfunction to the airframe was found, and flight control continuity was established for roll and yaw. The elevator cable had parted, consistent with overload, and flight control continuity for pitch was confirmed from the elevator forward to the broken cable, and from the control yoke aft. The elevator trim tab actuator displayed seven threads, which equated to about a neutral setting. There was no damage to the tail cone, vertical fin/rudder, but the left horizontal stabilizer had been bent upward at the leading edge about 3 feet from the root. The left elevator was attached to the spar and the skin was wrinkled. The elevator "up-stop" had incurred impact damage, and the right stabilizer had incurred wrinkling about 4 feet outboard of the root.

In the cockpit, the panel had been pushed up and aft into the cabin. The throttle control was found to be in the full forward position, and it was bent to the right. The mixture control was also bent slightly to the right, and was about a half inch from its forward stop. The propeller control was about half an inch from its aft stop and was also bent to the right about 90 degrees. The fuel selector lever was positioned to select the left tank, and the selector valve corresponded to the left tank as well. When tested, the fuel selector valve operated in the left, right, and off positions. The electric boost pump switch had incurred impact damage, and its position could not be determined. The main and nose landing gear were in the retracted position.

The right rear of the fuselage, aft of the upper rear window frame had 12 rivets missing with 12 corresponding holes remaining in the fuselage. The right rear shoulder harness bracket that had been affixed to the fuselage in that position, and had separated from the fuselage. In addition, the corresponding right rear seatbelt webbing stitch which secured the webbing to the female end of the buckle had separated at the stitches. All seats exhibited signs consistent with impact damage.

The left wing had remained attached to the fuselage, and its leading edge was twisted and had been pushed upward and aft. The outboard section of the leading edge exhibited accordion crushing. Portions of the upper skin had separated from the main spar rivet line, exposing the fuel tank. The upper aft inboard section of the wing was also wrinkled from the wing root, outboard. The aileron was still attached to the wing, but its edge was bent upward. The aileron connecting rod had separated also from the aileron. The flap remained at

Aircraft

Registration
N9127L
Reported as
Piper PA-46-310P
Category
Airplane
Serial number
4608102
Airframe hours
4,643.3
Engine
Teledyne Continental TSIO-520-BE2G, 310 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Cavin Robert Councilor
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 19, 2002 · 0 hours before
Departed
APF · Naples, FL
Destination
PIE · St. Petersberg, FL
Airport
APF · Naples Municipal Airport, runway 5, 5,000 × 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
38
Injuries
Fatal
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
3,000 total

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 75 °F
Altimeter
30.11 inHg
Observed at
APF

Docket · 17

The files NTSB released with the investigation on April 19, 2004, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.1 MB in all.

FAA reports on this event · 1

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