MIA08LA159

NTSB accident investigation · Piper PA-28R-200 · West Kingston, RI · August 2, 2008

Accident · No injuriesLimited investigationFinal report
Date
August 2, 2008, 12:00 local (16:00 UTC)
Place
West Kingston, RI
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N56064Piper PA-28R-200
Defining event
Landing-flare/touchdown: Landing gear not configured
Weather
Visual (VMC) · Day
Status
Completed · report March 5, 2009
Report
Approved by Office Director
Parties
Boston FAA/FSDO
Case key
68600

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 pilot's misjudgment of speed and altitude while maneuvering to land during an emergency descent. Contributing to the accident was the partial loss of engine power.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Performance/control parameters: descent/approach/glide pathAircraft › Aircraft oper/perf/capability · Incorrect use/operationPiper PA-28R-200: 5 casesAll aircraft: 809 casesProbable cause
Engine (reciprocating)Aircraft › Aircraft power plant · MalfunctionPiper PA-28R-200: 7 casesAll aircraft: 497 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot stated that he was in cruise flight at 3,000 feet when he noted an airframe vibration. When he pushed the throttle full forward, the manifold pressure and engine rpm increased, and the vibration increased. He then leaned the mixture and the vibration seemed to decrease. The airplane would not climb, and started a descent. The pilot selected the nearest airport and proceeded to the airport to make a precautionary landing. The pilot initiated a visual approach to the 2,129-foot long runway. He realized the airplane was high and fast, and he then completed a go-around. He remained in closed traffic and was looking for available forced landing areas. The pilot turned on final approach again, but then he decided to abort the approach and land gear-up in a sod field. Examination of the engine assembly revealed the No. 1 cylinder exhaust valve pushrod would only move .125 inch. The cylinder exhibited heavy carbon build up on the upper and lower spark plugs. No other anomalies were noted.

Factual narrative

On August 2, 2008, at 1200 eastern daylight time, a Piper PA-28R-200, N56064, registered to Pine Ledge Aviation LLC, operating as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight, collided with the ground during a forced landing in the vicinity of Richmond Airport (08R), West Kingston, Rhode Island. Visual meteorological conditions prevailed and no flight plan was filed. The airplane received substantial structural damage to the left wing. The private pilot and three passengers reported no injuries. The flight departed North Central State Airport (SFZ), Pawtucket, Rhode Island, on August 2, 2008, at 1030. The pilot stated he was in cruise flight at 3,000 feet in the vicinity of Richmond, Rhode Island, when he noted an airframe vibration. He pushed the throttle full forward. The manifold pressure and engine rpm increased, and the vibration increased. He then leaned the mixture, and the vibration seemed to decrease. The airplane would not climb, and started a descent. The pilot selected the nearest airport on his global positioning system which was 08R. He proceeded to the airport to make a precautionary landing. Upon arrival at 08R he initiated a visual approach to runway 11. The pilot stated his attention was diverted to maintaining as much engine power as possible on the approach, he realized he was high and fast, and made a go-around. He remained in left closed traffic and was looking for available forced landing areas in the event he needed to make an off airport landing. The pilot turned on final approach and decided to abort the approach. He stated it was a very hot day, with a high density altitude, and the runway was very short. The pilot increased power to gain altitude, and leaned the mixture which resulted in an "alarming" decrease in airspeed. The airplane gained some altitude, he observed an open sod field, and made the decision to land. Upon reaching the end of a tree line the pilot observed what appeared to be a dirt road in the sod field. He continued toward the field and decided to make a gear up landing. He cut the throttle, lowered the flaps between 10 to 20 degrees and initiated the approach for landing. The pilot stated that he failed to latch the automatic gear lever in the override position to prevent the landing gear from extending when he reduced power during the landing flare. The gear extender warning horn sounded, the gear extender warning lights illuminated and "he ignored the warning horn and the gear extender lights in order to continue his concentration on landing the airplane." The airplane collided with the ground, skidded about a 100 feet, made a left turn, and came to a stop. Review of airport information for 08R, revealed the airport is at an elevation of 130 feet. Runway 11 is 2,129 feet long and 30 feet wide. The temperature at the time of the accident was 30-degrees Celsius, with a density altitude of 1, 960 feet. Review of the Piper PA-28R-200 Pilot's Operating Handbook, LandingDistance versus Density Altitude Chart states the airplane will require 795 feet of runway to land. The Pilot's Operating Handbook states on page 4-4, GEAR UP LANDING, "On aircraft equipped with the automatic gear extender the mechanism will extend the gear below approximately 105 MPH IAS with power off. Be prepared to latch the emergency override lever UP before airspeed drops to 115 mph to prevent landing gear from inadvertently free falling, unless gear extension is desired." Examination of the engine assembly by a Federal Aviation Administration (FAA) inspector, revealed the No. 1 cylinder exhaust valve pushrod would only open .125 inch. The No. 1 cylinder exhibited "heavy carbon build up (running rich) on upper and lower spark plugs. The cylinder exhaust valve and seat, exhaust valve pushrods, and exhaust valve hydraulic lifters were bore scoped and no anomalies were noted. An engine compression check was completed and compression and suction was obtained on all cylinders. The propeller was rotated by hand and continuity of the valve and drive train was confirmed. The left magneto was examined and the rotor and distributor were worn. The right magneto was examined and the rotor and distributor were new. The engine air filter exhibited a "smoky carbon/oil residue." The FAA inspector noted, "in this inspector's opinion, the most probable cause for the engine running rough and airframe vibration as reported is due to the number one cylinder was not performing as expected. The heavy carbon build-up and exhaust valve displacing only .125 of inch."

Aircraft

Registration
N56064
Reported as
Piper PA-28R-200
Category
Airplane
Serial number
28R-7335345
Airframe hours
2,680
Engine
Lycoming IO-360-C1C, 180 hp, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Michael Robinson
Registered owner
Pine Ledge Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2008 · 2.2 hours before
Departed
SFZ · Pawtucket, RI

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
55
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
August 1, 2007
Seat
Left
Flight hours
219 total · 64 in this make and model · 94 as pilot in command · 26 in the last 90 days · 9 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 10 knots
Visibility
15 statute miles
Lowest ceiling
20,000 ft broken
Temperature
86 °F, dew point 70 °F
Altimeter
29.75 inHg
Observed at
OQU, 11 nm away