MIA96FA218

NTSB accident investigation · Piper PA-32RT-300 · Lagrange, GA · August 27, 1996

Accident · FatalField investigationFinal report
Date
August 27, 1996, 10:20 local (14:20 UTC)
Place
Lagrange, GA
Injuries
1 fatal, 1 serious, 1 minor
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N741RBPiper PA-32RT-300
Weather
Visual (VMC) · Day
Status
Completed · report March 31, 1998
Report
Approved by Office Director
FAA report
19960827024459A
Case key
37913

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 improper procedure by not placing the fuel selector on the tank with the most fuel, which resulted in fuel starvation and a forced landing in a pasture. Contributing factors in this accident were the pilot's inadequate pre-flight and in-flight planning, lack of instrument certification, and the pressure imposed on him from flying into adverse weather conditions.

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.

In flight encounter with weatherCruise - normal
Flight into adverse weather - inadvertentPilot in commandFactor
Lack of certificationPilot in commandFactor
Weather condition - clouds
Pressure induced by conditions/eventsPilot in commandFactor
Diverted attentionPilot in command
Loss of engine powerDescent
Fuel tank selector position - improperPilot in commandCause
Fluid,fuel - starvationCause
Preflight planning/preparation - inadequatePilot in commandFactor
In-flight planning/decision - inadequatePilot in commandFactor
Forced landingEmergency descent/landing
In flight collision with objectEmergency descent/landing
Object - tree(s)
Terrain condition - rough/uneven

Analysis

The pilot reported that he was VFR and had 'gotten into IFR conditions.' He was instructed to maintain VFR at all times. The pilot subsequently continued his own navigation and changed radio frequencies. Within minutes the pilot radioed a mayday call and radio communications were lost. Ground witnesses reported that the airplane's engine was backfiring and sputtering. The airplane was seen at a low altitude, in a left bank, when the left wing struck a tree (discolored foliage was observed near the tree). Examination of the wreckage revealed that the left fuel tank was breached, and no fuel was observed in the tank. The right fuel tank was not breached, and less then 1/2 gallon of fuel was drained from the tank. The fuel selector was found on the 'right' tank, and the electric fuel pump switch was found in the 'OFF' position. The last known fueling of the airplane was on 8/26, with 50 gallons of fuel. Total fuel in the airplane at that point was unknown. According to Hobbs meter readings, a total of 6.1 hours were flown on the airplane from the time it departed until the crash. The PA-32RT-300, had a total fuel capacity of 98 gallons, of which 94 gallons were usable fuel, and the airplane burned 18 gallons per hour of fuel at a power setting of 75 percent. At 75 percent power the airplane cruised at 155 knots. Calculating the distances for the different flight segments, the total flight time would have been 3 hours 50 minutes, leaving 2 hours and 54 minutes of unknown flight time that was used during the entire trip. Total fuel obtained on the trip, assuming the tanks were full when the airplane departed, was 148 gallons [98+50]. About 87 gallons was used for the flights (not including taxi and climb), from the start to finish, leaving about 61 gallons of fuel that can not be accounted for during the trip. Based on the Hobbs time of 6.1 hours, at a fuel burn rate of 18 gallons per hour, 110 gallons of fuel was consumed, which calculates to about 48 gallons of fuel remaining at the time of impact. The total usable fuel for each tank (2) was 47 gallons.

Factual narrative

History of flight

On August 27, 1996, about 1020 eastern daylight time, a Piper PA-32RT-300, N741RB, registered to a private owner, was destroyed during a forced landing, near LaGrange, Georgia. The private-rated pilot was removed from the wreckage, and died of injuries at a local hospital. One passenger received serious injuries, and another passenger received minor injuries. Visual meteorological conditions (VMC) prevailed in the vicinity, and no flight plan had been filed. The trip started on August 21, 1996, at Hampton, Georgia, en route to Apalachicola, Florida. The flight departed Apalachicola on August 26, 1996, en route to Dothan, Alabama, and departed Dothan, August 27, 1996, at 0926 (0826 central daylight time). The personal flight was being conducted in accordance with Title 14 CFR Part 91.

At 0958:48, the pilot reported in on Columbus Approach Control, Arrival/Departure (AR/DR-1), radio frequency, and said; "...we are out here I think oh about 20 miles southeast of you. I'm V F R [visual flight rules and] I've gotten into I F R [instrument flight rules] conditions. Wonder if you can help me get back towards Griffin [Georgia]." The AR/DR-1 Specialist, issued a beacon code; advised the pilot he was in radar contact; and told him "...make a right turn now, immediate right turn heading one eight zero." The controller had to repeat the instructions several times before the pilot acknowledged the transmission.

Between 1002:57, and 1004:14, the controller repeated the clearances until the pilot finally acknowledged that he was to climb to 2,500 feet, and turn right to a heading of 270 degrees. The controller gave the pilot a subsequent clearance to climb 3,000 feet, cleared him to the Griffin Airport via radar vectors, and told him to turn right to a heading of 360 degrees.

The controller asked the pilot how he wanted to get to Griffin. The pilot said, "can you advise me sir I don't know...I can still see the ground a little bit...." The controller asked him if he was I F R qualified, and he answered, "no sir I am not?"

The controller instructed the pilot to descend and maintain VFR, and asked him if VFR was possible. The pilot answered, "yes sir that's correct...shall I descend now."

At 1007:43, the controller said to the pilot, "I want you to maintain VFR at all times...let me know when you get in VMC...please." The pilot told the controller at 1009:07, that "I am just getting under it [clouds]." The controller said that when you are VMC, "...you can just resume your own navigation on course back to Griffin." At 1009:20, the pilot said, "...I think I can take that from this point on...." The controller advised the pilot of N741RB, that he was going to remain under ATC control.

The controller said, "...you are getting close to another airport...at that altitude it's going to be quite dangerous around that airport, I have IFR traffic cleared in on a approach at your twelve o'clock...about 4 miles...do you have the LaGrange Airport in sight?" The pilot said "negative" and was asked if he could deviate to the east. The pilot responded that he could.

For the next 2 minutes 19 seconds the controller was trying to establish the pilot's identity and his home airport. The controller could not understand the information that the pilot had given, because of radio difficulty, so he had the pilot change radio frequencies.

At 1016:15, the pilot came up on the frequency and the controller said, "you hear all right on this frequency," and the pilot answered, "that is great."

At 1018:30, the pilot of N741RB radioed, "mayday mayday, mayday, Columbus Approach, Columbus approach." Radar and radio communications were lost, and the controller made several attempts to reestablish radio communication, with the pilot of N741RB, without any success.

The controller then vectored another airplane, that was on his frequency, to the vicinity of the last radar location. The other airplane found the wreckage site at 1031:02, and said to the controller, "...looks like...one...in a field, at this time...they got a fire truck and E M S down there..."

Ground witnesses near the crash site saw and heard the airplane. They told the Safety Board that the airplane's engine was backfiring and sputtering. The airplane was seen at a low altitude, in a left bank, when the left wing struck a tree.

The accident occurred during the hours of daylight approximately 32 degrees, 50 minutes north, and 84 degrees, 53 minutes west.

Personnel information

Information on the pilot is contained in this report on page 3, under First Pilot Information. The pilot's personal logbook containing his flight hours was not found.

Meteorological information

Visual meteorological conditions prevailed at the time of the accident. Meteorological information is contained in this report on page 3, under Weather Information.

Medical and pathological information

An autopsy was performed on the pilot, on August 27, 1996, at the Medical Examiner's Office, Atlanta, Georgia, by Dr. T. Martin.

Toxicological tests were conducted at the Federal Aviation Administration, Research Laboratory, Oklahoma City, Oklahoma, and revealed, "...positive results...0.520 (ug/ml, ug/g) Lidocaine [Bronchodilator decongestant] detected in Blood...0.730 (ug/ml, ug/g) Lidocaine detected in Kidney Fluid...Ephedrine [local anesthetic and anti-arrhythmic] detected in Blood...Ephedrine detected in Kidney Fluid...."

Wreckage and impact information

The airplane had landed in a pasture that sloped down hill, bottomed out, then started uphill. According to the Sheriff's Department, the airplane came to rest on the uphill side. A tree north of the wreckage, was damaged, and airplane parts, from the left wing, were found at the base of the tree. Discolored vegetation in and around the tree was also observed. A ground scar was found in the pasture, about 165 feet south of the tree.

The wreckage had been removed from the crash site prior to the Safety Board's arrival, and was examined at the facilities of Atlantic Air Salvage Inc., Griffin, Georgia. The examination revealed that the left fuel tank was breached, and no fuel was observed in the tank. Rescue personnel stated to the Safety Board, that they observed about 1 gallon of fuel coming from the airplane after they arrived. The right fuel tank was not breached, and less then1/2 gallon of fuel was drained from the tank. The fuel selector was found on the "right" tank, and the electric fuel pump switch was found in the "OFF" position.

The underside of the fuselage, from the firewall aft to the airframe rib at the pilot's seat, was crushed upwards about 8 inches. The left side of the fuselage was creased upwards at a 45-degree angle to the instrument panel. The left side of the fuselage aft of the windshield, displayed impact damage about 2 inches inboard, which resulted in the window breaking. The overhead of the airplane had been bent aft to facilitate rescue of the occupants.

The left wing was broken at the outboard edge of the inboard fuel tank, 65 inches from the wing root. All the rivets from the main spar forward, around the leading edge were popped. The leading edge of the wing, 78 inches from the root, was crushed inward 1.5 inches. The inboard seam of the inboard fuel tank was popped from it's rivets, along the main spar, forward to the leading edge on the bottom of the wing. The aft half of the wing, from the spar aft, was creased at a 45-degree angle from a point 83 inches from the wing root, going aft, and outboard to a point 97 inches from the root. The leading edge of the wing, 130 inches from the root, was crushed aft 6 inches out to the fiberglass wing tip. The wing tip had ripped off. The right wing, and the empennage did not display any impact damage.

Examination of the engine revealed that it was still attached to the fuselage. The propel

Aircraft

Registration
N741RB
Reported as
Piper PA-32RT-300 (PA-32RT-30)
Category
Airplane
Serial number
32R-7985037
Airframe hours
52,293
Engine
Lycoming IO-540K1G5D, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Boss Rocket Aviation
Registered owner
Michael Lapp
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 20, 1995 · 137 hours before
Departed
DHN · Dothan, AL
Destination
4A7 · Hampton, GA

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
52
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
360 total · 10 in this make and model · 18 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
4 statute miles
Lowest ceiling
1,000 ft broken
Temperature
77 °F, dew point 72 °F
Altimeter
30.00 inHg
Observed at
CSG, 16 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.