MIA98FA010

NTSB accident investigation · Piper PA-28-180 · Knoxville, TN · October 12, 1997

Accident · FatalField investigationFinal report
Date
October 11, 1997, 20:51 local (Oct 12, 1997, 00:51 UTC)
Place
Knoxville, TN
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N15331Piper PA-28-180
Weather
Visual (VMC) · Night/dark
Status
Completed · report October 30, 1998
Report
Approved by Office Director
FAA report
19971011037889A
Case key
38377

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 NTSB’s determination of the probable cause, and any contributing factors.

failure of the pilot to maintain control of the airplane, while climbing after takeoff, which resulted in an uncontrolled descent and impact with the water.

Analysis

The airplane and its occupants had arrived earlier in the day to attend a football game. According to airport personnel, the three occupants arrived back at the airport, after the game, about 2030, and after the control tower had closed. The control tower was staffed 2 hours before and after the football game. The pilot had line service personnel put 24 gallons of fuel in the airplane, and according to the line service manager, this 'filled the tanks.' The airplane was seen by several witnesses climbing in a westerly direction, about 200 feet above the ground (AGL), in a nose-high attitude with the lights on. There were indications that the airplane may have stalled. Witnesses said the wings were rocking, then the airplane turned left, went into a nose-low attitude, and impacted the water. Several witnesses said the airplane's engine was 'revving' and sounded 'loud,' before impacting the water. One witness said the engine sounded like it was at 'full power.' Examination of the airframe and engine did not reveal any preimpact discrepancies. A postmortem examination of the pilot indicated that he died as a result of 'multiple blunt force injuries,' but that he had severe coronary artery disease, including 'occlusion of left main coronary artery,' '70% stenosis' of his left anterior descending artery, and '90% stenosis' of his left circumflex artery.

Factual narrative

The factual narrative1,314 words

History of flight

On October 11, 1997, about 2051 eastern daylight time, a Piper PA-28-180, N15331, registered to a private owner, operating as a 14 CFR Part 91 personal flight, crashed in the Tennessee River, about 1 mile west of the Downtown Island Airport, Knoxville, Tennessee. Visual meteorological conditions prevailed and no flight plan was filed. The airplane sank and was destroyed. The private-pilot and two passengers were fatally injured. The flight was originating at the time.

The airplane and its occupants had arrived in Knoxville earlier in the day to attend a University of Tennessee football game. According to airport personnel, the three occupants arrived back at the airport after the game, about 2030, and after the control tower had closed. The control tower was staffed 2 hours before and after the University of Tennessee football games. The pilot had line service personnel put 24 gallons of fuel in the airplane, and according to the line service manager, this "filled the tanks."

The airplane was seen by several witnesses climbing in a westerly direction, about 200 feet above the ground (AGL), in a nose-high attitude, wings rocking, and lights on. Witnesses said the airplane turned, went into a nose-low attitude and impacted the water. Several witnesses said the airplane's engine was "revving" and sounded "loud," before impacting the water. One witness said the engine sounded like it was at "full power."

Two witnesses, a married couple, were walking near the river, when they saw the airplane come from the airport and fly in a westerly direction, down river, on the left side or south bank of the river. According to statements the witnesses gave to the FAA, the male witness said, "...the aircraft was real low, just above the bridge. It started to climb to try to clear the bridge. The nose went up and the aircraft flipped over and nose dived into the water." The female witness said she heard the airplane take off, and saw the same things that her husband saw. She said, "...it barely cleared the bridge...when the aircraft cleared the bridge, it was over the center lanes of the road. It turned to the left and went straight down into the water...sank and was totally immersed within five minutes of impact...the plane backfired after the left turn before descent into the water."

A third witness, on his boat going up river just past the west end of the runway said, "...when the aircraft took off, the wings started to wobble, tipping back and forth." He further said his mother heard the airplane, and saw the airplane's lights going into the water.

The accident occurred during the hours of darkness about 35 degrees, 57 minutes north, and 083 degrees, 52 minutes west.

Personnel information

Information on the pilot is contained in this report on page 3, under First Pilot Information.

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. The winds were reported to be calm at the time of the accident.

Medical and pathological information

An autopsy was performed on the pilot, on October 13, 1997, at the University of Tennessee, Medical Center, Knoxville, Tennessee, by Dr. Sandra K. Elkins. According to the autopsy report the pilot, "...died as a result of multiple injuries sustained in the crash. At autopsy he [pilot] was found to have severe coronary artery disease."

Toxicological tests were conducted at the Federal Aviation Administration, Research Laboratory, Oklahoma City, Oklahoma, and revealed, "no ethanol." The drug screen revealed, "...6.100 (ug/ml, ug/g) Salicylate detected in blood." Salicylate is found in aspirin.

Wreckage and impact information

The airplane impacted in about 20 feet of water into the Lake Loudoun section of the Tennessee River, east of the South Knoxville Bridge. The accident site was located about 3 miles east of the city of Knoxville, at an elevation of about 800 feet above sea level. The airplane was retrieved from the water and transported to a hangar at the airport, where the airframe and engine were examined.

Examination of the left wing revealed that it had separated from the fuselage at the wing root. The entire length of the leading edge was crushed rearward to the main spar. The wing tip had fractured on the top side about 4 inches aft of the leading edge. The aileron was found attached to the hinges and the balance weights were found in place. The aileron control cables were found connected at the bell crank, but had separated near the wing root. The flap was found attached to the hinges, and the flap control rod had separated from the flap control arm. The position of the flap at impact could not be determined. The fuel tank had ruptured and no fuel was found. The main landing gear displayed impact damage.

Examination of the right wing revealed that about 6 feet of the inboard right wing had separated from the fuselage at the wing root. Eight feet of the outboard section of the right wing was never recovered from the water, including the aileron and balance weight. The leading edge of the wing was separated and torn aft of the main spar. About 12 inches of the flap was recovered, and the flap had separated from the hinges. The aileron cables were found separated near the wing root. Tension overload fractures were observed on the cables. The fuel tank had ruptured and no fuel was observed in the tank. The main landing gear was found bent rearward about 45 degrees. The faring was not with the landing gear and was not recovered from the lake.

Examination of the fuselage revealed that the cabin roof was peeled rearward, exposing the cockpit. Both sides of the fuselage had separated at the baggage area. The rear baggage door was still attached to the hinges, and the door was found in the locked position. The instrument panel displayed extensive impact damage which destroyed the instruments and radios. The cabin door was in one piece, but had been torn from the frame. All of the cockpit windows were broken from their frames. Both front seats and the rear right seat were found separated from the their seat tracks. The left rear seat was found still attached to the floor. Control cable continuity was established from the wing root to the "T" bar assembly, and to the empennage.

The tail cone revealed that it was wrinkled starting at the baggage door rearward to the aft bulkhead. The stabilator was still attached, and did not display any damage. The stabilator trim tab jack screw measured 1 1/4 inches and seven threads were showing, which equated to about 2 degrees nose up. The stabilator control cables were found still attached, and continuity was established to the "T" bar assembly. The vertical stabilizer was still attached to the tail cone. The dorsal fin and the lower leading edge of the vertical stabilizer were found crushed rearward and to the right. The rudder was still attached to the stabilizer and did not display any damage. The rudder cables were found attached, and rudder cable continuity was established from the rudder, to the rudder bell crank, forward to the rudder pedals.

The engine remained partially attached to the airframe. The propeller had remained attached to the crankshaft flange. The left and right exhaust pipes were compressed and bent rearward. The exhaust muffler was found compressed. The carburetor had separated from the oil sump. The fuel line fitting had separated from the engine driven fuel pump.

Test and research

The engine was removed from the airframe and examined at a hangar at the Downtown Airport. The crankshaft rotated freely by hand. Compression was observed to all cylinders by use of a thumb compression check. Valve train continuity was established to all the cylinders. All the accessory gears

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
Light condition - dark night
Climb - initiatedPilot in command
Aircraft control - not maintainedPilot in commandCause
Physical impairment(other cardiovascular)Pilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - water

Aircraft

Registration
N15331
Reported as
Piper PA-28-180
Category
Airplane
Serial number
28-7305059
Airframe hours
2,034
Engine
Lycoming O-360-A4A, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Robert W. Garrett
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 30, 1998 · 209 hours before
Departed
DKX
Destination
3M7 · Lafayette, TN
Airport
DKX · Knoxville Downtown Island, runway 26, 3,497 × 75 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
57
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Invalid Medical for flight
Seat
Left
Toxicology
Performed
Flight hours
461 total · 199 in this make and model · 24 in the last 90 days · 4 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 66 °F
Altimeter
30.00 inHg
Observed at
DKX, 1 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.