NYC02FA166

NTSB accident investigation · Piper PA-28-180 · Deerfield, VA · August 18, 2002

Accident · FatalField investigationFinal report
Date
August 18, 2002, 15:15 local (19:15 UTC)
Place
Deerfield, VA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N5295LPiper PA-28-180
Weather
Visual (VMC) · Day
Status
Completed · report May 1, 2003
Report
Approved by Office Director
Parties
Lycoming, New Piper Aircraft, FAA FSDO-21
FAA report
20020818037719A
Case key
55498

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 preflight decision to takeoff on an up-sloping runway with a tailwind, which resulted in an inadvertent stall and collision with a tree. Factors were the pilot's lack of familiarity with the geographic area, and a tailwind.

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
Lack of familiarity with geographic areaPilot in commandFactor
Planning/decision - improperPilot in commandCause
Weather condition - tailwindFactor
Airspeed - not maintainedPilot in command
Stall - inadvertentPilot in command
In flight collision with objectDescent - uncontrolled
Object - tree(s)

Analysis

The pilot back-taxied on runway 15 at a private airstrip. Runway 15 was 2,442 feet long, 50 feet wide, 90 feet up-sloping, and consisted of turf. Witnesses stated that the engine sounded fine during the takeoff roll, but the airplane did not accelerate and climb properly. After takeoff, the airplane pitched up sharply as it neared a tree line, stalled, and impacted a tree. Witnesses added that the pilot took off with a tailwind. Review of a performance chart for the airplane revealed that a similar takeoff would require 2,150 feet to clear a 50-foot obstacle. However, the chart did not account for an up-sloping turf runway, or a tailwind. Prior to the accident flight, the pilot had never flown out of the private airstrip.

Factual narrative

History of flight

On August 18, 2002, about 1515 eastern daylight time, a Piper PA-28-180, N5295L, was destroyed when it struck trees after takeoff from a private airstrip in Deerfield, Virginia. The certificated flight instructor and pilot rated passenger were fatally injured. Visual meteorological conditions prevailed, and no flight plan was filed for the personal flight conducted under 14 CFR Part 91.

According to the property manager at the private airstrip, earlier in the day, the pilot landed "the wrong way" on runway 15. Runway 15 was 2,442 feet long, 50 feet wide, and consisted of up-sloping turf. The landing was the first time the pilot had flown to the private airstrip. The pilot and two passengers visited with friends for several hours. About 1500, the pilot and one of the passengers intended to fly from the private airstrip to Shenandoah Valley Regional Airport (SHD), Staunton, Virginia, as the passenger was late for work. The second passenger declined to take the flight because he wanted to stay longer at his friend's residence.

The property manager further stated that the airplane back-taxied on runway 15, and began a takeoff roll, "the wrong way, with a 15-20 mph tailwind." The airplane became airborne and the engine "sounded fine." However, the airplane rolled right, then left, and struck an approximate 80-foot tall tree at the end of runway 15. The airplane subsequently impacted terrain about 250 feet from the tree, and was consumed by a post-crash fire.

Another witness, the person who elected not to take the accident flight, stated that the pilot landed on runway 30 because there appeared to be more clearance from trees at that end of the runway. Subsequently, the pilot chose to takeoff in the opposite direction because of the preferred tree clearance. The witness added that after the accident, he noted that the windsock was small, and indicated a 7-8 mph tailwind. The witness further stated that the engine sounded fine, and:

"...What I saw, was the airplane moving very very slow for a takeoff, and it looked to be having a great deal of trouble climbing. Unlike what the initial report said about it rolling right then left, I did not see anything like that, but maybe a quick jolt from side to side, trying to keep the wings level. As it approached the tree line, the airplane pitched up hard and stalled."

The accident occurred during the hours of daylight; located approximately 38 degrees, 12.25 minutes north longitude, 79 degrees, 20.67 minutes west latitude.

Personnel information

The pilot held a commercial pilot certificate, with ratings for airplane single engine land, airplane multiengine land, and instrument airplane. In addition, he held a flight instructor certificate with ratings for airplane single engine land and instrument airplane.

The pilot's most recent Federal Aviation Administration (FAA) first class medical certificate was issued on January 25, 2002.

According to his logbook, at the time of the accident, the pilot had a total flight experience of approximately 521 hours. Within the preceding 30 days, he had accumulated about 51 total hours; of which, about 12 hours were in the accident airplane.

Aircraft information

The airplane's most recent annual inspection was performed on November 11, 2001. At the time of the inspection, the airplane had accumulated about 2,857 hours of total flight time.

The four-seat airplane was equipped with a Lycoming O-360 engine, and had a maximum gross takeoff weight of 2,400 lbs.

Meteorological information

SHD was 1,201 feet above sea level, and located approximately 20 miles east of the accident site. The reported winds at SHD, at 1502, were from 320 degrees at 10 knots, gusting to 15 knots. The reported temperature was 80 degrees F, which equated to a density altitude of approximately 2,854 feet.

Aerodrome information

According to FAA records, the private airport was not certificated. It consisted of one turf runway (15/30), that had an estimated 90-foot upgrade. Trees and wires were listed as obstructions near the airport. The airport was limited to visual flight rules (VFR) private use, and there was no "one-way" restriction noted in the file.

Wreckage and impact information

The wreckage was examined at the accident site on August 19, 2002. The cockpit, fuselage and empennage were destroyed by fire, but all major components of the airplane were accounted for at the scene. The wreckage was located on the private property, oriented about a 310-degree heading, on an approximate 150-degree bearing from the 80-foot tree. The vegetation in the vicinity of the wreckage exhibited fire damage, and branches were laying the ground in the vicinity of the 80-foot tree.

Flight control continuity was established from the ailerons to the control chain in the cockpit. The chain and aileron balance cable were separated, consistent with impact forces. Continuity was also established from the rudder horn to the rudder pedals, and from the stabilator balance weight to the T-bar in the cockpit. The elevator trim drum sustained impact and fire damage, and a measurement of the threads corresponded to an approximate neutral trim setting.

Both inboard sections of the wings were consumed by fire, but the outboard sections remained. The right aileron was deflected 90 degrees upward, and the left aileron was separated from the wing. Both flaps were separated from the push/pull tubes, and both wings exhibited leading edge crush damage.

The only readable instrument recovered from the cockpit was the attitude indicator. The indicator face was tumbled to the right approximately 90 degrees, and nose-up. The flap handle was also recovered from the cockpit. The handle was found in the full flaps extended position.

The engine was recovered from the wreckage and the propeller was removed. Both propeller blades exhibited leading edge gouging, chordwise scratching, and s-bending. The number two bottom spark plug was damaged and unable to be removed from the engine. The remaining plugs were removed for inspection; they were light gray in color, and their electrodes were intact. When the propeller flange was rotated by hand, crankshaft and camshaft continuity was confirmed. Valve train continuity was confirmed, and thumb compression was attained on all cylinders except for the number three cylinder.

Further examination of the number three cylinder revealed that the intake valve remained in the open position. However, examination of the number three intake valve spring revealed that it had been subjected to the post crash fire. The number three intake valve spring was retained for further examination.

Oil was observed throughout the engine, and the oil screen was absent of debris. Both magnetos sustained fire and impact damage and could not be tested. The throttle butterfly valve was found in the full open position, and the carburetor was recovered and disassembled. The metal floats were intact and the fuel screen was absent of debris. The vacuum pump remained intact and sustained fire damage, and the mechanical fuel pump was destroyed.

Medical and pathological information

An autopsy was performed on the pilot and passenger by personnel from the Virginia State Office of the Chief Medical Examiner, Roanoke, Virginia.

Toxicological testing was conducted on the pilot and passenger at the FAA Toxicology Accident Research Laboratory, Oklahoma City, Oklahoma.

Tests and research

Examination of the number three intake valve spring by a Safety Board Metallurgist revealed that it was heat relaxed, consistent with post crash fire damage.

Additional information

Weight and Balance

According to FAA and aircraft records, the basic empty weight of the airplane was about 1,467 pounds. The combined weight of the pilot and passenger was approximately 340 pounds. The witness, who elec

Aircraft

Registration
N5295L
Reported as
Piper PA-28-180
Category
Airplane
Serial number
28-4597
Airframe hours
2,857
Engine
Lycoming O-360, 180 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
John P. Zachary
Registered owner
Zachary Air Partership
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 12, 2001
Departed
NONE · Deerfield, VA
Destination
SHD · Stauton, VA
Airport
NONE · Private, runway 15, 2,442 × 50 ft, grass/turf

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
23
Injuries
Fatal
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
June 16, 2002
Seat
Right
Toxicology
Performed
Flight hours
521 total · 250 in this make and model · 471 as pilot in command · 125 in the last 90 days · 51 in the last 30 days · 1 in the last 24 hours
Role
Pilot
Age
24
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Last flight review
August 1, 2002
Seat
Left
Toxicology
Performed
Flight hours
55 total

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 10 knots, gusting 15
Visibility
5 statute miles
Lowest ceiling
3,800 ft broken
Temperature
81 °F, dew point 73 °F
Altimeter
29.96 inHg
Observed at
SHD, 20 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.