# NTSB NYC02FA196: Piper PA-30, N7106Y, Gilford, NH, September 25, 2002

- Type: NTSB accident investigation
- Classification: Accident · Fatal · Field investigation · Final report
- Date: September 25, 2002, 11:25 local (15:25 UTC)
- Place: Gilford, NH
- Coordinates: 43.631389, -71.360557
- Nearby events: https://openairdocs.org/map.md?lat=43.6314&lon=-71.3606&mi=10
- Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping)
- Highest injury: Fatal
- Injuries: 2 fatal
- Status: Completed, report April 28, 2004
- Report: Approved by Office Director
- Parties: Federal Aviation Administration, Piper Aircraft Company, Textron Lycoming
- NTSB case key (mKey): 55767
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=NYC02FA196
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/55767/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=55767
- Page: https://openairdocs.org/ntsb/NYC02FA196

## Probable cause

The flight instructor's failure to maintain airplane control, which resulted in an uncontrolled collision with water.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Loss of control - in flight, maneuvering
  - aircraft control - not maintained, pilot in command(cfi) (cause)
- In flight collision with terrain/water, descent - uncontrolled
  - terrain condition - water

## Analysis

The Piper PA-30, Twin Comanche departed on a local multi-engine training flight.  A few minutes later, it impacted water.  Several witnesses observed the airplane and reported different airplane actions prior to impact.  Examination of the airplane revealed that when it contacted the water, it was in a near flat attitude, rotating nose left, with the right wing lower than the left wing.  Metal distortion was found on the tip tanks and outboard sections of both wings that was consistent with the left wing moving rearward, and the right wing moving forward, at the time of impact.  The tip weight on the rudder was bent over to the right. Both engine mounts were deformed to the right.  Damage to both propellers was consistent with the propellers in the governing range, at or near the same power setting, and not feathered.  There was no evidence of a pre-existing failure or malfunction with the airplane or engines.

## Factual narrative

HISTORY OF FLIGHT

On September 25, 2002, about 1125 eastern daylight time, a Piper PA-30, N7106Y, operated by Alan Emerson Aviation Inc., Gilford, New Hampshire, was destroyed when it impacted Lake Winnipesake, near Gilford, New Hampshire.  The certificated flight instructor and private pilot were fatally injured.  Visual meteorological conditions prevailed for the instructional flight, that departed from Laconia Municipal Airport (LCI), Gilford.  No flight plan had been filed for the local flight that was conducted under 14 CFR Part 91.

According to an inspector from the Federal Aviation Administration (FAA), the private pilot was a prospective buyer of the airplane, and was receiving flight instruction for his multi-engine rating.  This was the private pilot's second flight in the airplane.  The airplane was observed taxiing for departure with the private pilot in the left seat, and the flight instructor in the right seat.  The airplane departed from LCI about 1100.  Several witnesses observed the accident.  The following are excerpts from some of the witness statements:

"...I witnessed what appeared to be an all white twin engine plane coming straight down nose first into the water.  As it approached, it appeared the pilot tried to bring the nose up.  The plane went into the water surface and disappeared out of sight...."

"...I saw what looked like a small plane in a vertical dive...there was no sound that I could hear.  As the plane approached it gave me the impression of a radio controlled model that someone was trying to pull up out of the dive.  My reaction was 'he gonna make it' and then there was a splash and a pop...The angle at impact appeared to be less than 45 degrees and perhaps more like 30 degrees off the horizontal...."

"...I looked and spotted the plane over Welch Island and remarked that the plane was flying at a rather low level (approx 200 feet) up the lake.  We continued with our fishing until...[another person] shouted to look up the lake where I was able to see the plane twist in a downward spiral, and crash in a vertical fashion into the lake...."

The accident occurred during the hours of daylight at 43 degrees, 37.88 minutes north latitude, and 71 degrees, 21.63 minutes west longitude.

PERSONNEL INFORMATION

The flight instructor held a commercial pilot certificate, with ratings for single and multi-engine land, single engine sea, and instrument airplane.  In addition, he held a flight instructor certificate for single and multi-engine land and instrument airplane.  His total flight experience was in excess of 20,000 hours.  The flight instructor's pilot logbook was not recovered, and his recency of experience was not documented.  However, according to records from the FAA, on April 5, 2002, the pilot had successfully passed a checkride under 14 CFR 135.293, in a Piper PA-31-350.  Additional FAA records indicated the pilot had 2,000 hours in make and model and had flown 150 hours in the preceding 90 days.  The pilot was last issued a second class FAA airman medical certificate on September 3, 2002.

The private pilot held ratings for single engine land and instrument airplane.  His total flight experience was 811 hours with one previous flight in the accident airplane.  His last flight review was conducted on August 30, 2001.  The pilot was last issued a third class FAA airman medical certificate on July 21, 1999.

AIRCRAFT INFORMATION

The airplane was maintained under an annual inspection program.  The airplane logbooks and record of recent flights were not recovered.  According to maintenance records from the operator, the airplane last received an annual inspection on June 29, 2002, with a tachometer reading of 904 hours.

WRECKAGE AND IMPACT INFORMATION

The debris field for the airplane was located about 2,000 feet east of Steamboat Island, and ran in a north/south direction.  The airplane came to rest in about 80 feet of water.  On the day of the accident, the outboard 10 feet of the left wing, with the tip tank attached was recovered from the surface of the lake.  Recovery operations were then suspended due to weather and resumed on September 30, 2002.

After recovery, the wreckage was moved to the insurance adjustor's facility in Biddeford, Maine, and examined there on October 8 and 9, 2003.

The outboard section of the left wing separated from the remainder of the wing, about 3 feet outboard of the left engine.  The wing was bent in an upward direction, with dimpled skin observed on the underside.  The metal on the bottom of the left wing tip tank was crushed up and was deformed consistent with movement in a rearward direction.  On the separated section of left wing, the rear spar was bent forward.  Metal on the bottom of the left wing, at the location of the left aileron was compressed forward.  The left aileron was separated from the wing, and the trailing edge was compressed toward the leading edge.

The right wing was fragmented.  The spar was bent rearward.  The tip tank was ruptured.  Dimpled skin was found on the inboard underside of the right wing.

In the cabin, there was no flooring.  The seat tracks were fragmented, and bent up.  One seat was recovered; however, its pre-impact location, left or right side was not determined.  The seat legs on the left side of the recovered seat were compressed vertically.  Both sets of seatbelts were found unlatched.  No evidence of loading was visible on either set of seatbelts.

The empennage was separated at the aft fuselage bulkhead.  The rudder weight on top of the rudder was bent to the right.  Dimpled skin was observed on the right side of the vertical stabilizer.  Leading edge compression was observed on the outboard 28 inches of the right stabilator.  Bending at the point of separation of the right side stabilator was up.  Stabilator trim was found full nose down.  However, the fuselage had been compressed, stretched, and distorted, due to impact and recovery.  The rudder trim was handled through a bungee cord system and its pre-impact setting was not determined.

Both fuel selectors were found set to the AUX position.  However, these were cable actuated, and the pre-impact position was not determined.  The fuel filters in the selectors were absent of debris; however, the selectors contained silt.

The throttle quadrant was separated from the instrument panel, and the pre-impact settings of the levers was not determined.

The turn needle in the turn and bank was stuck full left and the ball full right.  The altimeter was set at 30.32 inches of mercury.  The landing gear selector was in the up position and damaged.  The flap selector was destroyed.

The crankshafts on both engines were rotated, and thumb compression was attained in all cylinders.  Valve train continuity was confirmed on both engines.  The magneto timing was set at 25 degrees before top dead center, except for the left magneto, left engine, which was set at 26 degrees before top dead center.  Spark was obtained from all towers on all magnetos.  Both engine oil suction screens were absent of debris.  The right engine fuel control unit fuel filter was absent of debris.  The left engine fuel control unit fuel filter was about 35 percent obscured with debris.  The oil filter on the left engine was dated June 21, 2001, with a hour meter reading of 883.2 hours.  The oil filter on the right engine did not contain any data.  The Piper maintenance manual called for a change of engine oil filters every 50 hours.

Both engines mounts were deformed to the right, with the deformation being more pronounced on the right engine.

The bolts on the left propeller were safety wired with 0.032 safety wire.  The bolts on the right propeller were safety wired with 0.041 safety wire.  The Piper maintenance manual called for the use of 0.041 safety wire on the propellers.

Both propeller blades on each propeller hub were bent rearward.  The bend was mo

## Aircraft

- Registration: [N7106Y](https://openairdocs.org/deregistered/N7106Y-2006-05-04), registration cancelled 2006-05-04, S/N 30-124, built 1963 (OpenAirDocs)
- Reported make and model: Piper PA-30
- Registry model: [Piper PA-30](https://openairdocs.org/model/piper-pa-30) (registry code 7103002) (OpenAirDocs)
- Registry engine: [Lycoming IO-320 series](https://openairdocs.org/engine/lycoming-io-320-series) (registry code 41509, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 30-124
- Airframe hours: 904
- Engines: Lycoming IO-320-B1A 160 horsepower reciprocating; Lycoming IO-320-B1A 160 horsepower reciprocating
- Damage: Destroyed
- Flight: Instructional, Part 91
- Operator: Alan Emerson Aviation Inc.
- Registered owner: N7106Y Ltd
- Airworthiness certificate: Standard, Normal
- Last inspection: Annual, June 29, 2002
- Departed: LCI, Laconia, NH
- Destination: LCI
- Airport: LCI, Laconia Municipal Airport

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Flight instructor; age 58; injuries: fatal; flight instructor, commercial; airplane ratings: single-engine sea, single-engine land, multi-engine land; instrument ratings: airplane; medical: class 2, valid medical--w/ waivers/lim; last flight review April 5, 2002; seat: right; toxicology performed; flight hours: 20,000 total, 2,000 in this make and model, 150 in the last 90 days
- Pilot; age 71; injuries: fatal; private; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 3, expired; last flight review August 30, 2001; seat: left; toxicology performed; flight hours: 811 total, 1 in this make and model, 692 as pilot in command, 10 in the last 90 days, 5 in the last 30 days

## Weather

- Conditions: Visual (VMC), Day
- Wind: 80° at 4 knots
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 66 °F, dew point 48 °F
- Altimeter: 30.38 inHg
- Observed at: LCI, 4 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 (OpenAirDocs).

- [Accident 20020925026989A](https://openairdocs.org/incident/20020925026989A), Sep 25, 2002: Piper PA30, Gilford, NH, Destroyed, 2 fatal. (-23) On September 25, 2002 about 1125 hrs. An aircraft was seen over lake winnipausaekee flying level, then pitched over in a cork screwing dive and hit the…

## Other investigations on N7106Y (2)

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

- [NTSB NYC67F0298](https://openairdocs.org/ntsb/NYC67F0298), Oct 14, 1966: Piper PA-30 (N7106Y), Augusta, ME, substantial damage
- [NTSB UNK64X2532](https://openairdocs.org/ntsb/UNK64X2532), Jun 28, 1964: Piper PA30 (N7106Y), Fitchburg, MA, substantial damage

## Docket (13 files)

The files NTSB released with the investigation on March 15, 2004, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=55767. 2.5 MB in all.

- Witness Statements (item 1, .PDF, 535 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40202276&FileExtension=.PDF&FileName=Witness%20Statements-Master.PDF
- Summary of Interview (item 2, .PDF, 23 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40202278&FileExtension=.PDF&FileName=Summary%20of%20Interview-Master.PDF
- Letter from Flight Instructor (item 3, .PDF, 61 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40201871&FileExtension=.PDF&FileName=Letter%20from%20Flight%20Instructor-Master.PDF
- Hartzell Propeller Report (excerpted) (item 4, .PDF, 35 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40207006&FileExtension=.PDF&FileName=Hartzell%20Propeller%20Report%20(excerpted)-Master.PDF
- Precision Aeromotive Report (excerpted) (item 5, .PDF, 67 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40207007&FileExtension=.PDF&FileName=Precision%20Aeromotive%20Report%20(excerpted)-Master.PDF
- NTSB Parties to Investigation (item 6, .PDF, 53 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40202102&FileExtension=.PDF&FileName=NTSB%20Parties%20to%20Investigation-Master.PDF
- Wreckage Release (item 7, .PDF, 60 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40385013&FileExtension=.PDF&FileName=Wreckage%20Release-Redacted.PDF
- Top side of left wing and aileron (item 8, .PDF, 324 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40202147&FileExtension=.PDF&FileName=Top%20side%20of%20left%20wing%20and%20aileron-Master.PDF
- Bottom side of left wing and aileron (item 9, .PDF, 395 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40202148&FileExtension=.PDF&FileName=Bottom%20side%20of%20left%20wing%20and%20aileron-Master.PDF
- Engine power controls (item 10, .PDF, 246 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40202149&FileExtension=.PDF&FileName=Engine%20power%20controls-Master.PDF
- Main cabin door (item 11, .PDF, 195 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40202150&FileExtension=.PDF&FileName=Main%20cabin%20door-Master.PDF
- Rudder tip weight bent to the right (item 12, .PDF, 177 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40202151&FileExtension=.PDF&FileName=Rudder%20tip%20weight%20bent%20to%20the%20right-Master.PDF
- Right wing (item 13, .PDF, 319 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40202152&FileExtension=.PDF&FileName=Right%20wing-Master.PDF

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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