NYC03LA096

NTSB accident investigation · Piper PA-28-180 · Montgomery, NY · May 5, 2003

Accident · No injuriesLimited investigationFinal report
Date
May 4, 2003, 23:00 local (May 5, 2003, 03:00 UTC)
Place
Montgomery, NY
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N55854Piper PA-28-180
Weather
Visual (VMC) · Night/dark
Status
Completed · report June 30, 2004
Report
Approved by Office Director
Parties
FAA
FAA report
20030504017569A
Case key
56929

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 inadequate 100-hour inspection by maintenance personnel, which resulted in a loose fuel line and loss of power. A factor related to the accident was the dark night 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.

Loss of engine power(partial) - nonmechanicalTakeoff - initial climb
Fuel system,line fitting - looseCause
Maintenance,100-hour inspection - inadequateOther maintenance personnelCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterEmergency landing
Terrain condition - rough/uneven
Light condition - dark nightFactor

Analysis

During the nighttime departure, the airplane accelerated normally, with the engine producing full power during the takeoff roll and initial climb. Upon reaching approximately 300 to 400 feet above the ground, the engine began to lose power. The CFI took the flight controls and performed a forced landing. During the landing rollout, the airplane rolled through a shallow drainage swale, collapsing the nose and right main gear assemblies. The airplane rotated to the right and came to rest upright. Examination of the wreckage revealed that the fuel line, which ran between the fuel pump and the carburetor, was loose at the connection point on the carburetor. When the electric fuel pump was activated, fuel was observed spraying from the connection point. The airplane had accumulated about 20 hours of operation since a 100-hour inspection was performed 10 days prior to the accident. According to 14 CFR Part 43 Appendix D - Scope and Detail of Items (as Applicable to the Particular Aircraft) To Be Included in Annual and 100 Hour Inspections, "Each person performing an annual or 100 hour inspection shall inspect (where applicable) components of the engine and nacelle group..."

Factual narrative

On May 4, 2003, about 2300 eastern daylight time, a Piper PA-28-180, N55854, was substantially damaged during a forced landing, after experiencing a partial loss of power while departing from the Orange Country Airport, Montgomery, New York. The certified flight instructor (CFI) and student pilot were not injured. Night visual meteorological conditions prevailed, and no flight plan was filed the instructional flight conducted under 14 CFR Part 91.

According to the CFI, after completing a 1-hour cross-country flight, the airplane was taxied to runway 3, with the intention of practicing takeoffs and landings. The CFI estimated that the fuel on board at the time of departure was approximately 34 gallons, and the fuel selector was placed on the right tank because the right fuel gauge was indicating slightly more fuel.

After the student completed the pre-takeoff checklist, the CFI confirmed that the fuel boost pump was on, the mixture was full rich, the carburetor heat was off, and the airplane was configured for takeoff. During the departure, the airplane accelerated normally, with the engine producing full power during the takeoff roll and initial climb. Upon reaching approximately 300 to 400 feet above the ground, the engine began to lose power. The CFI took the flight controls and immediately executed the emergency checklist, which consisted of switching fuel tanks, confirming that the mixture was rich, the fuel boost pump on, and applying carburetor heat. The CFI requested that the student attempt to switch the magnetos, which had no effect. The CFI cycled the throttle several times, which made the engine surge briefly, but not produce enough power to maintain altitude. The CFI advised the student that a landing would be made to a field, and instructed him to turn the fuel selector off, turn the boost pump off, and pull the mixture to lean. As the ground came into view, the CFI observed a ditch approximately 8 feet deep, and extended the glide so the touchdown point would be beyond the ditch. The airplane touched down clear of the ditch; however, during the landing rollout, the airplane rolled through a shallow drainage swale, collapsing the nose and right main gear assemblies. The airplane rotated to the right and came to rest upright.

The wreckage was examined by a Federal Aviation Administration inspector. He observed that the fuel line, which ran between the fuel pump and the carburetor, was loose at the connection point on the carburetor. When the electric fuel pump was activated, fuel was observed spraying from the connection point.

Fuel was observed in both wing tanks, and was absent of debris and contamination.

Examination of the gascolator and the fuel line which ran between the fuel selector and the fuel pump, revealed an absence of fuel.

Blue stains were observed on the outer skin of the airplane, from the firewall area, extending about 4 feet aft.

The airplane had accumulated about 20 hours of operation since a 100-hour inspection was performed on April 25, 2003.

According to 14 CFR Part 43 Appendix D - Scope and Detail of Items (as Applicable to the Particular Aircraft) To Be Included in Annual and 100 Hour Inspections:

"Each person performing an annual or 100 hour inspection shall inspect (where applicable) components of the engine and nacelle group as follows:

(1) Engine section - for visual evidence of excessive oil, fuel, or hydraulic leaks, and sources of such leaks.

(2) Studs and nuts - for improper torquing and obvious defects.

(3) Internal engine - for cylinder compression and for metal particles or foreign matter on screens and sump drain plugs. If there is weak cylinder compression, for improper internal condition and improper internal tolerances.

(4) Engine mount - for cracks, looseness of mounting, and looseness of engine to mount.

(5) Flexible vibration dampeners - for poor condition and deterioration.

(6) Engine controls - for defects, improper travel, and improper safetying.

(7) Lines, hoses, and clamps - for leaks, improper condition and looseness.

(8) Exhaust stacks - for cracks, defects, and improper attachment.

(9) Accessories - for apparent defects in security of mounting.

(10) All systems - for improper installation, poor general condition, defects, and insecure attachment.

(11) Cowling - for cracks, and defects."

Aircraft

Registration
N55854
Reported as
Piper PA-28-180
Category
Airplane
Serial number
28-7305485
Airframe hours
5,603
Engine
Lycoming O-360-A4A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
KS Aircorp
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · April 25, 2003 · 20 hours before
Departed
MGJ · Montgomery, NY
Destination
SWF · Newburgh, NY
Airport
MGJ · Orange County Airport, runway 3, 5,006 × 100 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
34
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
April 28, 2003
Seat
Right
Flight hours
607 total · 468 in this make and model · 545 as pilot in command · 77 in the last 90 days · 17 in the last 30 days · 3 in the last 24 hours
Role
Student pilot
Age
26
Injuries
None
Certificate
Student
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
34 total · 34 in this make and model · 10 as pilot in command · 14 in the last 90 days · 7 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
45 °F, dew point 43 °F
Altimeter
30.17 inHg
Observed at
MGJ

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N55854 · 1

Matched to the same aircraft by N-number and date.