NYC94FA178

NTSB accident investigation · Piper PA-28-236 · Vernon, NJ · September 16, 1994

Accident · FatalField investigationFinal report
Date
September 16, 1994, 10:02 local (14:02 UTC)
Place
Vernon, NJ
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N81XPiper PA-28-236
Weather
Instrument (IMC) · Day
Status
Completed · report June 29, 1995
Report
Approved by Office Director
FAA report
19940916028179A
Case key
38690

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 pilot's failure to maintain aircraft control which resulted a loss of control and inflight collision with the terrain.

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 flightClimb - to cruise
Reason for occurrence undeterminedCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - water

Analysis

The instrument current pilot was on an instrument departure, when he was instructed to level off at 3000 ft. when cleared to continue the climb to 6000 ft, and join the airway, radar data revealed the airplane started a right turn and climbed to 3300 ft. it then descended to 3200 feet for about 20 seconds, and continued the turn to the right. The turn and descent continued until the airplane disappeared from radar at 2600 ft, 1/2 NM from the accident site. Witnesses reported an overcast in the vicinity of the accident site. One witness reported he saw the airplane flying wings level just above the tree tops. The airplane then rolled left, and with no change in engine power, descended into the water in a left wing low attitude. Post accident investigation found no evidence of a mechanical failure or malfunction.

Factual narrative

History of flight

On September 16, 1994, at 1002 eastern daylight time, a Piper PA-28-236, N81X, owned and piloted by Robert Dolan, struck the water in Canistear Reservoir, in Vernon Township, New Jersey. The airplane was destroyed, and the pilot and passenger were fatally injured. Instrument meteorological conditions prevailed, and the flight was operated on an Instrument Flight Rules (IFR) flight plan under 14 CFR Part 91.

The pilot received two preflight weather briefings from the Millville Flight Service Station, Millville, New Jersey, and filed an IFR flight plan prior to departure. The flight departed Greenwood Lake Airport, West Milford, New Jersey, at approximately 0956 and made contact with the New York TRACON. The flight was initially assigned a heading of 310 degrees and an altitude of 3,000 feet. At 1000:16, the flight was cleared to climb to 6,000 feet, turn right to 130 degrees, and intercept V39 on course. This was acknowledged by the pilot.

At 1001:51, the controller asked the pilot of N81X, "Cherokee eight one xray, ah, say altitude leaving." This was not acknowledged by the pilot and further radio calls to the airplane were not answered.

Two witnesses, fishing in a boat near the accident site, observed the airplane heading in a north to north-easterly direction, just above the trees. One witness reported the airplane rolled left and impacted the water with the left wing. Two additional witnesses, fishing from a dam at the south end of the reservoir, saw a large splash. All the witnesses agreed the airplane engine sounded smooth.

The accident occurred during the hours of daylight about 41 degrees, 7 minutes North and 74 degrees, 29 minutes West.

Personnel information

The pilot held a Commercial Pilot Certificate, with airplane single engine land and instrument ratings. He held an FAA Second Class Airman Medical Certificate, with a limitation to wear corrective lenses, issued on May 1, 1993.

According to the pilot's log book, which was current through September 6, 1994, he had a total time of 1,543 hours. Between July 2, 1994 and August 8, 1994, the pilot logged 7.2 hours of simulated instrument time, 1.5 hours of actual instrument time, and 18 instrument approaches.

Meteorological information

There were no recorded weather observations at the departure airport. At 0945, Caldwell Airport, 17 miles south east of the accident site, reported a ceiling of 1200 feet broken, 2500 feet overcast, visibility of 2 3/4 miles, light rain and fog.

Stewart Airport, Newburgh, New York, 40 miles northeast of the accident site, at 0950, reported a ceiling of 1500 feet overcast and a visibility of 6 miles.

Wreckage and impact information

The airplane wreakage was examined at the accident site, on September 16 - 19, 1994. The airplane had impacted in a reservoir and came to rest in approximately 25 feet of water. Several of the larger pieces recovered were held together by control cables and/or electrical wiring. Divers reported fuel on the water in the vicinity of the wreckage.

Both wings were in multiple pieces. The landing gear had separated from the wings. The seats had separated from the fuselage floor.

The left wing was bent approximately 90 degrees aft, outboard of the left main landing gear attach point. The left wing, outboard of the wing splice, was not identified. At the wing splice, there were tears on the forward portion of the wing skin and wrinkles on the aft portion.

Both sides of the stabilator were bent rearward, with more damage on the left side.

Flight control continuity was established, between the control yoke and the rudder and elevator, and between the control yoke and the aileron cables leading to the wings, which had frayed ends with irregular patterns.

The right wing had separated at the wing splice and was in two pieces. The inboard portion was bent forward 30 degrees, mid-way between the fuselage attach point and the wing spice. The outboard portion was crushed rearward.

The engine had separated from the engine mounts, which were bent to the right. Both blades of the propeller were bent rearward. The engine was rotated and compression was found in all cylinders. The carburetor contained water and mud in the float chamber, and there was a smell of aviation gasoline. The venturi was intact. The vacuum pump was recovered and the shear shaft was intact. The muffler was attached to the firewall.

Both the baggage and main cabin doors were wrinkled. The forward seatbelts were latched with the shoulder harness attached. Both inboard seatbelt attach points were secured; however, the outboard seatbelt attach points had pulled loose from the fuselage.

The following items were either not recovered or had fragmented into pieces that were not recognizable: engine cowling upper and lower, leading edge of right wing in front of wing spar, left wing, outboard of the wing slice, left wing fuel tank, and portions of the fuselage sidewall in the area of the cabin seats.

Medical and pathological information

An autopsy was conducted by Michael Dunn, M.D. Medical Examiner for Sussex County, New Jersey, on September 17, 1994.

Toxicological testing conducted by the FAA Civil Aeromedical Institute (CAMI), in Oklahoma City, Oklahoma, was negative for drugs and alcohol.

Tests and research

The attitude indicator (vacuum driven gyro) and remote directional gyro (electrically driven gyro) were forwarded to the NTSB Laboratory in Washington, DC, for examination. According to the Physical Science Technician's Factual Report, 95-32, dated December 27, 1994:

...Pressurized air was pumped into the Air Inlet port from a portable air compressor. This caused the internal components within the gyroscope to rotate freely....

The examination [of the remote directional gyroscope] revealed no evidence of physical damage that impeded rotation of the gyroscope.

Additional information

Radar data was obtained from the New York TRACON. The data revealed the airplane climbed to and maintained 3000 feet. After the clearance was received to climb to 6000 feet and turn right to intercept V39, the airplane started a climb, reached 3300 feet, and then descended to 3200 feet. A heading of 035 degrees was held for about 20 seconds, followed by a turn to 75 degrees and then to 110 degrees. During this time the airplane descended from 3200 feet to 2800 feet. The airplane made one more turn to the right to an approximate heading of 210 degrees. The final three radar returns indicated the airplane was maintaining the 210 degree heading and was descending. The last radar return, at 1001:27.6, showed an altitude of 2600 feet and was .37 nautical miles southeast of the accident site.

The aircraft wreckage was released to Mr. Scott Anglen, of Dawn Aeronautics, New Castle, Delaware, on September 19, 1994.

Aircraft

Registration
N81X
Reported as
Piper PA-28-236
Category
Airplane
Serial number
28-7911042
Airframe hours
1,707
Engine
Lycoming O-540-J3A5D, 235 horsepower, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Registered owner
Robert Dolan
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 13, 1994 · 50 hours before
Departed
4N1 · West Milford, NJ
Destination
2B4 · Newport, RI
Flight plan
IFR

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
53
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
1,543 total · 136 in this make and model · 1,480 as pilot in command · 29 in the last 90 days · 14 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
260° at 7 knots
Visibility
2.75 statute miles
Lowest ceiling
1,200 ft broken
Temperature
68 °F, dew point 66 °F
Altimeter
30.00 inHg
Observed at
CDW, 17 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.