# NTSB NYC96FA073: Piper PA-23-250, N222WR, Bridgeport, WV, March 11, 1996 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: March 11, 1996, 13:29 local (18:29 UTC) - Place: Bridgeport, WV - Coordinates: 39.289524, -80.249092 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=39.2895&lon=-80.2491&mi=10 - Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report February 1, 1997 - Report: Approved by Office Director - NTSB case key (mKey): 39082 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=NYC96FA073 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/39082/pdf - Page: https://openairdocs.org/ntsb/NYC96FA073 ## Probable cause The pilot's inablility to maintain aircraft control due to a full nose down trim condition, which resulted in a loss of control and collision with terrain. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of control - in flight, approach - vfr pattern - downwind - flt control syst,stabilator trim - incorrect (cause) - aircraft control - not maintained, pilot in command - In flight collision with terrain/water, descent - uncontrolled - terrain condition - rising ## Analysis Earlier on the day of the accident, the airplane was being operated on the ground, when the main landing gear was inadvertently retracted. The airplane settled on its tail; however, the propellers did not touch the ground. The engines were shut down, and the occupants deplaned. The airplane was raised, and the gear was extended. The airplane was inspected, which included removal of the side and rear panels in the vicinity of the stabilator and rudder. A ferry permit was issued for flight to another airport where repairs could be made, with the restriction that the landing gear remain extended. The pilot departed on the flight, and after takeoff, he requested to return for a landing with no reason given. The airplane was observed to turn crosswind and then downwind, where it subsequently descended in a wings level attitude below the level of surrounding terrain, after which black smoke was observed. Impact occurred on the side of a hill, and debris was strewn 267 feet. Examination of the propellers and engines did not disclose evidence of a mechanical malfunction. There was no evidence of a jam in the rudder or elevator flight controls. The rudder trim and manual elevator trim were collocated. In addition, the airplane was equipped with an electric elevator trim. The rudder trim was found in neutral, and the elevator trim was found full nose down. The forward portion of the cockpit was crushed and no evidence of a pre-existing failure was found. ## Factual narrative HISTORY OF FLIGHT On March 11, 1996, at 1329 eastern standard time, a Piper PA-23-250, N222WR, struck terrain in Bridgeport, West Virginia. The airplane, which had departed from the Benedum Airport, Clarksburg, West Virginia, and was maneuvering to return for a landing, was destroyed. The Airline Transport Pilot was fatally injured. No flight plan had been filed for the ferry flight, which was conducted in visual meteorological conditions, and under 14 CFR Part 91. Earlier in the day, with two pilots and a passenger onboard, there was an inadvertent main landing gear retraction. This event occurred while the airplane was in the runup area for runway 21, about 0948. According to the left seat pilot "...Prior to beginning taxi I attempted gear pressure check. I believe that I pushed handle down, but with ensuing events, I am not positive. I may have either moved selector to up position or, may have caught gear handle in coat sleeve and thereby raised the selector. In any event, the landing gear partially retracted with the aircraft slowly sinking in a left side lower but nearly level attitude until it dropped approximately the last 10 to 12 inches...During the retraction there was no gear warning horn nor were there any gear unsafe lights...The only visible damage was to small pieces of fiberglass from the rear of the outboard door of each of the main gears, the loran antenna located forward of the down hook [tail tie down ring] was bent and the skin around the base was slightly dented, the tail hook [tail tie down ring] was pushed upward from its normal position approximately 1 1/2 inches and the skin forward of the hook was dented with a crack in the sheet metal skin just forward of the hook. One screw was pulled from the tail cone assembly...." Maintenance personal examined the airplane and reported: "The airplane had a main gear retraction on taxi way Alpha. Nose gear did not retract. Pilot shut engines down. Damage to tail tie down area. No side skin damage to tail. Tail tie down attach area skin damage. No aft bulkhead damage at stabilator attach point. Visually inspect landing gear for down lock. Down lock O.K. Safety valve arm broken. No visible defects with landing gear control system. Aircraft tail assembly visually inspected...Visually inspected and operated all flight controls, no defects found. Applied duct tape to damaged skin area tail tie down. Obtained ferry permit for ferry flight from Clarksburg (CKB) to Hagerstown, MD (HGR) for sheet metal repair. Limitations for permit - gear down and placards [Landing Gear] INOP." In a telephone interview, the mechanic who signed the ferry permit reported that he placed a placard in the cockpit that the landing gear was inoperative; however, the landing gear was still operative, and had not been disabled. He also reported that he had removed both the left side panel and tail cone to inspect the airplane, and that after the inspection, he prepared the airplane for the ferry flight. Upon completion of the work, the pilot took the airplane for the ferry flight. The accident pilot had been the right seat pilot on the earlier event with the inadvertent landing gear retraction. At 1321, the pilot called the Clarksburg tower and reported that he was ready to taxi for an eastbound departure. He was cleared to taxi to runway 3. At 1326, the pilot reported he was ready for takeoff. The flight was cleared into position and hold on runway 3., and the pilot replied, "Position and hold runway three...and for your information [this] will be a ferry flight with the gear down so don't look for retraction on takeoff." The flight was cleared for an on-course departure at 1327:10, which was acknowledged by the pilot. At 1328:21, the local controller transmitted, "Aztec two whiskey romeo did you want advisories from approach control sir." At 1328:30, the pilot replied, "Whiskey romeo negative we need to come back in for a landing." The local controller replied, "Aztec two whiskey romeo roger enter on ah right down wind for runway three wind three five zero at seven cleared to land." At 1328:37, the pilot replied, "Cleared to land two whiskey romeo." No further radio calls were received from the pilot. At 1329:15, the local controller transmitted, "Two whiskey romeo check altitude." A witness who landed on runway 3 after the pilot departed reported: "...N222WR climbed out which appeared to be normal. After turning east, he called the tower stating he needed to return and land. N222WR started a turn south (for down wind). In this direction, he was descending at a constant rate (He maintained directional/level flight attitude). As he descended below the horizon (in my view from the taxi-way) the tower called N222WR check altitude and then he disappeared and a mushroom cloud of smoke appeared." The flight was observed by other witnesses who described; seeing the airplane flying and hearing the engines out of sync; observed the airplane through a window and saw the nose pitching up and down; and saw something trailing from the left wing tip which was described as smoke. Another witness located near the accident site heard the airplane engine(s) and impact, but did not see it. He reported that the engine(s) sounded like it was at high power, but he could not distinguish if it was a single engine or a twin engine airplane. The accident occurred during the hours of daylight at location 39 degrees, 16 minutes North and 80 degrees, 10 minutes West. PERSONNEL INFORMATION The pilot was the holder of an Airline Transport Pilot Certificate for single and multi-engine land airplanes. In addition, he held a flight instructor certificate for single and multi-engine land airplanes and instrument airplanes. He was issued an FAA 2nd class Airman Medical Certificate on May 15, 1995, with a limitation to wear corrective lenses. The pilot's last flight review was conducted in a Cessna 172, on November 5, 1995. The same flight instructor had conducted the last three flight reviews, all in single engine airplanes, and when interviewed reported no problems with the pilot. According to his pilot log book which was current through October 10, 1995, he had a total time of 5348.5 hours. In addition he was estimated to have flown at least 50 additional hours between the date of his last flight in the log book, and the date of the accident for a total time of about 5400 hours, and about 30 hours in the preceding 90 days. AIRCRAFT INFORMATION The airplane was a 1976 Piper PA-23-250. The engines were Lycoming TIO-540-C1A which developed 250 horse power at takeoff. The flight control system was cable actuated from the cockpit with functioning dual controls installed. The wing flaps and landing gear were hydraulically actuated from cockpit controls. There were four fuel tanks, two in each wing. The fuel tanks were identified as left and right, and inboard and outboard. WRECKAGE AND IMPACT INFORMATION The airplane was examined at the accident site on March 12 and 13, 1996. The examination revealed that the airplane had impacted the side of a hill. The debris path was scattered along a heading of 180 degrees, for a distance of 267 feet. In the initial impact area, the ground was burned black. Impact marks from the right wing and right wing landing gear, and nose gear, and left engine were visible. Small pieces of green navigation light lens were found at the origin of the mark identified as the right wing impact mark. The center of the right engine and right landing gear impact marks measured 16 feet from the right wing tip impact mark. The nose impact crater measured 25 feet, and the nose wheel 26 feet from the ring wing tip impact mark. The left engine impact crater measured 31 feet from the right wing tip impact mark. The wings were fragmented and separated from the fuselage. The ## Aircraft - Registration: [N222WR](https://openairdocs.org/deregistered/N222WR-2013-04-29), registration cancelled 2013-04-29, S/N 27-7654123, built 1976 (OpenAirDocs) - Reported make and model: Piper PA-23-250 - Registry model: [Piper PA-23-250](https://openairdocs.org/model/piper-pa-23-250) (registry code 7102308) (OpenAirDocs) - Registry engine: [Lycoming TI0-540 series](https://openairdocs.org/engine/lycoming-ti0-540-series) (registry code 41533, turbo-prop) (OpenAirDocs) - Category: Airplane - Serial number: 27-7654123 - Airframe hours: 2460 - Engines: Lycoming TIO-540-C1A 250 horsepower reciprocating - Damage: Destroyed - Fire: On-Ground - Flight: Ferry, Part 91 - Registered owner: Joseph M. Pope - Airworthiness certificate: Standard, Normal - Last inspection: Annual, November 6, 1995, 22 hours before - Departed: CKB, CLARKSBURG, WV - Destination: HGR, HAGERSTOWN, MD - Airport: CKB, Benedum, runway 3, 5,198 × 150 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 51; airline transport; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 2, valid medical--w/ waivers/lim; seat: left; toxicology performed; flight hours: 5,400 total, 60 in this make and model, 5,300 as pilot in command, 30 in the last 90 days ## Weather - Conditions: Visual (VMC), Day - Wind: 30° at 7 knots - Visibility: 20 statute miles - Lowest ceiling: none - Temperature: 45 °F, dew point 21 °F - Altimeter: 30.00 inHg - Observed at: CKB, 2 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 19960311003879A](https://openairdocs.org/incident/19960311003879A), Mar 11, 1996: Piper PA23250, Clarksburg, WV, Destroyed, 1 fatal. Inadvertent gear retraction prior flight. Damaged tail and fuselage skin. Reported problem on ferry flight. Crashed 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. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.