SEA00LA109

NTSB accident investigation · Piper PA-16 · Vancouver, WA · June 18, 2000

Accident · Serious injuriesLimited investigationFinal report
Date
June 18, 2000, 16:20 local (23:20 UTC)
Place
Vancouver, WA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N5995HPiper PA-16
Weather
Visual (VMC) · Day
Status
Completed · report May 18, 2001
Report
Approved by Office Director
FAA report
20000618012209A
Case key
49471

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 failure to determine the aircraft's airworthiness before flight, resulting in operation of the aircraft in an unairworthy condition and consequent fuel starvation, and his subsequent failure to maintain adequate airspeed in an emergency turn back to the airfield, resulting in a stall. Factors included: an unapproved fuel tank installation; the pilot's lack of recurrent flight training; the pilot's lack of recent experience; and the aircraft's low altitude at the time control was lost.

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(total) - nonmechanicalTakeoff - initial climb
Preflight planning/preparation - inadequatePilot in commandCause
Fuel system,tank - unapprovedFactor
Maintenance,annual inspection - not complied withPilot in command
Fluid,fuel - starvation
Loss of control - in flightManeuvering - turn to landing area (emergency)
Airspeed - not maintainedPilot in commandCause
Inadequate recurrent trainingPilot in commandFactor
Lack of recent experiencePilot in commandFactor
Stall - encounteredPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Altitude - lowFactor

Analysis

The pilot reported that after washing the aircraft, he decided to take it once around the airfield to dry it off. The pilot did not seek or receive the aircraft owner's permission for this flight, and did not determine that the aircraft was out of annual or that it incorporated an as-yet unapproved fuel tank installation. The fuel tank installation had not yet received FAA approval since the non-standard tank was failing tank drain tests (introducing the potential for the tank drain port to become unported at 'extreme flight attitudes.') The pilot reported that the aircraft's engine quit about 200 feet above ground level after takeoff. The pilot switched fuel tanks, but the engine 'did not revive in time.' The pilot attempted to turn back toward the field, but the aircraft 'lost lift' and impacted the ground. FAA inspectors who examined the airplane after the accident reported they found fuel aboard, and no evidence of any mechanical problems with the engine. The pilot reported he did not have a current required flight review, and that he had not flown as pilot-in-command in the last 10 years.

Factual narrative

On June 18, 2000, approximately 1620 Pacific daylight time, a Piper PA-16, N5995H, was substantially damaged when it collided with terrain following takeoff from Evergreen Field, Vancouver, Washington. The private pilot, who was its sole occupant, was seriously injured in the accident. Visual meteorological conditions prevailed and no flight plan had been filed for the 14 CFR 91 local personal flight.

The pilot reported that he had just finished washing the airplane and decided to go once around the field to dry it. He reported that he did not receive permission from the aircraft owner to conduct this flight, and that the owner was unaware the flight took place until he was informed of the accident. The pilot indicated that he took off from runway 28R (a 2,120 by 40 foot asphalt runway.) He reported that the engine quit at approximately "200 feet MSL" (note: the field elevation is 310 feet above sea level) and that he then tried to switch fuel tanks but the engine "would not revive in time." He stated that he made a downwind turn to stay on the airport property if possible, and that the airplane then "lost lift." He stated he "made a dive to recover and flattened out [the] plane before hitting [the] ground." According to a diagram furnished with the pilot's report, the airplane impacted on a generally south-southeasterly flight path and came to rest near a row of hangars on the west edge of the field.

The pilot reported that he did not have a current flight review or medical certificate. He reported he did not keep a pilot logbook, and indicated that he had not flown as pilot-in-command (PIC) in the last 10 years. He also was unable to report much airworthiness-related information on the aircraft, stating he was not the aircraft owner. Information not reported on the pilot's NTSB accident report included: aircraft serial number, certified maximum gross weight, type of airworthiness certificate, model and series of engine (he reported only that the aircraft was equipped with a 115 HP Lycoming), engine total time, engine time since inspection, engine time since overhaul, date and type of last annual inspection, time since last annual inspection, airframe total time, and emergency locator transmitter (ELT) data. (NOTE: The NTSB investigator-in-charge (IIC) checked the aircraft registration database at the Internet site landings.com, and found that the airworthiness certificate type was not specified in the database entry for the aircraft.) The pilot reported that at the time of the flight, he was under the impression that the aircraft was licensed in accordance with FAA regulations, but that in retrospect, "apparently the tank modifications were not complete."

FAA inspectors who responded to the accident scene and subsequently performed a teardown examination of the aircraft's engine reported to the NTSB that they found that the aircraft had not undergone an annual inspection in 2 years. They reported finding fuel in the aircraft's fuel tanks and that they found no evidence of a mechanical problem with the engine, but did report that the aircraft had several unapproved and undocumented modifications installed. Among these was removal of the aircraft's 12-gallon fuselage fuel tank, and installation of an 18-gallon right wing tank in addition to an 18-gallon left wing tank. The approved fuel system installation for the type incorporates the fuselage tank as standard, with only the 18-gallon left wing tank as an optional installation. The FAA inspector who reported finding the unapproved fuel system installation further reported that the aircraft owner had been seeking FAA approval for this installation, but that the installation was failing tank drain tests. The inspector indicated that the nature of the right wing tank drain test failures was such that the tank drain port could have become unported at "extreme flight attitudes." It was not determined which fuel tank was selected at the time of the accident.

Aircraft

Registration
N5995H
Reported as
Piper PA-16
Category
Airplane
Serial number
16-623
Engine
Lycoming UNKNOWN, 115 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Louis H. Parah
Registered owner
Joseph J. Lambrecht
Departed
59S
Airport
59S · Evergreen Field, runway 28R, 2,120 × 40 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
62
Certificate
Private
Airplane ratings
Single-engine land
Medical
Unknown
Seat
Left
Flight hours
4,000 total · 2 in this make and model · 3,850 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
0° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 52 °F
Altimeter
29.00 inHg
Observed at
VUO

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 N5995H · 1

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