SEA08LA085

NTSB accident investigation · Piper PA-28-161 · Chandler, AZ · March 3, 2008

Accident · No injuriesLimited investigationFinal report
Date
March 3, 2008, 08:40 local (15:40 UTC)
Place
Chandler, AZ
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N8400APiper PA-28-161
Defining event
Approach-VFR go-around: Collision with terr/obj (non-CFIT)
Weather
Visual (VMC) · Day
Status
Completed · report May 28, 2008
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20080303012009A
Case key
67608

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 student pilot's delay in initiating the go-around, and the flight instructor's inadequate supervision of the flight and delayed remedial action. Contributing to the accident were the momentary failure of the engine to respond, the failure of both the student and the instructor to adhere to the operator's procedures, and the rough/uneven terrain.

Findings · 7

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Terrain: rough terrainEnvironmental issues › Physical environment · Not specifiedPiper PA-28-161: 2 casesAll aircraft: 442 casesProbable cause
Terrain: sloped/uneven terrainEnvironmental issues › Physical environment · Not specifiedPiper PA-28-161: 5 casesAll aircraft: 270 casesProbable cause
Action: delayed actionPersonnel issues › Action/decision · Student/instructed pilotPiper PA-28-161: 10 casesAll aircraft: 894 casesProbable cause
Power plantAircraft › Aircraft power plant · Not specifiedPiper PA-28-161: 1 caseAll aircraft: 198 casesProbable cause
Action: delayed actionPersonnel issues › Action/decision · PilotPiper PA-28-161: 10 casesAll aircraft: 894 casesProbable cause
Use of equip/info: use of policy/procedurePersonnel issues › Task performance · Instructor/check pilotPiper PA-28-161: 2 casesAll aircraft: 191 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The dual student was practicing a simulated engine-out landing, with the intention of executing a go-around during the last part of the final approach. Although the operator's procedures called for the initiation of a go-around no lower than 300 feet above ground level (agl), the flight instructor did not call for the go-around until the airplane was about 100 feet agl. To initiate the go-around, the student pushed the throttle to the full-forward position, whereupon the engine momentarily coughed, and the airplane continued to sink. Just as the engine accelerated to full power, the airplane struck the ground on rough/uneven terrain. The accident sequence resulted in both external and internal damage to both wings. After the accident, the engine was started and run at various power settings, and no anomalies were found that would have kept it from correctly responding to a full-throttle power application.

Factual narrative

On March 3, 2008, about 0840 mountain standard time, a Piper PA-28-161, N8400A, impacted the terrain during a go-around from a simulated engine-out landing about 11 miles south of Chandler Municipal Airport, Chandler, Arizona. The certified flight instructor and his student were not injured, but the airplane, which is owned and operated by Chandler Air Service, sustained substantial damage. The local 14 CFR Part 91 instructional flight, which departed Chandler Municipal Airport about 50 minutes prior to the accident, was being operated in visual meteorological conditions. No flight plan had been filed.

According to the flight instructor, his student was practicing a simulated engine-out landing, with the intention of executing a go-around during the last part of the final approach. According to telephone conversations with both the instructor and the student, the go-around was initiated when the airplane was about 100 feet above ground level (agl). To initiate the go-around, the student pushed the throttle to the full-forward position, whereupon the engine momentarily coughed/chocked, and the airplane continued to sink. Just as the engine accelerated to full power, the airplane struck the ground on rough/uneven terrain. The accident sequence resulted in both external and internal damage to both wings.

After the accident, the engine was started and run at various power settings, and no anomalies were found that would have kept it from correctly responding to a full-throttle power application.

During the investigation it was determined that the operator's procedure for all simulated engine-out activity is for the flight instructor pilot to call for the initiation of a go-around no lower than 300 feet agl.

Aircraft

Registration
N8400A
Reported as
Piper PA-28-161
Category
Airplane
Serial number
28-8116249
Airframe hours
15,293
Engine
Lycoming O-320-D3, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Chandler Air Service
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 1, 2008
Departed
KCHD · Chandler, AZ
Destination
KCHD
Airport
KCHD · Chandler Municipal

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
27
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
July 1, 2007
Seat
Right
Flight hours
687 total · 280 in this make and model · 581 as pilot in command · 218 in the last 90 days · 59 in the last 30 days · 3 in the last 24 hours
Role
Student pilot
Age
18
Injuries
None
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Left
Flight hours
57 total · 57 in this make and model · 34 in the last 90 days · 22 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 10 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F

FAA reports on this event · 1

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