SEA89FA040

NTSB accident investigation · Piper PA-23-160 · Carson City, NV · January 27, 1989

Accident · FatalField investigationFinal report
Date
January 27, 1989, 12:52 local (20:52 UTC)
Place
Carson City, NV
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N4391PPiper PA-23-160
Weather
Visual (VMC) · Day
Status
Completed · report May 22, 1990
Report
Approved by Office Director
FAA report
19890127001419A
Case key
40911

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 NTSB’s determination of the probable cause, and any contributing factors.

Loss of power on the left engine due to a foreign object which obstructed the fuel flow, and the pilot's failure to maintain airspeed above VMC during his attempted return to the airfield. Contributing to the accident was the lack of recent flight time by the pilot.

Analysis

While on crosswind leg after t/o, the pilot announced he had lost an engine and was returning to land. During a left turn back toward the arpt, the acft rolled inverted to the left and descended in a nose down attitude until impact. Exam revealed an extra needle valve loose in the left eng carburetor float bowl. Another needle valve and seat assembly was correctly installed in the carburetor. Numerous smooth bright spots of wear were found on the bottom surface of the grainy textured interior of the float bowl. The area around the fuel mixture metering assembly port was polished and the needle valve could be inserted in the port. Maintenance records revealed new engines had been installed on 10/30/79. Although records and witnesses indicated power problems with the left engine, no records indicated the carburetor float bowl had ever been removed after the engine had initially been installed on the aircraft.

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) - mech failure/malfTakeoff - initial climb
1 engine
Fuel system,carburetor - foreign objectCause
Fuel system - improperManufacturerCause
Fluid,fuel - starvationCause
Propeller feathering - performedPilot in command
Loss of control - in flightManeuvering - turn to landing area (emergency)
Emergency procedure - improperPilot in command
Airspeed(vmc) - not maintainedPilot in commandCause
Lack of recent experiencePilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled

Aircraft

Registration
N4391P
Reported as
Piper PA-23-160
Category
Airplane
Serial number
23-1902
Airframe hours
2,976
Engine
Lycoming O-360-A1D, 180 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Viking Air
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 7, 1988 · 34 hours before
Departed
O04 · Carson City, NV
Airport
004 · Carson City, runway 27, 5,900 × 75 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
65
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
538 total · 104 in this make and model · 519 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
20 statute miles
Lowest ceiling
None
Temperature
37 °F, dew point 19 °F
Altimeter
30.00 inHg
Observed at
RNO, 19 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.