WPR09LA324

NTSB accident investigation · Piper PA-30 · Tucson, AZ · July 3, 2009

Accident · Serious injuriesLimited investigationFinal report
Date
July 3, 2009, 09:35 local (16:35 UTC)
Place
Tucson, AZ
Injuries
1 serious, 3 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N7657YPiper PA-30
Defining event
Initial climb: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report April 22, 2010
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20090703016999A
Case key
74184

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 directional and lateral aircraft control during takeoff. Contributing to the accident was the partial loss of left engine power for undetermined reasons.

Findings · 4

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotPiper PA-30: 28 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: lateral/bank controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-30: 3 casesAll aircraft: 390 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-30: 16 casesAll aircraft: 3,958 casesProbable cause
AircraftAircraft › Aircraft power plant · FailurePiper PA-30: 2 casesAll aircraft: 151 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 pilot reported that after advancing the mixtures to full rich and turning on the fuel boost pumps, he advanced the throttles for takeoff. During the takeoff roll he noticed that the fuel flow on the left engine was a bit excessive. He stated that, as the airplane lifted off the runway at an airspeed of 80 miles per hour, the twin-engine airplane started to veer to the left. Despite the pilot’s control inputs the airplane continued to veer to the left and subsequently impacted the ground, which resulted in structural damage to both wings, empennage, and fuselage. Local law enforcement reported that following the accident the pilot stated that as the airplane was about 30 feet above the ground, “he lost power to the left engine” and was “unable to stabilize the aircraft.” Examination of the left engine revealed that all four top spark plugs were black with soot within the electrode area. The left engine fuel servo was placed on a test bench and was found to be above factory service limitations at a setting consistent with takeoff, which would equate to a slightly rich condition. No anomalies were noted with the examination of the right engine. Examination of the airframe revealed no anomalies that would have precluded normal operation. According to the airframe manufacturer's approved flight manual, the published minimum control airspeed for single-engine operations is 90 mph.

Factual narrative

On July 3, 2009, about 0914 mountain standard time, a Piper PA-30 twin-engine airplane, N7657Y, was substantially damaged when it impacted terrain following a partial loss of engine power during takeoff from the Tucson International Airport (TUS), Tucson, Arizona. The airplane was registered to and operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91. The commercial pilot and his three passengers sustained minor injuries. Visual meteorological conditions prevailed and no flight plan was filed for the personal flight. The cross-country flight was originating at the time of the accident with an intended destination of Show Low, Arizona. In a written statement, the pilot reported that after being cleared for takeoff on runway 11L, he "advanced the mixture controls, turned on the boost pumps, and advanced the throttles." The pilot noticed that the power "came up normally in both engines" as he observed the manifold pressure gauges indicating within the "mid 20’s" and the "tach gauges showed just over 2500 rpm." The pilot stated that the left engine fuel flow "was a bit excessive" as the "right engine showed 12 GPM which is normal and the left engine showed 16 GPM." The pilot further reported that the airplane lifted off the ground around 80 miles per hour and he intended on remaining close to the runway until accelerating beyond 90 miles per hour. As the airplane was about 10 to 20 feet above ground level (agl), the airplane started to veer to the left. Despite the pilot's control inputs, the airplane continued to veer to the left as the "left wing continued to drop." Subsequently, the airplane impacted the ground. The pilot added that “the left engine did not seize or stop turning at any time prior to contacting the ground.” Local law enforcement reported that following the accident, the pilot stated that as the airplane was about 30 feet above the ground, “he lost power to the left engine” and was “unable to stabilize the aircraft.” Examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed that the airplane came to rest between taxiway Alpha 7 and Tango, about 332 feet left of the centerline for runway 11. The left and right engines were mostly separated from their mounts. The forward part of the fuselage was crushed aft. The inspector stated that first responders turned the left and right fuel selectors from the "MAIN" position to the "OFF' position shortly after the accident. According to the airframe manufacturer's approved flight manual, the published minimum control airspeed for single-engine operations is 90 miles per hour. Examination of the recovered airframe revealed flight control continuity from the cockpit controls to all primary flight control surfaces. Both left and right engines and empennage were separated from the airframe by wreckage recovery personnel to facilitate wreckage recovery. The left engine, a Lycoming IO-320-B1A, serial number L-1582-55A, remainedintact. The throttle body fuel control unit was separated from the engine. The top spark plugs were removed and the crankshaft was manually rotated by hand using a hand tool attached to the crankshaft propeller flange. Rotational continuity was established throughout the engine and valve train. Thumb compression was noted on all four cylinders. The propeller flange and crankshaft appeared to be slightly bent. The fuel servo was separated from the engine at its respective mount. The throttle and mixture control levers moved from stop to stop freely by hand. The fuel servo screen was removed and no debris was noted. The top cylinder one, two, three, and four spark plugs exhibited worn/normal wear when compared to the Champion AV-27 check-a-plug comparison chart. Black deposits were observed within the electrode area on all of the top spark plugs. The bottom cylinder one, two, three, and four spark plugs exhibited signatures consistent with worn/normal wear. The bottom cylinder one and two spark plugs were oil soaked. The number three and four cylinder spark plugs exhibited black deposits within the electrode area. The left engine fuel control servo, fuel flow divider, and fuel injector nozzles were removed and sent to Precision Airmotive LLC for further examination. The left propeller assembly was separated from the engine by wreckage recovery personnel. Both propeller blades were loose within the propeller hub. One blade was curled about 180 degrees opposite the direction of rotation about 10 inches inboard from the blade tip. The blade exhibited leading edge gouging and chordwise scratching on the blade face from about 12 inches inboard to the blade tip. The other blade was twisted opposite the direction of rotation along with a slight aft bend about 8 inches outboard of the propeller hub. The blade exhibited chordwise scratching and polishing on the blade face near the outboard 10 inches of the propeller blade. The right engine, a Lycoming IO-320-B1A, serial number L-1591-55A, was intact. The starter, alternator, and throttle body fuel servo unit were displaced from the engine. The top spark plugs were removed and the crankshaft was manually rotated by hand using a hand tool attached to the crankshaft propeller flange. Rotational continuity was established throughout the engine and valve train. Thumb compression was noted on all four cylinders. The throttle and mixture control levers moved from stop to stop freely by hand. The top cylinder one, two, three, and four spark plugs exhibited worn/normal wear when compared to the Champion AV-27 check-a-plug comparison chart. Light gray deposits were observed within the electrode area. The bottom number one, three, and four spark plugs exhibited normal wear signatures when compared to the Champion AV-27 check-a-plug comparison chart. The number two bottom spark plug exhibited worn-severe signatures. The bottom number one cylinder spark plug was oil soaked. The number two, three, and four cylinderbottom spark plugs exhibited light gray deposits within the electrode area. The right engine fuel control servo was removed and sent to Precision Airmotive LLC for further examination. The right propeller assembly was separated from the engine by wreckage recovery personnel. Both propeller blades remained attached to the propeller hub. One blade was twisted opposite the direction of rotation from about mid-span of the blade. Chordwise scratches were observed on the propeller blade face and leading edge from the blade tip to about 8 - 10 inches outboard of the blade root. Leading edge gouges were observed on the outboard 6 inches of the propeller blade. The other blade was twisted opposite the direction of rotation from about mid-span. Chordwise scratching and blade polishing was observed on the outboard 10 inches of the propeller blade face and outboard 15 inches of the leading edge. The left engine fuel control servo, fuel flow divider, and fuel injector nozzles were examined at the facilities of Precision Airmotive LLC., Marysville, Washington. The fuel servo was installed on a test bench and functionally tested. The observed fuel rate (pounds/hour) exceeded the recommended factory limits on three of the nine flow tests conducted. When tested at a level consistent with takeoff, the fuel flow rate observed was 8.2 pounds/hour over the factory in-service limitations. Examination of the fuel flow divider revealed that all fittings were seized within the divider body and could not be removed. Air pressure was applied to the flow divider and air flow throughout all ports was verified. The fuel nozzles were placed on a test bench and flow tested. The number one, three, and four fuel nozzles test results were below the factory specifications during the low pressure (12 PSI) flow test and within the factory specifications during the high pressure (36 PSI) flow test. The number two fuel nozzle tested below factory specifications on both the 12 PSI and 36 PSI tests. The right engine fuel control servo was installed on a test bench and functionally tested. The observed fuel rate (pounds/hour) was found within factory specifications on eight of the nine tests. When tested at a level consistent with takeoff, the fuel flow rate observed was within factory in-service limitations.

Aircraft

Registration
N7657Y
Reported as
Piper PA-30
Category
Airplane
Serial number
30-735
Airframe hours
5,407
Engines
Lycoming IO-320, 150 horsepower, reciprocatingLycoming IO-320, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Alan Muhs
Registered owner
Alan Muhs
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 2, 2008 · 125 hours before
Departed
TUS · Tucson, AZ
Destination
SOW · Show Low, AZ
Airport
TUS · Tucson International Airport, runway 11L, 10,996 × 150 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
58
Injuries
Minor
Certificates
Commercial, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 28, 2009
Seat
Left
Flight hours
2,600 total · 600 in this make and model · 2,438 as pilot in command · 50 in the last 90 days · 28 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 59 °F
Altimeter
30.05 inHg
Observed at
TUS

Docket · 7

The files NTSB released with the investigation on February 8, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 MB in all.

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 N7657Y · 1

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