WPR10LA083

NTSB accident investigation · Piper PA-22-160 · San Jose, CA · December 15, 2009

Accident · No injuriesLimited investigationFinal report
Date
December 14, 2009, 16:15 local (Dec 15, 2009, 00:15 UTC)
Place
San Jose, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N9547DPiper PA-22-160
Defining event
Initial climb: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed · report May 28, 2010
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20091214023189A
Case key
75167

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

A total loss of engine power due to water contamination in the fuel system as a result of the pilot's inadequate preflight inspection.

Findings · 3

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionPiper PA-22-160: 5 casesAll aircraft: 1,695 casesProbable cause
Object/animal/substance: water/moistureEnvironmental issues › Physical environment · Effect on equipmentPiper PA-22-160: 1 caseAll aircraft: 10 cases
Inspection: preflight inspectionPersonnel issues › Task performance · PilotPiper PA-22-160: 2 casesAll aircraft: 551 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 airplane climbed to about 600 feet above ground level after takeoff and the engine experienced a loss of power. With unfavorable conditions ahead, the pilot opted to turn 180 degrees back toward the airport. The airplane touched down on wet, muddy grass and began to roll onto the asphalt. The airplane nosed over after encountering the lip of the asphalt. A mechanic took fuel samples from the fuel tanks as part of a postimpact inspection. Samples of fuel from the left wing tank, which was selected at the time of the accident, revealed that there was a significant amount of water present. The mechanic opined that the left tank's lower tank panel had possibly bowed up, causing water to be trapped around the sides of the tank. The pilot reported that he did drain fuel from the tanks prior to departure, but that he should have also shaken the wings to induce the trapped water to move down to the sump drains, then rechecked the fuel for contamination.

Factual narrative

On December 14, 2009, about 1615 Pacific standard time, a Piper PA-22-160, N9547D, experienced a loss of engine power during the initial climb from Reid-Hillview Airport, San Jose, California. The pilot, who was additionally the owner, was operating the airplane under the provisions of 14 Code of Federal Regulations Part 91. The private pilot, the sole occupant, was not injured; the airplane sustained substantial damage. The local personal flight was originating from San Jose. Visual meteorological conditions prevailed, and a flight plan had not been filed. In a written statement, the pilot reported that he intended to depart from runway 13L and then practice a full stop landing on the same runway. Following the departure roll, the airplane climbed to about 600 feet above ground level (agl) and the engine experienced a loss of power. The pilot assessed that the airplane was about 3/4 down the runway with a heavily occupied road and shopping center immediately ahead. He opted to turn 180 degrees toward the run-up area for runway 31R. The airplane touched down on wet, muddy grass, and began to roll onto the asphalt run-up area where the pilot intended to land. Upon hitting the lip of the asphalt, the airplane nosed over. The pilot further stated that he was unsure when the airplane was last refueled. He noted that during the preflight, he observed the fuel quantities to be as follows: the right tank was 1/3 full, the left tank was full, and the header (belly) tank was full; he departed with the left tank selected. He additionally stated that he thought the engine may have quit due to water contamination in the fuel system. In the section titled "RECOMMENDATION" in the NTSB Pilot/Operator Report, form 6120.1, the pilot stated that although he had drained the fuel tanks for water prior to departure, the accident could have been prevented if he had followed this recommendation, "shake wing hard, wait 5-8 minutes, [and] check for water again." On December 17, 2009, an airplane mechanic examined the wreckage under the auspice of several Federal Aviation Administration (FAA) inspectors. The complete report is contained in the public docket for this accident. The mechanic stated that the fuel caps were present and the seals were noted to be deteriorated. The fuel tanks appeared to be intact, with no damage incurred. A sample from each tank disclosed that the right wing and center tank contained blue 100LL Avgas with a few small particles present. The left wing tank sample had a significant amount of water present with what appeared to be red dye. The mechanic opined that the red dye was residual from when plane was fueled with 80-octane that had dried on upper inside of tank. The mechanic stated that he rocked the wings and sampled the tanks again. The right and center tanks were clear and the left tank sample contained more water (red in color). He repeated the rocking-sample procedure three more times, which all produced the same results. He noted thatthe tanks were rigid metal tanks, with no bladders installed. The mechanic removed the gascolator bowl and found no contaminates present. He disassembled the carburetor and found no anomalies. Removal of the spark plugs revealed that they were in like-new condition all gapped to specifications and dark gray in color. He inspected the cylinder combustion chambers and noted normal wear and coloring The mechanic found no anomalies with the airframe and engine with the exception of the water contamination in the left fuel tank. He opined that the left tank's lower tank panel had possibly bowed up causing water to be trapped around the sides of the tank.

Aircraft

Registration
N9547D
Reported as
Piper PA-22-160
Category
Airplane
Serial number
22-6464
Airframe hours
2,170
Engine
Lycoming O-320 SERIES, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 3, 2009 · 8 hours before
Departed
RHV · San Jose, CA
Destination
RHV · San Jose, CA
Airport
RHV · Reid-Hillview Airport, runway 13R, 3,100 × 75 ft, grass/turf

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
59
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
August 16, 2009
Seat
Left
Flight hours
1,098 total · 55 in this make and model · 1,098 as pilot in command · 7 in the last 90 days · 2 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
15,000 ft broken
Temperature
61 °F, dew point 48 °F
Altimeter
30.03 inHg

Docket · 2

The files NTSB released with the investigation on April 2, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 232 KB 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 N9547D · 1

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