WPR14LA027

NTSB accident investigation · Piper PA-23-150 · Tucson, AZ · October 23, 2013

Accident · Serious injuriesLimited investigationFinal report
Date
October 23, 2013, 10:40 local (17:40 UTC)
Place
Tucson, AZ
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N3162PPiper PA-23-150
Defining event
Takeoff: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report September 29, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA
FAA report
20131023022819A
Case key
88289

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

The pilot’s failure to maintain airplane control during takeoff following the loss of left engine power due to the failure of the left engine-driven fuel pump’s diaphragm. Contributing to the accident was the pilot’s failure to use the electric fuel boost pumps for takeoff in accordance with checklist procedures and to conduct the engine failure emergency procedure.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

The private pilot, who did not have a multiengine rating, reported that, during takeoff, the airplane's nose starting turning left; he did not realize that it was due to the left engine losing power. As a result, he did not perform the engine failure emergency procedure. A witness reported hearing one of the engines "misfiring" and subsequently seeing the airplane drift left, roll into a steep left bank, and then impact the ground. Postaccident examination revealed no fuel in the left engine's fuel strainer and carburetor; the right engine's fuel strainer and carburetor both contained fuel. Fuel was present in both the left and right wing fuel tanks, and no evidence of fuel contamination was found. The left engine-driven fuel pump's diaphragm was found to be brittle and cracked in several locations, which resulted in its inability to provide sufficient fuel pressure to maintain engine power during takeoff. No other anomalies were found with the left engine's fuel system. The electric fuel boost pump switches were both found in the "off" position, indicating that the pilot had not turned them on before takeoff as called for in both the owner's handbook before takeoff checklist and the before takeoff checklist located on a placard on the instrument panel. If the pilot had turned on the electric fuel boost pumps, the left engine would not have lost power because the electric pump would have compensated for the malfunction of the engine-driven pump.

Factual narrative

The factual narrative705 words

On October 23, 2013, about 1040 mountain standard time, a Piper PA-23-150 Apache D, N3162P, was substantially damaged when it impacted terrain following a loss of aircraft control on takeoff at Tucson International Airport, Tucson, Arizona. The private pilot, the sole occupant on board, was seriously injured. The airplane was being operated by the owner under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the personal local flight, which was originating at the time of the accident. A flight plan had not been filed. The pilot purchased the airplane, after a mechanic performed an annual inspection, on February 22, 2013, in New Smyrna Beach, Florida. Because he did not have a multi-engine rating, he had a flight instructor fly with him on the trip from New Smyrna Beach to Tucson. He did not fly the airplane again until the day of the accident. The pilot told a Federal Aviation Administration (FAA) inspector that shortly after liftoff from runway 11R, crosswinds were blowing the airplane to the left. He said the airplane lost altitude and rolled left impacting terrain with the wings near 90 degrees of bank. The airplane completely cartwheeled before coming to rest upright. The airplane's nose, both wings, and the empennage were bent and wrinkled. In a written statement to the National Transportation Safety Board (NTSB) investigator-in-charge, the pilot reported that after takeoff, the nose of the airplane started turning left, and he "misinterpreted this as being an effect of the wind." He further reported that he realized after the accident that the uncontrollable turn to the left was due to the left engine losing power. A witness, who was an airport operations officer with the Tucson Airport Authority, reported that he observed the airplane's takeoff, and he heard one of the airplane's engines "misfiring." The airplane "drifted" to the left, rolled into a steep left bank, and impacted the ground. Postaccident examination of the airplane by the FAA inspector revealed that both propeller controls were full forward, the mixture controls were full rich, and the throttles were full aft. Both fuel selectors were in the off position. Later it was determined that Tucson Airport firefighters had moved the throttles from full forward to full aft and placed both fuel selectors in the off position. The landing gear was down, and the flaps were up. Both electric fuel pump switches were in the off position. The FAA inspector found no fuel in the left fuel strainer and carburetor; the right fuel strainer and carburetor both contained fuel. He visually examined fuel taken from both the left and right wing fuel tanks and found the fuel to be "clear and bright" with no evidence of contamination. On November 27, 2013, an NTSB investigator examined the left engine's fuel system at the facilities of Air Transport in Phoenix, Arizona. All fuel lines throughout the left wing were found intact and tight at theirfittings. All lines were disconnected at their fittings, examined, and found to be free of obstructions. The left fuel selector and left fuel selector valve were examined, and no anomalies were noted. The fuel strainer screen, the carburetor finger screen, and the left main and left auxiliary fuel tank finger screens were found to be free of obstruction. Power was applied to the left electric fuel pump, and it produced a repetitive clicking sound, consistent with normal operation. On December 11, 2013, an NTSB investigator disassembled the left engine-driven fuel pump and found the pump's rubber diaphragm to be brittle and cracked in several locations. The Apache Owner's Handbook listed "electric fuel pumps on" as a step in the before takeoff checklist. Additionally, a placard attached to the right side of the airplane's instrument panel provided a takeoff checklist that included "elec. fuel pumps on" as one of the items to be completed. The Apache Owner's Handbook described the emergency procedure for an engine failure, indicating that yaw in the direction of the dead engine should be corrected with the rudder; the propeller on the dead engine should be feathered; and the dead engine wing should be held up about 3 degrees higher than level to help counteract the airplane's tendency to turn in that direction.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N3162P
Reported as
Piper PA-23-150 (Apache D)
Category
Airplane
Serial number
23-1094
Built
1957
Airframe hours
4,169
Engines
Lycoming O-320 SERIES, 150 horsepower, reciprocatingLycoming O-320 SERIES, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 1, 2013
Departed
TUS · Tucson, AZ
Destination
TUS · Tucson, AZ
Airport
TUS · Tucson Intern Arpt, runway 11R, 8,408 × 75 ft, asphalt
Equipment
Stall warning system

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
75
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
None
Flight hours
400 total · 14 in this make and model · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 13 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 28 °F
Altimeter
29.96 inHg
Observed at
DMA, 4 nm away

Docket · 14

The files NTSB released with the investigation on July 31, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.7 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.