WPR15FA174

NTSB accident investigation · Piper PA 22-135 · Livermore, CA · June 2, 2015

Accident · FatalField investigationFinal report
Date
June 1, 2015, 20:58 local (Jun 2, 2015, 03:58 UTC)
Place
Livermore, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N1348CPiper PA 22-135
Defining event
Maneuvering: Loss of control in flight
Weather
Visual (VMC) · Dawn
Status
Completed · report July 20, 2017
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Lycoming Engines, Oakland, Piper Aircraft Inc
FAA report
20150601009619A
Case key
91284

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 loss of control for reasons that could not be determined, because examination of the airframe and engine revealed no anomalies that would have precluded normal operation.

Findings · 1

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.

Not determinedNot determined › Not determined · Unknown/Not determinedPiper PA-22-135: 3 casesAll aircraft: 2,247 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 airline transport pilot departed on a local night flight. Shortly after takeoff, he reported a control difficulty to air traffic control tower personnel; he stated that he was going to make a circle, and troubleshoot the issue. There were no further transmissions from the pilot. A witness about 1/2 mile away from the airport said that the airplane caught his attention when he heard the engine cut out. He looked up, but couldn't see the airplane as it was dusk. He finally saw two outboard lights, one on each wing, and realized that the airplane was in a nose dive. According to the witness, it was not spinning, and the engine sounded like it was at full throttle. Radar data indicated that the airplane departed about on runway heading, and about 2 minutes into the flight it began a 180° turn. The airplane lost about 1,100 ft of altitude in 18 seconds during the turn. The radar track continued in a straight line until ground impact. Postaccident examination revealed no anomalies that would have precluded normal operation of the airframe or engine or would have caused a control difficulty.

Factual narrative

On June 1, 2015, about 2058 Pacific daylight time, a Piper PA22-135, N1348C, collided with terrain while maneuvering near Livermore Municipal Airport, Livermore, California. The airline transport pilot sustained fatal injuries, and the airplane was destroyed. The pilot/owner was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The local personal flight departed Livermore at 2052. Night visual meteorological conditions prevailed, and no flight plan had been filed. Shortly after takeoff, the pilot reported a control difficulty to air traffic control tower personnel; he stated that he was going to make a circle, and troubleshoot the issue. There were no further transmissions from the pilot. A witness about 1/2 mile away from the airport said that the airplane caught his attention when he heard the engine "cut out." He looked up, but couldn't see the airplane as it was dusk. He then heard the engine "revving to a higher rpm like a crop duster swooping down." He heard the engine sputter twice, and then increase rpm again. He finally saw two outboard lights, one on each wing, and realized that the airplane was in a nose dive. According to the witness, it was not spinning, and the engine sounded like it was at full throttle. A plot of recorded radar data indicated that the airplane climbed about on the runway heading to a maximum mode C reported altitude of 3,100 ft mean sea level. About 2 minutes into the flight, the airplane made a 180° left turn, and lost 1,100 ft of altitude in 18 seconds. The radar track continued in a straight line until it ended; the total duration of the flight was 2 minutes 48 seconds. The Alameda County Coroner completed an autopsy on the pilot, and determined that the cause of death was blunt force trauma. The FAA Bioaeronautical Sciences Research Laboratory performed toxicological testing of specimens of the pilot, which were negative for volatiles and tested drugs. The laboratory did not perform tests for carbon monoxide or cyanide. The last flight recorded in the pilot's notebook was on February 6, 2015. The pages from the previous 2 years totaled over 49 hours with none listed in the accident make and model. A National Transportation Safety Board (NTSB) investigator and a Federal Aviation Administration (FAA) inspector examined the wreckage on site on June 2, 2015. The first identified point of ground contact was a series of ground scars consistent with the left and right main landing gear, gear legs, engine, cowling, left and right wing lift struts, and wings. A propeller blade had separated about 6 inches from the hub along an angular plane. The rest of the propeller was in the principal impact crater; it was not charred. The main wreckage was burned, and was in the middle of a charred area. All of the airplane's fabric covering was consumed by fire. The debris path was about 108 ft long, and oriented on a 318° magnetic heading. All major structural components of the airplanewere located at the accident site. Further examination of an aileron cable distortion by the NTSB Office of Research and Engineering Materials Laboratory determined that the cable distortion was a result of overload conditions. The postaccident examination of the airplane did not reveal any mechanical anomalies that would have precluded normal operation.

Aircraft

Registration
N1348C
Reported as
Piper PA 22-135
Category
Airplane
Serial number
22-1141
Built
1953
Airframe hours
3,612
Engine
Lycoming O-290-D2, 135 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 1, 2014
Departed
LVK · Livermore, CA
Destination
LVK · Livermore, CA
Airport
LVK · Livermore
Equipment
Unknown

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
Fatal
Certificates
Airline transport, Flight engineer, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Toxicology
Performed
Flight hours
26,501 total

Weather

Conditions
Visual (VMC) · Dawn
Wind
280° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 54 °F
Altimeter
30.03 inHg
Observed at
KLVK, 3 nm away

Docket · 10

The files NTSB released with the investigation on July 11, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.2 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 N1348C · 1

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