# NTSB WPR20FA008: Piper PA 24, N7742P, Angel Fire, NM, October 20, 2019

- Type: NTSB accident investigation
- Classification: Accident · Fatal · Class 3 · Field · Final report
- Date: October 20, 2019, 08:45 local (14:45 UTC)
- Place: Angel Fire, NM
- Coordinates: 36.393054, -105.286941 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=36.3931&lon=-105.2869&mi=10
- Phase of flight: [Takeoff](https://openairdocs.org/ntsb-phases/300) (OpenAirDocs' grouping)
- Defining event: [Takeoff: Collision during takeoff/land](https://openairdocs.org/ntsb-events/490)
- Highest injury: Fatal
- Injuries: 2 fatal
- Status: Completed
- Report: Approved by Office Director
- Investigation class: Class 3
- NTSB office: Western Pacific Region
- Parties: Hartzell Propeller, Lycoming Engines, FAA-FSDO, Piper Aircraft
- NTSB case key (mKey): 100440
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=WPR20FA008
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/100440/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=100440
- Page: https://openairdocs.org/ntsb/WPR20FA008

## Probable cause

The airplane’s degraded performance due to high-density altitude and gusting wind conditions, which resulted in its inability to maintain altitude during the initial takeoff climb. Contributing to the accident was the pilot’s lack of experience with high altitude flying and his decision to depart in high-density altitude and gusting wind conditions.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Wind: gusts](https://openairdocs.org/ntsb-findings/03034045): Environmental issues › Conditions/weather/phenomena · Effect on equipment; cases with it: [Piper PA-24, 1 case](https://openairdocs.org/ntsb-findings/03034045/cases.md?model=7102402), [All aircraft, 1,199 cases](https://openairdocs.org/ntsb-findings/03034045/cases.md)
- [Terrain: high elevation](https://openairdocs.org/ntsb-findings/03021025): Environmental issues › Physical environment · Effect on equipment; cases with it: [Piper PA-24, 1 case](https://openairdocs.org/ntsb-findings/03021025/cases.md?model=7102402), [All aircraft, 16 cases](https://openairdocs.org/ntsb-findings/03021025/cases.md)
- [Info processing/decision: decision making/judgment](https://openairdocs.org/ntsb-findings/02041520): Personnel issues › Action/decision · Pilot (probable cause); cases with it: [Piper PA-24, 4 cases](https://openairdocs.org/ntsb-findings/02041520/cases.md?model=7102402), [All aircraft, 3,098 cases](https://openairdocs.org/ntsb-findings/02041520/cases.md)
- [Temp/humidity/pressure: high density altitude](https://openairdocs.org/ntsb-findings/03031020): Environmental issues › Conditions/weather/phenomena · Effect on equipment (probable cause); cases with it: [Piper PA-24, 2 cases](https://openairdocs.org/ntsb-findings/03031020/cases.md?model=7102402), [All aircraft, 278 cases](https://openairdocs.org/ntsb-findings/03031020/cases.md)
- [Performance/control parameters: climb rate](https://openairdocs.org/ntsb-findings/01062035): Aircraft › Aircraft oper/perf/capability · Attain/maintain not possible (probable cause); cases with it: [Piper PA-24, 1 case](https://openairdocs.org/ntsb-findings/01062035/cases.md?model=7102402), [All aircraft, 265 cases](https://openairdocs.org/ntsb-findings/01062035/cases.md)
- [Experience/qualifications: total experience](https://openairdocs.org/ntsb-findings/02031015): Personnel issues › Experience/knowledge · Pilot; cases with it: [Piper PA-24, 1 case](https://openairdocs.org/ntsb-findings/02031015/cases.md?model=7102402), [All aircraft, 126 cases](https://openairdocs.org/ntsb-findings/02031015/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Takeoff: Collision during takeoff/land](https://openairdocs.org/ntsb-events/490) (defining event); cases with it: [Piper PA-24, 2 cases](https://openairdocs.org/ntsb-events/490/sequence.md?model=7102402), [All aircraft, 1,309 cases](https://openairdocs.org/ntsb-events/490/sequence.md)

## Analysis

The pilot and passenger were departing on a personal flight from the high elevation airport. Friends of the pilot reported that this was his first time flying into the airport and that he wanted to depart to the south and head back toward the airport because of the wind and to gain altitude. An eyewitness who was driving saw the airplane flying from the airport as it appeared to be struggling to remain in flight. The airplane turned to fly over the road and toward the eyewitness, who thought it was preparing to land. As the airplane approached, it pitched up and turned to the west to avoid power lines crossing the road. The airplane impacted trees, a building and terrain, sustaining substantial damage. Several other witnesses saw the airplane as is departed the airport and described the airplane as unstable. A security camera, located along the road, captured the airplane flying wings level with the landing gear extended, over the road about 50 ft above ground level. As the airplane approached the light poles and power lines, the airplane banked right and traveled behind trees and buildings out of view. It is likely that the pilot was maneuvering the airplane to land on the road. The calculated density altitude about the time of the accident was 9,360 ft, which would have reduced the airplane's climb performance. Wind was from the west at 9 knots gusting to 21 knots. After the airplane departed the airport to the south toward rising terrain, the airplane turned east over a road, changing the direction of wind to a tailwind, which would have also reduced the airplane’s climb performance by decreasing the airplane’s airspeed. The airplane was also topped with fuel which likely put the airplane near its maximum allowable weight for takeoff. Given these conditions, it is unlikely that the airplane was capable of clearing the rising terrain on the day of the accident. Postaccident examination of the airframe and engine revealed no anomalies that would have precluded normal operation. In addition, airplane damage signatures, witness accounts, and a video indicated that the engine was producing power at the time of the accident. Medical evidence showed that the pilot had heart disease, which placed him at increased risk of a sudden impairing or incapacitating cardiac event. However, operational evidence (such as the pilot’s maneuvering to avoid obstacles and attempt to navigate to a suitable landing site) is inconsistent with sudden impairment or incapacitation; therefore, it is unlikely that the pilot’s heart disease contributed to the accident.

## Factual narrative

The accident airplane, serial number 24-2956, was manufactured in 1961. It was powered by a Lycoming O-360-A1D, reciprocating engine rated at 180-horsepower at 2,700 RPM, serial number 691467, which drove a Hartzell 2-bladed, constant-speed propeller (part number HC-92ZK-8D), serial number 1110L. The airplane’s two fuel tanks have a total capacity of 60 gallons. According to airport personnel, on the morning of the accident flight, the airplane was refueled with about 20 gallons, which filled both tanks. Published manufacturer performance data for takeoff distance exists for altitudes from sea level up to 6,000 ft based on standard temperature and pressure. The expected takeoff ground roll could not be determined for the accident takeoff as the environmental conditions exceeded those used in the calculations provided by the manufacturer when the airplane was manufactured. Approximate weight and balance requirements were calculated and were found to be within the normal operating envelope. According to pilot’s operating handbook’s crosswind component graph, the airplane would have experienced about a 9 knot crosswind and about a 2 knot tailwind. AXX was situated at an elevation of 8,379 ft msl. It was equipped with one runway, designated 17/35, which measured 8,900 ft by 100 ft. Runway 17 had an average uphill gradient of .64% and had a difference of about 57 ft between the runway ends. AXX was not equipped with an air traffic control tower. Signage before entering the runway area, caution about the field elevation and to remind pilots of their airplane’s performance at that elevation. The airport directory describes the airport as in a mountain valley and has rising terrain in all directions, strong gusty crosswinds possible, and high-density altitude probable. On October 20, 2019, about 0845 mountain daylight time, a Piper PA-24, N7742P, was substantially damaged when it was involved in an accident near Angel Fire, New Mexico. The pilot and passenger were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 cross-country flight. According to friends of the pilot who stated they had helped with the refueling and preflight of the accident airplane that morning, this was his first time flying into Angel Fire Airport (AXX), Angel Fire, New Mexico. The pilot stated to his friends that he was going to depart to the south and then head back toward the airport because of the winds and to gain altitude. The pilot started the engine and let it warm up for about 10-15 minutes. The airplane taxied to the departure end of runway 17 where the pilot performed an engine run-up and magneto checks. The pilot’s friends watched as the airplane started its takeoff roll and became airborne a little past halfway down the runway. Shortly thereafter, they saw the airplane’s landing gear retract and soon lost sight of the airplane behind the parallel taxiway, which rises in elevation above the runway. An eyewitness was drivingnorth when she saw the airplane flying south from the airport which was located on the east side of the highway. The airplane was very low and it appeared to be struggling to remain in flight. The airplane turned right to fly over the road and toward the eyewitness, who subsequently drove her vehicle into the ditch alongside the highway. As the airplane was descending, it appeared to the eyewitness that the airplane was preparing to land on the road. The eyewitness noticed a section of power lines that cross the road in front of her location and hoped that the airplane was going avoid hitting them. As the airplane approached the power lines, the airplane pitched up and turned to the west, impacting trees, a building, and the terrain. Several other witnesses saw the airplane as is departed the airport and described the airplane as unstable. A security camera with a southward view, located at a business between the airport and the accident site, captured the airplane flying overhead about 50 ft above ground level, over the adjacent road. The airplane was flying wings level and the landing gear was extended. As the airplane approached the light poles and power lines in the background, the airplane banked right and traveled behind trees and buildings until it went out of view. Another security camera located near the accident site captured the airplane impacting trees and a building, before cartwheeling to the ground in a nose-down attitude. The airplane’s engine was heard producing power in the video. The airplane came to rest in an inverted position and a postaccident fire ensued. Figure 1-Aerial view of the accident site and approximate flight path. The University of New Mexico, Office of the Medical Investigator performed the pilot’s autopsy. According to the autopsy report, the cause of death was blunt trauma and the manner of death was an accident. The autopsy identified moderate-to-severe multivessel coronary artery disease with two coronary artery stents present. There was an area of old heart muscle scarring and microscopic changes consistent with old heart attack. The autopsy, including the remainder of the heart examination, did not identify other significant natural disease. Two laboratories performed toxicological testing of postmortem specimens from the pilot. One laboratory detected amlodipine, metoprolol, and atorvastatin in heart blood and urine, as well as clopidogrel in urine. The other laboratory did not detect any tested-for substances. At 0845 MDT, AXX reported a wind from 270° at 9 knots with gusts to 21 knots, visibility of 10 statute miles or greater, ceiling overcast at 7,000 ft agl, temperature of 5°C and a dew point temperature of -13°C, altimeter setting of 29.87 inches of mercury; remarks: station with a precipitation discriminator, temperature of 5.3°C and dew point temperature of -13.3°C. A weather study using the approximate airport elevation, and temperature, dew point temperature and altimeter setting from AXX,density altitude at 0845 at the surface was calculated to be 9,360 ft msl. The automated weather observing system located at AXX, reports new observations to pilots via very high frequency broadcasts every minute, which will include density altitude if the density altitude is 1,000 ft or more above the highest point of the runway. An Area Forecast Discussion (AFD) was issued by the Albuquerque National Weather Service Weather Forecast Office at 0525 MDT. Presented here is the “Aviation” section of that AFD. Strong W/NW winds will ramp up through the morning peaking in the afternoon as a Pacific cold front passes through the area from west to east. Gusts of 25-35kts will be common for the northern half of the state… Airmen’s Meteorological Information (AIRMET) TANGO advisories for moderate turbulence below FL180 and low level wind shear (LLWS) potential were issued at 0245 MDT and were valid for the accident site at the accident time. At 0845 MDT, about the time of the accident, new AIRMET TANGO advisories were issued for moderate turbulence below FL180, strong surface winds and LLWS potential for areas that included the accident site. The 65-year-old pilot held a commercial pilot certificate with rating for multiengine land, single engine land and instrument airplane. His most recent third-class Federal Aviation Administration (FAA) airman medical certificate was issued on dated March 7, 2019. At that time, he had reported 1,000 total hours of flight experience and 15 flight hours in the last 6 months. The pilot’s logbooks were not located during the investigation. There was no evidence found that showed that the pilot had any mountain flying training or experience. Examination of the accident site revealed that the first identified point of contact were three trees located on the north side of a building. The main wreckage was found inverted and was the furthest in the debris field. The debris field was about 250 ft long and on a directional heading of about 190° magnetic. Flight control cable continuity was established, and all major structural components were found. The wreckage was relocated, and an engine examination was conducted. There was no evidence of in-flight airframe, engine, or flight control malfunction or failure.

## Aircraft

- Registration: [N7742P](https://openairdocs.org/deregistered/N7742P-2020-01-17), registration cancelled 2020-01-17, S/N 24-2956, built 1961 (OpenAirDocs)
- Reported make and model: Piper PA 24 (Undesignat)
- Registry model: [Piper PA-24](https://openairdocs.org/model/piper-pa-24) (registry code 7102402) (OpenAirDocs)
- Registry engine: [Lycoming O&VO-360 series](https://openairdocs.org/engine/lycoming-o-vo-360-series) (registry code 41514, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 24-2956
- Year built: 1961
- Airframe hours: 3651
- Engines: Lycoming O&VO-360 SER reciprocating
- Damage: Substantial damage
- Fire: On-Ground
- Flight: Personal, Part 91
- Operator: Schenk Richard J
- Registered owner: Schenk Richard J
- Airworthiness certificate: Standard, Normal
- Last inspection: Annual, December 3, 2018
- Departed: AXX, Angel Fire, NM
- Destination: GBD, Great Bend, KS
- Airport: AXX, Angel Fire, runway 17, 8,900 × 100 ft, asphalt

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 65; injuries: fatal; commercial; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 3, with waivers/limitations; seat: left; toxicology performed; flight hours: 1,000 total

## Weather

- Conditions: Visual (VMC), Day
- Wind: 270° at 9 knots, gusting 21
- Visibility: 10 statute miles
- Lowest ceiling: 7,000 ft overcast
- Temperature: 41 °F, dew point 9 °F
- Altimeter: 29.87 inHg
- Observed at: KAXX, 2 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 (OpenAirDocs).

- [Accident 20191020020289A](https://openairdocs.org/incident/20191020020289A), Oct 20, 2019: Piper PA-24, Angel Fire, NM, Destroyed, 2 fatal. On October 20, 2019, at 0848 MDT, a 1961 Piper PA-24, N7742P registered to richard j. schenk, crashed after departing Angel Fire airport (axx), Angel Fire, new…

## Docket (19 files)

The files NTSB released with the investigation on August 25, 2022, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=100440. 96.0 MB in all.

- Medical factual report (item 1, PDF, 4 pages, 225 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13855887&FileExtension=pdf&FileName=WPR20FA008_MedicalFactualReport-Rel.pdf
- Weather study (item 2, PDF, 10 pages, 874 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=8943645&FileExtension=pdf&FileName=WX_WPR20FA008_Study-Rel.pdf
- Attachment 1 to the weather study (item 3, PDF, 5 pages, 618 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=8943422&FileExtension=pdf&FileName=WX_WPR20FA008_Attachment_1_redacted-Rel.pdf
- Witness statments-moss (item 4, PDF, 2 pages, 1.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=14313884&FileExtension=pdf&FileName=Moss%20Statements-redacted-Rel.pdf
- Witness statement-coyle (item 5, PDF, 1 page, 267 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=14314415&FileExtension=pdf&FileName=Witness%20Statement%20-%20Coyle_Redacted-Rel.pdf
- Witness statement-matthews (item 6, PDF, 1 page, 541 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=14313674&FileExtension=pdf&FileName=Statement-Matthews_Redacted-Rel.pdf
- Record of conversation-driver (item 7, PDF, 1 page, 159 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13252118&FileExtension=pdf&FileName=Record%20of%20Conversation-Driver_Redacted-Rel.pdf
- Terrain elevation chart (item 8, PDF, 1 page, 279 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=14315082&FileExtension=pdf&FileName=Photo%201-Rel.pdf
- NTSB accident site and wreckage examination summary (item 9, PDF, 8 pages, 6 photos, 1.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13874596&FileExtension=pdf&FileName=WPR20FA008%20Accident%20Site%20Examination%20Summary-Rel.pdf
- Flight planning and takeoff performance information (item 10, PDF, 2 pages, 72 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=14316704&FileExtension=pdf&FileName=Flight%20Planning%20and%20Takeoff%20Performance-Rel.pdf
- Crosswind component graph (item 11, PDF, 1 page, 48 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=14316380&FileExtension=pdf&FileName=Crosswind%20Component%20Graph-Rel.pdf
- Statement of party representatives to NTSB investigation-lycoming (item 12, PDF, 1 page, 258 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13252383&FileExtension=pdf&FileName=party%20form_Lycoming-_Redacted-Rel.pdf
- Statement of party representatives to NTSB investigation-piper aircraft (item 13, PDF, 1 page, 24 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13252811&FileExtension=pdf&FileName=Piper%20Party%20Form_Redacted-Rel.pdf
- Statement of party representatives to NTSB investigation-hartzell (item 14, PDF, 1 page, 266 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13251284&FileExtension=pdf&FileName=WPR20FA008%20Hartzell%20Party%20Form_Redacted-Rel.pdf
- Release of aircraft wreckage, NTSB form 6120.15 (item 15, PDF, 1 page, 82 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13923094&FileExtension=pdf&FileName=HP-722324%20-%20RICHARD%20SCHENK%20-%20WRECKAGE%20RELEASE344_Redacted-Rel.pdf
- Toxicology report (item 16, PDF, 1 page, 651 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13922670&FileExtension=pdf&FileName=FAA%20Tox%20Report_Redacted-Rel.pdf
- NTSB photo array of illustrated photos (item 17, PDF, 5 pages, 603 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=14315072&FileExtension=pdf&FileName=Photo%20Array%20of%20Illustrated%20Photos-Rel.pdf
- Video-accident sequence from ace (item 18, MP4, 17.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13253332&FileExtension=mp4&FileName=6749897063970601570_stamp-Rel.mp4
- Video-road side business (item 19, MP4, 70.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13253766&FileExtension=mp4&FileName=ch07-20191020-075016-075231-101000000000-Rel.mp4

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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