WPR20LA110

NTSB accident investigation · Piper PA22 · Pinedale, WY · March 16, 2020

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
March 16, 2020, 17:20 local (23:20 UTC)
Place
Pinedale, WY
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N4837ZPiper PA22
Defining event
Approach-VFR pattern final: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Piper Aircraft, FAA-FSDO
FAA report
20200316000739A
Case key
101078

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 airplane control during approach for reasons that could not be determined based on available evidence.

Findings · 2

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-22-108: 12 casesAll aircraft: 9,295 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedPiper PA-22-108: 5 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 student pilot reported that he was drifting to the right while on approach to land when the flight instructor took over controls. The flight instructor reported that he applied rudder control inputs; however, the rudder pedals didn’t move for about 6 to 7 seconds and the airplane did not align with the runway. The flight instructor reported that he thought that the glareshield mounted tachometer timing box could have been trapped behind the rudder pedals. The tachometer timing box was located at the accident site and had been thrown from the wreckage. A portion of the instrument panel mounted tachometer housing was found behind the rudder pedals. Further examination of the tachometer gauge revealed damage consisted with impact damage as a result of the accident and did not appear to have interfered with the movement of the rudder pedals. Examination revealed no anomalies with the airframe that would have precluded normal operation. Multiple examinations of the rudder system did not reveal any evidence of a rudder malfunction or jam.

Factual narrative

On March 16, 2020, about 1720 mountain daylight time, a Piper PA-22-108, N4837Z, was substantially damaged when it was involved in an accident near Pinedale, Wyoming. The student pilot had minor injuries and the flight instructor was seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The student pilot reported that the flight instructor took control of the airplane on final approach to runway 29 because the airplane was drifting to the right. The flight instructor later reported that after he took control of the airplane, he applied rudder control inputs. He reported that during a 6-to-7-second time period, the rudder pedals would not move. The airplane did not align with the runway and soon after impacted terrain near the runway. Examination of the recovered airframe by an airframe and powerplant mechanic revealed substantial impact damage to both wings, fuselage and engine mount. The left wing, from the side strut to the tip was partially separated due to the impact with the ground during the accident sequence. The left aileron inboard attachment bracket separated from the left aileron bellcrank. Corrosion was noted between the aileron bracket and aileron bellcrank mounting surfaces. The remaining rivet material left in the aileron and bellcrank bracket exhibited overload necking signatures. The airplane's flight control cables were intact. The rudder control cable rear pulleys were unable to be rotated freely by hand. During the flight control cable continuity check, the cables moved past the pulleys with little resistance. Nothing was impeding the rudder pedals from their normal movement. In another follow-up examination, the pulleys were stiff when rotated by hand and the cables were undamaged. The flight instructor reported that he thought that the glareshield mounted tachometer timing box could have been trapped behind the rudder pedals. The tachometer timing box was located at the accident site and had been thrown from the wreckage. A portion of the instrument panel mounted tachometer housing was found behind the rudder pedals. Further examination of the tachometer gauge revealed damage consisted with impact damage as a result of the accident. An NTSB Form 6120.1 Pilot/Operator Aircraft Accident/Incident Report was not summited by the student pilot or the flight instructor.

Aircraft

Registration
N4837Z
Reported as
Piper PA22 (108)
Category
Airplane
Serial number
22-8411
Built
1961
Engine
Lycoming O-235 SERIES, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Departed
PNA · Pinedale, WY
Destination
PNA · Pinedale, WY
Airport
PNA · Ralph Wenz Field, runway 29, 8,900 × 100 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
79
Injuries
Serious
Certificate
Airline transport
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
BasicMed, With waivers/limitations
Seat
Right
Restraint
Lap only
Role
Student pilot
Age
18
Injuries
Minor
Certificate
Student
Medical
Unknown
Seat
Left
Restraint
Lap only

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 4 knots
Visibility
10 statute miles
Lowest ceiling
7,500 ft broken
Temperature
28 °F, dew point 27 °F
Altimeter
30.05 inHg
Observed at
KPNA

Docket · 5

The files NTSB released with the investigation on March 15, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.5 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.