WPR22LA296

NTSB accident investigation · Piper PA-32-300 · Corona, CA · August 9, 2022

Accident · No injuriesClass 3 · LimitedFinal report
Date
August 9, 2022, 12:31 local (19:31 UTC)
Place
Corona, CA · Airplane crashed on freeway
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N841ADPiper PA-32-300
Defining event
Approach-VFR pattern downwind: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
FAA, Piper Aircraft Inc.
FAA report
20220809014349A
Case key
105710

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 airplane’s partial loss of engine power during the landing for reasons that could not be determined based on the available evidence, which resulted in an off airport landing and subsequent fire.

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.

Fuel system: fuel distributionAircraft › Aircraft systems · Incorrect service/maintenancePiper PA-32-300: 1 caseAll aircraft: 141 casesProbable cause
Performance/control parameters: landing flareAircraft › Aircraft oper/perf/capability · Attain/maintain not possiblePiper PA-32-300: 3 casesAll aircraft: 1,285 cases

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 pilot reported that the engine lost partial power when he adjusted the engine power while entering the downwind leg of the traffic pattern. The engine did not respond, so he cycled the throttle several times with no change. Unable to maintain altitude, he initiated a forced landing onto a freeway, during which the airplane impacted a freeway barrier and a postaccident fire ensued that resulted in substantial damage. The pilot further reported that he did not believe he turned on the auxiliary fuel pump switch before the accident. Examination of the airframe and engine revealed that the fuel supply line from the engine driven fuel pump to the fuel servo had a torsional twist near the engine driven fuel pump outlet port. The engine-driven fuel pump was removed and exhibited signatures consistent with a preexisting fuel leak at the case split, along with corrosion to the input drive seal area. The pump was tested utilizing a test bench, the fuel pump output pressure was found to be within manufacturer limits despite the preexisting leak and likely did not contribute to a loss of engine power. It could not be determined how much the kinked fuel line restricted the fuel flow to the fuel servo. Downloaded engine monitoring data showed that fuel flow was within the manufacturers specified limits, thus it’s likely that the twisted fuel line did not contribute to the loss of engine power. The loss of engine power could not be determined due to the available evidence.

Factual narrative

On August 9, 2022, about 1231 Pacific daylight time, a Piper, PA-32-300, N841AD, was substantially damaged when it was involved in an accident near Corona, California. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The flight departed Corona Municipal Airport (AJO) about 1115 for a local flight. The pilot reported that they were returning to AJO when he adjusted the engine power to level off and reduce airspeed while entering the downwind leg of the traffic. He stated that the engine did not respond, and he cycled the throttle several times with no change. The airplane was unable to maintain altitude and the pilot elected to make a forced landing onto the eastbound lanes of US Highway91. During the landing flare, to prevent the airplane from impacting a car, the pilot intentionally stalled the airplane. The airplane landed hard, rotated to the right (clockwise), and impacted a freeway barrier. He and the passenger exited the airplane and a postaccident fire ensued. The pilot reported that he normally verifies that the auxiliary fuel pump selector switch is in the on position before entering the downwind leg of the traffic pattern, when he completes a pre-landing checklist. He said he did not think he turned on the fuel boost pump switch as he entered the traffic pattern because he was responding to the loss of engine power and finding a suitable area for an emergency landing. Postaccident examination of the airplane revealed that the cockpit and fuselage was mostly destroyed by thermal and impact damage. Throttle and mixture control continuity was established from the cockpit controls to the fuel servo and moved from stop to stop when actuated by hand. A visual inspection of the fuel system established continuity from the wing roots to the fuel injectors. Various breaks in the wing fuel lines were observed in both wings, consistent with cuts by recovery personnel and/or impact damage. A torsional twist (kink) in the steel braided fuel supply output line from the engine driven fuel pump to the fuel servo was observed. There was no visible impact damage to the airframe that would account for the torsional twist in the fuel line. The position of the auxiliary fuel pump switch could not be determined due to fire damage. A subsequent examination of the engine driven fuel pump revealed evidence of a preexisting fuel leak at the case split, along with corrosion to the input drive seal area. The fuel pump was connected to a test stand and the pump was able to maintain and exceed output fuel pressure at idle and high speeds. Furthermore, the pump was found to be within limits when the kinked output fuel line was installed; however, as the fuel line B-nuts were progressively torqued utilizing a hand tool, the pump pressure decreased until it was no longer able to maintain adequate output pressure. The airplane was equipped with a J. P. Instruments EDM-830 enginemonitor. The engine monitor was removed at sent to the National Transportation Safety Board Vehicle Recorder Laboratory. Examination of the engine monitor revealed heat and fire damaged to the exterior of the unit. The non-volatile memory chip was removed, installed on a functional lab surrogate unit, and data were downloaded normally using the manufacturer’s procedures. The recorded time and the time displayed is from 17:25:00 to 19:30:00. Throughout the recorded data, changes in engine rpm, fuel flow, manifold pressure, horsepower, oil pressure and oil temperature were observed consistent with takeoff, climbs, and descent power settings. At about 19:22 a reduction of manifold pressure, engine rpm and fuel flow were observed. The data shows that at 19:23:36 the fuel flow indicated from 24.4 gallons an hour, the manifold pressure indicated 26.4 and the engine rpm indicated 2502. The subsequent data showed the manifold pressure increased to 30.1, a decrease in engine rpm to 80 and fuel flow variation from 0 gallons an hour to 3.2 gallons an hour. A review of the airplane’s maintenance records showed that the fuel servo had been replaced on February 20, 2019, and did not reveal if any subsequent maintenance had been performed on the engine-driven fuel pump or kinked fuel line. Figure: View of fuel line without the protective outer cover

Aircraft

Registration
N841AD
Reported as
Piper PA-32-300
Category
Airplane
Serial number
32-7340079
Built
1973
Airframe hours
5,578.94
Engine
Lycoming TIO-540, 300 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Operator
Cedar Real Estate Inc
Registered owner
Cedar Real Estate Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 3, 2022
Destination
Same as departure
Airport
AJO · Corona Muni, runway 25, 3,200 × 60 ft, asphalt
Equipment
ADS-B, Auto-pilot, Electronic multifunction display

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
54
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
BasicMed
Last flight review
June 15, 2022
Seat
Left
Restraint
3-point
Flight hours
289 total · 13 in this make and model · 239 as pilot in command · 9 in the last 90 days · 2 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
97 °F, dew point 55 °F
Altimeter
29.92 inHg
Observed at
KAJO
METAR
KAJO 091956Z AUTO 28010KT 10SM CLR 36/13 A2992 RMK AO2 SLP122 T03610133

Docket · 12

The files NTSB released with the investigation on April 25, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 452 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.