WPR23LA121

NTSB accident investigation · Piper PA-28-180 · San Andreas, CA · March 3, 2023

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
March 3, 2023, 12:30 local (20:30 UTC)
Place
San Andreas, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N9375JPiper PA-28-180
Defining event
Initial climb: Unknown or undetermined
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20230303003449A
Case key
106841

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 engine power for undetermined reasons.

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.

Power plantAircraft › Aircraft power plant · Unknown/Not determinedPiper PA-28-180: 3 casesAll aircraft: 198 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 airplane had recently undergone extensive maintenance; the accident flight was a return leg to the pilot’s home airport after having flown the first leg earlier in the day. The initial departure was normal, and when reaching about 300 ft above ground level (agl), the engine suddenly lost power. The pilot attempted to return to the runway, but the airplane could not maintain altitude. The pilot performed an off-airport landing, and the airplane impacted terrain. A postaccident examination of the airplane and engine revealed no evidence of preimpact mechanical malfunctions or failures. The carburetor was replaced two days before the accident; the examination did not find anomalies with the carburetor. There was no fuel found in the carburetor bowl, but it could not be determined if that was the condition at the time of impact or if the fuel system could deliver metered fuel to the engine. While the FAA's Carburetor Icing Chart revealed the probability of serious icing between cruise and glide power for the reported temperature and dew point conditions, the investigation could not conclusively determine that carburetor ice caused the loss of engine power.

Factual narrative

On March 3, 2023, about 1230 Pacific daylight time, a Piper PA-28-180 Cherokee, N9375J, was substantially damaged when it was involved in an accident near Calaveras County Airport, San Andreas, California. The pilot and co-pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot stated that the airplane had recently undergone extensive maintenance. He stated that earlier in the day, he and the co-pilot departed from Lodi, California, their home airport. That flight was the first flight after maintenance, and they performed a series of maneuvers along the way. After landing in San Andreas, they took a 20-25 minute break, and intended to fly back to Lodi. The pilot performed a preflight inspection and engine runup with no anomalies noted. He then configured the airplane for a soft-field takeoff and extended the flaps to 25°, noting “everything seemed and sounded normal.” The initial departure was also normal; however, when reaching about 300 ft agl the engine suddenly lost power. The pilot attempted to return to the runway, but the airplane could not maintain altitude. The pilot performed an off-airport landing and impacted terrain hard. A review of the maintenance records provided revealed that the airplane’s carburetor was replaced with a new factory-remanufactured carburetor two days before to the accident. Federal Aviation Administration (FAA) inspectors performed both on-scene and follow-up examinations. Control continuity was established from the cockpit to the flight control surfaces. The cockpit was largely intact with minimal damage. There was mainly crush deformation to the engine firewall. The magneto switch was set to "both." The master switch and fuel selector were reportedly both turned off after pilot and passenger extrication. The fuel quantity in the left wing was about four gallons but due to the tilt of the airplane at the accident site the exact amount could not be determined. The fuel quantity in the right wing could not be determined. A sample of fluid from the wings revealed uncontaminated blue liquid consistent in odor and coloration with that of 100LL AVGAS. The engine was intact, though its mount showed deformation. The propeller remained attached, with one blade showing minor deformity near the tip and another bent consistent with ground impact. There was no evidence of propeller rotation upon impact, with a single half-arc mark visible where the airplane came to rest. An external visual examination of the engine revealed no evidence of preimpact catastrophic mechanical malfunction or fire. The top spark plugs were removed; no mechanical damage was noted, and the electrodes and posts exhibited a light ash gray coloration, which corresponds to normal operation according to the Champion Aviation Check-A-Plug AV-27 Chart. The ignition harnesses were attached from both magnetos and their respective spark plugs. The magnetos were found securelyclamped at their mounting pads. The magnetos were removed and rotated by hand. Spark was produced at each lead. The crankshaft was rotated by hand utilizing the propeller. The crankshaft was free and easy to rotate in both directions. Thumb compression was observed in proper order on all four cylinders. Normal lift action was observed at each rocker assembly. Clean, uncontaminated oil was observed at all four rocker box areas. Mechanical continuity was established throughout the rotating group, valvetrain and accessory sections during hand rotation of the crankshaft. The fuel line from the engine-driven fuel pump to the inlet side of the carburetor was removed and revealed no signs of fuel. The carburetor float bowl drain plug was removed and revealed no fuel. It could not be determined if the fuel had evaporated after recovery. There were no anomalies found with the carburetor. The carburetor icing probability chart from FAA Special Airworthiness Information Bulletin CE-09-35, Carburetor Icing Prevention, shows that at the temperature and dew point reported at the time of the accident, the conditions were bordering between the probability of serious icing at glide power and at cruise power.

Aircraft

Registration
N9375J
Reported as
Piper PA-28-180
Category
Airplane
Serial number
28-3474
Built
1966
Engine
Lycoming O-390-A3A, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
CFI Academy
Registered owner
Panjab Aviation Inc
Airworthiness certificate
Standard, Normal
Destination
1O3 · Lodi, CA
Airport
CPU · Calaveras County-Maury Rasmussen Fld
Equipment
ADS-B

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
48
Injuries
Minor
Certificates
Commercial, Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
January 31, 2023
Seat
Left
Restraint
3-point
Flight hours
5,000 total · 2,000 in this make and model · 4,800 as pilot in command · 20 in the last 90 days · 5 in the last 30 days
Role
Co-pilot
Age
33
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
April 10, 2022
Seat
Right
Restraint
3-point
Flight hours
675 total · 200 in this make and model · 600 as pilot in command · 60 in the last 90 days · 30 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 6 knots, gusting 12
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 37 °F
Altimeter
29.97 inHg
Observed at
KO22, 13 nm away
METAR
KO22 032115Z AUTO 21006G12KT 10SM CLR 13/03 A2997 RMK A01

Docket · 4

The files NTSB released with the investigation on February 13, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 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.