Wednesday, March 04, 2020

Loss of Engine Power (Total): Sonex Trainer, N543SX; fatal accident occurred February 05, 2018 near Carrabelle-Thompson Airport (X13), Franklin County, Florida

Greg Newman

Front View of Airplane Wreckage
Federal Aviation Administration

Left Front View of Airplane Wreckage
Federal Aviation Administration

Right Front View of Airplane Wreckage
Federal Aviation Administration

Top of Engine Cowling
Federal Aviation Administration

Empennage
Federal Aviation Administration

Right Side View of Vertical Stabilizer and Rudder
Federal Aviation Administration





The National Transportation Safety Board did not travel to the scene of this accident.

Additional Participating Entity:

Federal Aviation Administration / Flight Standards District Office; Tampa, Florida

Aviation Accident Factual Report - National Transportation Safety Board: https://app.ntsb.gov/pdf


Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms


http://registry.faa.gov/N543SX 


Location: Carrabelle, FL
Accident Number: ERA18LA083
Date & Time: 02/05/2018, 1125 EST
Registration: N543SX
Aircraft: GREGORY NEWMAN SONEX TRAINER
Aircraft Damage: Substantial
Defining Event: Loss of engine power (total)
Injuries: 1 Fatal
Flight Conducted Under: Part 91: General Aviation - Personal 

On February 5, 2018, at 1125 eastern standard time, an experimental, amateur-built Sonex Trainer airplane, N543SX, sustained substantial damage when it collided with terrain following a loss of engine power after takeoff from Carrabelle-Thompson Airport (X13), Carrabelle, Florida. The private pilot, who was also the owner and builder of the airplane, was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed near the airport and no flight plan was filed for the local flight, which was originating at the time of the accident.

A witness, who was also a friend of the pilot, stated that the pilot had been having some mechanical issues with the engine and that the purpose of the flight was to test the engine. On the morning of the accident, the witness heard the pilot start the airplane's engine and taxi to runway 5. He did not hear the pilot perform any engine run-up or test run on the ground before departure, but the engine sounded "normal." The airplane then departed. When it was about halfway down the 4,000-ft-long runway, the witness heard the engine lose power. He stated that there was no sputter or sound of a rough-running engine, "the rpm just decelerated." The witness looked up and saw the airplane about 100 ft above the runway. Instead of landing on the remaining runway, the pilot made an "aggressive bank" to the left and the airplane stalled and descended "straight down" toward the ground.

The airplane came to rest upright in heavily wooded, swampy terrain about 250 yards north of the airport. There was no postimpact fire. Both wings and the fuselage sustained substantial damage. The airplane was not recovered or examined.

Pilot Information

Certificate: Private
Age: 68, Male
Airplane Rating(s): Single-engine Land
Seat Occupied: Front
Other Aircraft Rating(s): None
Restraint Used:
Instrument Rating(s): None
Second Pilot Present: No
Instructor Rating(s): None
Toxicology Performed: Yes
Medical Certification: Class 3 With Waivers/Limitations
Last FAA Medical Exam: 05/03/2016
Occupational Pilot: No
Last Flight Review or Equivalent:
Flight Time: 571 hours (Total, all aircraft) 

The pilot held a private pilot certificate with a rating for airplane single-engine land and an airframe and powerplant certificate. His most recent Federal Aviation Administration (FAA) third-class medical certificate was issued on May 3, 2016, at which time he reported 571 total hours of flight experience. The pilot's logbook was not available for review. The witness described the pilot as a "known risk taker."



Aircraft and Owner/Operator Information

Aircraft Make: GREGORY NEWMAN
Registration: N543SX
Model/Series: SONEX TRAINER NO SERIES
Aircraft Category: Airplane
Year of Manufacture: 2014
Amateur Built: Yes
Airworthiness Certificate: Experimental
Serial Number: 0543
Landing Gear Type: Tricycle
Seats: 2
Date/Type of Last Inspection: 04/07/2015, Condition
Certified Max Gross Wt.:
Time Since Last Inspection:
Engines: 1 Reciprocating
Airframe Total Time: 43.3 Hours as of last inspection
Engine Manufacturer: Aero Conversions Inc
ELT: Not installed
Engine Model/Series: Aerovee 2180
Registered Owner: On file
Rated Power:
Operator: On file
Operating Certificate(s) Held: None

The witness stated that the pilot had purchased the airplane about 2 years before the accident when it was almost completely built. The pilot finished building the airplane, which was equipped with a Volkswagen engine. The witness said that the pilot had experienced "constant" problems with the engine, and the current engine was the second one he had installed on the airplane. The witness stated that, at one point, the wrist pins had failed. The pilot was known to take apart the engine, fix something, and reassemble it, only to have another problem. The witness thought that the pilot had recently replaced some gaskets and that he wanted to see how the engine was working.

The witness stated that the pilot was not known for "writing things down" regarding maintenance on the airplane or engine. A review of the engine logbook revealed that the pilot had removed the engine twice in 2016 and rebuilt it. After the second rebuild, the pilot zero-timed the engine and conducted a successful test flight. The last entry in the engine logbook was on August 10, 2017, at a total time of 95.23 hours and 21.23 hours-in-service. The logbook indicated that the oil was changed/added, and the tappets were adjusted.

Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation: AAF, 19 ft msl
Distance from Accident Site: 18 Nautical Miles
Observation Time: 1053 EST
Direction from Accident Site: 270°
Lowest Cloud Condition: Clear
Visibility:  10 Miles
Lowest Ceiling:  
Visibility (RVR):
Wind Speed/Gusts: 9 knots /
Turbulence Type Forecast/Actual: None / None
Wind Direction: 50°
Turbulence Severity Forecast/Actual: N/A / N/A
Altimeter Setting: 30.23 inches Hg
Temperature/Dew Point: 15°C / 8°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: Carrabelle, FL (X13)
Type of Flight Plan Filed: None
Destination: Carrabelle, FL (X13)
Type of Clearance: None
Departure Time: 1125 EST
Type of Airspace: Unknown

The 1053 recorded weather at Apalachicola Regional Airport-Cleve Randolph Field (AAF), Apalachicola, Florida, located about 18 miles west of the accident site, included wind from 050° at 9 knots, clear skies, temperature 15°C, dew point 8°C, and an altimeter setting of 30.23 inches Hg.

Airport Information

Airport: CARRABELLE-THOMPSON (X13)
Runway Surface Type: Asphalt
Airport Elevation: 20 ft
Runway Surface Condition: Vegetation; Wet
Runway Used: 05
IFR Approach:None 
Runway Length/Width: 4000 ft / 75 ft
VFR Approach/Landing: None  



Wreckage and Impact Information

Crew Injuries: 1 Fatal
Aircraft Damage: Substantial
Passenger Injuries: N/A
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 1 Fatal
Latitude, Longitude: 29.841944, -84.701111 (est) 

Medical And Pathological Information

The pilot was taken via helicopter to the hospital where he succumbed to his injuries. An autopsy was conducted by the Office of the Medical Examiner, Tallahassee, Florida, and the cause of death was "multiple blunt force trauma." The pilot's admission blood was submitted by the medical examiner for toxicology and the results were negative for all items tested.

Toxicology testing performed at the FAA Forensic Sciences Laboratory on postmortem specimens identified ketamine and its metabolite, norketamine; midazolam and its metabolite, hydroxymidazolam; etomidate; and fentanyl in cavity blood. In addition, sildenafil and its metabolite, desmethylsildenafil, were found in cavity blood, diphenhydramine was found in cavity blood (0.265 ug/ml) and liver, and zolpidem was found in kidney but not blood.

According to the postaccident treatment records, the pilot was intubated during transport to the hospital. The hospital records did not contain a list of medications given to enable that procedure, but the most common choices would have been ketamine, etomidate, and fentanyl. The records reflect the pilot was given midazolam during his initial resuscitation in the hospital.
Sildenafil (commonly known as Viagra) is used to treat erectile dysfunction and is not considered impairing. Diphenhydramine, commonly marketed as Benadryl, is a sedating antihistamine, used to treat allergy symptoms and as a sleep aid. It can be impairing. Zolpidem is a short-acting sleep aid often marketed with the name Ambien, available by prescription as a Schedule IV controlled substance.

Loss of Control on Ground: Piper PA-12 Super Cruiser, N47FP; accident occurred December 20, 2017 at Texas Gulf Coast Regional Airport (KLBX), Angleton, Brazoria County, Texas



The National Transportation Safety Board did not travel to the scene of this accident.

Additional Participating Entity:

Federal Aviation Administration / Flight Standards District Office; Houston, Texas

Aviation Accident Factual Report - National Transportation Safety Board: https://app.ntsb.gov/pdf 


Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms


http://registry.faa.gov/N47FP

Location: Angleton, TX
Accident Number: CEN18LA071
Date & Time: 12/20/2017, 1530 CST
Registration: N47FP
Aircraft: PIPER PA 12
Aircraft Damage: Substantial
Defining Event: Loss of control on ground
Injuries: 2 None
Flight Conducted Under: Part 91: General Aviation - Personal 

On December 20, 2017, about 1530 central standard time, a Piper PA-12 airplane, N47FP, sustained substantial damage following a runway excursion upon landing at the Texas Gulf Coast Regional Airport (LBX), Angleton, Texas. The pilot and one passenger were not injured. Visual meteorological conditions prevailed throughout the area and flight plan was not filed. The airplane was registered to a private individual and the personal flight was being conducted under the provisions of Title 14 Code of Federal Regulations Part 91. The flight originated from the Flying Tiger Airport (81D), Angleton, Texas, about 1515.

According to the pilot, after an uneventful flight from 81D, the pilot checked the weather for landing at LBX and conducted a visual pattern and approach to runway 17. The winds were from 220° at 6 knots which would yield about a 5 knot right-to-left crosswind component. The landing was on airspeed, on runway centerline, and in the touchdown zone. After lowering the left wheel to the ground, the aircraft immediately and uncontrollably veered sharply to the left. The pilot applied full right rudder and immediately held the stick full right and aft to keep the aircraft from ground looping or cartwheeling. The pilot was able to regain directional control of the aircraft and departed the runway to the left and proceeded to impact two of the four Precision Approach Path Indicator (PAPI) lights for runway 17. The propeller hit a PAPI light and the aircraft continued and came to a stop in the grass about 50-100 feet off the runway. The pilot immediately suspected that a brake had somehow locked on the left main wheel. Braking marks on the runway and grass correlated to the left main landing gear tire as it passed from the runway surface onto the grass. The airplane was towed to a hangar for examination.

After an examination by a Federal Aviation Administration inspector and a mechanic, no anomalies were discovered with the left brake assembly. The pilot reported on National Transportation Safety Board accident report form that he thought that the left brake was somehow activated upon landing, and knew that his feet were nowhere near the brakes as he was planning a touch and go. After inspection of the brakes, the pilot stated that he believed that the passenger could have inadvertently had his foot on the brake pedal during the landing rollout.The pilot also stated that he had thoroughly briefed his passenger prior to the flight regarding the basic use of flight controls, emergency procedures, and flight plan. 

Pilot Information

Certificate: Airline Transport
Age: 41, Male
Airplane Rating(s): Multi-engine Land; Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used:
Instrument Rating(s): Airplane
Second Pilot Present: No
Instructor Rating(s):  Airplane Multi-engine; Airplane Single-engine; Instrument Airplane
Toxicology Performed: No
Medical Certification: Class 1 Without Waivers/Limitations
Last FAA Medical Exam: 06/13/2017
Occupational Pilot: Yes
Last Flight Review or Equivalent:
Flight Time:  (Estimated) 6490 hours (Total, all aircraft), 55 hours (Total, this make and model), 5098 hours (Pilot In Command, all aircraft), 74 hours (Last 90 days, all aircraft), 20 hours (Last 30 days, all aircraft), 1 hours (Last 24 hours, all aircraft)

Aircraft and Owner/Operator Information
Aircraft Make: PIPER
Registration: N47FP
Model/Series: PA 12 NO SERIES
Aircraft Category: Airplane
Year of Manufacture: 1947
Amateur Built: No
Airworthiness Certificate: Normal
Serial Number: 12-2741
Landing Gear Type: Tailwheel
Seats: 3
Date/Type of Last Inspection: 08/09/2017, Annual
Certified Max Gross Wt.: 1935 lbs
Time Since Last Inspection:
Engines: 1 Reciprocating
Airframe Total Time: 2392 Hours at time of accident
Engine Manufacturer: Lycoming
ELT: Installed, not activated
Engine Model/Series: O-320A33
Registered Owner: LINN JUDITH C DBA
Rated Power:150 hp 
Operator:On file 
Operating Certificate(s) Held:None 

Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation: LBX, 25 ft msl
Distance from Accident Site: 0 Nautical Miles
Observation Time: 1453 CDT
Direction from Accident Site: 0°
Lowest Cloud Condition: Clear
Visibility:  3 Miles
Lowest Ceiling: None
Visibility (RVR):
Wind Speed/Gusts: 9 knots /
Turbulence Type Forecast/Actual: / None
Wind Direction: 220°
Turbulence Severity Forecast/Actual: / N/A
Altimeter Setting: 29.96 inches Hg
Temperature/Dew Point: 27°C / 9°C
Precipitation and Obscuration:
Departure Point: Angleton, TX (LBX)
Type of Flight Plan Filed: None
Destination: Angleton, TX (LBX)
Type of Clearance:None 
Departure Time: 1515 CDT
Type of Airspace: Class E 

Airport Information

Airport: Texas Gulf Coast Regional (LBX)
Runway Surface Type: Concrete
Airport Elevation: 25 ft
Runway Surface Condition: Dry
Runway Used: 17
IFR Approach: None
Runway Length/Width: 7000 ft / 100 ft
VFR Approach/Landing: Full Stop

Wreckage and Impact Information

Crew Injuries: 1 None
Aircraft Damage: Substantial
Passenger Injuries: 1 None
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion:None 
Total Injuries: 2 None
Latitude, Longitude: 29.108611, -95.461944 (est)

Loss of Engine Power (Total): Cessna 152, N95550; accident occurred December 16, 2017 near Oasis Ranger Station – US Government Airport (9FL7), Everglades City, Florida

View of airplane at rest.
Federal Aviation Administration

Left side view of airplane.
Federal Aviation Administration





The National Transportation Safety Board did not travel to the scene of this accident.

Additional Participating Entity:

Federal Aviation Administration / Flight Standards District Office; Miramar, Florida

Aviation Accident Factual Report - National Transportation Safety Board: https://app.ntsb.gov/pdf


Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms

http://registry.faa.gov/N95550

Location: Everglades City, FL
Accident Number: ERA18LA050
Date & Time: 12/16/2017, 1320 EST
Registration: N95550
Aircraft: CESSNA 152
Aircraft Damage: Substantial
Defining Event: Loss of engine power (total)
Injuries: 2 None
Flight Conducted Under: Part 91: General Aviation - Personal 

On December 16, 2017, about 1320 eastern standard time, a Cessna 152, N95550, experienced a total loss of engine power and impacted terrain prior to the runway at Oasis Ranger Station – US Government Airport (9FL7), Everglades City, Florida. The airplane was substantially damaged, and the two private pilots were not injured. The airplane was registered to and operated by Flying Academy Miami as a Title 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed at the time of the accident and no flight plan was filed for the flight. The flight originated at Miami Executive Airport (TMB), Miami, Florida, and was destined for Venice Municipal Airport (VNC), Venice, Florida.

According to the pilot flying, they departed TMB with about 26 gallons of fuel and climbed to a cruise altitude of 4,500 ft mean sea level (msl). He reduced engine power, leaned the mixture, and approximately 5 minutes later, the engine lost total power. He declared an emergency and elected to try to land at 9FL7, which was nearby, and began attempting to restart the engine. The airplane continued to descend, they entered the base leg of the traffic pattern, and he "secured the cockpit for landing," by leaning the mixture, pulling the throttle fully aft, turning the carburetor heat and the electrical equipment off. According to the pilot not flying, while on final approach to the runway, they unsuccessfully attempted to restart the engine "one last time," but the propeller "only spun three times and then stopped." While on short final, the airplane struck an airport perimeter fence prior to impacting the ground just short of the runway.

The airplane came to rest upright in a grassy area. An examination of the airplane revealed that the fuselage was wrinkled and substantially damaged.

According to Federal Aviation Administration (FAA) records, the airplane was issued an airworthiness certificate in 1984, and registered to the corporation in 2016. It was equipped with a Lycoming O-235-L2C, a 110-hp, engine. According to the engine maintenance logbook, the most recent 100-hour inspection was completed on November 24, 2017, at a total time of 10,264.5 hours, and a tach time of 1899.3 hours. The most recent work on the carburetor occurred on July 4, 2017, when it was replaced at a tach time of 1747.7 hours. No other entries or remarks were in the maintenance logs associated with the carburetor. The tachometer time at the time of the accident was 1930.5 hours.

An examination of the engine by a National Transportation Safety Board investigator revealed that it remained attached to the airframe. Suction and compression were confirmed on all the cylinders and the spark plugs exhibited normal wear when compared to the Champion Check-A-Plug Chart. The throttle linkage remained secure to the carburetor. The mixture control was manipulated, and the cable moved, but the mixture arm on the carburetor did not move. The fiber locking nut that attached the mixture cable to the mixture arm was tightened and then the mixture cable and arm moved without anomaly. The airplane was secured to a trailer, fuel was plumbed into to the carburetor, and the engine was started. It ran smoothly, the engine power was increased with the throttle until an increase in RPM was noted, and then the engine was shutdown. 

Pilot Information

Certificate: Private
Age: 18, Male
Airplane Rating(s): Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used:
Instrument Rating(s): None
Second Pilot Present: Yes
Instructor Rating(s): None
Toxicology Performed: No
Medical Certification: Class 1 Without Waivers/Limitations
Last FAA Medical Exam: 10/04/2017
Occupational Pilot: No
Last Flight Review or Equivalent:
Flight Time: 29.9 hours (Pilot In Command, all aircraft)

Pilot-Rated Passenger Information

Certificate: Foreign; Private
Age: 21, Male
Airplane Rating(s): Single-engine Land
Seat Occupied: Right
Other Aircraft Rating(s): None
Restraint Used:
Instrument Rating(s): None
Second Pilot Present: Yes
Instructor Rating(s): None
Toxicology Performed: No
Medical Certification: Class 2 Without Waivers/Limitations
Last FAA Medical Exam: 10/04/2017
Occupational Pilot: No
Last Flight Review or Equivalent:
Flight Time:

Aircraft and Owner/Operator Information

Aircraft Make: CESSNA
Registration: N95550
Model/Series: 152 NO SERIES
Aircraft Category: Airplane
Year of Manufacture: 1984
Amateur Built: No
Airworthiness Certificate: Utility
Serial Number: 15285918
Landing Gear Type: Tricycle
Seats: 2
Date/Type of Last Inspection: 11/24/2017, 100 Hour
Certified Max Gross Wt.: 1669 lbs
Time Since Last Inspection: 31 Hours
Engines: 1 Reciprocating
Airframe Total Time: 10264.5 Hours as of last inspection
Engine Manufacturer: LYCOMING
ELT: Installed, not activated
Engine Model/Series: O-235-L2C
Registered Owner: Flying Academy Miami
Rated Power: 110 hp
Operator: Flying Academy Miami
Operating Certificate(s) Held: None

Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation: TMB, 10 ft msl
Distance from Accident Site: 35 Nautical Miles
Observation Time: 1253 EST
Direction from Accident Site: 112°
Lowest Cloud Condition:Clear 
Visibility:  10 Miles
Lowest Ceiling: None
Visibility (RVR):
Wind Speed/Gusts: 5 knots /
Turbulence Type Forecast/Actual:
Wind Direction: 100°
Turbulence Severity Forecast/Actual:
Altimeter Setting: 30.16 inches Hg
Temperature/Dew Point: 27°C / 16°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: MIAMI, FL (TMB)
Type of Flight Plan Filed: None
Destination: VENICE, FL (VNC)
Type of Clearance:Unknown 
Departure Time: 1300 EDT
Type of Airspace: 

Airport Information

Airport: OASIS RANGER STATION-U S GOVER (9FL7)
Runway Surface Type: Gravel
Airport Elevation: 10 ft
Runway Surface Condition: Dry; Vegetation
Runway Used: 18
IFR Approach: None
Runway Length/Width: 2060 ft / 150 ft
VFR Approach/Landing: Forced Landing

Wreckage and Impact Information

Crew Injuries: 2 None
Aircraft Damage: Substantial
Passenger Injuries: N/A
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 2 None
Latitude, Longitude: 25.863611, -81.034722 (est)

Fuel Starvation: Piper PA-28-180, N747KM; accident occurred December 05, 2017 near Brewton Municipal Airport (12J), Escambia County, Alabama





The National Transportation Safety Board did not travel to the scene of this accident.

Additional Participating Entity:

Federal Aviation Administration / Flight Standards District Office; Birmingham, Alabama

Aviation Accident Factual Report - National Transportation Safety Board: https://app.ntsb.gov/pdf


Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms

http://registry.faa.gov/N747KM


Location: Brewton, AL
Accident Number: ERA18LA041
Date & Time: 12/05/2017, 1400 CST
Registration: N747KM
Aircraft: PIPER PA28
Aircraft Damage: Substantial
Defining Event: Fuel starvation
Injuries: 2 None
Flight Conducted Under: Part 91: General Aviation - Personal 

On December 5, 2017, about 1400 central standard time, a Piper PA-28-180, N747KM, was substantially damaged during a forced landing near Brewton, Alabama. The private pilot and passenger were not injured. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed for the personal flight that departed Dekalb-Peachtree Airport (PDK), Atlanta, Georgia, and was destined for Pensacola International Airport (PNS), Pensacola, Florida. The airplane was operated under the provisions of 14 Code of Federal Regulations Part 91.

According to the pilot, the airplane was in cruise flight, at 8,000 ft mean sea level, for "a couple hours" when the air traffic control (ATC) controller told him to descend to 4,000 ft and fly around some thunderstorms in that area. The pilot stated there were strong headwinds and he would have preferred to stay at the higher altitude, but complied with the direction from ATC. Subsequently, the engine experienced a total loss of power, and he notified ATC that he wanted to divert to Brewton Municipal Airport (12J), Brewton, Alabama. The pilot further stated that due to the strong headwind, he knew the airplane was not going to be able to glide to 12J, so he attempted to land in a field. During the approach to the field, the airplane collided with some tree tops and landed hard in the field. During the roll-out, the airplane contacted a fence post, which damaged the right wing.

Examination of the wreckage by a Federal Aviation Administration (FAA) inspector revealed that the airplane sustained damage to the landing gear fairings, right side of the fuselage, firewall, and right wing leading edge. There was additional damage to the horizontal stabilator, propeller and the right-wing fuel tank was breached and leaking fuel. The right-wing fuel tank was approximately ½ full. The left-wing fuel tank, which was undamaged, contained approximately 20 fluid ounces of fuel. One ounce of fuel was recovered from the firewall mounted fuel strainer bowl. The fuel selector valve was found in the left fuel tank position. The FAA inspector examined the engine and did not find any preimpact mechanical deficiencies that would have precluded normal operation. 

Pilot Information

Certificate: Commercial
Age: 32, Male
Airplane Rating(s): Multi-engine Land; Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used: 3-point
Instrument Rating(s): Airplane
Second Pilot Present: No
Instructor Rating(s): None
Toxicology Performed: No
Medical Certification: Class 1 Without Waivers/Limitations
Last FAA Medical Exam: 01/24/2017
Occupational Pilot: No
Last Flight Review or Equivalent: 10/26/2017
Flight Time:   (Estimated) 300 hours (Total, all aircraft), 83 hours (Total, this make and model), 197 hours (Pilot In Command, all aircraft), 75 hours (Last 90 days, all aircraft), 51 hours (Last 30 days, all aircraft), 1 hours (Last 24 hours, all aircraft)


Aircraft and Owner/Operator Information

Aircraft Make: PIPER
Registration: N747KM
Model/Series: PA28 180
Aircraft Category: Airplane
Year of Manufacture:
Amateur Built: No
Airworthiness Certificate: Normal
Serial Number: 28-7305149
Landing Gear Type: Tricycle
Seats: 4
Date/Type of Last Inspection: 09/30/2017, Annual
Certified Max Gross Wt.: 2505 lbs
Time Since Last Inspection:
Engines: 1 Reciprocating
Airframe Total Time: 4344 Hours as of last inspection
Engine Manufacturer: LYCOMING
ELT: Installed
Engine Model/Series: O-360 SER
Registered Owner: On file
Rated Power: 180 hp
Operator: On file
Operating Certificate(s) Held: None

Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation: KNDZ, 178 ft msl
Distance from Accident Site: 18 Nautical Miles
Observation Time: 1956 UTC
Direction from Accident Site: 178°
Lowest Cloud Condition: Scattered / 2300 ft agl
Visibility:  10 Miles
Lowest Ceiling: Broken / 3600 ft agl
Visibility (RVR):
Wind Speed/Gusts: 9 knots / 19 knots
Turbulence Type Forecast/Actual:
Wind Direction: 190°
Turbulence Severity Forecast/Actual: 
Altimeter Setting: 30.07 inches Hg
Temperature/Dew Point: 26°C / 21°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: ATLANTA, GA (PDK)
Type of Flight Plan Filed: IFR
Destination: Pensacola, FL (PNS)
Type of Clearance: IFR
Departure Time: 1100 EST
Type of Airspace: Class E

Wreckage and Impact Information

Crew Injuries: 1 None
Aircraft Damage: Substantial
Passenger Injuries: 1 None
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 2 None
Latitude, Longitude: 31.010833, -87.037222 (est)

Loss of Engine Power (Total): Piper PA-28-140, N57351; accident occurred November 25, 2017 in Odessa, Florida


Fuel Selector



Airframe with Engine Attached


The National Transportation Safety Board did not travel to the scene of this accident.

Additional Participating Entity:

Federal Aviation Administration / Flight Standards District Office; Tampa, Florida

Aviation Accident Factual Report - National Transportation Safety Board: https://app.ntsb.gov/pdf


Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms

http://registry.faa.gov/N57351

Location: Odessa, FL
Accident Number: WPR18LA040
Date & Time: 11/25/2017, 1420 EST
Registration: N57351
Aircraft: PIPER PA-28
Aircraft Damage: Substantial
Defining Event: Loss of engine power (total)
Injuries: 1 Minor
Flight Conducted Under: Part 91: General Aviation - Personal 

On November 25, 2017, about 1420 eastern standard time, a Piper PA28-140 airplane, N57351, was substantially damaged during a forced landing near Odessa, Florida. The private pilot sustained minor injuries. The airplane was registered to and operated by the pilot as a Title 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed at the time of the accident and no flight plan was filed. The flight originated from Tampa Executive Airport (VDF) Tampa, Florida, about 1340.

According to the pilot, the right tank was full and the left tank was "just under half" during his preflight inspection, and he then departed from VDF for a local flight via the Clearwater Beach area. After reaching that area the pilot turned around to return to VDF. The flight was being conducted on the left fuel tank, at an altitude of about 2,500 ft. After the turnaround, the pilot switched off the electric fuel pump. About 5 minutes later, the engine lost power; the pilot reported that the engine speed dropped to about 700 rpm and remained at that value. The pilot reported that he had been airborne about 40 minutes, and that he attempted to maintain "about 80 mph" after the engine power loss. He turned on the electric fuel pump, but the engine did not regain power. He switched to the right fuel tank and manipulated the throttle, but again, engine power was not restored. The pilot then selected an open field that he deemed suitable for a forced landing. During his approach to the field, the pilot switched the fuel selector back to the left tank, again to no avail.

The field was bounded by two sets of powerlines; the pilot's initial assessment was that he could overfly both sets. As the pilot overflew the first set, he determined that the airplane would not clear the second set, so he then maneuvered the airplane to fly under the second set of powerlines. The right wing of the airplane struck a pole supporting the powerlines, and the airplane came to rest in the field a few hundred feet beyond the struck pole.

Post accident examination of the airplane by recovery personnel revealed that the left fuel tank was empty, the right fuel tank was nearly full, and the fuel selector was set to the left tank. The wreckage was recovered to a secure facility for additional examination.

Pilot Information

Certificate: Private
Age: 72, Male
Airplane Rating(s): Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used:
Instrument Rating(s): None
Second Pilot Present: No
Instructor Rating(s): None
Toxicology Performed: No
Medical Certification: Class 3 With Waivers/Limitations
Last FAA Medical Exam: 01/15/2017
Occupational Pilot: No
Last Flight Review or Equivalent:
Flight Time:  149 hours (Total, all aircraft), 142 hours (Total, this make and model) 

The pilot held a private pilot certificate with an airplane single engine land rating. He reported a total flight experience of about 149 hours, of which about 142 hours were in the accident airplane make and model. His pilot certificate was issued in September 2015, and his most recent Federal Aviation Administration (FAA) third-class medical certificate was issued in January 2017. The pilot did not report the date of his most recent flight review.

Aircraft and Owner/Operator Information

Aircraft Make: PIPER
Registration: N57351
Model/Series: PA-28 140
Aircraft Category: Airplane
Year of Manufacture: 1973
Amateur Built: No
Airworthiness Certificate: Normal
Serial Number: 28-7425097
Landing Gear Type: Tricycle
Seats: 4
Date/Type of Last Inspection: 06/01/2017, Annual
Certified Max Gross Wt.: 2150 lbs
Time Since Last Inspection: 10 Hours
Engines: 1 Reciprocating
Airframe Total Time: 4722 Hours as of last inspection
Engine Manufacturer: LYCOMING
ELT: Installed, not activated
Engine Model/Series: O-320 SERIES
Registered Owner: On file
Rated Power: 160 hp
Operator: On file
Operating Certificate(s) Held: None 

The airplane was manufactured in 1973, and was equipped with a Lycoming O-320 series engine. According to the pilot, the airplane and engine had accumulated a total time in service of about 4,722 hours, and the engine had accumulated about 638 hours since its most recent overhaul. The most recent annual inspection was completed in June 2017.

According to the pilot, he "had never had" an engine power problem since he purchased the airplane in 2015. He reported that in the two annual inspections that he had on the airplane, there were "never any recommendations regarding the fuel system." He also reported that about a year before the accident, he had noted that the left fuel tank was leaking fuel via the sump/sample valve, and that he corrected that situation by manipulating the valve to ensure that it was closed. He reported that he had never had a recurrence of that event.

Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation: TPA
Distance from Accident Site: 12 Nautical Miles
Observation Time: 1853 EST
Direction from Accident Site: 135°
Lowest Cloud Condition: Few / 23000 ft agl
Visibility:  10 Miles
Lowest Ceiling: None
Visibility (RVR):
Wind Speed/Gusts: 7 knots /
Turbulence Type Forecast/Actual:
Wind Direction: 240°
Turbulence Severity Forecast/Actual: 
Altimeter Setting: 29.99 inches Hg
Temperature/Dew Point: 23°C / 14°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: Tampa, FL (VDF)
Type of Flight Plan Filed: None
Destination: Tampa, FL (VDF)
Type of Clearance: None
Departure Time: 1340 EST
Type of Airspace: Class E 

The 1853 and 1953 automated weather observations from Tampa International Airport (TPA), Tampa, Florida, located about 12 miles southeast of the accident site, included winds from 250° at 7 knots, visibility 10 miles, few clouds at 4,500 ft, temperature 23°C, dew point about 14°C, and an altimeter setting of 29.99 inches of mercury. 

Wreckage and Impact Information

Crew Injuries: 1 Minor
Aircraft Damage: Substantial
Passenger Injuries: N/A
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 1 Minor
Latitude, Longitude: 28.158611, -82.638056 (est) 

The airplane came to rest upright in a field; accident site elevation was about 50 ft above mean sea level. The nose landing gear had failed, both propeller blades were bent aft about midspan, and a 5 ft section of the outboard right wing was almost completely fracture-separated from the rest of the wing. On January 18, 2018, the airplane was examined and tested by NTSB and Piper personnel. Visual inspection of the engine revealed that it appeared intact. The top spark plugs were removed; all were gray in color, and exhibited normal wear characteristics. The cylinders were examined with a lighted borescope. All valves and pistons were normal in appearance, with no defects noted.

The fuel selector valve was removed and disassembled; no defects were observed. An external fuel tank was connected to the inlet side of the gascolator. The engine was primed normally using the primer, and the electric fuel pump operated normally and pumped fuel to the engine. Because the airplane battery was found to be weak, an electrical booster was used to provide the electrical power necessary to crank the engine.

After several revolutions the engine started successfully, and idled without problems. The throttle and mixture controls moved smoothly and correctly, and all electrical switches operated normally. After engine start, it was noted that the oil pressure gauge line was fractured, and was leaking oil. The engine was shut down at that point. No other mechanical anomalies or problems were noted with the engine. 

Additional Information

Fuel System Information

The airplane was equipped with two fuel tanks, one in each wing. The left and right tanks were mounted forward of their respective forward spars, on the inboard wing section. The airplane manufacturer's Pilot's Operating Manual (POM) stated that the fuel capacity was 25 gallons per tank, with 24 gallons usable per tank. The fuel selector valve could be set to OFF, or either the left or right tank; there was no BOTH setting.

Each tank was equipped with a single fuel pickup (outlet) on its inboard wall, slightly above the bottom of the tank. According to the POM Operating Tips section, the shape of the wing fuel tanks is such that in certain maneuvers the fuel may move away from the tank outlet. If the outlet is uncovered (unported), the fuel flow to the engine will be interrupted and a temporary loss of power may result. The less fuel in a particular tank, the higher the potential for unporting the fuel pickup in that tank.

An electric (sometimes referred to as "boost" or "auxiliary") fuel pump was plumbed in parallel with the engine driven fuel pump. The POM stated that the electric fuel pump "is provided for use in case of failure of the engine driven pump. The electric pump should be on for all takeoffs and landings and when switching tanks."

Fueling and Fuel Consumption Information

The pilot provided fuel records which indicated that he took on 34.8 gallons on November 5, 2017 at VDF, his home airport. He stated that that fueling filled both tanks. The pilot reported that he did not fly "that often so I usually keep both tanks full," and that he usually began his flights using fuel from the left tank.

According to the FAA inspector assigned to this investigation, the pilot told him that he had one previous flight between the refueling and the accident flight. That previous flight lasted about 1.5 hours, and was conducted using fuel only from the left tank. The accident flight duration was variously cited as being between about 40 minutes and 1 hour, again using fuel only from the left tank.

The POM cruise performance charts cited fuel consumption rates between 6.2 and 8.4 gallons per hour. These values were for best power with the engine leaned per Lycoming instructions; fuel consumption rates would increase with no or improper leaning, but the POM did not provide data for those cases. Although the POM did not provide takeoff and climb fuel consumption rates, review of the applicable Lycoming engine performance chart indicated that at full throttle (the setting used for takeoff and climb) the fuel consumption rate for takeoff and climb would be about 60% higher than the POM fuel consumption rate for cruise.

Power Loss in Flight

The POM Emergency Procedures Section presented the following verbatim information:

Complete engine power loss is usually caused by fuel flow interruption, and power will be restored shortly after fuel flow is restored. If power loss occurs at low altitude, the first step is to prepare for an emergency landing (See POWER OFF LANDING). Maintain an airspeed of at least 80 MPH lAS, and if altitude permits, proceed as follows:
1. Fuel Selector - Switch to another tank containing fuel.
2. Electric Fuel Pump - On
3. Mixture - Rich
4. Carburetor Heat - On
5. Engine Gauges - Check for indication of the cause of power loss.
6. Primer - Check Locked
7. If no fuel pressure is indicated, check tank selector position to be sure it is on a tank containing fuel.

The POM then stated "If engine failure was caused by fuel exhaustion, power will not be restored after tanks are switched until empty fuel lines are filled, which may require up to ten seconds."

The pilot provided a copy of the "Engine Failure During Flight" Emergency Procedures checklist that he kept "hanging in the cockpit" of the airplane. The checklist bore the branding "Little Creek Aviation, Inc" but its origin beyond that was not determined. The sequence of this checklist was different than that published by the airplane manufacturer.

The specific steps enumerated by the pilot's checklist were:
1. Airspeed – 83 MPH
2. Carburetor Heat – ON
3. Fuel Selector Valve – SWITCH TANKS
4. Mixture – RICH
5. Master Switch – ON
6. Auxiliary Fuel Pump – ON
7. Ignition Switch – BOTH
8. Primer – IN & LOCKED

This checklist contained the exact same sentence as the POM did regarding engine failure due to fuel exhaustion.

Pilot Actions

According to the pilot, he did not use any engine failure checklist after the power loss, but he did turn on the electric fuel pump, observed normal fuel pressure, and switched tanks. He did not report turning the ignition switch to the START position, but the propeller was still windmilling. He reported that he waited about 10 seconds after activating the electric fuel pump before he switched to the right fuel tank, and that it was "about halfway" in time between the power loss and landing when he switched back to the left tank. The pilot reported that it was "probably about 30 seconds" after the power loss that he turned his attention from restarting the engine to focusing on a forced landing. He reported that he "could not even guess" whether the time from the engine power loss to touchdown "was one minute or five minutes."

Glide Descent Time

According to the POM Glide Performance chart, when flown at the best glide speed from the pilot-reported altitude of 2,500 ft, the airplane had a zero-wind estimated glide range of 5 statute miles. Calculations based on ideal pilot and airplane performance indicate that the descent rate would be about 739 ft per minute (fpm), which would yield a glide time of about 3.4 minutes. Any airplane turns, or deviations from ideal pilot and airplane performance, would decrease the glide duration.