Aviation Accident Summaries

Aviation Accident Summary NYC99LA045

METHUEN, MA, USA

Aircraft #1

N9683C

Piper PA-28-161

Analysis

The pilot reported a loss of power during the initial climb after takeoff. A witness who observed the airplane depart stated 'the engine didn't sound right,' and the airplane just barley cleared the trees located at the end of the runway. During a turn back towards the airport, the airplane pitched down and impacted trees. Examination of the wreckage did not disclose any pre-impact mechanical malfunctions of the airframe or engine. The airplane was equipped with a manual 3-point primer system. Spark plugs removed from the three cylinders which contained primer lines revealed a 'heavy coat of black sooty material' present on the electrodes. The spark plug removed from the cylinder which did not contain a primer line was 'clean.' Additionally, the primer control in the cockpit was observed in a forward, but unlocked position. Except for a 1.8 hour check out in the airplane, all 270 hours of flight experience the pilot had logged since August 1996, were in turbine powered airplanes. Review of the airplane's operating handbook, revealed that part of the 'Normal Procedures, Before Takeoff' checklist, included the item, 'Primer...locked.'

Factual Information

On January 5, 1999, about 1600 Eastern Standard Time, a Piper PA-28-161, N9683C, was substantially damaged when it impacted terrain in Methuen, Massachusetts. The certificated commercial pilot and two passengers were seriously injured. A third passenger was not injured. Visual meteorological conditions prevailed and no flight plan had been filed for the local flight that was conducted under 14 CFR Part 91. The airplane departed from Runway 32, at the Lawrence Municipal Airport, Lawrence (LWM), Massachusetts. According to a Federal Aviation Administration (FAA) inspector, shortly after takeoff, the pilot reported to the LWM air traffic control tower that the airplane's engine was losing power. The airplane turned back towards the airport, descended, and impacted the tops of 50-foot tall trees. The airplane came to rest about one-half mile from the departure runway. In a telephone interview, a witness at the airport stated he was working on an airplane in the north ramp area, when he heard an "engine that didn't sound right." He described the sound as a "murmur," and stated, "it just didn't sound like it was producing full power." He turned around and observed the accident airplane on its takeoff roll. He said the airplane just barely cleared the trees located at the end of the runway. The airplane went straight out and made a left turn back towards the airport. It then pitched down and dropped behind the tree line. Examination of the wreckage by an FAA Inspector did not disclose any pre-impact mechanical malfunctions of the airframe or engine. The airplane was equipped with a manual 3-point primer system. Spark plugs removed from the three cylinders which contained primer lines revealed a "heavy coat of black sooty material" present on the electrodes. The spark plug removed from the cylinder that did not contain a primer line was "clean." Additionally, the primer control in the cockpit was observed in a forward, but unlocked position. The pilot received his military pilot rating on November 30, 1998. On December 29, 1998, the pilot received a temporary FAA Commercial Pilot Certificate with ratings for single engine land and instrument airplane based on his military experience. On his application for an airman certificate, the pilot reported he had flown at least 10 hours as pilot-in-command during the previous 12 months in a T45A, a United States Navy two-seat jet trainer. Three days prior to the accident, the pilot received a 1.8 hour check out in a PA-28-151, from a certificated flight instructor. According to the pilot's log book, the pilot accumulated about 270 hours of flight experience between August 1996, and the accident flight. With the exception of the 1.8-hour check out, all of the flight time was in airplanes equipped with turbine engines. Review of the airplane's operating handbook, revealed that part of the "Normal Procedures, Before Takeoff" checklist, included the item, "Primer...locked." FAA Advisory Circular 20-105B-"Reciprocating Engine Power-Loss Accident Prevention and Trend Monitoring," stated in part: "Engine Primer. The primer is a simple system in which raw fuel is drawn from the engine supply line and injected into two or more of the engine's cylinders by means of a small hand operated pump. If the primer pump handle is not locked in the closed position, raw fuel will continue to be drawn into the cylinders by the suction created in the affected cylinders during the intake cycle." The airplane's most recent flight prior to the accident was an instructional flight that was conducted on January 3, 1999. The certified flight instructor reported for the flight reported the all systems operated normally. The student pilot said the airplane performed "flawlessly." He also stated that he had flown the accident airplane 22 hours in the 15 months prior to the accident and had not experienced any mechanical problems.

Probable Cause and Findings

The pilot's failure to ensure the engine primer was in and locked prior to takeoff which resulted in a loss of engine power. A factor in this accident was the pilot's lack of experience in airplanes equipped with reciprocating engines.

 

Source: NTSB Aviation Accident Database

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