N923BA

Substantial
Fatal

Piper PA-31-350S/N: 31-8252024

Accident Details

Date
Saturday, August 26, 2000
NTSB Number
LAX00FA310
Location
Hilo, HI
Event ID
20001212X21754
Coordinates
19.716667, -155.033340
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
1
Serious Injuries
0
Minor Injuries
8
Uninjured
0
Total Aboard
9

Probable Cause and Findings

Deterioration and failure of the oil filter converter plate gasket, which resulted in a loss of engine power and a subsequent in-flight fire.

Aircraft Information

Registration
N923BA
Make
PIPER
Serial Number
31-8252024
Engine Type
Reciprocating
Year Built
1982
Model / ICAO
PA-31-350PA31
Aircraft Type
Fixed Wing Multi Engine
No. of Engines
2

Registered Owner (Historical)

Name
BIG ISLAND AIR INC
Address
PO BOX 1476
Status
Deregistered
City
KAILUA KONA
State / Zip Code
HI 96740
Country
United States

Analysis

HISTORY OF FLIGHT

On August 25, 2000, at 1735 Hawaiian standard time, a Piper PA-31-350 twin engine airplane, N923BA, operated as Big Island Air flight number BI 57, was substantially damaged during an emergency ditching in the Pacific Ocean following a loss of engine power while in cruise flight. The pilot was attempting to land at the Hilo International Airport, Hilo, Hawaii, when the ditching occurred. One passenger received fatal injuries, while the commercial pilot and remaining 7 passengers received minor injuries. Big Island Air, Inc., was operating the airplane as a nonscheduled sightseeing tour under 14 CFR Part 135, when the accident occurred. The local flight originated from Kailua-Kona, Hawaii, at 1700, and was en route to the Hilo area with a planned return to Kona, without landing at Hilo. Visual meteorological conditions prevailed at the time of the accident and a visual flight rules flight plan was filed and activated.

The pilot reported that he was at 1,000 feet mean sea level (msl) near Laupahoehoe, Hawaii, when he felt the airplane yaw to the right, and noted that the right engine's manifold pressure had dropped to about 25 inches. He immediately switched from the right main fuel tank to the right auxiliary fuel tank and turned on the fuel boost pump. He then moved the throttles, propellers, and mixture controls full forward, and identified the right engine was not producing thrust. He shutdown the right engine by reducing the throttle to idle, bringing the mixture control into idle cutoff, and then by moving the propeller control into the feather position. He noted, however, that the right propeller continued to rotate intermittently after shutdown.

At the same time the pilot noted the power loss, at least two passengers indicated to him that a fire was visible through the louvers on the right engine cowling. The pilot announced that they were going to land at the Hilo International Airport (ITO), which was 23 miles ahead.

As the airplane deviated toward Hilo, the pilot noted that with the airspeed at blue line (Vyse) he was unable to maintain altitude. The airplane continued to descend between 100 and 50 feet per minute. He checked to ensure that the cowl flaps were closed on both engines, and noted that the left engine was producing 41.5 inches of manifold pressure with the left propeller in the full forward position.

Considering the distance to the airport, the pilot estimated that he would not be able to reach land or the airport. He then instructed the passengers to don their life vests and briefed them to prepare for ditching. He made MAYDAY distress calls to the ITO control tower and to the Honolulu Flight Service Station. He also set the transponder to squawk 7700.

About 250 feet msl and 5 miles from the airport, the pilot began configuring the airplane for ditching. He slowed the airplane and gradually added full flaps, keeping full power on the left engine. He felt the tail of the airplane touch the water; followed by a jolt that momentarily stunned him. When he fully regained his senses, the water in the cockpit was already chest high. He opened the left pilot door and noticed the right front seat passenger climbed across him and exited first.

After exiting, the pilot moved to the rear main cabin door (located on the left side of the cabin) to assist the passengers. The right front seat passenger remained by the left cockpit door to assist any passengers who might be using that exit.

A passenger reported that water pressure against the right emergency window exit prevented its use. The airplane began to take on water immediately upon landing. As the nose sank first, the airplane began a gradual roll to the right, disappearing below the water within 60 seconds. The pilot attempted to dive below the water to check for any remaining passengers but reported that the murky water restricted his vision.

The pilot signaled for the passengers to remain in a group and within about 15 minutes a Hilo fire department helicopter and rescue personnel were on the scene. One passenger was determined to be missing and an unsuccessful search was initiated. Subsequently, the missing passenger was located in the airplane.

The following day the airplane was located by U.S. Coast Guard sonar under 80 feet of water. The site was 3.1 miles from ITO and on a 123-degree magnetic bearing to the airport. The airplane was recovered on August 27, 2000, and secured in the Civil Air Patrol hangar at ITO.

PERSONNEL IFORMATION

The commercial pilot held ratings in single engine land, multiengine land, and instrument airplanes. He also held a flight instructor rating for single engine airplane. He was issued a first-class medical certificate on July 7, 2000, with no limitations. According to the Pilot/Operator Aircraft Accident Report that the pilot submitted, he reported having accumulated a total of 2,067 hours of flight time, of which 1,096 hours were accumulated in multiengine airplanes.

According to Big Island Air records, the pilot was hired on September 13, 1999, and underwent basic indoctrination, ground instruction, flight instruction, and general emergency training between September 15, and 21, 1999. The pilot passed the FAR Part 135 Airman Competency/Proficiency Check on September 21, 1999. The pilot accumulated approximately 465.3 hours in the PA-31-350 after he became a line pilot for Big Island Air.

METEOROLOGICAL INFORMATION

At 1753, the Hilo, Hawaii, weather observation facility reported the wind from 080 degrees at 8 knots; visibility 10 statute miles; a few clouds at 2,300 feet agl; temperature 26 degrees Celsius; dew point 21 degrees Celsius; and an altimeter setting of 30.00 inches of mercury.

AIRCRAFT INFORMATION

The twin engine Piper Chieftain airplane was powered by two TEXTRON Lycoming 350-horsepower TIO-540-J2BD turbo-charged engines and two 3-bladed, constant-speed, full-feathering Hartzell propellers. The left engine (serial number RL-9827-61A) rotates clockwise and the right engine (serial number L-1650-68A) rotates counterclockwise as viewed from the pilot seat. Lycoming recommends an engine overhaul interval of 1,600 hours.

The propeller blade pitch is adjusted via the combination of nitrogen or air pressure, a spring, blade counterweights and governor-regulated oil pressure. The nitrogen or air pressure, spring and blade counterweight force are utilized to move the blades to the high pitch (decreased rpm) and feathered positions. The opposing governor-regulated oil pressure moves the blades to the low pitch (increased rpm) positions. Moving the propeller control lever aft decreases the propeller rpm as the propeller governor decreases the oil pressure to the hub, and the air pressure, spring, and blade counterweights move the propeller blades to the high pitch or, if selected, the feathered position.

The PA-31-350 Pilot Information Manual's (PIM) Emergency Procedures section supplies recommended procedures for coping with various types of emergencies. The recommended emergency procedures for an ENGINE FIRE IN FLIGHT are as follows:

"Fire wall fuel shutoff...............OFF

Throttle.......................................Idle

Propeller....................................FEATHER

Mixture........................................Idle Cut-off

Inoperative Engine.................Secure

If fire persists, Airspeed.........Increase in attempt to blow out fire.

Land at nearest suitable airport."

The ENGINE SECURING PROCEDURE (FEATHERING PROCEDURE) instructs the pilot to:

"Throttle....................................close

Propeller..................................FEATHER (1000 RPM min.)

Mixture.......................................IDLE CUT-OFF

Cowl flaps................................close

Air conditioner........................OFF

Magneto switch......................OFF

Emergency fuel pump.........OFF

Fuel selector...........................OFF (detent)

Fuel boost pump CB............pulled

Alternator CB switch..............OFF

Prop. Sync...............................OFF

Electrical load........................reduced

Crossfeed................................if required."

The PIM also recommends that the pilot attain and maintain 106 knots for the best rate of climb with an engine inoperative and instructs pilots to bank the airplane approximately 5 degrees into the operative engine following an ENGINE FAILURE DURING FLIGHT (Above 76 KIAS).

Review of the accident flight's weight and balance data, supplied by the operator, indicated that they weighed the passengers and baggage and calculated a takeoff weight of 7,107 pounds and a center of gravity placement of 129.50 inches aft of datum. The operator listed the maximum takeoff weight as 7,368 pounds and indicated that the center of gravity limits at the takeoff weight was 126.50 inches aft of datum to 135.00 inches aft of datum.

The Piper Chieftain performance charts indicate that with a pressure altitude between sea level and 1,000 feet (1,500 feet to 2,700 feet density altitude) and a gross weight of 7,107 pounds, the airplane should have been able to maintain a climb of approximately 150 to 175 feet per minute with one engine inoperative. The single engine climb performance chart stipulates that the operative engine be set at maximum climb power and the cowl flap should be open, and the inoperative engine should be feathered, the cowl flap closed, and the landing gear and flaps should be retracted. In addition, the performance chart stipulates that the pilot incorporate a 5-degree bank toward operative engine.

At the time of the accident, the aircraft had accumulated approximately 3,510.6 hours, and the engines had accumulated approximately 1,298.3 and 386.8 hours on the left and right engine respectively, since their last overhaul. The right engine underwent its last overhaul on March 10, 2000, at the Textron Lycoming overhaul facility in W...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# LAX00FA310