N923RS

Destroyed
Fatal

PIPER PA-44-180S/N: 44-7995196

Accident Details

Date
Monday, March 24, 2014
NTSB Number
ERA14FA168
Location
Brunswick, GA
Event ID
20140324X00546
Coordinates
31.280000, -81.411392
Aircraft Damage
Destroyed
Highest Injury
Fatal
Fatalities
2
Serious Injuries
0
Minor Injuries
0
Uninjured
0
Total Aboard
2

Probable Cause and Findings

An inflight failure of the airplane's only operating vacuum pump, which resulted in the loss of attitude information provided by vacuum-driven flight instruments. Also causal was the pilots' failure to maintain control of the airplane while operating in instrument flight rules (IFR) conditions, likely due to spatial disorientation, following the failure of the vacuum pump. Contributing to the accident was the operator's decision to dispatch the airplane with a known inoperative vacuum pump into IFR conditions.

Aircraft Information

Registration
N923RS
Make
PIPER
Serial Number
44-7995196
Engine Type
Reciprocating
Year Built
1979
Model / ICAO
PA-44-180PA44
Aircraft Type
Fixed Wing Multi Engine
No. of Engines
2

Registered Owner (Historical)

Name
ATP AIRCRAFT 2 LLC
Address
2711 CENTERVILLE RD STE 400
Status
Deregistered
City
WILMINGTON
State / Zip Code
DE 19808-1645
Country
United States

Analysis

HISTORY OF FLIGHT

On March 24, 2014, about 1738 Eastern Daylight Time, a Piper PA-44-180, N923RS, was destroyed during an inflight breakup and subsequent impact with terrain near Brunswick, Georgia. The flight departed from the Concord Regional Airport (JQF), Concord, North Carolina, about 1551 and was destined for Jacksonville Executive Airport at Craig (CRG), Jacksonville, Florida. Day visual meteorological conditions prevailed and an instrument flight rules (IFR) flight plan was filed. The two private pilots were fatally injured. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91.

According to Federal Aviation Administration (FAA) records and Lockheed Martin Flight Service records, the pilot seated in the right seat filed and IFR flight plan with an intended departure time of 1530, and had requested an enroute cruise altitude of 8,000 feet above mean sea level (msl).

PERSONNEL INFORMATION

According to FAA and operator records, the right seat pilot, held a private pilot certificate with ratings for airplane single and multi-engine land, and instrument airplane. He held an FAA first-class medical certificate, issued February 4, 2014, with no limitations. At the time of the medical examination, the pilot reported 73 total hours of flight experience and no flight experience within the 6 months prior to the medical application. The pilot's logbook was located within the wreckage and the last recorded entry was dated March 24, 2014, and indicated a flight from JQF to CRG, in a different PA-44-180. Including that entry, the total recorded flight time was 155.3 flight hours and 8.8 hours of actual instrument flight experience.

According to FAA and operator records, the pilot seated in the left front seat held a private pilot certificate with ratings for airplane single and multi-engine land , and instrument airplane He held a FAA first-class medical/student pilot certificate issued May 20, 2013, with no limitations. At the time of the medical examination the pilot reported no previous flight experience. The pilot's logbook was located within the wreckage and the last recorded entry was dated March 23, 2014, and indicated a flight from Daytona Beach International Airport (DAB), Daytona Beach, Florida, to JQF. Including that entry, the total recorded flight time was 163.7 flight hours and 1.8 hours of actual instrument flight experience.

AIRCRAFT INFORMATION

According to FAA and airplane maintenance records, the airplane was issued an airworthiness certificate on August 19, 1976, and was originally registered to ATP Aircraft 2, LLC on January 29, 2008. It was powered by a Lycoming O-360-E1A6D and LO-360-E1A6D engines. The airplane was not equipped with an autopilot, nor was it required to be. According to the operator, the last recorded Hobbs meter entry was 2,290.6 flight hours, which correlated to an airframe total time of 6,664.3 hours.

According to maintenance records, the left engine vacuum pump was installed on May 13, 2011, with a recorded Hobbs time of 1,082.8 hours. The right engine vacuum pump was installed on August 31, 2013, with a recorded Hobbs time of 2,118.1 hours; however, the unit's serial number in the maintenance logbook did not coincide with the serial number on the vacuum pump in the accident airplane. According to the operator, the right vacuum pump that was actually installed on the airplane had been installed on January 24, 2014; however, the information submitted to the NTSB did not contain a serial number nor was the information located within the airplane's maintenance logbooks provided by the operator. The Airworthiness Approval Tag, associated with the right vacuum pump, that was at the accident scene, indicated that it had been overhauled on June 18, 2013.

According to maintenance records for the accident airplane, the right engine vacuum pump had accumulated about 65 total hours since overhaul. However, information provided by the operator also revealed that this vacuum pump was noted as inoperative and placarded in accordance with Federal Aviation Regulation (FAR) 91.213(d) and their maintenance procedures prior to the accident flight. The operator further determined to have the airplane flown to the maintenance facility at CRG to repair the inoperative vacuum pump. Additionally, the pilots had been verbally advised of this discrepancy and were provided the opportunity to refuse the airplane, prior to departing on the accident flight. According to a representative of the operator, no flight limitations existed, for their airplane, for an inoperative vacuum pump beyond those prescribed by applicable FARs and the airplane Pilot's Operating Handbook.

METEOROLOGICAL INFORMATION

The 1755 recorded weather observation at Brunswick Golden Isle Airport (BQK), Brunswick, Georgia, located approximately 3.5 miles to the west southwest of the accident location, included wind from 050 degrees at 10 knots with gusts up to 16 knots, visibility 10 miles, overcast clouds at 3,800 feet above ground level (agl), temperature 12 degrees C, dew point 7 degrees C; and barometric altimeter setting of 30.08 inches of mercury.

The regional radar mosaic from the University Center for Atmospheric Research for 1745 indicated an area of very light intensity echoes in the vicinity of Brunswick, Georgia, in the range of 5 to 15 dBZ.

Sounding

The Jacksonville (KJAX), Florida 2000 upper air sounding, located approximately 50 miles south of the accident site indicated the freezing level was at 10,000 feet, and implied no in-flight icing in the vicinity. The lifted condensation level (LCL) or approximate base of the clouds was at 1,580 feet agl, with the relative humidity greater than 80% from the LCL to approximately 6,300 feet which supported low stratiform clouds. The sounding indicated a defined low-level frontal inversion from 2,500 to 3,800 feet with a marked change in wind direction and a high probability of moderate turbulence at 3,800 feet. The Lifted Index (LI) was 12, and indicated a stable atmosphere. The wind profile indicated light northeasterly winds at the surface with a low-level wind maximum at 2,000 feet from 060 degrees at 26 knots, with wind veering rapidly to the south above the inversion, and then veering to the southwest and west by 10,000 feet. The mean wind was from 270 degrees at 27 knots. A defined jetstream was over the regions with the maximum wind located above the tropopause at 38,000 feet with wind from 270 degrees at 140 knots.

Satellite imagery

The GOES-13 infrared image at 1745 indicated a layer of low to mid-level stratocumulus to nimbostratus type clouds with a radiative cloud top temperature of 256 Kelvin or -17 C, which indicated cloud tops near 20,000 feet. No defined cumulonimbus clouds were identified in the vicinity of the accident site.

Weather Briefing

The pilot obtained a preflight weather briefing prior to departure from a qualified Direct User Access Terminal System (DUATS) provider at 1516, and filed an IFR flight plan through ForeFlight.com with Lockheed Martin Flight Service. While enroute, he also contacted Flight Watch at 1647:32, obtained the latest weather for the destination, obtained the updated AIRMET (Airman's Meteorological Information) Sierra for IFR conditions over Florida, and issued a pilot report (PIREP). The report indicated that the flight was 11.8 miles southeast of Barnwell Regional Airport (BNL), Barnwell, South Carolina; the PIREP indicated 10 miles visibility, no turbulence, no visible weather, and light haze. The recording ended at 1652:28.

COMMUNICATION

According to recorded air traffic control communications provided by the FAA, the flight contacted Jacksonville Air Route Traffic Control Center (ARTCC) at 1727:23 and reported their altitude as 8,000 feet. The controller then provided the flight with the local altimeter setting. At 1727:32 the flight confirmed the altimeter setting, and no further communications from the flight were received. Several attempts to contact the accident flight were conducted between 1739:27 and 1740:36, all of which were met with no recorded response.

The ARTCC controller solicited assistance from another nearby airplane to fly in the vicinity of the last radar return to see if the accident airplane could be located. The ARTCC controller reported to the other airplane that the accident flight was "…at eight thousand in your vicinity uh I uh saw him go down about three hundred feet and then uh completely lost him on radar I don't know if it was full electrical failure or what but I lost him right over the golden isles airport." At 1743:14 the other airplane stated "I'm gonna need you to descend me to probably two thousand five hundred so I can get out of the clouds." At 1745:07 the ARTCC controller reported to the other airplane "…he was just east of the golden isles airport southbound at eight and then uh I showed him at three hundred feet low and then uh I I lost * (everything didn't even get a) primary on him." All further reported communication revealed that the accident flight was unable to be located and no ELT was audibly observed.

RADAR DATA

Review of radar data provided by the FAA revealed that the flight was cruising at an indicated an altitude of 8,000 feet above mean sea level (msl). The subsequent four recorded radar targets, which occurred over a span of 38 seconds, indicated a recorded altitude of 7,900 feet to 7,200 feet msl. The last recorded radar data, at 1738:10, indicated an altitude of 0 feet and was in the vicinity of the accident location. The last four radar targets, that indicated an altitude above 7,000 feet msl, were consistent with a descending right 180-degree turn.

WRECKAGE AND IMPACT INFORMATION

The wreckage was found in a marsh area, in about 15 feet of water. The main wreckage was located inverted at N 31:16.793, W 081:24.687 at an elevation of 4 feet msl. The debris path was about 2 miles in length a...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ERA14FA168