N5969W

Substantial
Fatal

Piper PA28S/N: 28-3957

Accident Details

Date
Sunday, February 2, 2020
NTSB Number
CEN20FA072
Location
Florence, CO
Event ID
20200202X83050
Coordinates
38.430831, -105.118057
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
1
Serious Injuries
2
Minor Injuries
0
Uninjured
0
Total Aboard
3

Probable Cause and Findings

The pilot’s decision to continue the takeoff with reduced airplane performance due to high density altitude

Aircraft Information

Registration
N5969W
Make
PIPER
Serial Number
28-3957
Engine Type
Reciprocating
Year Built
1967
Model / ICAO
PA28P28A
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
SALE REPORTED
Address
950 TEXAS CREEK LN
Status
Deregistered
City
COTOPAXI
State / Zip Code
CO 81223-9647
Country
United States

Analysis

HISTORY OF FLIGHTOn February 2, 2020, about 1355 mountain daylight time, a Piper PA28-150 airplane, N5969W, was substantially damaged when it was involved in an accident near Florence, Colorado. The flight instructor and one passenger were seriously injured, and one passenger was fatally injured. The airplane was operated under the provisions of Title 14 Code of Federal Regulations Part 91 as an instructional flight.

The flight was a second exploration flight for the passenger seated in the front left seat. The brother of that person was seated in the aft right seat, and the flight instructor was seated in the front right seat. The flight instructor reported that he rotated the airplane using about 2,000 ft of the 5,399-ft-long runway. The airplane climbed and then settled back down to the runway. About 2,500 ft down the runway, the flight instructor rotated the airplane again and entered ground effect. He did not recall the climbout but remembered that he flew a 180° turn to land on runway 11. The airplane descended and impacted rolling terrain about 1,000 ft southwest of the departure end of runway 29.

An eyewitness saw the accident airplane depart from about midfield. He recalled that the airplane sounded as if it were making the expected power but that the subsequent climb was “anemic.”

PERSONNEL INFORMATIONThe flight instructor purchased the airplane on December 31, 2019, about 1 month before the accident. In addition to logging flight time in the accident airplane the flight instructor had logged time in Cessna 210-5A, Piper PA28-180, and Cessna 182T airplanes.

AIRCRAFT INFORMATIONAccording to the most recent weight and balance information, the accident airplane was operated about 100 pounds below maximum gross weight.

METEOROLOGICAL INFORMATIONThe calculated density altitude at the airport was 7,931 ft.

At the time of the accident, the weather observation at the airport indicated a temperature of 24ºC/75ºF. According to the flight instructor, it was the highest temperature at 1V6 since his purchase of the accident airplane. The recorded dewpoint was -15ºC/5 ºF and the barometric pressure was 29.78 in of mercury. Using the Koch Chart located in the Federal Aviation Administration’s Density Altitude document, the airplane would be expected to experience a takeoff distance increase of 140% and a climb performance reduction of 65%.

AIRPORT INFORMATIONAccording to the most recent weight and balance information, the accident airplane was operated about 100 pounds below maximum gross weight.

WRECKAGE AND IMPACT INFORMATION

Figure 1 Accident Site Plots

The initial impact point was determined to be scuffing along the ground that went up an embankment along a 125° magnetic heading. The airplane came to rest upright on a 347° magnetic heading. The left wing had separated and was broken in several locations. The leftwing fuel tank was breached but contained some fuel. The right wing remained attached to the airplane, and the fuel tank contained fuel. About 20 to 25 gallons of fuel was drained from airplane. The tachometer displayed 2,995.81 hours, and the Hobbs meter showed 610.4 hours.

Flight control continuity was traced from the flight controls to the control surfaces. The flap handle was set to the first notch, which corresponded to 10° flap extension. The trim screw displayed about 1 inch (7 threads visible) approximating a neutral-to-nose-up pitch trim setting. The propeller remained mounted to the engine crankshaft flange. The spinner was crushed aft against the propeller hub. One propeller blade was bent aft about 90° with chordwise polishing observed, and some leading-edge denting and chipping were noted. The other blade was straight and showed no evidence of scraping and chipping.

All engine filters and screens were clear of debris. Valve train continuity and thumb compression were obtained for each cylinder. The magnetos produced spark at each terminal. The carburetor had separated and showed signatures of hydraulic pressure to one of the floats, consistent with fluid (fuel) being present in the carburetor at impact.

No preimpact anomalies were detected with the airframe or engine.

ADDITIONAL INFORMATION

FAA-P-8740-2, “Density Altitude”

The Federal Aviation Administration’s density altitude document (FAA-P-8740-2), dated 2008, stated the following:

Whether due to high altitude, high temperature, or both, reduced air density (reported in terms of density altitude) adversely affects aerodynamic performance and decreases the engine’s horsepower output. Takeoff distance, power available (in normally aspirated engines), and climb rate are all adversely affected. Landing distance is affected as well; although the indicated airspeed (IAS) remains the same, the true airspeed (TAS) increases. From the pilot’s point of view, therefore, an increase in density altitude results in the following:

• Increased takeoff distance.

• Reduced rate of climb.

• Increased TAS (but same IAS) on approach and landing.

• Increased landing roll distance.

In addition:If the airplane flight manual (AFM)/POH [Pilot’s Operating Handbook] is not available, use the Koch Chart to calculate the approximate temperature and altitude adjustments for aircraft takeoff distance and rate of climb.

At power settings of less than 75 percent, or at density altitude above 5,000 feet, it is also essential to lean normally aspirated engines for maximum power on takeoff (unless the aircraft is equipped with an automatic altitude mixture control). Otherwise, the excessively rich mixture is another detriment to overall performance.

Video of Earlier Flight

A student pilot, who had flown in the accident airplane with the flight instructor about 1 month before the accident, provided a video of that flight. The student said that the flight included the flight instructor, himself, and a passenger. The airplane was fueled with 20 gallons. The video showed that, when the airplane was rotated at a speed of about 72 mph, the stall warning light illuminated and continued to flicker as the airplane climbed and accelerated toward 85 mph. The student pilot then asked if “that” was normal; the flight instructor replied, “yeah, it’s pretty sensitive but we are nowhere near a stall.” Later during the climbout, the flight instructor remarked that the airplane “is not climbing today.”

A review of weather information for that flight showed that the temperature was 46.4°F with a pressure altitude of 5,122 ft. The Koch Chart showed a decrease in climb performance of about 50%.

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN20FA072