Accident Details
Probable Cause and Findings
The pilot’s decision to fly the airplane without confirming it had been released from maintenance, which resulted in a partial loss of engine power due to loose magnetos. Contributing to the outcome was the pilot’s failure to maintain adequate airspeed and his exceedance of the airplane’s critical angle of attack, which resulted in an aerodynamic stall.
Aircraft Information
Registered Owner (Current)
Analysis
HISTORY OF FLIGHTOn January 7, 2023, about 1213 eastern standard time, a Piper PA-28-140, N592FL, was destroyed when it was involved in an accident near Suffolk, Virginia. The pilot and passenger were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight.
The pilot owned the airplane and based it at the departure airport, Northeast Regional Airport (EDE), Edenton, North Carolina. According to a mechanic at EDE, the pilot and he were friends and the pilot contacted him on January 1, 2023, to inform him that the engine rpm drop was excessive during a magneto check and that he had parked the airplane on the ramp in front of the mechanic’s hangar for further evaluation. The mechanic looked at the airplane on January 4th, 2023. He removed the spark plugs, cleaned them, and checked them for resistance. He found that two spark plugs had very high resistance and one spark plug fired a little weak, so he replaced the three affected spark plugs and reinstalled the five other spark plugs in the engine.
The pilot arrived later that day, before the mechanic had a chance to perform an engine run as he was busy working on another airplane. The pilot asked if he could perform an engine run on the ramp and the mechanic said yes, because he could listen to the engine from his hangar. As soon as the pilot ran the engine, the mechanic knew “right away” that the new spark plugs did not correct the problem as the engine was “skipping.” The pilot shut down the engine and the mechanic informed the pilot that the airplane was not to be flown until he could investigate further, and he would most likely be able to do so on Monday, January 9, 2023.
The mechanic moved the pilot’s airplane from the ramp area in front of his hangar into the pilot’s hangar, as bad weather was forecast for Sunday. The mechanic added that the pilot returned to the airport on Saturday, January 7, saw the airplane in his hangar, and took it flying without contacting him. At the time of the accident, the airplane had not been released from maintenance as the mechanic had not had an opportunity to further investigate the engine anomaly.
According to family members, the accident flight was a short (40 nautical miles) cross-country flight to get lunch at a restaurant at Suffolk Executive Airport (SFQ), Suffolk, Virginia.
According to automatic dependent surveillance - broadcast (ADS-B) flight track information from the Federal Aviation Administration (FAA), the airplane approached SFQ in cruise flight at an altitude of about 1,800 ft mean sea level msl. About 2 miles from the wreckage location, the airplane’s descent rate rapidly increased to 500 ft/min with the airspeed staying just above 90 knots. The descent rate slowed to 200 ft/min before it rapidly increased to more than 1,500 ft/min during the final minute of flight. An aircraft performance study (for more information, see the Aircraft Performance Study in the public docket for this accident) showed that a steep banked turn close to the airplane’s stall speed would have been required to orient the flight path with the wreckage direction. A witness reported that she was a front seat passenger in a car and observed the airplane in a nosedive. At that time, there were two spiral trails of black smoke, about 5 to 10 ft behind the airplane; however, she did not observe any fire from the airplane. PERSONNEL INFORMATIONThe pilot’s logbook was not recovered. On his application for a private pilot certificate, dated November 15, 2022, he reported a total flight experience of 102.2 hours, of which 36 hours were solo/pilot-in-command. The pilot received his private pilot certificate on December 1, 2022. AIRCRAFT INFORMATIONThe airplane’s most recent maintenance logbooks were not recovered. AIRPORT INFORMATIONThe airplane’s most recent maintenance logbooks were not recovered. WRECKAGE AND IMPACT INFORMATIONThe airplane impacted nose-down in a marshy field, about 5 miles from the destination airport, and no debris path was observed. The wreckage came to rest upright and was oriented south. A section of engine cowling was located about 50 ft south of the main wreckage. A postimpact fire consumed the majority of the wreckage, with the exception of the wings and engine. Flight control cable continuity was confirmed from both wing ailerons to the cockpit area. Due to impact and thermal damage, continuity could not be confirmed for the elevator and rudder, nor could an elevator trim setting be determined.
The engine was buried in about 3 ft of mud and was examined following its transport to a recovery facility. The propeller remained attached to the engine. Both propeller blades exhibited some S-bending and chordwise scratching. The examination revealed that the right magneto had separated from the accessory housing (consistent with impact). Its hold-down nuts remained with the accessory housing on the engine were found finger tight against the remainder of the magneto mounting flange. The left magneto remained attached to the rear accessory housing and its hold-down nuts were also finger tight. Examination of the engine did not reveal any other preimpact mechanical malfunctions. MEDICAL AND PATHOLOGICAL INFORMATIONAccording to the autopsy report from the Commonwealth of Virginia, Office of the Chief Medical Examiner, Norfolk, Virginia, the pilot’s cause of death was blunt force trauma to head, torso, and extremities, and the manner of death was accident. No significant natural disease was identified by the pathologist.
Toxicology testing by the FAA Forensic Sciences Laboratory detected cetirizine in the pilot’s liver and muscle tissue at 649 nanograms per gram (ng/gm) and 108 ng/gm, respectively. Cetirizine is a second-generation antihistamine used to relieve hay fever and allergy symptoms. It is available over the counter, commonly marketed as Zyrtec. Although designed to be less sedating, cetirizine does have some sedating properties. The generally non-impairing gastric reflux medication famotidine was also detected in his liver and muscle tissue. No blood specimens were available for testing.
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ERA23FA103