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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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NTSB Report

March 5, 1994 · Piper PA-23-180 · N2142P

Fairfield, AZ

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
March 5, 1994
Injury Outcomes
2 injuries (2 serious injuries), 2 uninjured
Location
Fairfield, AZ
Aircraft
Piper PA-23-180
Tail Number
N2142P
Operator
Proflight
Injuries
Serious
Aircraft Damage
Substantial
NTSB Number
LAX94LA153

DURING THE ACCIDENT FLIGHT, THE CFI WAS IN THE FINAL PROCESS OF PREPARING THE SECOND PILOT TO TAKE HIS MULTIENGINE CFI CHECK RIDE. AFTER COMPLETING A TOUCH-AND-GO LANDING, THE AIRPLANE CLIMBED TO BETWEEN 200- AND 300-FEET AGL. THE CFI ATTEMPTED TO RETARD THE LEFT ENGINE'S THROTTLE, BUT ACCIDENTALLY RETARDED THE LEFT ENGINE'S PROPELLER CONTROL INTO THE FEATHER DETENT. THE CFI MANEUVERED THE AIRPLANE WHILE ATTEMPTING TO RESTART THE LEFT ENGINE. DURING THIS TIME, THE AIRCRAFT BY-PASSED SEVERAL SUITABLE LANDING SITES AND ENDED UP OVERFLYING HILLY TERRAIN AS THE AIRCRAFT CONTINUED A GRADUAL DESCENT. THE PILOT LOST CONTROL OF THE AIRPLANE AS THE AIRSPEED DECREASED; THE AIRCRAFT ROLLED TO THE LEFT AND COLLIDED WITH HILLY TERRAIN. THE LEFT ENGINE AND PROPELLER COMBINATION WAS REMOVED FROM THE AIRCRAFT AND INSTALLED IN AN ENGINE TEST CELL. THE ENGINE, PROPELLER, AND PROPELLER GOVERNOR WERE FOUND TO FUNCTION NORMALLY THROUGHOUT THEIR NORMAL OPERATING RANGES.

NTSB Probable Cause

THE FLIGHT INSTRUCTOR'S INADVERTENT MOVEMENT OF THE LEFT ENGINE PROPELLER CONTROL INTO THE FEATHER POSITION, HIS DECISION TO BY-PASS SUITABLE LANDING SITES IN AN ATTEMPT TO RESTART THE LEFT ENGINE AS THE AIRCRAFT ENERGY AND PERFORMANCE CAPABILITY DETERIORATED, HIS FAILURE TO MAINTAIN AN AIRPSEED AT OR ABOVE VMC, HIS FAILURE TO MAINTAIN CONTROL OF THE AIRCRAFT, AND HIS INADEQUATE SUPERVISION OF THE FLIGHT.

Full Narrative

On March 5, 1994, at 1100 mountain standard time, a Piper PA-23- 180, N2142P, collided with terrain following an in-flight loss of control near Fairfield, Arizona. The accident sequence was precipitated by the flight instructor inadvertently feathering the left propeller. The aircraft was operated by Proflight of Las Vegas, Nevada, and was on a dual instructional flight. Visual meteorological conditions prevailed at the time of the instructional flight. The airplane was substantially damaged upon colliding with terrain about 10 miles south of the airport in the state of Arizona. The airline transport certificated instructor pilot and the second pilot, who was receiving instruction for a multiengine flight instructor rating, were seriously injured. The two passengers were not injured. The flight originated from Las Vegas, Nevada, on March 5, 1994, at 0815 Pacific standard time as a dual instructional flight. According to the pilot under instruction and the passengers, during the accident flight the flight instructor was in the final process of preparing the second pilot to take his multiengine flight instructor check ride. At the completion of the (accident) flight, the second pilot had planned to use the airplane for the check flight. The occupants further reported that after completing a touch-and- go landing at St. George, Utah, the airplane climbed between 200 and 300 feet above the 2,938-foot mean sea level field elevation. Then, the flight instructor attempted to retard the left engine's throttle, but accidentally retarded the left engine's propeller control. The left engine's propeller blades feathered. The flight instructor maneuvered the airplane over lower elevation terrain while attempting to restart the left engine; however, the aircraft ended up crossing the Arizona border and overflying hilly terrain. The pilot lost control of the airplane as the airspeed decreased. The left wing lowered and the airplane collided with hilly terrain. The pilot under training reported that the instructor retarded the left engine propeller control as the landing gear was retracting. The only engine-driven hydraulic pump is located on the left engine and the flight instructor had to pump the landing gear completely up by hand. During this time, the aircraft continued a gradual descent toward the ground. The pilot under training and the two passengers reported that the flight instructor by-passed several suitable forced landing sites in his attempt to restart the left engine. After recovery of the aircraft, the left engine and propeller combination was removed from the aircraft and installed in an engine test cell. Under supervision of a Federal Aviation Administration (FAA) inspector, the engine was started three times, twice with the propeller feathered. During all three test runs, the engine started immediately and was exercised throughout its normal operating range. The propeller governor was noted to function smoothly and maintained control of the propeller rpm; the propeller blades were exercised into and out of the feather position easily with no hesitation.

Flight

Event TypeAccident
Event Time11:00 MST
Nearest Airport0nm
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftPiper PA-23-180
Tail NumberN2142P
Aircraft CategoryAir
DamageSubstantial
OperatorProflight
Operating RulePart 91
Engines2
Engine TypeReciprocating
Engine DetailsLycoming · IO-360-B1B · Reciprocating · 180
Seats6

People & Injuries

Injury Summary2 injuries (2 serious injuries), 2 uninjured
Fatal0
Serious2
Minor0
Uninjured2
Total4
Crew 1Age 37 · Third Class

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility50 sm
CeilingNone
Temperature / Dew Point70 F / 0 C
Altimeter0
Weather SourcePILO

Appendix: Source Data