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NTSB Report

May 11, 1995 · Piper PA-28-151 · N41329

North Loup, NE

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
May 11, 1995
Injury Outcomes
1 injury (1 fatality)
Location
North Loup, NE
Aircraft
Piper PA-28-151
Tail Number
N41329
Injuries
Fatal
Aircraft Damage
Destroyed
NTSB Number
CHI95FA149

On 5/9/95, the student pilot and his instructor (CFI) departed ORD, NE, on a long cross-country flight to Marana, AZ. Several stops were made en route to refuel and/or rest, though they got only about 4 hours of sleep before continuing their trip the next day. The original plan was for the CFI to purchase a 2nd airplane at Marana, then for both airplanes to return to ORD together. However, the 2nd airplane was not ready, so they decided that the student would return to ORD on a solo cross-country flight. On the return flight (beginning at about 1230 CDT on 5/10/95), the student stopped to refuel at Roswell, NM, Dalhart, TX, and Garden City, KS. He took off from Garden City at night (2123 CDT), but the plane crashed about 12 miles southeast of the destination airport. A radar profile (matching the flight) disappeared from the scope at 0053 CDT in the vicinity of the crash site. An exam revealed the airplane impacted in a vertical attitude, with no indication of engine rotation. No fuel was found at the engine or right wing, though the plane received extensive damage during impact. The student had 19 hours flight time before departing on the cross-country, had received no spin recovery training, no unusual attitude recovery training, and no stall recovery training at night. The student's log book had no record of receiving training in emergency procedures. The weather was clear with light winds on a partially moonlit night.

NTSB Probable Cause

FAILURE TO THE STUDENT PILOT TO MAINTAIN CONTROL OF THE AIRPLANE DURING A FORCED LANDING, AFTER EXPERIENCING FUEL STARVATION DUE TO FUEL MISMANAGEMENT. FACTORS RELATING TO THE ACCIDENT WERE: INADEQUATE OVERSIGHT (SUPERVISION) BY THE FLIGHT INSTRUCTOR (CFI), FAILURE OF THE STUDENT TO RESTART THE ENGINE (EMERGENCY PROCEDURE), INADEQUATE EMERGENCY PROCEDURE TRAINING BY THE CFI, DARKNESS, THE STUDENT'S LACK OF EXPERIENCE, AND FATIGUE (LACK OF SLEEP).

Full Narrative

HISTORY OF FLIGHT On May 11, 1995, approximately 0150 central daylight time (cdt), a Piper PA-28-151 Warrior, N41329, operated by Donald Vancura of Elyria, Nebraska, impacted rolling terrain 2 1/2 miles west of North Loup, Nebraska, and was destroyed. The solo student pilot sustained fatal injuries. The flight operated under 14 CFR Part 91 as a solo cross country instructional flight, and this final leg had originated from Garden City, Kansas, approximately 2145 cdt, with a destination of Sharp Municipal Airport (ODX), Ord, Nebraska. The accident site was 12 miles on a bearing of 125 degrees from ODX. Visual meteorological conditions existed, the night was partially moonlit at the time of the accident, and no flight plan was filed. A witness who observed an airplane fly over North Loup at approximately 0100 described clear skies and light wind. The airplane was discovered when the landowner came upon the wreckage at 0730 cdt on May 11, 1995. The flight originated on May 9, 1995, approximately 1600 cdt, as a multi-leg, cross country instructional flight from ODX to Pinal Airpark in Marana, Arizona. The student and his instructor stopped to refuel at Cozad, Nebraska; Dalhart, Texas; then Roswell, New Mexico. They continued to Deming, New Mexico, where they stopped and rented a room between 0200 and 0300 cdt on May 10, 1995. The instructor stated that when he awoke, the pilot had moved to a separate room. The total rest period was estimated by the instructor as 4 hours. The instructor stated to Safety Board investigators that the student had said he was very excited about the trip, and had not slept much the night of May 8, 1995, as a result of his excitement. They departed Deming approximately 0700 on May 10, 1995, and arrived at Marana, Arizona, about 1000. N41329 was refueled at 1030 cdt, on May 10, 1995. The original plan was for the instructor to purchase a second airplane in Marana, and both airplanes to return to Ord, Nebraska, together. However, this airplane was not ready, so they decided the student would return on a solo cross country via the same route flown from Ord to Marana. The instructor stated he briefed the student to retrace the same route, but neglected to endorse his pilot logbook. N41329 departed Marana at 1230 cdt and refueled at Roswell and Dalhart, Texas on May 10, 1995. The airplane was finally refueled with 17.3 gallons of 100 low lead aviation gasoline at Garden City, Kansas, at 2123 cdt, on May 10, 1995. N41329 departed after making a telephone call to the instructors wife at 2130 cdt. At 2333:28, the student placed a cellular telephone call to a relative while he was flying. During the conversation, he described climbing out of Cambridge, Nebraska, and crossing the I-80 highway en route to ODX at 5,500 feet. He stated he would fly over Mason City, but had not yet done so when he terminated his call at 2341:37. Radar tracks by the Denver Air Route Traffic Control Center show a VFR target northbound departing the Cambridge, Nebraska airport at 2334 cdt. This corresponds with the profile and time of N41329. This same target disappears from radar at 0053 cdt, near the accident site. The elapsed time from takeoff at Garden City to the loss of radar track is 3 hours 23 minutes. The estimated fuel consumption is 10 gallons per hour in cruise flight. The total fuel capacity of the airplane is 48 gallons useable, 24 gallons in each wing tank. A witness in North Loup, Nebraska, reported seeing an airplane flying with its landing light on and crossing the highway in a northwesterly direction approximately 0100 cdt. PERSONNEL INFORMATION The 35 year old student pilot held a third class medical certificate with no restrictions issued on April 10, 1995. He had no prior flight experience before commencing lessons in April 1995. The pilot had accumulated a total of 19 flight hours prior to departing on this cross country trip. Of these one was at night, and four were solo. His logbook contained an endorsement from his flight instructor for solo flight in the PA-28-151 and PA-28- 180 dated April 20, 1995. The instructor stated that stalls had been practiced only in daylight visual conditions. None had been performed at night, and no work had been performed in simulated instrument conditions. A review of the student's logbook failed to show he had received any training in emergency procedures. He stated that on the trip to Marana, the student let the fuel tank run low prior to changing to the remaining fuel tank. Several persons described the pilot as in a hurry most of the time, and as a person who pushed himself. He had several commitments at work when he was scheduled to return. AIRCRAFT INFORMATION The airplane was certificated in both normal and utility categories, and maintained under an annual inspection program. The last inspection was performed on August 1, 1994, at a tachometer time of 1,628 hours, and total airframe time of 4,286 hours. The total airframe hours at the time of the accident are unknown. WRECKAGE AND IMPACT INFORMATION The wreckage was located in a soft, cultivated field, with the nose of the airplane oriented approximately north (360 degrees). A ground scar six inches deep, which contained green glass at the east end, extended 070 degrees from the crater containing the engine. The left wing remained attached to the fuselage and extended 280 degrees from the fuselage and engine crater. The right wing was located on the left side of the fuselage, and immediately north of the left wing. Both ground scars which corresponded to wing dimensions were 10 inches in width. There were no ground scars leading to the wreckage, and no indication that the airplane traveled any horizontal distance after impact. Three ground scars corresponding to the dimensions of the landing gear were on the south side of the fuselage. The left wheel and strut assembly was located 84 feet on a heading of 260 degrees from the fuselage, and a variety of lightweight debris was scattered between 90 and 115 feet northwest (between 270 and 320 degrees) of the fuselage. No debris was located to the northeast, southeast, or southwest of the fuselage. The vertical and horizontal stabilizers were crushed directly aft to their respective main spars. The engine and cockpit area was crushed directly aft to the main wing spar, which corresponded to the aft end of the pilot seat. Both wings exhibited direct aft crushing to the forward spar. This crushing was along the entire length of the wings, and both wet wing fuel tanks were ruptured. The right wing was devoid of fuel. No fuel was present in the left wing, but the vegetation surrounding the left wing exhibited a slight fuel blight. No fuel blight or stain was present on the vegetation surrounding the right wing scar. The fuel selector valve could not be located. No evidence of fuel was found in the engine, carburetor, or any fuel lines. Oil flowed from the engine when it was removed from the impact crater. The propeller did not exhibit any indications of rotation at impact. Both blades were bent aft, around the engine. There was no elongation of any bolt holes in the spinner or propeller. Drive train continuity was established between the propeller and the accessory section of the engine. No pre-impact anomalies were detected with the engine. The flap actuator drive sprocket, located on the flap torque tube, was found in the 10 degree (1 notch) of extension position. The flaps themselves were separated from the tube. ADDITIONAL INFORMATION All wreckage was returned to the owner on May 12, 1995.

Flight

Event TypeAccident
Event Time00:53 CDT
Nearest AirportOrd Municipal (12nm SE)
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftPiper PA-28-151
Tail NumberN41329
Aircraft CategoryAir
DamageDestroyed
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O-320-E3D · Reciprocating · 150
Seats4

People & Injuries

Injury Summary1 injury (1 fatality)
Fatal1
Serious0
Minor0
Uninjured0
Total1
Crew 1Age 35 · Third Class

Conditions

ConditionsVMC
LightBright Night
WindCalm
Visibility10 sm
CeilingNone
Temperature / Dew Point0 C / 0 C
Altimeter0
Observation Time06:00
Weather SourceWIT

Appendix: Source Data