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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

November 14, 1991 · Piper PA-24-180 · N5935P

Coffeyville, KS

Overview

Report Status
Probable Cause
Event Type
Accident
Date
November 14, 1991
Injury Outcomes
2 injuries (2 fatalities)
Location
Coffeyville, KS
Aircraft
Piper PA-24-180
Tail Number
N5935P
Operator
Gamache Joseph C
Injuries
Fatal
Aircraft Damage
Destroyed
NTSB Number
CHI92FA027

The pilot took off with full fuel tanks and flew for about 2 hours 15 minutes before the accident occurred. The airplane was observed near the accident site, flying erratically beneath a 300 to 400 foot ceiling in strong, gusty wind conditions. Witnesses reported the engine seemed to be cutting in and out. The airplane was northbound with a 25 to 40 knot tailwind when it was observed to pitch up abruptly, rotate left, and nose down into the ground. Post-accident examination of airframe, powerplant and systems revealed no evidence of pre-impact failure/difficulty. The left fuel tank was nearly full of fuel. The right fuel tank was compromised at impact, however there was no evidence of fuel spillage at the accident site. The landing gear was extended, fuel boost pump was on, and the fuel selector was jammed in an intermediate position. Fuel consumption calculations (using 75%) indicated as much as half the available fuel may have been burned.

NTSB Probable Cause

THE PILOT'S FAILURE TO MAINTAIN SUFFICIENT AIRSPEED (ABOVE STALL SPEED) DURING THE EMERGENCY PROCEDURE. RELATED FACTORS ARE THE PILOT'S POOR PLANNING/DECISION, INATTENTIVENESS, AND THE WEATHER (LOW CEILING, GUSTY TAILWINDS).

Full Narrative

THE PILOT TOOK OFF WITH FULL FUEL TANKS AND FLEW FOR ABOUT 2 HOURS 15 MINUTES BEFORE THE ACCIDENT OCCURRED. THE AIRPLANE WAS OBSERVED NEAR THE ACCIDENT SITE, FLYING ERRATICALLY BENEATH A 300 TO 400 FOOT CEILING IN STRONG, GUSTY WIND CONDITIONS. WITNESSES REPORTED THE ENGINE SEEMED TO BE CUTTING IN AND OUT. THE AIRPLANE WAS NORTHBOUND WITH A 25 TO 40 KNOT TAILWIND WHEN IT WAS OBSERVED TO PITCH UP ABRUPTLY, ROTATE LEFT, AND NOSE DOWN INTO THE GROUND. POST-ACCIDENT EXAMINATION OF AIRFRAME, POWERPLANT AND SYSTEMS REVEALED NO EVIDENCE OF PRE-IMPACT FAILURE/DIFFICULTY. THE LEFT FUEL TANK WAS NEARLY FULL OF FUEL. THE RIGHT FUEL TANK WAS COMPROMISED AT IMPACT, HOWEVER THERE WAS NO EVIDENCE OF FUEL SPILLAGE AT THE ACCIDENT SITE. THE LANDING GEAR WAS EXTENDED, FUEL BOOST PUMP WAS ON, AND THE FUEL SELECTOR WAS JAMMED IN AN INTERMEDIATE POSITION. FUEL CONSUMPTION CALCULATIONS (USING 75%) INDICATED AS MUCH AS HALF THE AVAILABLE FUEL MAY HAVE BEEN BURNED.

Flight

Event TypeAccident
Event Time10:20 CST
Nearest Airport0nm N
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftPiper PA-24-180
Tail NumberN5935P
Aircraft CategoryAir
DamageDestroyed
OperatorGamache Joseph C
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O-360-A1A · Reciprocating · 180
Seats4

People & Injuries

Injury Summary2 injuries (2 fatalities)
Fatal2
Serious0
Minor0
Uninjured0
Total2
Crew 1Age 65 · Third Class

Conditions

ConditionsIMC
LightDaylight
Wind200° @ 25 kt, gusting 40 kt
Visibility2 sm
CeilingBroken clouds 400 ft
Temperature / Dew Point55 / 1 C
Altimeter0
Weather SourceWIT

Appendix: Source Data