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NTSB investigation record

WPR10FA399

Completed

Piper Pa28R· N3463Q

Date
August 13, 2010
Location
Emigrant Gap, CA
Conditions
VMC
Record
Published September 25, 2020

Primary finding

Probable cause

The pilots’ failure to maintain sufficient altitude to clear terrain while maneuvering. Contributing to the accident was the flight instructor’s delayed remedial action.

Investigator assessment

Analysis narrative

The purpose of the flight was to provide mountain flying training to the private pilot. Witnesses reported seeing the airplane flying eastward just above the tree tops over their campsite. They stated that the engine sounded normal and that, after the airplane disappeared from their view, they heard two "bangs." The accident site was located in heavily forested, rising mountainous terrain. Damage to the left wing and a matching tree impression indicated that the airplane was in a climbing left turn when it struck the tree. It could not be determined who was manipulating the controls at the time of the accident. It is likely that the flight instructor and the pilot receiving instruction were attempting to maneuver out of the area by initiating a climb and turn and failed to maintain clearance from trees. A postaccident examination of the airframe and engine revealed no mechanical malfunctions or failures that would have precluded normal operation. Toxicology results for the flight instructor were positive for marijuana; however, the levels present were not sufficient to cause impairment.

Source record

Factual narrative

HISTORY OF FLIGHT On August 13, 2010, about 1245 Pacific daylight time, a Piper PA-28R-201, N3463Q, impacted pine trees and terrain in the Tahoe National Forest, near Emigrant Gap, California. Monterey Bay Aviation, Inc., operated the airplane under the provisions of 14 Code of Federal Aviation Regulations Part 91, as a cross-country flight. The certified flight instructor (CFI) and private pilot receiving instruction were fatally injured; the airplane was substantially damaged. Visual meteorological conditions prevailed for the flight that departed Auburn Municipal Airport (AUN), Auburn, California. No flight plan had been filed. According to the Federal Aviation Administration (FAA), the flight had originally departed Watsonville Municipal Airport (WVI), Watsonville, California, about 1030, with a planned destination of Auburn; an instrument flight rules (IFR) flight plan had been filed for the flight. FAA records revealed that the IFR flight plan had been closed once the flight reached Auburn. According to the FAA, the pilots had gotten refreshments at the airport restaurant and then departed the airport about 1215. Witnesses located at the Tunnel Mills campsite reported that the accident airplane flew over their campsite between 1230 and 1300, while they were eating lunch. The airplane was low-flying, just above the tree tops on a heading of 120 degrees. Witnesses said the engine was running and sounded normal; no sputtering. After disappearing from their view, they heard two "bangs" followed by silence. Afterward the campers were able to locate the accident site, and reported the accident to the California Highway Patrol (CHP). PERSONNEL INFORMATION The purpose of the flight was to provide mountain flying training for the private pilot. CFI A review of FAA airman records revealed that the 32-year-old pilot held a flight instructor certificate with ratings for airplane single-engine land and sea, multiengine land, and instrument airplane. The pilot held a third-class medical certificate issued on July 7, 2008. It had no limitations or waivers. No personal flight records were made available to the National Transportation Safety Board (NTSB) investigator-in-charge (IIC). The NTSB IIC obtained the aeronautical experience listed in this report from a review of the FAA airmen medical records on file in the Airman and Medical Records Center located in Oklahoma City, Oklahoma, and the pilot's experience form from the operator. The pilot was hired by Monterey Bay Aviation on December 7, 2004. At that time, the pilot listed his experience as 1,649 total hours. His last flight review at that time was July 2004. The pilot reported on his medical application dated July 7, 2008, that he had a total time of 2,755 hours with 150 hours logged in the last 6 months. In the days preceding the accident, the flight instructor flew with the private pilot 4 times; once on July 12, 2010, for a total time of 1.1 hours, and three times on August 12, 2010, for a total of 3.5 hours. Private Pilot Receiving Instruction A review of FAA airman records revealed that the 21-year-old pilot held a private pilot certificate with ratings for airplane single-engine land, and instrument airplane. The pilot was issued his airplane single-engine land rating on November 27, 2005. On April 25, 2009, he was issued his instrument rating. The pilot held a first-class medical certificate issued on September 2, 2008. It had no limitations or waivers. The NTSB IIC reviewed the pilot's logbook; the pilot had an estimated total flight time of 332 hours. During the 4 months before the accident, the pilot had accrued an estimated 19 hours; with 3.5 hours in the accident make and model airplane. In the month preceding the accident, the private pilot flew with the flight instructor 4 times. The first flight was on July 12, 2010; the pilot received a checkout flight with the accident flight instructor. On August 12, 2010, there were a total of 3 flights with the accident flight instructor, where the pilot received instruction in canyon flying and mountain flying. The pilot reported on his most recent medical application dated September 2, 2008, that he had a total time of 193.9 hours with 32 hours logged in the last 6 months. AIRCRAFT INFORMATION The airplane was a Piper PA-28R-201, serial number 28R-7737055. A review of the airplane's logbooks revealed that the airplane had a total airframe time of 8,447.48 hours at the last annual inspection dated March 1, 2010. There were no additional entries in the airframe logbook. According to the airplane's logbook, the next 100-hour inspection was due at a tachometer time of 8,462.06, and the next 50-hour inspection was due at a tachometer time of 8,412.06. According to the airframe logbook, on August 1, 1999, the Lycoming IO-360-C1C6, serial number L-17052-51A, engine was removed due to a cracked crankcase. On August 7, 1999, a factory overhauled Lycoming engine IO-360-C1C6, serial number L-22246-51A, was installed on the accident airplane. METEOROLOGICAL INFORMATION The nearest weather reporting station was the Blue Canyon Nyack Airport, Placer, California. The station was 3.9 miles northwest of the accident site. Recorded weather at 1352 reported wind from 310 degrees at 5 knots and clear skies, temperature 23 degrees Celsius, dew point 8 degrees Celsius, altimeter setting 30.07 inches of mercury. The calculated density altitude was 6,582 feet. An hour before the accident, at 1152, reported wind was from 270 degrees at 4 knots and clear skies, temperature 22 degrees Celsius, dew point 9 degrees Celsius, altimeter setting 30.07 inches of mercury. WRECKAGE AND IMPACT INFORMATION The accident site was located in a remote area of the Sierra Nevada Mountain Range north of the Sawtooth Ridge, in the Tahoe National Forest, 1/2 mile east of a campsite. The wreckage was at an elevation of 4,700 feet, and the main wreckage came to rest on a heading of 114 degrees, in rising mountainous terrain. The airplane came to rest inverted at the base of 200-foot pine trees adjacent to an old logging road. The flight path of the airplane was easterly toward rising terrain. The entire wreckage came to rest in a linear distribution path of 110 yards. The main wreckage consisted of the fuselage and empennage, the right wing, and a portion of the left wing. The outer portion of the left wing, about 5 feet, separated from the wing and was found about 90 yards west of the main wreckage. The engine, firewall, and propeller assembly came to rest about 20 yards east of the main wreckage. An impression was identified in a tree that matched the damage of the separated left wing section. The tree impression was used to compute the angle of attack of the airplane at the time of the impact. It was determined that the damage was consistent with the airplane being in a 33-degree nose up attitude, consistent with a climb, while at an 18-degree banking left turn. Another tree strike was observed to the forward fuselage at the left side of the instrument panel. The damage continued through the fuselage, separating the instrument panel, right front seat, the cabin door, forward cabin floor, and right wing. MEDICAL AND PATHOLOGICAL INFORMATION It could not be determined who was manipulating the flight controls at the time of the accident. CFI The Office of the Sheriff-Coroner – Placer County completed an autopsy on August 16, 2010, as well as toxicological testing of specimens. The coroner listed the cause of death as multiple blunt-force trauma. Analysis of the specimens contained positive finds for the Delta-9 THC, Delta-9 Carboxy THC, Caffeine, Cotinine, Nicotine, and Theobromine compounds. Delta-9 THC 2.5 ng/mL was detected in femoral blood Delta-9 Carboxy THC 8.7 ng/mL was detected in femoral blood Positive results for Caffeine, Cotinine, Nicotine, Theobromine in heart blood The FAA Bi

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