Pilot Debrief

PIPER PA 44 near Keene, NH — 2016-07-07

Final reportGAA16CA377
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Date
2016-07-07
Location
Keene, NH, USA
Airport
EEN
Aircraft
PIPER PA 44
Registration
N190ND
Category
Airplane
Highest injury
None
Fatalities
0
Phase of flight
Approach

Probable cause

The flight instructor’s failure to use carburetor heat during the approach while operating in atmospheric conditions that were conducive to carburetor icing, which resulted in a loss of engine power due to carburetor icing.

NTSB narrative

The flight instructor in the multiengine airplane reported that, during a simulated single-engine instrument approach to runway 2, the right engine was configured for the simulated failure. The instructor added that the goal was to perform a missed approach on one engine and note the airplane's performance. The pilot under instruction descended to the decision height and executed the missed approach procedure, but the airplane would not climb. The flight instructor told the pilot to go to full power on both engines. According to the flight instructor, "mixtures, props and throttles were all full forward and the fuel flow levers were both at the ON position," and he took control of the airplane. The flight instructor reported that there were trees and buildings to the north and that he made a left turn about 400 ft above ground level with the intent to land on runway 14. He extended the landing gear but realized that he would not reach the runway. He executed a forced landing to the southwest on taxiway Sierra, the airplane crossed over runway 32/14, and although heavy braking was applied, the airplane exited the taxiway and impacted a drainage culvert. The airplane sustained substantial damage to the aft fuselage stringers and longerons. The airport elevation was 488 ft, the density altitude was 2,120 ft, the temperature was 81°, the dew point was 66° F, and the wind was calm, and the flight instructor stated that carburetor heat was not used during the approach on either engine. The relative humidity was about 60 percent, and the weather conditions were conducive to serious icing probability when operating in a gliding flight profile.

Analysis

Primary failure mode
Engine power loss
First missed decision gate
Instructor could have aborted the approach earlier to avoid engine power loss.

NTSB coding

Evidence available

  • Photos
  • 6 docket documents
View NTSB final reportView NTSB docket

Docket documents6