Pilot Debrief

PIPER PA-32-301T near South Lake Tahoe, CA — 2012-08-26

Final reportWPR12FA369
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Date
2012-08-26
Location
South Lake Tahoe, CA, USA
Airport
TVL
Aircraft
PIPER PA-32-301T
Registration
N588ET
Category
Airplane
Highest injury
Fatal
Fatalities
5
Phase of flight
Takeoff roll

Probable cause

A partial loss of engine power for reasons that could not be determined because examinations revealed no evidence of mechanical anomalies with the airframe or engine that would have precluded normal operation and the pilots’ decision to continue the departure in dark night conditions with the engine not producing full power.

NTSB narrative

While taxiing to the ramp, the airplane's engine shut down, and it took the pilots numerous attempts to restart it. After parking, the pilots reported to the attendants that the airplane's fuel/air mixture was difficult to establish at such a high-density altitude and that, if the engine was operated too lean, its temperature exceeded normal operation parameters. Later that day, the pilots departed in dark night conditions. During the takeoff roll, most of the runway length was used before the airplane began to climb. Several witnesses reported that the airplane appeared to be having engine problems and, after being airborne for about 3 seconds, it descended into terrain. Additionally, some witnesses reported that the engine sounded as if it was not producing full power and that the ascent seemed labored. The airplane impacted trees located on flat terrain about 2,400 feet from the end of the runway. The main wreckage was consumed by postimpact fire. Examination of the accident site revealed that the right wing impacted a tree in a wings-level attitude. The postaccident examinations revealed no evidence of mechanical anomalies with the airframe or engine that would have precluded normal operation. Although it could not be confirmed, it is likely that the left-seat pilot was the flying pilot and that the right-seat pilot, who owned the airplane and had been consuming alcohol before the flight, was not the pilot-in-command.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilots should have ensured proper fuel mixture before takeoff.

NTSB coding

Evidence available

  • 10 docket documents
View NTSB final reportView NTSB docket

Docket documents10

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