Pilot Debrief

SOCATA TB 10 near Shirley, NY — 2012-08-19

Final reportERA12FA514
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Date
2012-08-19
Location
Shirley, NY, USA
Airport
HWV
Aircraft
SOCATA TB 10
Registration
N5542Z
Category
Airplane
Highest injury
Fatal
Fatalities
2
Phase of flight
Takeoff roll

Probable cause

The pilot/owner's operation of the airplane with known deficiencies, and the mechanic's failure to reattach the mixture control cable to the mixture control arm following maintenance of the carburetor.

NTSB narrative

The accident flight was a pre-purchase demonstration of the accident airplane. The buyer intended to examine and photograph the maintenance records then fly the airplane around the airport traffic pattern with the owner. However, the owner insisted that they fly the airplane before reviewing the maintenance records. Upon starting the airplane, the owner announced that he had just been informed by the mechanic of the airplane’s inoperative tachometer but continued to taxi to the runway. Witnesses who observed the airplane’s departure described the takeoff roll as “slow” and “anemic” and stated that the airplane used almost the entire length of the runway to become airborne. The airplane climbed slowly to treetop height in a nose-high attitude and disappeared from view. Moments later, a large smoke plume appeared out of the trees a short distance beyond the airport boundary. A witness who was standing on his back porch facing northeast, about 1.5 miles from the airport, said the airplane appeared above the trees at the back border of his property, flying directly toward him, and that the sound of the engine was "really loud." The airplane descended over his backyard and below the height of his one-story house in a 30-degree left bank. The airplane then pitched up, climbed over the house, and struck a tree and a construction dumpster in front of the house, where it burst into flames. The mechanic stated that the whereabouts of the maintenance records were unknown, but he provided a handwritten list of discrepancies he found and work he performed on the accident airplane, including 3 hours of disassembling and cleaning of the carburetor. Examination of the wreckage revealed that the mixture control cable was disconnected from the carburetor mixture control arm. The cable displayed a light coating of soot, with no damage or fraying of the cable. The cable grip hardware on the mixture control arm was also undamaged, and the cable grip hole was completely open and unobstructed by the cable grip hardware, indicating that the cable had been removed from the arm and had not been reattached before the flight. Although the owner and mechanic had represented the airplane to the buyer as airworthy with a completed annual inspection, they knew this was not the case, as the tachometer was inoperative; further, during a test flight 3 days before the accident, the engine would not produce full power. The pilot complained of the lack of engine power to the mechanic, but the mechanic stated he did nothing to troubleshoot the discrepancy because of the inoperative tachometer and further stated that he had not “signed off” the annual inspection in the maintenance records.

Analysis

Primary failure mode
Mechanical failure
First missed decision gate
Pilot should have aborted takeoff due to slow acceleration and performance issues.

NTSB coding

Evidence available

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

Docket documents18

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