Pilot Debrief

PIPER PA-28-235 near Seguin, TX — 2022-07-22

Final reportWPR22FA264
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Date
2022-07-22
Location
Seguin, TX, USA
Airport
0TX6
Aircraft
PIPER PA-28-235
Registration
N8542W
Category
Airplane
Highest injury
Fatal
Fatalities
2
Phase of flight
Takeoff roll

Probable cause

The pilot’s failure to maintain adequate airspeed while maneuvering at a low altitude after being distracted when the engine cowling opened during flight, which led to a loss of control and subsequent impact with terrain. Contributing to the accident was the failure of the pilot to conduct an adequate preflight inspection.

NTSB narrative

The pilot departed from a grass strip for a personal cross-country flight with a passenger. Radar data and the location of the accident site indicate the airplane made a left turn after takeoff and descended into trees, coming to rest about ¼ mile from the airport. The data also showed the airplane’s airspeed decreased after takeoff. The airplane was destroyed by impact forces and postimpact fire. The day before the accident flight, a resident of the airpark reported that the accident airplane had stopped near their residence located near the departure end of runway 14. The pilot had said to the resident that his cowling had opened and that he needed to secure it before taking off. The airplane departed a few minutes later and returned to the airport about 45 minutes later. On the day of the accident, the passenger reported to a friend during a video chat that the pilot had trouble starting the engine before the flight and the friend could see that the engine cowling was open. In addition, photos of the airplane taken during its takeoff roll showed that the right aft edge of the engine cowling was not flush with the fuselage. Given the recurring problem with the cowling latch, it is likely the latch was not properly secured during the preflight, which allowed it to open during the flight. The pilot likely became distracted with the opened engine cowling, which then led to a loss of control inflight. Toxicology testing revealed that the pilot had used cannabis, but whether he was experiencing effects of the drug at the time of the accident could not be determined. The potentially sedating antihistamine cetirizine was also detected in the pilot, but testing was unable to determine if it was at therapeutic levels and therefore more likely to cause any side effects. Thus, this investigation was unable to determine if effects from the pilot’s use of cannabis and cetirizine were a factor in this accident.

Analysis

Primary failure mode
Mechanical failure
First missed decision gate
Pilot should have secured the engine cowling before takeoff.

NTSB coding

Evidence available

  • ADS-B / radar
  • Photos
  • 12 docket documents
View NTSB final reportView NTSB docket

Docket documents12

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