Accident Piper PA-23-250E Aztec N5398M,
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ASN Wikibase Occurrence # 31437
 
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Date:Tuesday 28 December 2004
Time:11:35
Type:Silhouette image of generic PA27 model; specific model in this crash may look slightly different    
Piper PA-23-250E Aztec
Owner/operator:Private
Registration: N5398M
MSN: 27-7754135
Year of manufacture:1977
Total airframe hrs:7210 hours
Engine model:Lycoming IO-540-C4B5
Fatalities:Fatalities: 5 / Occupants: 5
Aircraft damage: Substantial
Category:Accident
Location:Gogebic-Iron County Airport (IWD/KIWD), Ironwood, MI -   United States of America
Phase: Approach
Nature:Private
Departure airport:Menominee Airport, MI (MNM)
Destination airport:Ironwood-Gogebic County Airport, MI (IWD/KIWD)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
On December 28, 2004, at 1135 central standard time, a Piper PA-23-250 (Aztec), N5398M, piloted by a commercial pilot, was substantially damaged during an in-flight collision with terrain at the Gogebic-Iron County Airport (IWD), Ironwood, Michigan. The personal flight was operating under the provisions of 14 CFR Part 91. The flight was on an instrument flight rules (IFR) flight plan until the pilot canceled IFR on approach to IWD and proceeded under visual flight rules (VFR). Visual meteorological conditions prevailed at IWD. The pilot and four passengers sustained fatal injuries. The flight departed Menominee-Marinette Twin County Airport (MNM), Menominee, Michigan, about 1010.

The twin-engine airplane was substantially damaged during an in-flight collision with terrain following a loss of control in the airport traffic pattern. Approximately 20 minutes prior to the accident the pilot transmitted: "I've got single engine problems here mayday mayday." Radar track data depicted the aircraft established on a northwest course at 3,500 feet mean sea level. At the time the pilot reported the engine failure, track data showed the aircraft entered a descending left turn, losing 1,000 feet and reaching a south heading 24 seconds later. The pilot regained control of the aircraft and air traffic control provided guidance to the destination airport, which was the nearest airport. The pilot subsequently established the aircraft on approach to the airport. The pilot stated that he was going to circle the airport to the left and hand pump the gear down. The aircraft impacted terrain approximately one-quarter mile south of the runway in the side yard of a residence. The residence was located adjacent to airport property. A line of trees about 40 feet in height was located approximately 19 feet west of the accident site. No evidence of a tree strike was observed. The airplane came to rest resting on the nose and the wings. The empennage was oriented vertically, approximately 65 degrees relative to the terrain. The landing gear was extended. Examination of the left engine revealed a separation of the No. 4 cylinder head. The cylinder head had separated between the second and third cooling fin. Metallurgical examination revealed that the fracture was consistent fatigue cracking. Examination of the left propeller and propeller governor did not reveal any anomalies preventing normal operation of the feathering mechanism. Observations during the left propeller teardown were consistent with the propeller not being in the feathered position at the time of the accident. Maintenance records indicated that approximately 345 hours had accumulated on both engines since overhaul. No other anomalies were observed. According to the aircraft manufacturer's documentation, the accident aircraft hydraulic system was powered by one engine-driven hydraulic pump mounted on the left engine. Hydraulic pressure was used to control the retractable landing gear and the flaps. In the event the left engine loses power the hydraulic pump is not powered and emergency gear extension must be used.

Probable Cause: Fatigue fracture of an engine cylinder resulting in a loss of power on the left engine. Additional causes were the pilot's failure to maintain minimum control airspeed (Vmc), the resulting loss of aircraft control, and an inadvertent stall/spin. Contributing factors were the pilot's failure to feather the propeller on the failed engine and his decision to turn toward the inoperative engine during the circling maneuver. Additional factors were the inoperative hydraulic system pump and the emergency landing gear actuation which caused the pilot to circle prior to landing.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: CHI05FA049
Status: Investigation completed
Duration: 1 year 1 month
Download report: Final report

Sources:

NTSB: https://www.ntsb.gov/_layouts/ntsb.aviation/brief.aspx?ev_id=20050104X00012&key=1
FAA register: 2. FAA: http://registry.faa.gov/aircraftinquiry/NNum_Results.aspx?omni=Home-N-Number&nNumberTxt=5398M

Location

Images:



Photos: NTSB

Revision history:

Date/timeContributorUpdates
27-Sep-2008 01:00 ASN archive Added
09-Aug-2016 16:51 Dr.John Smith Updated [Date, Time, Registration, Cn, Operator, Total fatalities, Total occupants, Other fatalities, Location, Country, Phase, Nature, Departure airport, Destination airport, Source, Damage, Narrative]
09-Aug-2016 16:53 Dr.John Smith Updated [Country]
07-Dec-2017 18:35 ASN Update Bot Updated [Time, Operator, Departure airport, Destination airport, Source, Damage, Narrative]

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