Gogebic County Airport
Aircraft Accident/Incident Report

Ironwood, Michigan 49938
Tuesady, December 28, 2004 11:35 CST

NTSB Narrative Summary Released at Completion of Accident

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.

NTSB Probable Cause Narrative

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.

Event Information

Type of Event Accident
Event Date 12/28/2004
Event Day of the Week Tuesday
Time of Event 1135
Event Time Zone Central Standard Time
Event City Ironwood
Event State MICHIGAN
Event Country --
Zipcode of the event site 49938
Event Date Year 2004
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 463117N
Event Location Longitude 0900742W
Event Location Airport Gogebic County
Event Location Nearest Airport ID IWD
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0.5
Degrees magnetic from airport 135
Airport Elevation 1230
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1135 Central Standard Time
Direction of event from weather observation facility (degrees) 90
Weather Observation Facility ID IWD
Elevation of weather observation facility 1230
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation CST
Lighting Conditions Day
Lowest Ceiling Height 1100
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 5
Air Temperature at event time (in degrees celsius) -4
Dew Point at event time (in degress fahrenheit) -8
Wind Direction (degrees magnetic) 260
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 12
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29.89
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report METAR KIWD 281735Z AUTO 26012KT 5SM OVC011 M04/M08
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 5
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 5
Investigating Agency NTSB
NTSB Docket Number (internal use) 19295
NTSB Notification Source FAA
NTSB Notification Date Dec 28 2004 12:00AM
NTSB Notification Time 1230
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jan 31 2006 7:35AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office FAA-Grand Rapids FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N5398M
NTSB Number CHI05FA049
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-23-250
Aircraft Series Identifier --
Aircraft Serial Number 27-7754135
Certified Max Gross Weight 5200
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 6
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Dec 11 2004 12:00AM
Airframe hours since last inspection 6.7
Airframe Hours 7210.5
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Diversified Aviation Services LLC
Aircraft Owner Street Address 707 Normandy Avenue
Aircraft Owner City Ironwood
Aircraft Owner State MI
Aircraft Owner Country USA
Aircraft Owner Zipcode 49938
Operator is an individual? Yes
Operator Name Steven F. Dalpra
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 4718 Country Walk Lane
Operator City Sylvania
Operator State OH
Operator Country USA
Operator Zip code 43560
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code MNM
Departure City Menominee
Departure State MI
Departure Country USA
Departure Time 1010
Departure Time Zone CST
Destination Same as Local Flt crash at destination city
Destination Airport Code IWD
Destination City Ironwood
Destination State MI
Destination Country USA
Specific Phase of Flight Approach - VFR pattern - downwind
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Dec 28 2005 4:15PM
User who most recently changed record DINC
Since inspection or accident Last Inspection
Event Location Runway Number and Location 27
Runway Length 6501
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --