N/A Airport
Aircraft Accident/Incident Report

Canton, Missouri 63435
Wednesday, August 29, 2012 18:00 CDT

NTSB Narrative Summary Released at Completion of Accident

A witness, who was a private pilot, stated that he observed a twin-engine airplane flying overhead on a northerly heading. He reported that the airplane was about 2,000 feet above ground level in level flight and that the left propeller blades were not rotating. The accident site, located in an open field with obstacles, including rolling hills, woods, and roads, was about 6.5 miles from the private pilot’s location. Evidence indicated that the airplane struck a tree in a near wings-level attitude. Larger fields and flatter terrain with fewer obstacles were located northwest of the apparent route of flight (the airplane’s actual flight route was unknown), and, if the pilot had landed in one of these areas, he would have had a greater opportunity for a successful forced landing. However, the airplane was near or exceeded its maximum takeoff weight upon departure. According to the accident airplane’s climb chart, the airplane was unable to maintain altitude when the left engine lost power due to its excessive weight and single-engine performance, the existing high-density altitude (2,963 feet), and, possibly, the pilot's execution of single-engine flight procedures, which left the pilot fewer options to reach a more suitable landing location. Evidence indicates that the left engine experienced a total loss of power. The spark plugs in the Nos. 1, 2, and 4 cylinders, which had fuel primer lines attached, exhibited carbon-fouling, indicating that a rich-fuel mixture existed at the time of the accident and that the pilot most likely unsuccessfully attempted to regain the left engine’s power by using the fuel primer to prime the cylinders. The left wing gascolator bowl was removed and a blue silicon jell-type sealant was found covering about two-thirds of the area of the bowl's circumference and the area where a gasket is typically placed; however, no gasket was found in the gascolator. The blue silicon jell was consistent with Permatex Blue Silicon Gasket Maker, which has the following note in its directions: "NOTE: Not recommended for use on head gaskets or parts in contact with gasoline." If the gascolator seal is breached, air can enter the fuel system and possibly unport the carburetor, which would cause an uncommanded engine shutdown due to fuel starvation. The pilot was also an airframe and powerplant mechanic with inspection authorization. He performed the last annual maintenance inspection of the airplane and subsequent aircraft maintenance. He likely improperly used the blue silicon sealant during maintenance operations.  Although the autopsy and toxicological examinations revealed that the pilot possibly had significant health issues, no evidence was found indicating that the pilot was incapacitated during the flight.  

NTSB Probable Cause Narrative

The pilot's improper decision to attempt to execute a forced landing to an open field with obstacles. Contributing to the accident was the left engine’s total loss of power due to fuel starvation as a result of the introduction of air into the fuel system through a gascolator seal breach and the pilot’s use of an improper substance on the left wing gascolator bowl during maintenance operations, which led to the gascolator seal breach.

Event Information

Type of Event Accident
Event Date 8/29/2012
Event Day of the Week Wednesday
Time of Event 1800
Event Time Zone Central Daylight Time
Event City Canton
Event State MISSOURI
Event Country --
Zipcode of the event site 63435
Event Date Year 2012
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 400545N
Event Location Longitude 0913312W
Event Location Airport N/A
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1754 Central Daylight Time
Direction of event from weather observation facility (degrees) 120
Weather Observation Facility ID UIN
Elevation of weather observation facility 769
Distance of event from weather observation facility (units?) 19
Time Zone of the weather observation CDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 33
Dew Point at event time (in degress fahrenheit) 15
Wind Direction (degrees magnetic) --
Variable Wind Indicator Variable
Wind Speed (knots) --
Wind Velocity Indicator Light and Variable
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.02
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 32264
NTSB Notification Source FAA-ACE-ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Dec 19 2013 1:39PM
User who most recently changed record silj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1486P
NTSB Number CEN12FA586
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name PIPER
Aircraft Model PA-23-150
Aircraft Series Identifier --
Aircraft Serial Number 23-555
Certified Max Gross Weight 3500
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 5
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Oct 15 2011 12:00AM
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name John R. Johnson
Aircraft Owner Street Address On File
Aircraft Owner City Carbondale
Aircraft Owner State IL
Aircraft Owner Country USA
Aircraft Owner Zipcode 62903
Operator is an individual? No
Operator Name John R. Johnson
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address On File
Operator City Carbondale
Operator State IL
Operator Country USA
Operator Zip code 62903
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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 PJY
Departure City Pinckeneyville
Departure State IL
Departure Country USA
Departure Time 1600
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code --
Destination City Blakesburg
Destination State IA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Dec 19 2013 9:23AM
User who most recently changed record silj
Since inspection or accident --
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --