Northwest Regional Airport
Aircraft Accident/Incident Report

Roanoke, Texas 76262
Saturday, September 22, 2012 13:30 CDT

NTSB Narrative Summary Released at Completion of Accident

The pilot, who had purchased the airplane about 2 months earlier, and the flight instructor departed on an instructional flight. Two witnesses reported that the airplane's engine did not sound right during the takeoff and the ground roll was longer than normal. Just beyond the runway, the airplane turned slightly left and then impacted the top of several trees. Both wings separated and remained lodged in the treetops; first responders noted fuel running from the wings. The emergency locater transmitter (ELT) was in found in the off position. Examination of the engine revealed water and contaminants in the fuel system, especially in the injection servo and fuel pump, which would have resulted in the rough-running engine and loss of engine power. A review of the airplane's maintenance records did not reveal any entries since the pilot had purchased the airplane. The airplane's last maintenance entry was at the annual inspection, which was about the time the airplane was purchased. The entry stated "found water in tanks - sumped tanks, cleaned flow divider, fuel screens and lines." The log also had the entry that stated "c/w FAR 91.207 ELT insp by installing new batteries, due March 2017." The airport manager had witnessed the same pilot depart in the accident airplane about a month earlier; however, the airplane's engine did not sound right, and the pilot returned to the airport. A review of the pilot's logbook revealed an entry "aborted X-country, lost engine power, so landed" on that date. About 2 weeks later, an e-mail from the pilot to family members stated that a clogged fuel injection system was found after the aborted flight. Two days after that, the pilot's logbook reflected 1.1 flight hours with a note that stated "test flight, perfect." On that same date, the pilot wrote a check to a maintenance company at the airport on which the airplane's registration number and "Maint" were written in the memo field. It is likely that either at the annual inspection and/or 2 weeks before the accident, maintenance personnel did not appropriately address the fuel contamination issues that persisted at the time of the accident. The airplane was not equipped with shoulder belts. During the impact sequence, the pilot likely rotated about his lap belt, braced himself with his arms and fractured his shoulders, but his head struck the instrument panel, resulting in his fatal skull injury. The flight instructor similarly rotated forward about his lap belt; his chest and abdomen struck the instrument panel resulting in his fatal injuries. Had the airplane been equipped with single or double shoulder restraints, the pilots' injuries likely would have been less severe and they might have survived.

NTSB Probable Cause Narrative

The loss of engine power during takeoff due to fuel contamination. Contributing to the accident was maintenance personnel's failure to adequately correct the water contamination effects. Contributing to the severity of the occupants' injuries was the lack of shoulder restraints.

Event Information

Type of Event Accident
Event Date 9/22/2012
Event Day of the Week Saturday
Time of Event 1330
Event Time Zone Central Daylight Time
Event City Roanoke
Event State TEXAS
Event Country --
Zipcode of the event site 76262
Event Date Year 2012
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 330302N
Event Location Longitude 0971355W
Event Location Airport Northwest Regional
Event Location Nearest Airport ID 52F
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0
Degrees magnetic from airport --
Airport Elevation 643
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1353 Central Daylight Time
Direction of event from weather observation facility (degrees) 230
Weather Observation Facility ID KAFW
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) 6
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) 8
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator Light and Variable
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.06
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) 33492
NTSB Notification Source FAA SW ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Apr 29 2014 3:50PM
User who most recently changed record hatc
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4567J
NTSB Number CEN12FA654
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Unknown
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name PIPER
Aircraft Model PA-28R-180
Aircraft Series Identifier --
Aircraft Serial Number 28R-30430
Certified Max Gross Weight --
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 4
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jul 10 2012 12:00AM
Airframe hours since last inspection --
Airframe Hours 7048
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type C91-A
Aircraft Owner Name Christopher Pratt
Aircraft Owner Street Address --
Aircraft Owner City Argyle
Aircraft Owner State TX
Aircraft Owner Country USA
Aircraft Owner Zipcode 76226
Operator is an individual? Yes
Operator Name Christopher Pratt
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City Argyle
Operator State TX
Operator Country USA
Operator Zip code 76226
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) Instructional
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code 52F
Departure City Roanoke
Departure State TX
Departure Country USA
Departure Time 1330
Departure Time Zone CDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code 52F
Destination City Roanoke
Destination State TX
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Nov 6 2013 5:02PM
User who most recently changed record hatc
Since inspection or accident --
Event Location Runway Number and Location 17
Runway Length 3500
Runway Width 40
Sight Seeing flight No
Air Medical Flight No
Medical Flight --