On March 5, 2023, a Piper PA-28-161 was destroyed when it was involved in an accident in Lindenhurst, New York. The flight instructor and one passenger were seriously injured, and the second passenger was fatally injured. Months after the accident, the flight instructor succumbed to his injuries.
Statements to law enforcement and the FAA indicated that the accident flight was a discovery flight, and was a gift from one passenger to her mother, the second passenger.
Flight track information indicated that the airplane departed Runway 32 at Republic Airport (KFRG), Farmingdale, New York, at 1419. The airplane completed a right turn toward the southeast after departure, crossed the coastline, and proceeded over the Atlantic Ocean. The airplane completed numerous left, right, and 360° turns, and then returned toward KFRG. While maneuvering, the airplane’s maximum altitude was about 2,000 feet msl.
When the airplane was on an approximate 3-mile final approach to Runway 32, the flight instructor reported smoke in the cockpit to the tower controller and requested an immediate landing. The controller instructed the airplane to continue straight-in for the runway. The instructor acknowledged the transmission and advised the controller that he was “turning off” the radios.
When on a 2-mile final approach to the runway, the instructor broadcast a “Mayday” transmission and the airplane turned left. The controller reissued the landing clearance and observed smoke emanating from the left side of the airplane as it descended rapidly from view.
Doorbell and surveillance cameras in the vicinity of the accident site recorded the airplane at low altitude and a shallow descent angle as it entered trees, shed sheet metal and major structure, ignited spilled fuel, impacted terrain, and rotated 180°, where it came to rest upright, engulfed in flames. The engine sound was smooth and continuous until ground contact.
Emergency vehicles awaiting the arrival of the airplane at KFRG departed the airport property in search of the airplane after the crash.
The wreckage was examined at the accident site and all major components were accounted for at the scene. The wreckage path was about 470 feet long and oriented about 300° magnetic. The initial impact point was in a tree about 60 feet above the ground. Sheet metal, a section of aileron, wingtip fairing, position lights, and angularly-cut branches were scattered along the wreckage path.
About 350 feet down the wreckage path, two trailered boats were destroyed by burning fuel that spilled from the airplane as it passed overhead.
The main wreckage came to rest in a right-of-way between a commercial property and a railroad bed. The fence that bordered the property extended approximately parallel to the airplane’s flight path and was damaged by impact and fire.
The left wing, with main landing gear attached, came to rest about 50 feet before the main wreckage and was damaged by impact and fire. Concave dents in the leading-edge perpendicular to the direction of flight were consistent with the dimensions of fractured tree branches.
The main wreckage came to rest upright facing approximately opposite the direction of travel. The engine was exposed and was severely damaged by fire. The windscreen, instrument panel, cockpit, cabin area, roof and the empennage were completely consumed by a post-crash fire.
The right wing was attached, damaged by impact and fire, and displaced 90° aft about mid-span.
After recovery of the wreckage from the site, the examination was continued by a National Transportation Safety Board (NTSB) Fire and Explosion Investigator. His examination revealed that the firewall between the engine compartment and fuselage interior had been exposed to fire and exhibited thermal damage on both sides.
Examination of the firewall and components still attached to the cockpit side of the firewall did not reveal any concentrated thermal damage on the firewall panel but did identify two copper tubes associated with the fuel primer pump and a fitting on a copper tube associated with the oil pressure line that exhibited localized areas of melting.
These components exhibited a sharp demarcation between the melted area and the adjacent material. The fuel primer lines were standard equipment consistent with the aircraft design. The fitting on the oil pressure line was not standard equipment and was not consistent with the design of the original oil pressure line.
Additional examination revealed that the fuel primer lines comprised 99.6% copper tubing that measured about 0.125 inches in diameter. The lines could not be positively correlated to the suction and pressure sides of the pump. One of the lines exhibited a melted and tapered end. The other line exhibited areas of varying damage, including areas consistent with melting and re-solidification, as well as an area where the damage had penetrated the tubing through its full thickness.
The oil pressure line comprised a 0.25-inch copper tube that would have extended from the firewall to an oil pressure gauge on the instrument panel. The oil pressure line was equipped with a tee fitting about midspan along its length.
The tee fitting exhibited a concentrated region of melted and missing material. In some areas, the melted region was flanked by intact material on either side. Some of the margins between the melted and intact material exhibited a scalloped-like appearance. The morphology of the melting exhibited by the fitting was consistent with localized extreme temperature, such as that generated by electrical arcing.
The tee fitting, branch line, and melted end fitting were not part of the original oil pressure line design, and what had been connected to the melted fitting was not determined.
According to FAA and maintenance records, the airplane was manufactured in 1980 and was powered by a Lycoming O-320-D3G, 160-horsepower engine. The airplane’s most recent 100-hour inspection was completed Jan. 4, 2023, at 18,866 total aircraft hours and a tachometer time of 3,655.7 hours. According to the maintenance entry in the logbook, “Replaced #4 cylinder with an overhauled assembly…Yellow tag attached.”
Review of the airplane’s maintenance logbooks revealed an entry dated Jan. 16, 2023, at a tachometer time of 3,657.3 hours, which stated, “Pilot reports smoke in cockpit during flight on Jan. 7, 2023. After troubleshooting, flown and tested. Aircraft returned to service with no smoke.”
The most recent entry before the accident was a 50-hour inspection completed on Feb. 27, 2023, at a tachometer time of 3,701.8 hours.
Two flight instructors employed by the flight school each reported that they had previously experienced smoke in the cockpit while flying the airplane. One of the instructors reported that she experienced smoke in the cockpit during landing approach on a discovery flight on Jan. 2, 2023. After landing, she informed the owner of the flight school, who replied, “we just changed the cylinder, what do you expect?”
The instructor stated that no maintenance was performed following this flight and that the airplane was immediately scheduled for another flight.
The other flight instructor and his student reported that they experienced smoke in the cockpit during a flight in the accident airplane on Jan. 7, 2023, while performing touch-and-go takeoffs and landings. The instructor stated that the airplane was taken out of service following this flight.
During a subsequent conversation with the owner of the flight school, the owner reported that the smoke was the result of “some type of spray” that the mechanic had used “in the engine,” and that he (the owner) stated that he had flown the airplane, and it was “perfectly good.”
Conversations with the owner, his lead mechanic, and his employees revealed that the company employed no standard operating procedures, safety officer, safety program, formal safety meetings, formal procedures for documenting maintenance discrepancies and their corrective actions, and had no emergency response plan. At the time of the accident, the employees had no idea who to contact or how to contact them.
According to the owner, “CFIs are independent contractors. Each instructor is a flight school in itself.”
When asked if his airplanes were equipped with fire extinguishers, the owner responded, “As far as I know, all of them have fire extinguishers.”
According to his lead mechanic, “Most of the airplanes have them, but I can’t remember which ones.”
When asked how the fire extinguishers were mounted, he said, “They weren’t. They were tucked in the seat back pocket.”
Probable Cause: An in-flight fire due to a compromised oil pressure line fitting, which resulted in a collision with terrain during a subsequent emergency landing.
NTSB Identification: 106819
To download the final report. Click here. This will trigger a PDF download to your device.
This March 2023 accident report is provided by the National Transportation Safety Board. Published as an educational tool, it is intended to help pilots learn from the misfortunes of others.
