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Accidents · NTSB ANC18LA016 · Final report

Piper PA 23-250 accident near Knoxville, Tennessee, December 19, 2017

On December 19, 2017 at about 8:00 pm local time, a 1973 Piper PA 23-250, registered N40285, was substantially damaged in an accident during approach (VFR go-around) near Knoxville, Tennessee (Knoxville Downtown Island airport). It was an instructional flight under general aviation rules (Part 91). 1 person was seriously injured and 2 people had minor injuries. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The flight instructor’s failure to comply with published engine-out procedures and recommended airspeeds, which resulted in a lack of directional control, collision with trees, and impact with the ground; the left engine lost total power due to fuel starvation.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
December 19, 2017 · about 8:00 pm local time
Place
Knoxville, Tennessee · Knoxville Downtown Island · map
Type
Accident
Injuries
1 person was seriously injured and 2 people had minor injuries.
Weather
visual conditions (good weather)
Aircraft
Piper PA 23-250, built 1973 · all PA 23-250s on the register
Registration
N40285 · no longer on the register · serial 27-7305100
Damage
Substantial damage
Flight
Instructional flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

During a simulated single-engine instrument approach in a multi-engine airplane, the flight instructor, who was seated in the right seat, told the multi-engine rated pilot receiving instruction, who was seated in the left seat, to go around. The pilot applied full power to the right engine and attempted to fly the pattern with a simulated left engine failure. Shortly after, while the airplane was in a left crosswind turn, the left engine lost total power. The instructor observed that the left propeller was stationary and took control of the airplane. The instructor chose to fly at minimum controllable speed (Vmc) rather than the recommended best single-engine rate of climb speed (Vyse) and attempted to restart the failed engine rather than perform the airplane manufacturer's approved engine-out procedures. Unable to restart the left engine, he attempted to maneuver the airplane for a landing but was unable and flew toward rising terrain. Approaching a residential area, the instructor maneuvered the airplane to avoid a house, and the airplane subsequently impacted trees, fell to the ground, and came to rest on top of an automobile. The instructor stated that after the accident, he returned to the airplane to shut off the fuel and electrics when he noticed the left fuel selector was between the on and off position. A postaccident examination revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. However, a lack of fuel was observed in the left engine's fuel system forward of the fuel injection servo. Based on the observed intermediate position of the left fuel selector after the accident, the lack of fuel in the fuel system forward of the fuel injection servo, and the lack of mechanical malfunctions or failures noted during the wreckage examination, it is likely that the left engine lost total power due to fuel starvation. The manufacturer's approved procedures for an engine failure during takeoff included, among other things, maintaining a best rate of climb airspeed. A review of the manufacturer's pilot's operating manual indicated that even with a total loss of engine power on the left engine, the airplane would have been able to climb about 520 ft per minute had the required pilot inputs been made. The instructor failed to comply with the published engine-out procedures and recommended airspeeds, which led to the lack of directional control, collision with trees, and impact with the ground.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Loss of engine power (total) during approach
  2. Loss of control in flight during approach (VFR go-around) defining event
  3. Collision with terrain or object (not controlled flight into terrain) during approach (VFR go-around)

The NTSB's findings

  • cause Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Instructor/check pilot
  • cause Personnel issues › Task performance › Use of equip/info › Use of checklist › Instructor/check pilot
  • cause Personnel issues › Task performance › Use of equip/info › Aircraft control › Instructor/check pilot
  • Environmental issues › Physical environment › Object/animal/substance › Tree(s) › Contributed to outcome

Flight instructor

  • Flight time: 2,328 hours in all; 23 in this make and model; 55 in the last 90 days; 18 in the last 30 days; 2,219 as pilot in command; 383 on instruments
  • Last flight review: January 30, 2017
  • Medical certificate: Class 2 (without waivers/limitations)
  • Seat: rgt
  • Injury: minor injuries

Pilot

  • Certificate: private
  • Ratings: multi-engine land; single-engine land; instrument: airplane
  • Flight time: 1,311 hours in all; 29.6 in the last 90 days; 9.1 in the last 30 days
  • Medical certificate: Class 1 (with waivers/limitations)
  • Seat: left
  • Injury: serious injuries

The aircraft

  • Last inspection: annual inspection, September 9, 2017
  • Landing gear: retractable
  • Engine 1: Lycoming TI0-540 SER (piston); 0 hours total
  • Engine 2: Lycoming IO-540-C4B5 (piston); 0 hours total

The flight

  • Departed from: DKX Knoxville TN at 7:00 pm
  • Destination: DKX Knoxville TN
  • Flight plan: none
  • A second pilot was aboard

Weather at the time

  • Light: daylight
  • Wind: from 240° at 7 knots, gusting 12
  • Visibility: 10 statute miles
  • Sky: broken clouds at 7,000 ft
  • Temperature: 61°F (16°C), dew point 46°F (8°C)
  • Altimeter: 30.11 inHg
  • Observation at 8:53 pm from KDKX

Injuries

FatalSeriousMinorNone
Flight crew11
Passengers1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

5 documents, released by the NTSB on November 13, 2019. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.