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Accidents · NTSB CEN19LA129 · Final report

Piper PA 23 accident near Sulphur Spring, Texas, April 27, 2019

On April 27, 2019 at about 2:45 pm local time, a 1956 Piper PA 23, registered N233P, was substantially damaged in an accident during enroute (cruise) near Sulphur Spring, Texas. It was a personal flight under general aviation rules (Part 91). No one was hurt; 1 person was on board or involved. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The pilot’s inadequate preflight inspection, during which he failed to detect the water contamination in the left fuel, which resulted in a partial loss of power in the left engine. Contributing to the accident was the total loss of power in the right engine for undetermined reasons.

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

What the record shows

Date
April 27, 2019 · about 2:45 pm local time
Place
Sulphur Spring, Texas · map
Type
Accident
Injuries
No one was hurt; 1 person was on board or involved.
Weather
visual conditions (good weather)
Aircraft
Piper PA 23 Undesignat, built 1956 · all PA 23s on the register
Registration
N233P · no longer on the register · serial 23-604
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

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

The pilot of a twin-engine airplane was in cruise flight when the left engine lost partial power. He turned on the boost pumps, checked the fuel quantity and engine gauges, verified fuel tank selection, and added throttle. However, the left engine continued to lose power. The pilot reported that, without warning, the right engine lost total power and would not restart. The right propeller went to the feathered position. The pilot initiated a forced landing to a field. During the descent, the left engine lost total power but the propeller continued to rotate, and the left engine was unresponsive to throttle input. During the forced landing, the airplane sustained substantial damage to the left and right wings and the fuselage. Examination of the right engine found the magneto timing at 12.5º (data plate specifies 25º). Otherwise, no preimpact abnormalities were noted during the right engine examination that would have precluded normal operations. The investigation was not able to determine why the right propeller was stopped in the feathered position. Examination of the left engine found the magneto timing at 23º. The bolts that secured the upper and lower halves of the carburetor were found loose. When the carburetor was opened, the inside of the bowl was dry, and the gasket appeared worn, consistent with rubbing between the two carburetor halves. The top set of spark plugs displayed heavy carbon coating consistent with the left engine running at a rich fuel setting. During a test run, the left engine would not produce rated power and ran rich. When the mixture was leaned, the left engine ran smooth and ran normally. The carburetor was bench tested and operated as expected. The carburetor was disassembled, and evidence of water staining was present. A fuel sample collected from the left side fuel tank appeared divided with the top part blue, consistent with 100 LL avgas, and the lower portion of the liquid was clear with brown sediment visible at the intersection of the two liquids. The fuel strainer bowl revealed rust colored liquid and sediment in the bowl. The fuel strainer screen contained numerous small flakes of an unidentified contaminant. A sample of fuel drained from the left-wing tank tested positive for water when tested with water-finding paste. The loss of power on the left engine is likely due to water contamination.

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 (partial) during enroute (cruise)
  2. Loss of engine power (total) during enroute (descent)
  3. Aircraft inspection event during prior to flight
  4. Fuel contamination during enroute (cruise) defining event
  5. Off-field or emergency landing during landing

The NTSB's findings

  • Aircraft › Fluids/misc hardware › Fluids › Fuel › Fluid condition
  • Aircraft › Aircraft power plant › Engine fuel and control › Fuel control/carburetor › Inadequate inspection
  • Aircraft › Aircraft power plant › Engine (reciprocating) › (general) › Unknown/Not determined
  • Personnel issues › Task performance › Inspection › Preflight inspection › Pilot
  • Not determined › Not determined › (general) › (general) › Unknown/Not determined

Pilot

  • Certificate: private
  • Ratings: multi-engine land; single-engine land; instrument: airplane
  • Flight time: 398 hours in all; 35 in this make and model; 16 in the last 90 days; 11 in the last 30 days; 286 as pilot in command
  • Last flight review: June 4, 2018
  • Medical certificate: Class 3 (without waivers/limitations)
  • Seat: left
  • Injury: no injuries

The aircraft

  • Airframe total time: 3,823.2 hours
  • Last inspection: annual inspection, April 8, 2019
  • Maximum gross weight: 3,501 lb
  • Landing gear: retractable
  • Engine 1: Lycoming O-320-B3B (piston); 18 hours total
  • Engine 2: Lycoming O-320-B3B (piston); 18 hours total

The flight

  • Departed from: OSA Mount Pleasant TX at 1:30 pm
  • Destination: OSA Mount Pleasant TX
  • Flight plan: none

Weather at the time

  • Light: daylight
  • Wind: from 220° at 13 knots
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 73°F (23°C), dew point 59°F (15°C)
  • Altimeter: 29.94 inHg
  • Observation at 3:35 pm from KSLR, 2 miles away

Injuries

FatalSeriousMinorNone
Flight crew1

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

10 documents, released by the NTSB on September 22, 2021. 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.