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Accidents · NTSB ERA21LA173 · Final report

Piper PA-23-250 accident near Springfield, Tennessee, April 5, 2021

On April 5, 2021 at about 2:50 pm local time, a 1963 Piper PA-23-250, registered N5018Y, was substantially damaged in an accident during takeoff near Springfield, Tennessee (Springfield Robertson County). It was an instructional flight under general aviation rules (Part 91). 2 people were seriously injured. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The flight instructor’s failure to abort the takeoff following a loss of left engine power due to fuel starvation. Also causal was the inadequate maintenance of the left fuel cap by unknown maintenance personnel, which resulted in a blockage of the fuel supply from the left-wing tank. Contributing to the accident was the instructor’s failure to maintain airspeed above the one-engine-inoperative minimum controllable airspeed after deciding to continue the takeoff.

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

What the record shows

Date
April 5, 2021 · about 2:50 pm local time
Place
Springfield, Tennessee · Springfield Robertson County · map
Type
Accident
Injuries
2 people were seriously injured.
Weather
visual conditions (good weather)
Aircraft
Piper PA-23-250, built 1963 · all PA-23-250s on the register
Registration
N5018Y · registry record · serial 27-2020
Damage
Substantial damage
Flight
Instructional flight · general aviation rules (Part 91)

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

The instructor and pilot receiving instruction were conducting multiengine flight training. During takeoff following a simulated engine failure on the runway, the left engine lost power, and the instructor stated that the left propeller would not feather. The airplane descended into terrain past the end of the runway. Witnesses stated that their attention was drawn to the airplane due to its “unusual” sound that was inconsistent with takeoff power. One witness said he could not discern if one engine or both engines were making “continuous sputtering/backfiring” sounds. The airplane climbed to about 100 ft above ground level and the landing gear remained extended until the departure end of the runway. Shortly thereafter, the airplane entered a shallow turn to the left until it disappeared behind a tree line. Automatic dependent surveillance-broadcast (ADS-B) data revealed that the airplane achieved a groundspeed of 86 knots about midfield and slowed once off the ground. About 200 ft agl, the track depicted a descending, decelerating turn to the left. The radius of the turn tightened until the last target was recorded in the vicinity of the accident site, about ground level, at 59 knots groundspeed. Based on the estimated point at which the takeoff started, the airplane was over 1,400 ft into the takeoff roll when it became airborne. Performance information in the Owner’s Handbook for the airplane indicated a 750-ft takeoff distance. Although ample runway remained on which to safely reject the takeoff, the instructor allowed the pilot to continue the takeoff despite the excessive distance required to become airborne and the loss of left engine power. Pilots who had flown the accident airplane during the week before the accident described the left engine either stopping or running roughly with the fuel selector in the left inboard tank position. When the fuel selector was moved to the left outboard tank position, the engine could be restarted, or smooth, continuous operation would be restored. Each said that these power-loss events were reported to maintenance for correction. Three days before the accident, a flight instructor could not start or sustain power on the left engine with the inboard tank selected but started and ran the engine continuously on the outboard tank. He then demonstrated the discrepancy to company maintenance personnel before he rejected the airplane for his scheduled flight. Examination of the wreckage revealed a 12-inch length of duct tape, employed as a “gasket” to seal the loosely fitted left inboard fuel cap, unsecured inside the fuel tank, where it likely blocked the fuel supply port on the accident flight, as it had intermittently during the days before the accident. Examination and testing of the airframe, engines, and components revealed no evidence of any other preimpact anomaly that would have prevented continuous engine power; however, these examinations and a records review revealed numerous examples of maintenance work that was incomplete, inadequate (including the use of duct tape on the left inboard fuel cap), or not performed; the recommended engine and propeller overhauls were more than a decade overdue.

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 takeoff
  2. Loss of control in flight during takeoff
  3. Fuel related during takeoff defining event

The NTSB's findings

  • Aircraft › Aircraft systems › Fuel system › Fuel filter › strainer › Damaged/degraded
  • Personnel issues › Action/decision › Action › Incorrect action selection › Maintenance personnel
  • Personnel issues › Task performance › Planning/preparation › Performance calculations › Instructor/check pilot
  • Personnel issues › Task performance › Use of equip/info › Aircraft control › Instructor/check pilot

Flight instructor

  • Certificate: flight instructor, commercial pilot
  • Ratings: multi-engine land; single-engine land; instructor: airplane multi-engine; instructor: airplane single-engine; instrument: airplane
  • Flight time: 1,618 hours in all; 13 in this make and model; 72 in the last 90 days
  • Medical certificate: Class 1 (without waivers/limitations)
  • Seat: rgt
  • Injury: serious injuries

Dual student

  • Certificate: commercial pilot
  • Ratings: single-engine land; instrument: airplane; instrument: helicopter; rotorcraft: helicopter
  • Flight time: 1,200 hours in all; 1.5 in this make and model
  • Seat: left
  • Injury: serious injuries

The aircraft

  • Airframe total time: 6,866 hours
  • Last inspection: annual inspection, March 5, 2021
  • Seats: 6
  • Landing gear: retractable
  • Engine 1: Lycoming O-540-A1D5 (piston); 2,970 hours total
  • Engine 2: Lycoming O-540-A1D5 (piston); 3,500 hours total
  • Operator: Highland Rim Aviation LLC

The flight

  • Flight plan: none
  • Runway 04/2, 5,505 ft by 100 ft
  • A second pilot was aboard

Weather at the time

  • Light: daylight
  • Wind: from 230° at 5 knots
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 66°F (19°C), dew point 46°F (8°C)
  • Altimeter: 30.16 inHg
  • Observation at 9:50 am from M91, 1 miles away

Injuries

FatalSeriousMinorNone
Flight crew2

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

13 documents, released by the NTSB on April 27, 2022. 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.