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Accidents · NTSB WPR19FA215 · Final report

North American T28A accident near Ontario, Oregon, August 9, 2019

On August 9, 2019 at about 10:20 pm local time, a North American T28A, registered N9862C, was substantially damaged in an accident during approach (VFR pattern crosswind) near Ontario, Oregon (Ontario Muni airport). It was a personal flight under general aviation rules (Part 91). 1 person was killed and 1 person was seriously injured. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

A total loss of engine power due to the improperly adjusted carburetor idle valve.

Source: NTSB aviation accident database, copy made November 2, 2026. Docket and reports at the NTSB.

What the record shows

Date
August 9, 2019 · about 10:20 pm local time · cases in 2019
Place
Ontario, Oregon · Ontario Muni · cases near this airport · map
Type
Accident
Injuries
1 person was killed and 1 person was seriously injured.
Weather
visual conditions (good weather)
Aircraft
North American T28A · all T28As on the register
Registration
N9862C · no longer on the register · serial 49-1727A
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

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

The pilot and one passenger were conducting a flight to test the landing gear. Following a low pass over the runway, the engine lost total power, and the pilot performed a forced landing to a field, during which he was fatally injured, and the passenger sustained serious injuries. Postaccident examination of the carburetor revealed that, when the throttle arm was placed near the idle position, the internal idle valve was closed, which restricted fuel from flowing through the carburetor at lower power settings and likely resulted in the loss of engine power. It is likely that the pilot reduced the engine power during the low pass to a setting that would have allowed for the idle valve to close completely, thereby restricting the fuel flow. No additional anomalies were noted with the engine or airframe. The airplane had not flown for about 8 years and had undergone maintenance for the previous 10 months before it first flew 6 days before the accident. One of the maintenance items performed included installation of a new carburetor. The mechanic who performed the annual inspection reported that he assisted in adjusting the idle setting on the carburetor. Whether any additional maintenance was performed on the carburetor before the accident flight could not be determined, and the engine logbook was not available for review.

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 (VFR pattern crosswind) defining event
  2. Off-field or emergency landing during approach (VFR pattern crosswind)
  3. Collision with terrain or object (not controlled flight into terrain) during landing

The NTSB's findings

  • Aircraft › Aircraft power plant › Engine fuel and control › Fuel control/carburetor › Incorrect service/maintenance other cases naming the engine

Pilot

  • Certificate: commercial pilot
  • Ratings: multi-engine land; single-engine land; instrument: airplane
  • Flight time: 4,668 hours in all
  • Medical certificate: Class 2 (without waivers/limitations)
  • Seat: frt
  • Injury: fatal

The aircraft

  • Airframe total time: 2,378 hours
  • Last inspection: annual inspection, August 4, 2019; 1 hours since
  • Maximum gross weight: 8,501 lb
  • Seats: 2
  • Landing gear: retractable
  • Engine: Kaiser R1300-1B (piston); 0 hours total

The flight

  • Departed from: ONO Ontario OR at 10:00 pm
  • Destination: ONO Ontario OR
  • Flight plan: none
  • Runway 33, 5,006 ft by 100 ft
  • A second pilot was aboard

Weather at the time

  • Light: daylight
  • Wind: from 170° at 5 knots
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 91°F (33°C), dew point 52°F (11°C)
  • Altimeter: 29.84 inHg
  • Observation at 9:53 pm from KONO, 1 miles away

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers1

Photographs from the investigation 5 pictures from the NTSB's docket, as the NTSB released them

The NTSB's photographs with the NTSB's captions, at screen size. Open a picture to see it full size or to report one that should not be shown.

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

16 documents, released by the NTSB on February 8, 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.

#DocumentWhat it is
1 Passenger Statement PDF, 1 page · our copy View Download
2 Record of Conversation - Passenger PDF, 3 pages · our copy View Download
3 Record of Conversation - Owner of the Airplane PDF, 2 pages · our copy View Download
4 Record of Conversation - Witness PDF, 1 page · our copy View Download
5 Record of Conversation - Mechanics PDF, 6 pages · our copy View Download
6 Record of Conversation - Fuel Removal PDF, 1 page · our copy View Download
7 Record of Conversation - Vintage Carburetors PDF, 1 page · our copy View Download
8 Accident Site, Airframe, and Engine Examination Summary PDF, 6 pages · our copy View Download
9 Engine Examination Summary Report PDF, 5 pages · our copy View Download
10 Carburetor Test Report PDF, 1 page · our copy View Download
11 Carburetor Examination Report PDF, 3 pages · our copy View Download
12 Autopsy Memo PDF, 1 page · our copy View Download
13 Airframe Logbook Entries PDF, 3 pages · our copy View Download
14 Release of Aircraft Wreckage, NTSB Form 6120.15 PDF, 1 page · our copy View Download
15 Toxicological Report PDF, 1 page · our copy View Download
16 Photo Array PDF, 5 pages · our copy View Download

The same docket at the NTSB.

Connections how this case links to the rest of the register

Aircraft
Place

The whole map of how records connect · these connections as data: /graph/accident/WPR19FA215.json.

The bigger picture in Aviation Analytics: accidents over time since 1982, by model, by phase of flight and conditions, by place and on the map.

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 does not name anyone involved, its policy at this time. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.