NTSB CAROL · Event
Event ATL99LA067
Registry · N838MA
FAA Aircraft Registry record.
Make / Model
PIPER PA-28-161
Engine
LYCOMING 0-320 SERIES (180 hp)
Seats / Engines
4 seats · 1 engine
Last airworthiness date
19780815
ADS-B equipped
Yes — Mode-S AB7726
Registrant of record
GOOSE AVIATION CO
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The pilot's failure to secure the engine oil filler cap during the preflight inspection that resulted the subsequent loss of engine power, and his in-flight decision to attempt a single engine go-around with full wing flaps extended.
Factual narrative
On April 5,1999, at 0945 eastern daylight time, a DeHavilland DHC-6-200, N838MA, collided with the ground during a single-engine go-around to runway 15 at the Palm Beach County Airport in Lantana, Florida. The non-scheduled air taxi flight was operated by Carib-Air Cargo Inc., under the provisions of Title 14 CFR Part 135 with a visual flight rules flight plan filed. Visual weather conditions prevailed at the time of the accident. The commercial pilot and four passengers were not injured, and five passengers received minor injuries. The airplane sustained substantial damage. The flight departed Lantana, Florida, at 0942. The pilot reported that prior to takeoff, he completed a preflight inspection of the airplane that included checking the engine oil quantity. After the oil levels were checked it was determined that additional engine oil was needed. The line personnel topped off the oil reservoirs, and reportedly secured the engine oil reservoir filler caps. The pilot also stated that he rechecked the oil cap after the oil was added and no one else touched the oil caps before the flight departed. According to the pilot, approximately two minutes into the flight, the right engine oil pressure warning light illuminated. The pilot informed Palm Beach Approach Control of the engine oil pressure problem. The pilot shut down the right engine, feathered the right propeller and returned to Lantana. As the flight approached runway 03, the pilot heard a radio transmission from another airplane taxiing for takeoff. As the pilot continued the approach, with full flaps extended, he elected to go-around 1500 feet from the approach end of the 3000-foot runway. The airplane collided with the ground during the go-around maneuver to runway 15. The pilot said he never saw the other airplane on runway 03 during his initial approach. An examination of the crash site revealed that the airplane was in a nose low attitude. The airplane was orientated 180 degrees from the departure heading. The examination of the airplane also disclosed that the left wing assembly separated from the rear attach point. The airplane examination revealed that the right propeller was in the feather position. Also the nose was destroyed, the nose wheel separated from the airplane. The wreckage examination also disclosed that the right cowling showed oil streaming back from behind the engine and onto the wing strut. Inspection of the oil filler cap revealed that it had not been properly installed. The pilot reported that prior to takeoff, he completed a preflight inspection of the airplane that included checking the engine oil quantity. The line personnel topped off the oil reservoirs, and reportedly secured the engine oil reservoir filler caps. Approximately two minutes into the flight, the right engine oil pressure warning light illuminated. The pilot informed Palm Beach Approach Control of the engine oil pressure problem, shut down the right engine, and returned to Lantana. As the flight approached runway 03, the pilot heard a radio transmission from another airplane taxiing for takeoff. As the pilot continued the approach, with full flaps extended, he elected to go-around 1500 feet from the approach end of the 3000-foot runway. The airplane collided with the ground during the go-around maneuver to runway 15. The wreckage examination also disclosed that the right cowling showed oil streaming back from behind the engine and onto the wing strut. Inspection of the oil filler cap revealed that it had not been properly installed. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1999_ATL99LA067.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall, go-around). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- NASA NTRS 2026 · Conference Paper
Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- NASA NTRS 2025 · Conference Paper
A Training Study to Improve Monitoring During A Go-Around
As part of an FAA program to improve go-around (GA) safety, we were asked to determine if we could improve the performance of the Pilot Monitoring (PM) during a GA maneuver.
- Flight Safety Foundation 2024 · FSF / AeroSafety World
Go-Around Safety Forum Findings
Foundation Go-Around Safety Forum technical findings — examines why pilots fail to execute go-arounds when criteria are met (stabilized approach gate not met, energy state out of envelope, traffic con…
- arXiv 2023 · arXiv preprint
Automating Bird Diverter Installation through Multi-Aerial Robots and Signal Temporal Logic Specifications
This paper tackles the task assignment and trajectory generation problem for bird diverter installation using a fleet of multi-rotors.
- arXiv 2023 · arXiv preprint
Variation of Critical Crystallization Pressure for the Formation of Square Ice in Graphene Nanocapillaries
Two-dimensional square ice in graphene nanocapillaries at room temperature is a fascinating phenomenon and has been confirmed experimentally.
- arXiv 2023 · arXiv preprint
Polycrystallinity enhances stress build-up around ice
Damage caused by freezing wet, porous materials is a widespread problem, but is hard to predict or control. Here, we show that polycrystallinity makes a great difference to the stress build-up process…
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