NTSB CAROL · Event
Event CEN19LA252
Registry · N5915U
FAA Aircraft Registry record.
Make / Model
PIPER PA-28-140
Year of manufacture
1970 · 49 years old at event
Engine
LYCOMING 0-320 SERIES (180 hp)
Seats / Engines
4 seats · 1 engine
Last airworthiness date
19700831
ADS-B equipped
Yes — Mode-S A7A438
Registrant of record
OSORIO AVIATION CORP
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The flight instructor's and student pilot's inadequate preflight inspection of the fuel system for water contamination, which resulted in a loss of engine power during takeoff and subsequent forced landing.
Factual narrative
On August 5, 2019, about 0940 eastern daylight time, a Piper PA28 140 airplane, N5915U, impacted vegetation and terrain during a forced landing following a loss of engine power after takeoff from the Miami Executive Airport (TMB), near Miami, Florida. The flight instructor received minor injuries and the student and passenger reported receiving serious injuries. The airplane sustained substantial wing and fuselage damage during the forced landing. The airplane was registered to and operated by Osorio Aviation Corp. as a Title 14 Code of Federal Regulations Part 91 instructional flight. Day visual meteorological conditions prevailed in the area about the time of the accident, and the flight was not operated on a flight plan. The local flight was originating from TMB at the time of the accident. According to the flight instructor, a preflight inspection of the airplane was conducted. Some oil was added to the engine and a check of the fuel revealed about 30-40 gallons was present. The passenger, student pilot, and flight instructor boarded the airplane and followed the checklist to start the airplane engine, which they describe as a "normal" start. They copied the automated terminal information service details, which indicated calm wind and that runways 27R/27L were in use. After that, they contacted clearance and ground controllers, and subsequently taxied via taxiway alpha for runway 27R. The instructor added that the engine run up was conducted using the checklist. The magneto check produced about a 50 RPM drop for each magneto. The carburetor heat test indicated about a 50 RPM drop. The fuel pump was on, all gauges were indicating in the green arc, and all the indications were "normal." The tower controller subsequently issued a clearance for takeoff and the student conducted the takeoff that was a normal takeoff with no flaps. The student rotated the airplane about 75 kts. At 150-200 ft above ground level, the engine RPMs dropped about 200-300 RPMs like a partial loss of power. The instructor subsequently took over the controls. The instructor checked if all the switches were on and if the throttle was full forward. "Everything" was good. The instructor elected to keep climbing at 70-75 kts, which is the best glide speed. He advised the tower that he was going to land the airplane on 9R. During the turn the engine completely lost power and the instructor decided to do a force landing on a corn field between runway 9R and 9L. After the landing, the instructor assessed the occupants and advised the tower of their location and need for immediate medical assistance. He secured the airplane and they evacuated the airplane. At 0907, the recorded weather at TMB was: Wind calm; visibility 10 statute miles; sky condition few clouds at 800 ft, few clouds at 1,400 ft; temperature 28° c; dew point 26° C; altimeter 30.03 inches of mercury. At 0953, the recorded weather at TMB was: Wind calm; visibility 10 statute miles; sky condition clear; temperature 30° C; dew point 26° C; altimeter 30.04 inches of mercury. The temperature and dew point spread present about the time of the accident was in the light carburetor icing range at cruise or descent power. A Federal Aviation Administration inspector examined the airplane. During sampling the left-wing fuel tank sump, 16 oz of water was removed. The airplane was recovered on a on flatbed truck. Another sample was taken where contamination consistent with fuel and water was found. The gascolator bowl was broken. However, it contained a liquid consistent with water and fuel. The carburetor sampling also found the same contamination. Pilot's Handbook of Aeronautical Knowledge, FAA-H-8083-25B, Aircraft Systems, in part, stated: Fuel Contamination Accidents attributed to powerplant failure from fuel contamination have often been traced to: - Inadequate preflight inspection by the pilot - Servicing aircraft with improperly filtered fuel from small tanks or drums - Storing aircraft with partially filled fuel tanks - Lack of proper maintenance Fuel should be drained from the fuel strainer quick drain and from each fuel tank sump into a transparent container and then checked for dirt and water. When the fuel strainer is being drained, water in the tank may not appear until all the fuel has been drained from the lines leading to the tank. This indicates that water remains in the tank and is not forcing the fuel out of the fuel lines leading to the fuel strainer. Therefore, drain enough fuel from the fuel strainer to be certain that fuel is being drained from the tank. The amount depends on the length of fuel line from the tank to the drain. If water or other contaminants are found in the first sample, drain further samples until no trace appears. Water may also remain in the fuel tanks after the drainage from the fuel strainer has ceased to show any trace of water. This residual water can be removed only by draining the fuel tank sump drains. Water is the principal fuel contaminant. Suspended water droplets in the fuel can be identified by a cloudy appearance of the fuel, or by the clear separation of water from the colored fuel, which occurs after the water has settled to the bottom of the tank. As a safety measure, the fuel sumps should be drained before every flight during the preflight inspection. The flight instructor and student pilot conducted a preflight inspection of the airplane before the local flight. All the indications were "normal" during the run up. At 150-200 ft above ground level, the engine had a partial loss of power. The instructor subsequently took over the controls; he reported that "everything" was good. During a turn to land the airplane on a parallel runway, the engine lost all power and the instructor decided to conduct a forced landing on a corn field between runways, where the airplane sustained substantial damage. An examination of the airplane revealed that the left wing fuel tank contained 16 oz of water. The gascolator bowl and carburetor contained a liquid consistent with water and fuel. It is likely that the flight instructor and student pilot did not conduct a thorough preflight inspection and did not detect and remove the water in the fuel system, which led to the loss of engine power. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- C Personnel issues-Task performance-Inspection-Preflight inspection-Instructor/check pilot - C
- C Personnel issues-Task performance-Inspection-Preflight inspection-Student/instructed pilot - C
- C Aircraft-Fluids/misc hardware-Fluids-Fuel-Fluid condition - C
- — Environmental issues-Physical environment-Terrain-Rough terrain-Contributed to outcome
Verbatim from NTSB's published report. Source file
NTSB_2019_CEN19LA252.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 (icing, fuel contamination, maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
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Reconfigurable Guidance and Control Systems for Emerging On-Orbit Servicing, Assembly, and Manufacturing (OSAM) Space Vehicles
Dynamic response to emergent situations is a necessity in the on-orbit servicing, assembly, and manufacturing (OSAM) field, because traditional on-orbit guidance and control (G&C) cannot respond effic…
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The Implementation of Safety Management Systems in Maintenance Operations
Literature for Safety Management Systems (SMS) that apply to flight operations is abundant, but there is a limited supply of SMS-related literature for maintenance operations.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- NASA NTRS 2026 · Contractor Report (CR)
Icing Physics Studies Using the 3D SIDRM Test Article: 2023 Icing Tests Analysis
In-flight icing is an important safety issue and is a factor that affects aircraft design and performance. Newer regulations are driving a need for improvements in airframe and engine icing simulation…
- arXiv 2025 · arXiv preprint
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The growing demand for robust, scalable wireless networks in the 5G-and-beyond era has led to the deployment of Unmanned Aerial Vehicles (UAVs) as mobile base stations to enhance coverage in dense urb…
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