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Atlas / NTSB / FTW91FA043

NTSB CAROL · Event

Event FTW91FA043

1991-02-22 TULSA, Oklahoma, United States Airport · TUL Fatal 1 aircraft Status: Completed

Registry · N274MA

FAA Aircraft Registry record.

Make / Model

PIPER PA-28-181

Year of manufacture

2024

Engine

LYCOMING IO-360-B4A (180 hp)

Seats / Engines

4 seats · 1 engine

Last airworthiness date

20240521

ADS-B equipped

Yes — Mode-S A2B66C

Registrant of record

HOT WINGS AVIATION LLC

Source: FAA Aircraft Registry (releasable master file).

Aircraft involved

Probable cause & findings

THE SHUTDOWN OF ONE ENGINE FOR UNDETERMINED REASONS, AND THE PILOT'S FAILURE TO MAINTAIN VMCA DURING A CRITICAL PHASE OF FLIGHT. A FACTOR IN THE ACCIDENT WAS THE PILOT'S IMPROPER EMERGENCY PROCEDURE.

Factual narrative

AIRPLANE WAS DEPARTING ON A REQUIRED MAINTENANCE TEST FLIGHT FOLLOWING REPLACEMENT OF BOTH ENGINES. WITNESSES STATED THAT THE TAKEOFF ROLL AND INITIAL CLIMB APPEARED NORMAL, BUT THAT AT ABOUT 500 FT AGL, THE AIRPLANE ENTERED A RIGHT BANK WHICH CONTINUED UNTIL THE WINGS WERE VERTICAL AND THE NOSE FELL THROUGH. AIRPLANE IMPACTED IN AN INVERTED STEEP NOSE DOWN ATTITUDE. EXAMINATION OF WRECKAGE REVEALED THAT THE RIGHT ENGINE HAD BEEN SECURED AND FEATHERED. SUBSEQUENT INVESTIGATION DID NOT REVEAL ANY EVIDENCE OF PRE-IMPACT FAILURE OR MALFUNCTION OF EITHER ENGINE OR ANY OF THE AIRFRAME SYSTEMS. ENGINE MOUNTING/RIGGING CONTINUITY COULD NOT BE ESTABLISHED DUE TO IMPACT DAMAGE. THE PILOT WAS A PRINCIPAL IN THE OPERATOR'S ORGANIZATION AND NOT ONE OF THE REGULAR LINE PILOTS. EVIDENCE INDICATED THAT THE GEAR WAS UP AND THAT THE LEFT SPOILER WAS DEPLOYED AT IMPACT. EMERG PROCEDURE TAUGHT IN TRANSITION TRAINING IS TO USE RUDDER TRIM AS SOON AS POSSIBLE AFTER ENG FAILURE TO PRECLUDE DEPLOYMENT OF SPOILERS. RUDDER TRIM FOUND IN NEUTRAL POSITION. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12

Verbatim from NTSB's published report. Source file NTSB_1991_FTW91FA043.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.

Related research

What the literature says.

Academic papers and agency reports matching this event's aircraft type or causal vocabulary (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.

Browse the full corpus — academia portal ↗