WPR23LA121
2023-03-03 · San Andreas, California, United States · Minor · 1 aircraft · Status: Completed
Airport CPU
Current FAA registration · N9375J
- Make / Model
- PIPER PA-28-180
- Year of manufacture
- 1966 · 57 years old at event
- Engine
- LYCOMING O&VO-360 SER (180 hp)
- Seats / Engines
- 4 seats · 1 engine
- Last airworthiness date
- 19660721
- ADS-B equipped
- Yes — Mode-S AD02BA
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
A loss of engine power for undetermined reasons.
Factual narrative
On March 3, 2023, about 1230 Pacific daylight time, a Piper PA-28-180 Cherokee, N9375J, was substantially damaged when it was involved in an accident near Calaveras County Airport, San Andreas, California. The pilot and co-pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot stated that the airplane had recently undergone extensive maintenance. He stated that earlier in the day, he and the co-pilot departed from Lodi, California, their home airport. That flight was the first flight after maintenance, and they performed a series of maneuvers along the way. After landing in San Andreas, they took a 20-25 minute break, and intended to fly back to Lodi. The pilot performed a preflight inspection and engine runup with no anomalies noted. He then configured the airplane for a soft-field takeoff and extended the flaps to 25°, noting “everything seemed and sounded normal.” The initial departure was also normal; however, when reaching about 300 ft agl the engine suddenly lost power. The pilot attempted to return to the runway, but the airplane could not maintain altitude. The pilot performed an off-airport landing and impacted terrain hard. A review of the maintenance records provided revealed that the airplane’s carburetor was replaced with a new factory-remanufactured carburetor two days before to the accident. Federal Aviation Administration (FAA) inspectors performed both on-scene and follow-up examinations. Control continuity was established from the cockpit to the flight control surfaces. The cockpit was largely intact with minimal damage. There was mainly crush deformation to the engine firewall. The magneto switch was set to "both." The master switch and fuel selector were reportedly both turned off after pilot and passenger extrication. The fuel quantity in the left wing was about four gallons but due to the tilt of the airplane at the accident site the exact amount could not be determined. The fuel quantity in the right wing could not be determined. A sample of fluid from the wings revealed uncontaminated blue liquid consistent in odor and coloration with that of 100LL AVGAS. The engine was intact, though its mount showed deformation. The propeller remained attached, with one blade showing minor deformity near the tip and another bent consistent with ground impact. There was no evidence of propeller rotation upon impact, with a single half-arc mark visible where the airplane came to rest. An external visual examination of the engine revealed no evidence of preimpact catastrophic mechanical malfunction or fire. The top spark plugs were removed; no mechanical damage was noted, and the electrodes and posts exhibited a light ash gray coloration, which corresponds to normal operation according to the Champion Aviation Check-A-Plug AV-27 Chart. The ignition harnesses were attached from both magnetos and their respective spark plugs. The magnetos were found securely clamped at their mounting pads. The magnetos were removed and rotated by hand. Spark was produced at each lead. The crankshaft was rotated by hand utilizing the propeller. The crankshaft was free and easy to rotate in both directions. Thumb compression was observed in proper order on all four cylinders. Normal lift action was observed at each rocker assembly. Clean, uncontaminated oil was observed at all four rocker box areas. Mechanical continuity was established throughout the rotating group, valvetrain and accessory sections during hand rotation of the crankshaft. The fuel line from the engine-driven fuel pump to the inlet side of the carburetor was removed and revealed no signs of fuel. The carburetor float bowl drain plug was removed and revealed no fuel. It could not be determined if the fuel had evaporated after recovery. There were no anomalies found with the carburetor. The carburetor icing probability chart from FAA Special Airworthiness Information Bulletin CE-09-35, Carburetor Icing Prevention, shows that at the temperature and dew point reported at the time of the accident, the conditions were bordering between the probability of serious icing at glide power and at cruise power. The airplane had recently undergone extensive maintenance; the accident flight was a return leg to the pilot’s home airport after having flown the first leg earlier in the day. The initial departure was normal, and when reaching about 300 ft above ground level (agl), the engine suddenly lost power. The pilot attempted to return to the runway, but the airplane could not maintain altitude. The pilot performed an off-airport landing, and the airplane impacted terrain. A postaccident examination of the airplane and engine revealed no evidence of preimpact mechanical malfunctions or failures. The carburetor was replaced two days before the accident; the examination did not find anomalies with the carburetor. There was no fuel found in the carburetor bowl, but it could not be determined if that was the condition at the time of impact or if the fuel system could deliver metered fuel to the engine. While the FAA's Carburetor Icing Chart revealed the probability of serious icing between cruise and glide power for the reported temperature and dew point conditions, the investigation could not conclusively determine that carburetor ice caused the loss of engine power. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- — Aircraft-Aircraft power plant-Power plant-(general)-Unknown/Not determined
Verbatim from NTSB's published report. Source file
NTSB_2023_WPR23LA121.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (icing, maintenance). All research papers
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- Embry-Riddle Scholarly Commons 2015 · Conference paper 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.
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Among the foretold claims of the transition from 5G to 6G, Beyond-Visual-Line-of-Sight (BVLoS) drone operation has emerged as a prominent Internet-of-Robots enabler.
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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…