ANC01LA083

NTSB accident investigation · Piper PA-32-300 · Eek, AK · June 20, 2001

Accident · No injuriesLimited investigationFinal report
Date
June 19, 2001, 21:45 local (Jun 20, 2001, 05:45 UTC)
Place
Eek, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N43551Piper PA-32-300
Weather
Visual (VMC) · Day
Status
Completed · report February 20, 2002
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA-AL-ANC FSDO 03
FAA report
20010620035699A
Case key
52656

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

A malfunction of the engine fuel control due to an improper overhaul by other maintenance personnel, and subsequent loss of engine power during cruise flight. A factor in the accident was unsuitable terrain for a forced landing.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine powerCruise
Fuel system,fuel control - malfunctionCause
Maintenance,overhaul - improperOther maintenance personnelCause
Forced landingEmergency descent/landing
In flight collision with terrain/waterEmergency descent/landing
Terrain condition - swampy
Terrain condition - none suitableFactor

Analysis

The commercial certificated pilot was on a VFR cross-country positioning flight to his home airport. As the airplane was in cruise flight about 500 feet above the ground, the engine surged about three to four times. The pilot activated the electric fuel boost pump, and switched fuel tanks, even though each fuel tank contained adequate fuel. The engine quit, and the pilot selected an emergency landing area in soft, marshy terrain. The airplane received damage to the nose gear, the engine firewall, the left landing gear, the right landing gear, and the right wing. A postaccident examination of the airplane revealed the engine had accrued about 500 hours since an overhaul. Each fuel tank contained fuel. The electric fuel pump produced pressure. Opening of the throttle produced only a momentary increase in fuel pressure. After several attempts, the engine started and ran at an idle. The engine maintenance records indicated the engine driven fuel pump had been replaced twice since the overhaul. Each fuel pump installed on the engine by the operator since the engine overhaul was tested for proper operation. Each produced fuel pressure. The engine fuel servo was removed and tested for proper operation. During fuel flow testing, the fuel servo produced a lean fuel mixture at a mid-range power setting. The servo, bearing the overhaul facilities coil loc lead seal, was disassembled after the flow check. The examination revealed the brass idle plug/main metering valve had part number 2541461 stamped on opposite sides of the vertical surface of the valve. One of the part numbers had been obliterated by a marking tool, and the number 2537665 etched on the valve with a hand marking tool. Part number 2537665 is the correct component for the model of servo. The valve appeared to a hand modified 2541461 which has a different metering jet placement than that of the correct 2537665 valve. The hand modification was produced by several punch tool indentations around the edges of the jet hole on both sides of the valve body. The indentations had hanging burrs protruding into the jet hole.

Factual narrative

On June 19, 2001, about 2145 Alaska daylight time, a Piper PA-32-300 airplane, N43551, sustained substantial damage during a forced landing, about 6 miles east of Eek, Alaska. The airplane was being operated as a visual flight rules (VFR) cross-country positioning flight under Title 14, CFR Part 91, when the accident occurred. The airplane was operated by Poe Air, dba Kusko Aviation Inc., Bethel, Alaska. The commercial certificated pilot, the sole occupant, was not injured. Visual meteorological conditions prevailed. VFR company flight following procedures were in effect. The flight originated at the Quinhagak Airport, Quinhagak, Alaska, about 2135.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), on June 20, 2001, the pilot reported he was en route to Bethel after completing an air taxi charter flight. While in cruise flight about 500 feet above the ground, the pilot said the engine surged about three to four times. He said he activated the electric fuel boost pump, and switched fuel tanks, even though each fuel tank contained adequate fuel. The engine then quit, and the pilot said he selected an emergency landing area that was not completely covered by water. The airplane touched down in soft, marshy terrain and slid about 50 yards. The airplane received damage to the nose gear, the engine firewall, the left landing gear, the right landing gear, and the right wing.

After the airplane was recovered, a Federal Aviation Administration (FAA) airworthiness inspector from the Anchorage Flight Standards District Office (FSDO), examined the airplane in Bethel on July 3, 2001. The inspector noted the engine had accrued about 500 hours since overhaul. During his examination of the engine, the inspector found that the airplane fuel tanks contained fuel. The electric fuel pump produced pressure. Opening of the throttle produced only a momentary increase in fuel pressure. After several attempts, the engine started and ran at an idle. The engine maintenance records indicated the engine driven fuel pump had been replaced twice since the overhaul. Each fuel pump installed on the engine by the operator since the engine overhaul was tested for proper operation. Each produced fuel pressure.

The engine fuel servo was removed and tested for proper operation. During fuel flow testing, overseen by an NTSB investigator, the fuel servo produced a lean fuel mixture at a mid-range power setting. The servo, bearing the overhaul facilities coil loc lead seal, was disassembled after the flow check. The examination revealed the brass idle plug/main metering valve had part number 2541461 stamped on opposite sides of the vertical surface of the valve. One of the part numbers had been obliterated by a marking tool, and the number 2537665 etched on the valve with a hand marking tool. Part number 2537665 is the correct component for the model of servo. The valve appeared to a hand modified 2541461 which has a different metering jet placement than that of the correct 2537665 valve. The hand modification was produced by several punch tool indentations around the edges of the jet hole on both sides of the valve body. The indentations had hanging burrs protruding into the jet hole.

The manual mixture control valve did not bear any part number.

Aircraft

Registration
N43551
Reported as
Piper PA-32-300
Category
Airplane
Serial number
32-7440133
Airframe hours
5,662
Engine
Lycoming IO-540-K1A5, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Poe Air, doing business as Kusko Aviation Inc.
Registered owner
Kusko Aviation Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 8, 2001 · 62 hours before
Departed
PAGH · Quinhagak, AK
Destination
PABE · Bethel, AK
Flight plan
Company VFR

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
57
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
20,000 total

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 5 knots
Visibility
30 statute miles
Lowest ceiling
None
Temperature
61 °F

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N43551 · 1

Matched to the same aircraft by N-number and date.