ANC05LA018

NTSB accident investigation · Piper PA-28-140 · Sleetmute, AK · December 14, 2004

Accident · Minor injuriesLimited investigationFinal report
Date
December 14, 2004, 16:00 local (20:00 UTC)
Place
Sleetmute, AK
Injuries
3 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N801FSPiper PA-28-140
Weather
Visual (VMC) · Day
Status
Completed · report December 20, 2005
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration
Case key
60809

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 loss of engine power during cruise flight due to a fractured exhaust valve, which resulted in a forced landing, and subsequent nose over of the airplane. A factor associated with the accident was the lack of suitable terrain for a successful emergency 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 - normal
Engine assembly,valve,exhaust - fracturedCause
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterEmergency landing
Terrain condition - none suitableFactor
Nose gear collapsedLanding - roll
Terrain condition - snow covered
Nose overLanding - roll

Analysis

The commercial certificated pilot reported that while the airplane was in level cruise flight at 5,000 msl, he noted a rough running engine and a slight reduction in engine rpm, which was followed by a rapid loss of engine power, and subsequent loss of altitude. He was unable to restore adequate engine power to maintain level flight, and selected a snow-covered area as a forced landing site. During the landing roll, the airplane's nose landing gear collapsed, and the airplane nosed over. The airplane sustained structural damage to the wings and fuselage. An FAA inspector reported that during his inspection of the accident airplane's engine, he discovered that a significant portion of the exhaust valve had broken free from the exhaust valve stem in the number 1 cylinder. He stated that the broken portion of the valve subsequently entered the number 1 cylinder combustion chamber and damaged the piston.

Factual narrative

On December 14, 2004, about 1600 Alaska standard time, a wheel-equipped Piper PA-28-140 airplane, N801FS, sustained substantial damage during an off airport forced landing following a loss of engine power, about 35 miles southeast of Sleetmute, Alaska. The airplane was being operated as a visual flight rules (VFR) cross-country personal flight under Title 14, CFR Part 91, when the accident occurred. The commercial certificated pilot and the two passengers sustained minor injuries. Visual meteorological conditions prevailed, and a VFR flight plan was in effect. The flight originated about 1335, from the Lake Hood Airstrip, Anchorage, Alaska, and was en route to Bethel, Alaska, when the accident occurred.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), on December 19, 2004, the pilot related that he had to alter his intended flight path slightly due to low weather conditions along his route. He said that while the airplane was in level cruise flight at 5,000 msl, he noted a rough running engine and a slight reduction in engine rpm. He said that emergency procedures did not remedy the engine roughness, which was followed by a rapid loss of engine power, and subsequent loss of altitude. The pilot said that he was unable to restore adequate engine power to maintain level flight, and he selected a snow-covered area as a forced landing site. During the landing roll on the soft, snow-covered terrain, the airplane's nose landing gear collapsed, and the airplane nosed over. The airplane sustained structural damage to the wings and fuselage.

A Federal Aviation Administration (FAA) airworthiness inspector from the Anchorage Flight Standards District Office (FSDO), traveled to Bethel after the airplane had been recovered from the remote accident site. During a telephone conversation with the NTSB IIC on September 7, 2005, the FAA inspector reported that during his inspection of the accident airplane's engine, and after removing the number 1 cylinder from the engine crankcase, he discovered that a significant portion of the exhaust valve had broken free from the exhaust valve stem. He stated that the broken portion of the valve subsequently entered the number 1 cylinder combustion chamber. The number 1 piston sustained significant amount of damage, including a large hole in the top portion of the piston assembly.

Aircraft

Registration
N801FS
Reported as
Piper PA-28-140
Category
Airplane
Serial number
28-7125090
Airframe hours
1,968.1
Engine
Lycoming O-320-E2A, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Garis Kinegak
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 1, 2004 · 102 hours before
Departed
Z41 · Anchorage, AK
Destination
BET · Bethel, AK
Flight plan
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
43
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
October 1, 2003
Seat
Left
Flight hours
542 total · 78 in this make and model · 471 as pilot in command · 116 in the last 90 days · 36 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
30 °F