ANC08LA097

NTSB accident investigation · Piper PA-31-350 · Aniak, AK · August 4, 2008

Accident · Serious injuriesLimited investigationFinal report
Date
August 4, 2008, 15:50 local (23:50 UTC)
Place
Aniak, AK
Injuries
1 serious, 2 minor, 5 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N40YRPiper PA-31-350
Defining event
Initial climb: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report April 15, 2009
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA-AL-ANC FSDO 03, Frontier Flying Service Inc.
FAA report
20080804848069A
Case key
68681

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 partial loss of engine power during takeoff due to a failure of the left engine's turbocharger as a result of the failure of a turbine shaft bearing. Contributing to the accident was unsuitable terrain for a forced landing.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Turbocharging (recip only): turbochargerAircraft › Aircraft power plant · FailurePiper PA-31-350: 1 caseAll aircraft: 29 casesProbable cause
Terrain: rough terrainEnvironmental issues › Physical environment · Contributed to outcomePiper PA-31-350: 1 caseAll aircraft: 442 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The airline-transport-certificated pilot was departing in a twin-engine airplane that was about 130 pounds below its maximum gross weight. About 200 feet above the ground, the pilot reported a loss of engine power in the left engine and smoke was seen coming from the left engine by ground witnesses. The pilot indicated that he feathered the left engine, but that the airplane was descending and he elected to make an emergency landing on a gravel bar about .5 mile from the airport. Following the accident, the operator's maintenance personnel removed the left engine from the airframe and shipped it to an engine repair facility for examination. The airplane's left engine, which was equipped with a turbocharger, was placed on a test stand where it was started and ran, but it would not produce power (measured in manifold pressure) above ambient pressure. The engine's turbocharger was removed and replaced. A second engine run, with the new turbocharger installed, resulted in the engine developing full power. The original turbocharger was disassembled and inspected. The inspection revealed that one of the turbine shaft bearings had failed and that the turbine shaft and blades were damaged. One thrust bearing had fractured, with half of the bearing missing.

Factual narrative

On August 4, 2008, about 1550 Alaska daylight time, a twin engine Piper PA-31 airplane, N40YR, sustained substantial damage following a loss of engine power during takeoff/initial climb, about 1/2 mile north of Aniak, Alaska. The airplane was being operated as a visual flight rules (VFR) scheduled domestic commuter flight under Title 14, CFR Part 135, when the accident occurred. The airplane was operated as Flight 8606, by Frontier Flying Service Inc., Fairbanks, Alaska. The airline transport certificated pilot was not injured. One passenger received serious injuries, 2 passengers received minor injuries, and 4 passengers were not injured. Visual meteorological conditions prevailed, and VFR company flight following procedures were in effect. The flight was en route to Shageluk, Alaska.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), on August 4, the director of operations for the operator reported that the airplane had just departed runway 28 at Aniak. The airplane was about 130 pounds below its maximum gross weight. About 200 feet above the ground, the pilot reported a loss of engine power in the left engine, and smoke was seen coming from the left engine by ground witnesses. The pilot indicated that he feathered the left engine, but the airplane was descending, and he elected to make an emergency landing on a gravel bar with the landing gear extended. During the touchdown, the nose landing gear collapsed. The airplane received structural damage to the fuselage and wings.

Following the accident, the operator's maintenance personnel removed the left engine from the airframe and shipped it to an engine repair facility in Anchorage, Alaska.

On August 15, 2008, the airplane's left engine, which was equipped with a turbocharger, was examined at the engine repair facility. The examination was overseen by an NTSB air safety investigator, and attended by representatives from the operator and the FAA. The engine was placed on a test stand where it was started and ran, but it would not produce power (measured in manifold pressure) above ambient pressure. The engine's turbocharger was removed and replaced. A second engine run, with the new turbocharger installed, resulted in the engine developing full power.

The original turbocharger was disassembled and inspected. The inspection revealed that one of the turbine shaft bearings had failed, and the turbine shaft and blades were damaged. One thrust bearing had fractured and one half of the bearing was missing.

Aircraft

Registration
N40YR
Reported as
Piper PA-31-350
Category
Airplane
Serial number
31-7952008
Airframe hours
10,047
Engines
Lycoming TIO-54D, 350 horsepower, reciprocatingLycoming LTIO-54D, 350 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Frontier Flying Service Inc., doing business as Frontier Alaska
Registered owner
Frontier Flying Service Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · July 25, 2008 · 14 hours before
Departed
PANI · Aniak, AK
Destination
PAHX · Shageluk, AK
Flight plan
Company VFR
Airport
PANI · Aniak, runway 28, 6,000 × 150 ft, asphalt

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
40
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
July 10, 2008
Seat
Left
Flight hours
3,941 total · 98 in this make and model · 2,846 as pilot in command · 293 in the last 90 days · 92 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 6 knots
Visibility
10 statute miles
Lowest ceiling
3,000 ft overcast
Temperature
55 °F, dew point 45 °F
Altimeter
30.11 inHg
Observed at
PANI, 1 nm away

Docket · 3

The files NTSB released with the investigation on February 13, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 851 KB in all.

FAA reports on this event · 1

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