ANC23LA005

NTSB accident investigation · Piper PA-22-160 · Kenai, AK · October 27, 2022

Accident · No injuriesClass 3 · LimitedFinal report
Date
October 26, 2022, 16:56 local (Oct 27, 2022, 00:56 UTC)
Place
Kenai, AK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N8119DPiper PA-22-160
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
FAA
FAA report
20221026013199A
Case key
106291

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

On this page

Probable cause

Improper installation of the crankshaft drive gear by maintenance personnel, who failed to install all required hardware, resulting in an in-flight engine failure.

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.

Engine (reciprocating): recip eng rear sectionAircraft › Aircraft power plant · Incorrect service/maintenancePiper PA-22-160: 1 caseAll aircraft: 42 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelPiper PA-22-160: 1 caseAll aircraft: 371 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

Shortly after takeoff, the engine lost power and the propellor began to windmill. The flight instructor conducted emergency procedures but was unable to regain engine power. The flight instructor determined that they did not have sufficient altitude to make it back to the airport and he selected a road on which to make a forced landing. To avoid a car, the pilot turned slightly towards the edge of the road and was pulled into a snow berm, where the aircraft came to a full stop. The airplane sustained substantial damage to the right wing and fuselage. A postaccident examination of the engine found the crankshaft drive gear bolt was missing and the gear alignment dowel pin on the crankshaft was broken. The missing bolt was not found during the postaccident examination. The engine was last disassembled in 1983 and the accessory gearbox was opened for an oil pump rebuild in 2006; the investigation was not able to identify how long the engine had operated with the bolt missing. The crankshaft drive gear drives the accessory gear box and, according to the engine manufacturer, failure of the gear or the gear attaching parts would result in complete engine stoppage.

Factual narrative

On October 26, 2022, about 1656 Alaska daylight time, a Piper PA-22-160, N8119D, sustained substantial damage when it was involved in an accident in Kenai, Alaska. The flight instructor and the pilot receiving instruction, who was a private pilot, sustained no injuries. The airplane was operated by the instructor pilot as a Title 14 Code of Federal Regulations Part 91 general aviation flight. The purpose of the flight was to conduct pilot training. The airplane took off from the Kenai Municipal Airport, Kenai. Shortly after takeoff, the engine lost total power and the propellor began to windmill. The flight instructor conducted emergency procedures but was unable to regain engine power. The flight instuctor informed the airport tower of their loss of engine power and was cleared to land back at the airport. He determined that they did not have sufficient altitude to make it back to the airport and landed on a road about 2 miles southeast of the airport. During the landing, to avoid a car, the flight instructor turned slightly towards the edge of the road and was pulled into a snow berm where the airplane came to rest. The airplane sustained substantial damage to the right wing and fuselage. A postaccident examination of the engine revealed that the crankshaft drive gear was missing a bolt and a broken dowel pin on the crankshaft. The missing bolt was not found during the postaccident examination. The engine was last disassembled in 1983. The accessory gearbox was opened for an oil pump rebuild in 2006. The crankshaft drive gear drives the accessory gear box and, according to the engine manufacturer, failure of the gear or the gear attaching parts would result in complete engine stoppage.

Aircraft

Registration
N8119D
Reported as
Piper PA-22-160
Category
Airplane
Serial number
22-5610
Built
1957
Engine
Lycoming O-360-A4A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Ham Keith W, doing business as Kenai Aviation Training Academy
Registered owner
Ham Keith W
Airworthiness certificate
Standard, Normal
Departed
PAEN · Kenai, AK
Destination
PAEN · Kenai, AK
Flight plan
VFR
Equipment
None

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
31
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
July 18, 2022
Seat
Right
Restraint
4-point
Flight hours
963 total · 340.5 in this make and model · 897.5 as pilot in command · 389.3 in the last 90 days · 86.3 in the last 30 days · 1.9 in the last 24 hours
Role
Student pilot
Age
17
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
October 17, 2022
Seat
Left
Restraint
4-point
Flight hours
116 total · 0 in this make and model

Weather

Conditions
Visual (VMC) · Day
Lowest ceiling
None
Temperature
25 °F
Observed at
PASX
METAR
METAR PAEN 270353Z 15003KT 10SM CLR M04/M04 A2878 RMK AO2 SLP749 T10391039

Docket · 3

The files NTSB released with the investigation on October 5, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.7 MB 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.