ANC92IA001

NTSB incident investigation · Piper PA-31-350 · Fairbanks, AK · October 2, 1991

Incident · No injuriesIncident investigationFinal report
Date
October 2, 1991, 13:20 local (21:20 UTC)
Place
Fairbanks, AK
Injuries
5 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N200AKPiper PA-31-350
Weather
Visual (VMC) · Day
Status
Completed · report May 5, 1993
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19911002055499I
Case key
5655

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

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Probable cause

Incorrect installation of crankshaft counterwweight rollers by the manufacturer during remanufacture of the engine. Factor was the inadequate surveillance of the engine assembly process by the manufacturer.

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 power(total) - mech failure/malfCruise
Eng assembly,crankshaft counterweights/vib damper - improperCause
Maintenance,rebuild/remanufacture - improperManufacturerCause
Inadequate surveillance of operationManufacturerFactor

Analysis

During cruise flight, the left engine lost power and oil pressure. An engine teardown analysis showed that the crankshaft counterweights had two incorrect of the four installed rollers. All four rollers were part no. 73648. According to Textron Lycoming, the correct roller configuration should have been 'two part no. 73648 5.1 order and two part no. 76788 6.3 order rollers.' As configured, the engine would experience unacceptable 6th order torsional vibrations.

Aircraft

Registration
N200AK
Reported as
Piper PA-31-350
Category
Airplane
Serial number
31-8052180
Airframe hours
1,763
Engine
Lycoming TIO-540J2BD, 350 horsepower, reciprocating
Damage
Minor damage
Fire
In-Flight
Flight
Part 135
Operator
Frontier Flying Service Inc.
Registered owner
Frontier Flying Service Inc.
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
AAIP · September 27, 1991 · 26 hours before
Departed
FAI · Fairbanks, AK
Destination
CXF · Coldfoot, 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
35
Certificates
Private, Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
8,000 total · 6,000 in this make and model · 7,800 as pilot in command · 300 in the last 90 days · 100 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
99 statute miles
Lowest ceiling
None
Temperature
39 °F
Altimeter
30.00 inHg

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 N200AK · 1

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