ANC93LA077

NTSB accident investigation · Piper PA-32-300 · Skagway, AK · June 2, 1993

Accident · Minor injuriesLimited investigationFinal report
Date
June 2, 1993, 14:55 local (22:55 UTC)
Place
Skagway, AK
Injuries
3 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8127KPiper PA-32-300
Weather
Visual (VMC) · Day
Status
Completed · report August 18, 1994
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19930602019739A
Case key
2349

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 total loss of engine power as a result of a fatigue failure of the #2 connecting rod. A factor which contributed to the accident was the lack of suitable terrain for the 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 power(total) - mech failure/malfCruise
Engine assembly,connecting rod - fatigueCause
Engine assembly,connecting rod - failure,total
Forced landingLanding - flare/touchdown
In flight collision with terrain/waterLanding - flare/touchdown
Terrain condition - none suitableFactor

Analysis

About 15 min after departing Skagway, while maneuvering over a glacier, the pilot noted decreasing engine oil pressure. Shortly thereafter the engine began to emit metallic sounds, and then the engine quit. An emergency landing was made on the glacier. On-scene examination of the engine revealed that the #2 cylinder connecting rod had failed. Subsequent metallurgical examination by the safety board revealed that the fracture of the rod through the strap area adjacent to the head of the rod bolt displayed features typical of a fatigue fracture.

Factual narrative

On June 2, 1993, at 1455 Alaska daylight time, a fixed gear wheel equipped Piper PA 32 300 airplane, N8127K, owned and operated by Skagway Air Service, Inc., experienced a loss of engine power while maneuvering near Davidson Glacier, approximately 23 miles south of Skagway, Alaska. The commercial certificated pilot in command and one of the four revenue passengers on board the airplane were not injured. The remaining three passengers received minor injuries and the airplane sustained substantial damage during the emergency landing on the glacier. The airplane was being operated as a 14 CFR Part 135 on demand air taxi sightseeing flight by Skagway Air Service, Inc. when the accident occurred. The flight originated in Skagway at approximately 1435. Visual meteorological conditions prevailed at the time and a VFR flight plan was on file with the Juneau Flight Service Station.

The pilot told the Safety Board investigator in charge that prior to departing Skagway, he observed nothing out of the ordinary during his preflight of the airplane and operational check of the engine shortly before departure. The oil sump had 9 plus quarts of oil and the oil filler cap was properly secured. About 15 minutes after departing Skagway, as he was maneuvering over the glacier at an altitude of approximately 3500 to 4000 feet msl (1000 ft. agl), he glanced at the engine gauges and observed a decreasing oil pressure indication. Approximately four seconds later, the engine began to vibrate and emit metallic sounds then quit. An emergency landing was performed on the glacier.

An on scene examination of the engine by a Federal Aviation Safety Inspector disclosed a failure of the number two cylinder connecting rod.

The engine, a Textron Lycoming IO540-KIG5, S/N L-11897-48A, was shipped to the Textron Lycoming Reciprocating Engine Division in Williamsport, Pennsylvania for disassembly and inspection under the scrutiny of FAA personnel from the Flight Standards District Office (FSDO) in Harrisburg, Pennsylvania. The piston end portion of the number two cylinder connecting rod remained with the piston and was shipped with the engine assembly. A portion of the number two cylinder rod end, rod cap and bolts were shipped to the NTSB's Materials Laboratory Division in Washington, D.C. for examination.

The engine inspection revealed that the top of the engine crankcase was broken above the number two cylinder, exposing a broken number two connecting rod. The camshaft was broken directly above the number two connecting rod. The disassembly inspection revealed that the remaining connecting rods exhibited moderate to severe levels of galling. Likewise, the connecting rod caps also exhibited galling. The piston portion of the number two cylinder connecting rod exhibited a failure due to overload. (Note. See attached engine disassembly inspection report)

The examination of the end portion of the rod, the rod cap and bolts revealed, impart, that the fractures of the rod cap exhibited bending overstress features. The bolt fracture was indicative of a tensile overstress separation. The fracture of the rod through the strap area adjacent to the head of the bolt displayed features typical of a fatigue fracture. None of the components exhibited any indications of high temperature exposure. High magnification inspections of the rod fracture revealed bench marking indicating fatigue progression away from a single point of initiation on the bearing surface of the rod. (Note. See attached Metallurgist's Factual Report)

A search of the FAA's Integrated Safety Information Subsystem (ISIS) for Service Difficulty Information (SDR's) files on the PA-32-300 with a IO540-K1G5 engine did not produce "rod failure" as a previously reported problem.

Company maintenance records indicate that the engine was overhauled by Textron Lycoming in June 1990 and was installed on N8127K on July 30, 1990. The most recent combined annual/100 hour inspection was performed on the engine on January 10, 1993. At the time of the accident, the engine had accrued a total time of 1,229.7 hours since the factory overhaul and 41.5 hours since the January inspection. There was no record or indication that the engine had been disassembled since overhaul by the factory.

Aircraft

Registration
N8127K
Reported as
Piper PA-32-300
Category
Airplane
Serial number
7940268
Airframe hours
3,266
Engine
Lycoming IO-540-K1G5, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Skagway Air Service, Inc.
Registered owner
Skagway Air Service, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 10, 1993 · 41 hours before
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
25
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
1,210 total · 50 in this make and model · 1,105 as pilot in command · 75 in the last 90 days · 9 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 6 knots
Visibility
15 statute miles
Lowest ceiling
5,000 ft broken
Temperature
61 °F, dew point 52 °F
Altimeter
30.00 inHg
Observed at
JNU, 50 nm away

FAA reports on this event · 1

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