# NTSB ANC93LA077: Piper PA-32-300, N8127K, Skagway, AK, June 2, 1993 - Type: NTSB accident investigation - Classification: Accident · Minor injuries · Limited investigation · Final report - Date: June 2, 1993, 14:55 local (22:55 UTC) - Place: Skagway, AK - Coordinates: 59.570854, -135.349533 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=59.5709&lon=-135.3495&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: Minor injuries - Injuries: 3 minor, 2 uninjured - Status: Completed, report August 18, 1994 - Report: Approved by Office Director - NTSB office: Alaska Regional Office - NTSB case key (mKey): 2349 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ANC93LA077 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/2349/pdf - Page: https://openairdocs.org/ntsb/ANC93LA077 ## 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 In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - mech failure/malf, cruise - engine assembly,connecting rod - fatigue (cause) - engine assembly,connecting rod - failure,total - Forced landing, landing - flare/touchdown - In flight collision with terrain/water, landing - flare/touchdown - terrain condition - none suitable (contributing factor) ## 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](https://openairdocs.org/aircraft/N8127K), registered now, S/N 32-7940268, built 1979 (OpenAirDocs) - Reported make and model: PIPER PA-32-300 - Registry model: [Piper PA-32-300](https://openairdocs.org/model/piper-pa-32-300) (registry code 7103212) (OpenAirDocs) - Registry engine: [Lycoming IO-540 series](https://openairdocs.org/engine/lycoming-io-540-series) (registry code 41530, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 7940268 - Airframe hours: 3266 - Engines: 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 ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 25; 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 (OpenAirDocs). - [Accident 19930602019739A](https://openairdocs.org/incident/19930602019739A), Jun 2, 1993: Piper PA32300, Skagway, AK, Substantial damage. Lost oil pressure and engine siezed landed on a glacier. NR2 cylinder connecting rod broke. Fatique fractures. From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.