ATL01LA014

NTSB accident investigation · Piper PA-28R-180 · Merritt Island, FL · November 27, 2000

Accident · No injuriesLimited investigationFinal report
Date
November 27, 2000, 17:30 local (22:30 UTC)
Place
Merritt Island, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N4914JPiper PA-28R-180
Weather
Visual (VMC) · Day
Status
Completed · report April 19, 2001
Report
Approved by Office Director
FAA report
20001127041639A
Case key
51046

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

Maintenance personnel failure to properly install engine cowling fasteners, which allowed the engine cowling to separate in flight.

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.

Airframe/component/system failure/malfunctionTakeoff - initial climb
Airframe - separationCause
Maintenance,service of aircraft/equipment - improperOther maintenance personnelCause
Miscellaneous,bolt/nut/fastener/clamp/spring - not securedCause
Forced landingEmergency landing after takeoff
Miscellaneous,bolt/nut/fastener/clamp/spring - failureCause

Analysis

According to the pilot, this was his second flight of the day. He taxied to runway 29 and departed to the west. He said he noted nothing out of the ordinary on takeoff or climb out until reaching about 500 feet when the engine cowling separated from the airplane. The cowling broke off a piece of the right windscreen, spun off and hit the baggage door and finally collided with the stabilator. Examination of the upper cowling revealed that three of the four fastener assembly studs were missing. A review of the airplane maintenance logs revealed that the cowling had been removed to service the hydraulic brakes on November 17, 2000 about 7 flight hours before the mishap.

Factual narrative

On November 27, 2000, at 1730 eastern standard time, a Piper PA-28R-180, N4914J, had its engine cowling separate from the airplane during takeoff climb from Merritt Island Airport, Merritt Island, Florida. The airplane was operated by the commercial pilot under the provisions of Title 14 CFR Part 91 and visual flight rules. Visual meteorological conditions prevailed and no flight plan was filed for the local flight. The pilot was not injured and the airplane sustained substantial damage. The flight was originating from Merritt Island, Florida, at the time of the accident.

According to the pilot, this was his second flight of the day. He taxied to runway 29 and departed to the west. He said he noted nothing out of the ordinary on takeoff or climb out until reaching about 500 feet when the engine cowling separated from the airplane. From where he sat he believed the front left side separated first, shook violently then rolled toward the right rear side. The cowling broke off a piece of the right windscreen, spun off and hit the baggage door and finally collided with the stabilator. The pilot stated that he made a gentle left turn to downwind and landed the airplane safely on runway 29. He recalled seeing nothing to indicate a loose cowling during his preflight inspection.

Examination of the engine cowling found impact damage around the nose/intake area, and was also cracked just forward of the oil access door. The forward reinforced composite structure had separated from the cowling and was broken into four pieces. This structure contained the cowl alignment pins, and there was no abnormal wear observed between the cowl pins, or the pin receptacles located on the lower cowling. Examination of the upper cowling revealed that three of the four fastener assembly studs were missing. The remaining stud was located on the left, rear fastener assembly, and was held in place by a retainer ring. Closer examination of the left-rear cowl latch fastener assembly revealed during the operational test that the stud positively engaged the receptacle when turned 1/4 turn clockwise. Some looseness remained between the fastener and the associated receptacle. The tip of the stud had a polished appearance, but did not appear to be excessively worn. Review of the airplane maintenance logs revealed that the brake hydraulic system was serviced on November 17, 2000, about 7 flight hours before the mishap.

Aircraft

Registration
N4914J
Reported as
Piper PA-28R-180
Category
Airplane
Serial number
28R-30633
Engine
Lycoming IO-360-BIE, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Vincent T. Vorsino
Registered owner
Sean Campbell
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 3, 2000 · 75 hours before
Departed
COI
Airport
COI · Merritt Island, runway 29, 3,600 × 75 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
23
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
2,700 total · 400 in this make and model · 2,600 as pilot in command · 100 in the last 90 days · 20 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 7 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 50 °F
Altimeter
30.00 inHg
Observed at
COF

FAA reports on this event · 1

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