# NTSB ATL02LA169: Piper PA24-250, N5724P, Morton, MS, September 11, 2002 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: September 10, 2002, 19:30 local (Sep 11, 2002, 00:30 UTC) - Place: Morton, MS - Coordinates: 32.335834, -90.226387 - Nearby events: https://openairdocs.org/map.md?lat=32.3358&lon=-90.2264&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 1 uninjured - Status: Completed, report November 25, 2003 - Report: Approved by Office Director - Parties: Jackson FSDO, National Transportation Safety Board, Textron Lycoming - NTSB case key (mKey): 55681 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ATL02LA169 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/55681/pdf - Page: https://openairdocs.org/ntsb/ATL02LA169 ## Probable cause Contamination in the exhaust valve guide area which caused the binding of the exhaust valve in the open position. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power, cruise - normal - engine assembly,valve,exhaust - binding(mechanical) (cause) - engine assembly,other - contamination,other than water (contributing factor) - Forced landing, descent - emergency - In flight collision with terrain/water, emergency landing - terrain condition - roadway/highway (contributing factor) ## Analysis According to the pilot, while in cruise flight, the engine started running rough and loosing power. Smoke was entering the cockpit and a clanking noise could be heard coming from the engine. The pilot elected to make a forced landing on I-20 West. The pilot forgot to put the gear down and landed on the I-20 guard railing separating the east and west bound lanes substantially damaging the fuselage and wings. The engine was removed and sent to Textron Lycoming for further examination. Examination of the bottom number one and number four spark plugs, revealed oil and heavy carbon debris. Heavy carbon debris was found in the exhaust valve guide area. The number four exhaust valve was stuck in the open position. The number four exhaust valve tip end had damage signatures consistent with operating without the rotator cap. The rotator cap was located at the bottom of the number four rocker cover. The number four exhaust valve stem was observed straight when placed on the optical comparator in the Lycoming Metrology laboratory. The number four piston dome had a circular signature consistent with an impact mark from the exhaust valve. The number four cylinder exhaust push rod and shroud tube was broken separated from the engine as received. The number four cylinder exhaust hydraulic lifter was found below leak down specification minimums. ## Factual narrative On September 10, 2002, at 1930 central daylight time a Piper PA24-250, N5724P, registered to a private individual and operated by the private pilot, collided with a guard rail while making a forced landing following a loss of engine power on Interstate I-20 near Morton, Mississippi. The flight was operated under the provisions of Title 14 CFR Part 91, and visual flight rules. Visual meteorological conditions prevailed and no flight plan was filed. The pilot was not injured and the airplane sustained substantial damage. This leg of the flight originated in Tuskegee, Alabama, on September 10, 2002 at 1800. According to the pilot, while in cruise flight, the engine started running rough and loosing power. Smoke was entering the cockpit and a clanking noise could be heard coming from the engine. The pilot elected to make a forced landing on I-20 West. The pilot forgot to put the gear down and landed on the I-20 guard railing separating the east and west bound lanes substantially damaging the fuselage and wings. The engine was removed and sent to Textron Lycoming for further examination. On March 17, 2003, the engine was examined by Lycoming personnel with an NTSB representative present. Examination of the engine's log book revealed that the engine was shipped as a new O-540-A1C5 model from Lycoming Engines, Williamsport, Pennsylvania to Aero Design and Engineering Co. on July 18, 1958. The engine was returned to the Lycoming factory, rebuilt, and shipped to Santa Monica Aviation on June 30, 1962. On July 26, 1968 a new nameplate was furnished to T.W. Smith Aircraft. The engine was not returned to Lycoming until after the mishap on February 19, 2003. Review of the engine logbooks showed 979 hours since the last major overhaul. The time between overhaul (TBO) on this engine is 2000 hours. The engine log excerpts did not reveal compliance with Lycoming Service Bulletin 388, procedure to determine exhaust valve and guide condition. The service bulletin recommends the valve guide to be checked every 400 hours. Examination of the bottom number one and number four spark plugs revealed oil and heavy carbon debris. Cylinders number one, three, five, and six were not removed during the examination. The number two cylinder and piston was removed to facilitate removal of the number four cylinder and piston. The number four exhaust valve was not a Lycoming part. Heavy carbon debris was found in the valve guide area. The number four exhaust valve was stuck in the open position. The number four exhaust valve tip end had damage signatures consistent with operating without the rotator cap. The rotator cap was located at the bottom of the number four rocker cover. The number four exhaust valve stem was observed straight when placed on the optical comparator in the Lycoming Metrology laboratory. The number four piston dome had a circular signature consistent with an impact mark from the exhaust valve. The number four cylinder exhaust push rod and shroud tube was broken separated from the engine as received. The number four cylinder exhaust hydraulic lifter was found below leak down specification minimums. ## Aircraft - Registration: [N5724P](https://openairdocs.org/deregistered/N5724P-2013-04-23), registration cancelled 2013-04-23, S/N 24-798, built 1959 (OpenAirDocs) - Reported make and model: Piper PA24-250 - Registry model: [Piper PA-24-250](https://openairdocs.org/model/piper-pa-24-250) (registry code 7102404) (OpenAirDocs) - Registry engine: [Lycoming 0-540 series](https://openairdocs.org/engine/lycoming-0-540-series) (registry code 41532, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 24-798 - Airframe hours: 3388 - Engines: Lycoming O-540-A1C5 250 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: Steve Ray Smith - Registered owner: Carol Morehead - Airworthiness certificate: Standard, Normal - Last inspection: Annual, September 4, 2002, 11.4 hours before - Departed: TCL, Tuskegee, AL - Destination: Morton, MS ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 49; injuries: none; private; airplane ratings: single-engine land; medical: class 3, valid medical--w/ waivers/lim; last flight review November 2, 2001; seat: left; flight hours: 235 total, 138 in this make and model, 189 as pilot in command, 58 in the last 90 days, 30 in the last 30 days, 7 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: calm - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 81 °F, dew point 70 °F - Altimeter: 29.86 inHg - Observed at: JAN, 40 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 20020910023109A](https://openairdocs.org/incident/20020910023109A), Sep 10, 2002: Piper PA24250, Morton, MS, Substantial damage. (.19) On September 10, 2002, at 1930 central daylight time a Piper PA24-250, N5724P, registered to a private individual and operated by the private pilot,… 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.