ATL03LA139

NTSB accident investigation · Piper PA-28R-200 · Collegedale, TN · September 16, 2003

Accident · Minor injuriesLimited investigationFinal report
Date
September 16, 2003, 15:45 local (20:45 UTC)
Place
Collegedale, TN
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N2310TPiper PA-28R-200
Weather
Visual (VMC) · Day
Status
Completed · report March 30, 2005
Report
Approved by Office Director
Parties
Nashville FSDO
Case key
58001

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 loss of engine power due to oil exhaustion as a result of the installation of the incorrect quick-drain valve that opened during 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.

Loss of engine power(total) - mech failure/malfCruise
Lubricating system,oil quickdrain/drain plug - unapproved partCause
Maintenance,overhaul,major - improperCompany maintenance personnelCause
Fluid,oil - exhaustionCause
Forced landingDescent - emergency
In flight collision with objectEmergency descent/landing
Object - tree(s)

Analysis

The airplane logbooks revealed that a newly overhauled engine was installed in the airplane on September 15, 2003. According to the certified flight instructor (CFI), this was a maintenance test flight to test the overhauled engine. According to the CFI, about 10 minutes into the flight, there was a partial loss of engine power. The CFI stated, "Approximately one minute later the engine lost complete power with propeller stoppage". Efforts by the CFI to restart the engine failed. As the CFI performed an emergency landing, the airplane collided with the ground. Examination of the airplane revealed that the incorrect oil quick-drain valve was installed on the engine and was in the open position in flight. The vacuum pump drive adapter was also missing a security nut. Evidence of engine oil was present inside the engine cowling area.

Factual narrative

On September 16, 2003, at 1545 central daylight time a Piper PA-28, N2310T, registered to and operated by the certified flight instructor (CFI), collided with the ground while performing an emergency landing following a total loss of engine power on approach to the Collegedale Municipal Airport, in Collegedale, Tennessee. The maintenance test flight was conducted under the provisions of Title 14 CFR Part 91, and visual flight rules. Visual meteorological conditions prevailed and no flight plan was filed. The CFI and mechanic rated passenger received minor injuries. The airplane sustained substantial damage. The flight originated from Collegedale, Tennessee, at 1533, on September 16, 2003.

According to the CFI, this was a maintenance test flight. The intention of the flight was to monitor the operating and performance parameters of a newly installed engine. The airplane logbooks revealed that a newly overhauled engine was installed in the airplane on September 15, 2003. At this time a new vacuum pump was also installed on the engine. The airplane logbooks show that 8 quarts of oil was added to the engine after installation. Following the overhaul, the engine was ground-run tested for an hour.

The oil pressure was adjusted. The CFI reported that the oil quantity was at 6 quarts before starting the engine. The CFI stated that there were no problems during the engine run up or takeoff. According to the CFI, about 10 minutes into the flight, there was a partial loss of engine power. Efforts by the CFI to restore engine power failed. The CFI made an attempt to return to the airport. The CFI stated, "approximately one minute later the engine lost complete power with propeller stoppage". Efforts by the CFI to restart the engine failed.

The CFI selected a field to attempt an emergency landing. As the CFI performed the emergency landing, both wings and the engine mounts were damaged. Examination of the airplane revealed that the vacuum pump drive adapter, which is located on the accessory case was missing one of the four attachment nuts on the pump flange. The nut was located at the lower inboard position, adjacent to the oil filter adapter.

During the engine examination, evidence of oil leaking past the vacuum pump and adapter gaskets were observed. There was not a measurable amount of oil shown on the engine oil quantity gauge. The oil sump drain/quick-drain located at the bottom of the engine was observed to be in the open position. The New Piper Aircraft Corporation published service letter 910, dated December 29,1980 specifying the oil quick-drain valve to be installed on this engine. The quick-drain valve installed on the accident airplane was not in accordance with the service letter.

The service letter states "That it is possible that during nose landing gear retraction the incorrect oil quick drain valve may come into contact with the nose landing gear drag link, become actuated and allow the engine oil to be drained out in flight, causing total power loss and engine seizure". No signs of oil spill on the ground were noted at the wreckage site.

**This report was modified on October 9, 2007.**

Aircraft

Registration
N2310T
Reported as
Piper PA-28R-200
Category
Airplane
Serial number
28R-7135195
Airframe hours
2,206
Engine
Lycoming IO-360-C1C, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Flight test · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 15, 2003 · 1 hours before
Departed
3M3 · Collegedale, TN
Destination
3M3 · Collegedale, TN
Airport
3M3 · Collegedale Municipal, runway 3, 4,700 × 75 ft, concrete

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
63
Injuries
Minor
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Flight hours
2,700 total · 40 in this make and model · 65 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
40° at 10 knots, gusting 17
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 55 °F
Altimeter
30.12 inHg
Observed at
CHA, 8 nm away