ATL89FA078

NTSB accident investigation · Piper PA-28-140 · Bagley, AL · January 18, 1989

Accident · FatalField investigationFinal report
Date
January 18, 1989, 08:30 local (14:30 UTC)
Place
Bagley, AL
Injuries
2 fatal, 1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8456RPiper PA-28-140
Weather
Visual (VMC) · Day
Status
Completed · report June 18, 1990
Report
Approved by Office Director
FAA report
19890118000819A
Case key
7874

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

Inadequate maintenance by other maintenance personnel which allowed a foreign object to remain in the engine and damage/short the spark plugs in the #2 and #3 cylinders. Trees in the emergency landing area contributed to the accident. If shoulder harnesses had been installed and used, injury(s) may have been less severe.

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(partial) - mech failure/malfCruise - normal
Maintenance - inadequateOther maintenance personnelCause
Ignition system,spark plug - foreign object damageCause
Ignition system,spark plug - shortedCause
Forced landingDescent - emergency
In flight collision with objectLanding
Object - tree(s)Factor
Misc eqpt/furnishings,shoulder harness - not installed

Analysis

According to the surviving passenger, a partial loss of pwr occurred drg flt & the plt tried to land in a field, but thefield was too short & the acft hit trees & crashed. Drg an exam of the eng, a metal fragment was fnd in the #3 cylinder. Evidence of foreign object dmg (peening) was fnd in the #2 & #3 combustion chambers & on their respective piston faces. The respective spark plugs were dmgd to the point that their ground electrodes had become displaced & shorted to the center electrodes. A metallurgical exam of the fragment revealed it was fm a broken exhaust valve; however, except for peening, the valves were intact. Further investigation revealed the eng had an exhaust valve failure in 1980 & had FLOWN98 hrs since then. Pieces of that valve were not fnd & were assumed to have been 'spit out' thru the exhaust sys. Drg anannual inspn on 1/12/89, an exhaust valve fragment was fnd in the eng muffler. The owner was notified; the exhaust pipeswere removed & inspected; no other fragments were fnd. The acft was not equipped with shoulder harnesses.

Aircraft

Registration
N8456R
Reported as
Piper PA-28-140
Category
Airplane
Serial number
28-22358
Airframe hours
2,318
Engine
Lycoming O-320-E2A, 140 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Fowler, Andrew O.
Registered owner
Fowler, A.O.
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · January 12, 1989 · 3 hours before
Departed
2M6 · Walls, MS
Destination
EUF · Eufaula, AL
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
58
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
209 total · 21 in this make and model · 166 as pilot in command · 15 in the last 90 days · 8 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 3 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
50 °F, dew point 30 °F
Altimeter
30.00 inHg
Observed at
BHM, 15 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.