ATL89LA178

NTSB accident investigation · Piper PA-32RT-300T · Columbus, OH · July 12, 1989

Accident · No injuriesLimited investigationFinal report
Date
July 11, 1989, 22:05 local (Jul 12, 1989, 02:05 UTC)
Place
Columbus, OH
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N2153KPiper PA-32RT-300T
Weather
Visual (VMC) · Night/dark
Status
Completed · report June 25, 1992
Report
Approved by Office Director
FAA report
19890711024859A
Case key
8045

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

The improper installation of the propeller governor idler-gear shaft retaining set-screw, which led to an engine oil leak and resulted in a loss of engine power; and the reduction of the pilot's ability to see outside the airplane due to oil on the windshield.

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
Reduction gear assy,accessory drive shaft - not securedCause
Maintenance,service bulletin/letter - not followedOther maintenance personnelCause
Maintenance,installation - improperOther maintenance personnelCause
Engine assembly,other - chafedCause
Fluid,oil - leakCause
Fluid,oil - starvationCause
Forced landingDescent - emergency
Hard landingLanding
Light condition - dark nightFactor
Window,flight compartment window/windshield - dirty(foggy)Cause
Visual lookout - restrictedPilot in commandCause

Analysis

The engine developed a massive oil leak during cruise & the engine lost power. The plt made a forced ldg at the nearest arpt. The plt was unable to clearly see the rwy due to oil covering the windshield, and made a hard ldg as a result. The ldg gear collapsed during the ldg. Post-accident exam of the engine revealed that an improper length set-screw had been installed to retain the prop governor idler-gear shaft in place; the screw was too short, which prevented the proper use of staking to secure the screw in place against the shaft. The screw backed off and allowed the normally-stationary shaft to rotate. The shaft cut through an access plug on the front of the engine, which allowed oil to drain overboard. Investigation revealed that the screw was most likely installed when the idler gears were replaced during a sudden-stoppage inspection. Lycoming service instruction 1343 describes how the length of the set screw should be determined, and how the screw should be installed.

Aircraft

Registration
N2153K
Reported as
Piper PA-32RT-300T (PA-32RT-30)
Category
Airplane
Serial number
32R7987086
Airframe hours
1,907
Engine
Lycoming TIO-540-S1AD, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Ferguson Lee, Inc.
Registered owner
Ferguson Lee, Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 12, 1989 · 60 hours before
Departed
CMH · Columbus, OH
Destination
BFR · Bedford, IN
Flight plan
IFR
Airport
2I4 · Bolton Field, runway 22, 5,200 × 100 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
51
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
3,600 total · 250 in this make and model · 3,400 as pilot in command · 206 in the last 90 days · 80 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Visibility
7 statute miles
Lowest ceiling
8,000 ft overcast
Temperature
72 °F
Altimeter
30.00 inHg

FAA reports on this event · 1

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