BFO94LA038

NTSB accident investigation · Piper PA-32R-300 · Norfolk, VA · February 7, 1994

Accident · No injuriesLimited investigationFinal report
Date
February 7, 1994, 16:00 local (21:00 UTC)
Place
Norfolk, VA
Injuries
6 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N38780Piper PA-32R-300
Weather
Visual (VMC) · Day
Status
Completed · report April 5, 1995
Report
Approved by Office Director
FAA report
19940207001589A
Case key
8888

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

Fatigue failure of the engine mounting bolt which resulted in loss of engine power and subsequent on ground collision with the terrain.

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
Engine installation,mounting bolt - fatigueCause
Forced landingDescent - emergency
Hard landingLanding - flare/touchdown
Terrain condition - grass
Gear collapsedLanding - flare/touchdown
Landing gear - overload

Analysis

The flight was cruising at 7500' when the engine started to run rough 12.2 nautical miles from Norfolk airport. The pilot stated that he did not change the propeller setting until he was overhead the airport. Thereafter there was a loud explosion and the oil access door blew open and pieces of the engine exited the airplane. During the forced landing on runway 23 the airplane touched down on the grassy area. Examination revealed the no. 2 cylinder assembly, piston and connecting rod separated from the crankcase at the cylinder hold-down stud area. For metallurgical examination the hold- down studs along with the crankcase were sent to the NTSB lab in Washington, DC. The examination disclosed fatigue cracks and there was evidence of welding through the crankcase. The welding areas were softer than the areas that were not welded.

Factual narrative

On Monday, February 7, 1994, at 1600 eastern standard time, a Piper PA-32R-300, N38780, collided with the ground following a power-off forced landing at Norfolk International Airport, Norfolk, Virginia. The certificated flight instructor, and his five passengers were not injured while the airplane sustained substantial damage. The airplane was being operated under 14 CFR 91. The flight originated in Greenville, North Carolina. The intended destination was Hartford, Connecticut. Visual meteorological conditions prevailed and a flight plan was not filed.

The pilot stated that he and his five passengers were at a cruising altitude of 7500 feet MSL when, "the engine changed vibration and ran somewhat rough." He stated that he took the controls from the student and declared an emergency with Norfolk Approach as he was 12.2 nautical miles from Norfolk Airport. The pilot stated that he advised Norfolk Approach that he would try to maintain his current altitude and try to correct the problem.

The pilot stated that enroute to the airport he did not change any of the power settings until he was directly overhead the airport. He stated that he increased the propeller rpm slowly, and shortly thereafter he heard a loud explosion coming from under the left side of the engine cowling. He stated that the oil access door blew open, and pieces of the engine exited the aircraft. The pilot stated that he shut the engine down by turning off the magnetos and made a forced landing at Norfolk Airport. During the forced landing on runway 23, the airplane touched down west of the runway in a grassy area.

The airplane was examined at the accident site by the FAA. The examination revealed oil on the windshield of the airplane, and the number 2 cylinder along with its respective piston and connecting rod had exited the engine through the engine cowling. The engine was removed from the airplane and shipped to Piedmont Aviation Services Inc., of Winston-Salem, North Carolina, for examination. The examination confirmed the number 2 cylinder was missing from the crankcase and the attaching studs and thru bolts were fractured. The breakaway torque was checked on all cylinder studs and thru bolts which were not affected by the cylinder separation. The values for each are listed on the attached two tables.

The remaining hold down stud bolts along with the crankcase were sent to the NTSB Lab in Washington, DC, for metallurgical examination. The examination revealed that the separation of the six hold down studs and two through bolts for the number two cylinder were the result of fatigue cracks that emanated along multiple sites at the root of the threads. Metallographic section through the pad for one of the hold down studs for the number 2 cylinder revealed that extensive weld repair had been performed through the entire thickness of the case at this location. Hardness measurements on the section cut from the engine case showed that the welded areas were much softer than the areas that were not welded.

The investigation revealed that the engine had over 3834 hours of total time, including 343 hours since major overhaul. The last annual inspection was completed on September 20, 1993, and the airplane had accumulated over 160 hours since the last inspection.

Aircraft

Registration
N38780
Reported as
Piper PA-32R-300
Category
Airplane
Serial number
32R-7780471
Airframe hours
3,791
Engine
Lycoming IO-540-K1G5D, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Guardione Vincent & Michael
Registered owner
Vincent A Guardione
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 3, 1994 · 50 hours before
Departed
DPL · Kenansville, NC
Destination
HFD · Hartford, CT
Airport
ORF · Norfolk International, runway 23, 9,000 × 150 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
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
305 total · 24 in this make and model · 182 as pilot in command · 26 in the last 90 days · 23 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 9 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 23 °F
Altimeter
30.00 inHg
Observed at
ORF

FAA reports on this event · 1

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