CEN12LA118

NTSB accident investigation · Piper PA-32-260 · Elk Rapids, MI · December 31, 2011

Accident · Minor injuriesLimited investigationFinal report
Date
December 31, 2011, 12:20 local (17:20 UTC)
Place
Elk Rapids, MI
Injuries
1 minor, 4 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N997TBPiper PA-32-260
Defining event
Enroute-cruise: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report May 21, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Grand Rapids FSDO
FAA report
20111231030349A
Case key
82594

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The loss of engine power due to the failure of the exhaust valve.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that the airplane was in cruise flight when the engine started to run rough and vibrate. He adjusted and checked the fuel mixture, throttle, magnetos, boost pump, and carburetor heat, but the vibration continued to get worse. He executed a forced landing to a field, but the airplane impacted a line of trees at the end of the field. Postaccident examination of the engine revealed that the No. 1 cylinder exhaust valve was broken with about 50 percent of the valve face missing. The engine logbooks revealed that the engine was overhauled in 1994 and had accumulated 1,972.3 hours since the last overhaul. The engine manufacturer recommends that the engine be overhauled every 2,000 hours or after 12 years since last overhaul.

Factual narrative

On December 31, 2011, about 1220 eastern standard time, a Piper PA-32-260, N997TB, sustained substantial damage during a forced landing to a field after a loss of engine power near Elk Rapids, Michigan. The commercial pilot and three passengers were not injured and one passenger received minor injuries. The airplane was registered to Bulldog Air LLC and operated by the pilot as a personal flight under the provisions of the 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed at the time of the accident, and no flight plan was filed. The local flight departed from the Cherry Capital Airport (TVC), Traverse City, Michigan, at 1150. The pilot reported that the airplane was in cruise flight when the engine started to run rough and vibrate. He adjusted and checked the fuel mixture, throttle, magnetos, boost pump, and carburetor heat, but the vibration continued to get worse. He decided to execute a forced landing to a farmer’s field and touched down with the airplane aligned with the furrows. He reported that the braking was ineffective due to the frozen field, and the airplane impacted a line of trees at the end of the field. A Federal Aviation Administration airworthiness inspector examined the engine. He determined that the number one and number four cylinders had little to no compression when the propeller was rotated by hand. Both cylinders were removed. The number one cylinder exhaust valve was broken with approximately 50 per cent of the valve face missing. The piston and cylinder head were scarred with impact marks. The number four cylinder’s intact valve and seat were scarred, which was consistent with the compression loss. The upper and lower spark plug electrodes of the number four cylinder were forced closed, and there were impact marks on the piston and cylinder head. Examination of the airplane’s engine logbooks revealed that the Lycoming O-540-E4B5 engine was overhauled in 1994 by an airframe and powerplant (A&P) mechanic. There was 1,972.3 hours logged on the engine since the last overhaul. There was no indication in the engine logbook that the number one and number four cylinders were repaired or replaced since the engine was overhauled. The most recent annual inspection was completed in April 2011. The Lycoming Service Instruction No. 1009AT, “Recommended Time Between Overhaul Periods” recommended that the O-540-E4B5 engine be overhauled every 2,000 hours, or after 12 years of service since engine overhaul.

Aircraft

Registration
N997TB
Reported as
Piper PA-32-260
Category
Airplane
Serial number
32-508
Airframe hours
6,712
Engine
Lycoming O-540-E4B5, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Sam Pfeiffer, Jr.
Registered owner
Bulldog Air LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 15, 2011
Departed
TVC · Traverse City, MI
Destination
TVC · Traverse City, MI

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
65
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Last flight review
December 28, 2011
Seat
Left
Flight hours
6,045 total · 734 in this make and model · 3 in the last 90 days · 2 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 6 knots
Visibility
10 statute miles
Lowest ceiling
2,600 ft broken
Temperature
37 °F, dew point 27 °F
Altimeter
29.92 inHg
Observed at
TVC, 12 nm away

Docket · 5

The files NTSB released with the investigation on April 30, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.3 MB in all.

FAA reports on this event · 1

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