- Date
- August 16, 2012, 21:54 local (Aug 17, 2012, 02:54 UTC)
- Place
- Holton, KS
- Injuries
- 2 serious, 1 minor
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N8546PPiper PA-24-260
- Defining event
- Enroute-cruise: Fire/smoke (non-impact)
- Weather
- Visual (VMC) · Night/dark
- Status
- Completed · report January 31, 2013
- Report
- Approved by Office Director
- NTSB office
- Central Region
- Parties
- FAA Flight Standards District Office
- FAA report
- 20120816024529A
- Case key
- 84703
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 mechanic's failure to adequately torque the right magneto attachment nuts, allowing the right magneto to come loose, which allowed engine oil to escape, causing the engine to seize.
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
During a cross-country flight, the pilot and passengers smelled something burning; smoke began to fill the cockpit, and the oil pressure dropped. The propeller then oversped, and the engine seized. In the ensuing forced landing in the dark, the airplane struck trees and impacted a ditch. The engine was covered with oil, and the right magneto was found hanging by spark plug wires. The separation of the right magneto from the engine allowed the engine oil to escape, causing the engine to seize. The magneto had been installed in the airplane about 7 hours before the accident. The mechanic who had replaced the magneto could not recall if he had torqued the magneto attachment nuts. It is likely that the right magneto attachment nuts were not torqued properly and came loose.
Factual narrative
On August 16, 2012, about 2154 central daylight time, the pilot of a Piper PA-24-260, N8546P, made a forced landing on a rural road 3 miles southwest of Holton, Kansas. The pilot and a pilot-rated passenger were seriously injured. Another passenger sustained minor injuries. The airplane was substantially damaged. The airplane was registered to N8546 PAPA, LLC, Tecumseh, Kansas, and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a business flight. Visual meteorological conditions prevailed at the time of the accident, and no flight plan had been filed. The cross country flight originated in Mitchell, South Dakota about 2030 and was en route to Topeka, Kansas. According to the pilot's accident report, after cruising at 7,500 feet mean sea level (msl), he began a 700 foot per minute descent about 37 miles form Topeka. About 6,500 feet msl, he and his passengers smelled something burning and smoke began to fill the cockpit. There was a loss of oil pressure, engine sounds changed, and the propeller oversped to high rpm. Shortly thereafter, the engine seized. The pilot declared an emergency with the Kansas City air route traffic control center. The pilot said the sky was overcast, there was no moon, and the ground was indistinguishable. The pilot then saw automobile headlights, and he aligned the airplane with the lights. The pilot saw telephone poles and trees. He attempted to skim the tree tops, but one of the trees tore the right wing off mid-span and the left wing broke off when the airplane impacted the road and nosed down into a ditch. Two Federal Aviation Administration inspectors examined the airplane. The airworthiness inspector said oil covered the engine components in the aft section of the engine compartment, and the oil-soaked right magneto was hanging by spark plug wires. The inside radius of the magneto spacer bore nicks and scratches around the entire circumference. There was also a hole and crack in the engine case above the number 3 cylinder. The engine, a Lycoming TI0-540-D4A5 (serial no. RL-6852-48), was installed on the airplane on May 5, 2005, after undergoing a major overhaul. The most recent annual inspection was accomplished on July 2, 2012, at a tachometer time of 8545 hours, about 32 hours before the accident. On August 10, 2012, the right magneto was removed and a new magneto was installed, which was about 7 hours before the accident occurred. The FAA inspectors interviewed the mechanic who had replaced the magneto. He told the inspectors he could not recall if he had torqued the magneto attachment nuts.
Aircraft
- Registration
- N8546P
- Reported as
- Piper PA-24-260
- Category
- Airplane
- Serial number
- 24-4003
- Airframe hours
- 8,545
- Engine
- Lycoming TIO-540-D4A5, 260 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Business · Part 91
- Operator
- David F. Osborne
- Registered owner
- N8546 Papa LLC
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · July 2, 2012 · 32 hours before
- Departed
- KMHE · Mitchell, SD
- Destination
- KTOP · Topeka, KS
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 · 2
As NTSB recorded them. NTSB leaves out names.
- Role
- Pilot
- Age
- 58
- Injuries
- Serious
- Certificate
- Private
- Airplane ratings
- Single-engine land, Single-engine sea
- Instrument ratings
- Airplane
- Medical
- Class 3, With waivers/limitations
- Last flight review
- February 9, 2011
- Seat
- Left
- Flight hours
- 1,751 total · 456 in this make and model · 1,441 as pilot in command · 18 in the last 90 days · 18 in the last 30 days · 4 in the last 24 hours
- Role
- Pilot
- Age
- 52
- Injuries
- Serious
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Medical
- Class 2, With waivers/limitations
- Seat
- Right
- Flight hours
- 120 total
Weather
- Conditions
- Visual (VMC) · Night/dark
- Wind
- 0° at 0 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 66 °F, dew point 52 °F
- Altimeter
- 30.07 inHg
- Observed at
- KTOP, 40 nm away
Docket · 8
The files NTSB released with the investigation on November 29, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 24.6 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.
Other investigations on N8546P · 3
Matched to the same aircraft by N-number and date.