CEN14LA334

NTSB accident investigation · Piper PA-28-140 · Granbury, TX · July 2, 2014

Accident · No injuriesLimited investigationFinal report
Date
July 2, 2014, 08:42 local (13:42 UTC)
Place
Granbury, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N9898WPiper PA-28-140
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report January 14, 2015
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA North Texas FSDO, Piper Aircraft
FAA report
20140702017849A
Case key
89589

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

Findings · 1

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 flight instructor reported that, after takeoff, when the airplane was about 500 ft above ground level, the engine started to run roughly and lose power. The engine rpm decreased to about 1,100 rpm as the flight instructor attempted to turn the airplane 180 degrees back toward the airport. However, he was unable to land at the airport, so he made a forced landing to a field short of the runway. During a postaccident engine test run, the engine initially ran roughly, and black smoke was observed coming from the exhaust. After a brief warmup, the engine could only produce about 1,600 rpm at full throttle, and the engine test run was stopped. The examination of the No. 3 cylinder revealed that the exhaust valve was broken in several pieces and that some fragments remained in the cylinder, which produced gouging and scraping to the piston and cylinder head. The broken exhaust valve, spring, exhaust valve keepers, and rotating cap exhibited carbon buildup. Examination revealed a wear pattern on the top of the No. 3 cylinder exhaust valve rotator cap consistent with rocker arm wear. No rotational signatures were observed along the edge of the cap near the heavy carbon buildup, indicating that the rotator cap had stopped rotating, which subsequently led to a hot spot on the exhaust valve and caused the valve to fail.

Factual narrative

On July 2, 2014, about 0842 central daylight time, a Piper PA-28-140, N9898W, sustained substantial damage during a forced landing after a loss of engine power during takeoff at the Granbury Regional Airport (GDJ), Granbury, Texas. The flight instructor and passenger were not injured. The airplane was registered to Thunderbolt Aviation LLC and operated by Iron Compass Aviation under the provisions of the 14 Code of Federal Regulations Part 91 as an instructional flight. Visual meteorological conditions prevailed at the time of the accident, and a visual flight rules flight plan was filed. The airplane was departing GDJ and was en route to the Waco Regional Airport (ACT), Waco, Texas. The flight instructor reported that the airplane was about 500 feet above ground level when the engine started to run rough along with a loss of engine power. The engine rpm decreased to about 1,100 rpm as the flight instructor attempted to complete a 180-degree turn back to the airport. However, he was unable to land on the airport, so he completed a forced landing to a field short of the runway. The airplane's right wing hit a tree during the landing roll, which resulted in substantial damage to the wing. The on-site examination of the airplane by Federal Aviation Administration inspectors revealed that there appeared to be no damage to the engine and no apparent reason for the loss of engine power. The airplane wreckage was transported to an aircraft storage facility for further examination and an engine run. An engine run was conducted using an external fuel supply. After priming the fuel system with the electric fuel pump, the engine was started. The engine sounded like it was running rough, and some black smoke could be seen from the exhaust. After a brief warm up, the engine would not operate more than about 1,600 rpm at full throttle. The engine run was stopped and a compression check was performed. The No. 3 cylinder did not have any compression. The examination of the No. 3 cylinder revealed that the exhaust valve was broken in several pieces and some fragments remained in the cylinder. The broken exhaust valve, spring, exhaust valve keepers, and rotator cap all exhibited carbon build-up. The piston and cylinder head exhibited gouging and scraping consistent with secondary damage from the fragments. The examination of the No. 3 cylinder exhaust valve rotator cap revealed that it had a wear pattern on the top of the cap that was consistent with rocker arm wear, and no rotational signatures along the edge of the cap where there was heavy carbon build-up. The engine was a 150-horsepower Lycoming O-320-E2A. The last annual maintenance inspection was conducted on June 2, 2014, with at total aircraft time of 3,464 hours. At the time of the accident, the engine had about 2,040 hours since the last overhaul. The airplane had flown about 46 hours since the annual/100-hour maintenance inspection. The recommended time between overhauls (TBO) is 2,000 hours, but it isnot a mandatory requirement under Part 91 regulations.

Aircraft

Registration
N9898W
Reported as
Piper PA-28-140
Category
Airplane
Serial number
28-23418
Built
1967
Airframe hours
3,464
Engine
Lycoming 0-320-E2A, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Iron Compass Aviation
Registered owner
Thunderbolt Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 2, 2014
Departed
GDJ · Granbury, TX
Destination
ACT · Waco, TX
Flight plan
VFR
Airport
GDJ · Granbury Regional Airport, runway 14, 3,603 × 60 ft, asphalt
Equipment
Stall warning system

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
71
Injuries
None
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
June 12, 2014
Seat
Right
Flight hours
10,341 total · 250 in this make and model · 111 in the last 90 days · 43 in the last 30 days
Role
Student pilot
Age
51
Injuries
None
Medical
Class 3, With waivers/limitations
Seat
Left
Flight hours
43 total · 43 in this make and model

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Temperature
81 °F, dew point 70 °F
Altimeter
30.06 inHg
Observed at
GDJ

Docket · 10

The files NTSB released with the investigation on November 6, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 18.0 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 N9898W · 1

Matched to the same aircraft by N-number and date.