CEN15LA228

NTSB accident investigation · Piper PA 28-161 · Ranger, TX · May 12, 2015

Accident · Serious injuriesLimited investigationFinal report
Date
May 11, 2015, 22:41 local (May 12, 2015, 03:41 UTC)
Place
Ranger, TX
Injuries
1 serious, 1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3024SPiper PA 28-161
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Night
Status
Completed · report January 18, 2017
Report
Approved by Office Director
NTSB office
Central Region
Parties
Flight Standards District Office, Piper Aircraft, Lycoming Engines
FAA report
20150511007609A
Case key
91155

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

A total loss of engine power during cruise flight due to piston fatigue cracking for reasons that could not be determined due to postfracture smearing damage.

Findings · 3

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.

Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomePiper PA-28-161: 9 casesAll aircraft: 933 casesProbable cause
Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Fatigue/wear/corrosionPiper PA-28-161: 3 casesAll aircraft: 373 casesProbable cause

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 commercial pilot reported that, during cruise flight on a night training flight, he heard "two knocks" coming from the engine, followed by a total loss of power. After attempting to restart the engine without success, the pilot executed a forced landing onto a field, during which the airplane impacted a tree. Teardown of the engine revealed that the No. 4 piston crown and connecting rod were fractured. Laboratory examination revealed two thumbnail-shaped fatigue cracks on the piston crown's underside near an oil drain hole along the top oil groove on the piston circumference. The fatigue cracks had propagated from initiation sites along the circumferential oil groove at or near the oil drain hole. The cause of the initiation of the fatigue cracks could not be determined due to postfracture smearing damage.

Factual narrative

On May 11, 2015, about 2241 central daylight time, a Piper PA-28-161 airplane, N3024S, was substantially damaged during a forced landing near Ranger, Texas. The pilot was seriously injured and the passenger was not injured. The airplane was registered to a private individual and operated by Delta Qualiflight Academy under the provisions of 14 Code of Federal Regulations Part 91 as a training flight. Night visual meteorological conditions prevailed for the flight, with no flight plan filed. The flight departed from Abilene Regional Airport (ABI), Abilene, Texas about 2210 and was destined for Cleburn Regional Airport (CBN), Cleburn, Texas. While in cruise at 5,500 above mean sea level, the pilot reported that he heard "two knocks" from the engine, followed by propeller stoppage and a total loss of power. After attempting without success to regain engine power, the pilot executed a forced landing onto a field, during which the left wing was damaged due to impact with a tree. On-site inspection of the engine revealed two holes on the top of the engine case. The airplane was recovered to the facilities of Air Salvage of Dallas and the engine was subsequently removed for examination. The crank shaft would only rotate 270 degrees before a hard lock was observed. The cylinders were removed except for the number 3 cylinder, which had damage to its skirt area. Teardown revealed the number 4 piston crown and connecting rod were fractured, with metallic debris throughout the engine case and oil filter. Although the number 4 connecting rod displayed substantial impact damage, there was no discoloration or signs of high heat. The number 4 piston crown, pieces of the connecting rod, piston wrist pin, and piston pin plug remnants were shipped to the National Transportation Safety Board Materials Laboratory for further examination. Laboratory examination revealed two thumbnail-shaped fatigue cracks on the piston crown underside, each located near an oil drain hole along the top oil groove on the piston circumference. Closer examination of the crack features found that they had propagated from initiation sites along the circumferential oil groove, at or near the oil drain hole. Post-fracture smearing damage prevented determination of the cause of the initiation of the fatigue cracks. The engine was a Lycoming O-320-D3G, with serial number L-10238-39A. The airframe had a total time of 10,672 hours at the last inspection on May 4, 2015. The engine had a total time of 9,309 hours and 2,135 hours since the last overhaul, which included replacement of the pistons and rings. During the last engine inspection, which occurred about 11 hours prior to the accident, the engine oil and filter were changed. An oil analysis was not performed during this or previous inspections since the last overhaul. Lycoming Engines Service Instruction 1009AW, dated February 24, 2014, which was current at the time of the accident, stated "if an engine is being used in 'frequent' typeservice and accumulates 40 hours or more per month, and has been so operated consistently since being placed in service, add 200 hours to time between overhaul (TBO) time". The engine usage pattern did not meet the requirement for a 200-hour extension past the normally recommended 2,000 hour TBO. The director of maintenance at Delta Qualiflight Academy stated that his organization typically overhauled engines at about 3,000 hours. Engine overhaul times are not mandated in 14 Code of Federal Regulations Part 91.

Aircraft

Registration
N3024S
Reported as
Piper PA 28-161
Category
Airplane
Serial number
28-7916297
Built
1979
Airframe hours
10,672
Engine
Lycoming O-320-D3G, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 4, 2015 · 11 hours before
Departed
KABI · Abilene, TX
Destination
KCBN · Cleburn, TX
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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
29
Injuries
Serious
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
March 16, 2015
Seat
Left
Flight hours
415 total · 390 in this make and model · 280 as pilot in command · 60 in the last 90 days · 20 in the last 30 days

Weather

Conditions
Visual (VMC) · Night
Wind
10° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 52 °F
Altimeter
30.20 inHg
Observed at
KSEP, 20 nm away

Docket · 5

The files NTSB released with the investigation on November 7, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.7 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.