CEN15LA238

NTSB accident investigation · Piper PA-25-235 · Omega, OK · May 11, 2015

Accident · No injuriesLimited investigationFinal report
Date
May 10, 2015, 20:15 local (May 11, 2015, 01:15 UTC)
Place
Omega, OK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N7279ZPiper PA-25-235
Defining event
Maneuvering: Loss of engine power (partial)
Weather
Visual (VMC) · Dusk
Status
Completed · report May 16, 2016
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Stansdards District Office
FAA report
20150511013279A
Case key
91207

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

Improper base metal preparation or contamination of the No. 5 cylinder wall before it was coated, which resulted in the coating peeling off of the cylinder wall and contaminating the engine oil and the subsequent partial loss of engine power.

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.

Manufacture/production: equipment manufactureOrganizational issues › Development · ManufacturerPiper PA-25-235: 1 caseAll aircraft: 36 casesProbable cause
Object/animal/substance: fence/fence postEnvironmental issues › Physical environment · Contributed to outcomePiper PA-25-235: 2 casesAll aircraft: 313 cases

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 was conducting an agricultural application flight. During the flight, the airplane was unable to maintain altitude, and the pilot conducted an emergency landing on a dirt road. During the landing roll, the left wing struck a fence, crushing the leading edge. The pilot reported that the oil temperature was extremely high and that the engine was having a problem producing power. A postaccident engine examination revealed metal particles in the engine oil, oil pump, and oil sump. The oil was black and smelled burnt. Coating was peeling off of the No. 5 cylinder wall. Energy dispersive spectroscopy analysis of the cylinder base metal produced a spectrum consistent with a steel alloy; the spectrum of the coating was consistent with a nickel-silicon carbide. It is likely that the coating was peeling either due to improper base metal preparation or contamination of the cylinder wall before it was coated, which resulted in poor bond strength between the coating and inner wall of the barrel. The metal particles from the peeled coating contaminated the engine oil and resulted in the partial loss of power.

Factual narrative

On May 11, 2015, about 2015 central daylight time, the engine on a Piper PA-25-235, N7279Z, overheated and lost partial power. The pilot was unable to maintain altitude and was forced to make an emergency landing on a dirt road near Omega, Oklahoma. During the landing roll, the left wing struck a fence, crushing the leading edge and spinning the airplane around. The pilot was not injured. The airplane was registered to and operated by a private individual under the provisions of 14 Code of Federal Regulations Part 137 as an aerial application flight. Visual meteorological conditions prevailed at the time of the accident, and no flight plan had been filed. The local flight originated from Watonga Regional Airport (KJWG), about 1930.The pilot told a first responder and a Federal Aviation Administration (FAA) inspector that the oil temperature was extremely high and the engine was having a problem making power. The recovery crew said there was fuel in the fuel tanks. The accident site was on County Road E 830, about 0.2 miles east of County Road N2680 in Omega, Oklahoma, or about 11.2 miles east and 2 miles south of Watonga, Oklahoma. On June 17, 2015, the engine was examined at Air Salvage of Dallas, Lancaster, Texas, under the auspices of the National Transportation Safety Board. The investigator reported finding metal particles in the engine oil, oil pump, and oil sump. On July 31, the investigator partially disassembled the engine and said the number 2 compression piston ring on the number 4 piston had a broken ring. The number 5 cylinder had chrome peeling off the cylinder wall. He noted the piston rings were also chrome plated. There was evidence of a light oil leak on the top back section of the engine. The oil was black and smelt "burnt." According to the maintenance logbook, the engine, a Lycoming O-540-G1A5, serial number L-23273-40, was manufactured on July 9, 1981. The following are pertinent entries: • August 1, 1981: The engine was installed in N8731L • February 13, 1992: The engine was removed from N8731L. Engine total time was 858.9 hours. • September 20 1993: The engine was installed in N7279Z. Tachometer time was 4,233.0 hours, and engine total time was 859.9 hours. • August 1, 2006: The engine was overhauled using six ECI nickel carbide cylinders. Tachometer time was 5,042.0 hours, and engine total time was 1,613.81 hours • April 28, 2011: Six new ECI nickel carbide cylinders were installed. Tachometer time was 5,252.5 hours, and engine total time was 1,824.31 hours. • July 5, 2013: Cylinders 1 and 2 were removed, honed, re-ringed, and reinstalled. Tachometer time was 5,320.71 hours, and engine total time was 1,892.52 hours. Other entries between these dates were routine annual and 100-hour inspections. At the time of the accident, the tachometer read 5,448.16 hours, and the engine had accrued 2,019.97 hours since new. Cylinder and piston number 5 and associated rings were removed and shipped to the National Transportation SafetyBoard's Materials Laboratory for metallurgical examination. According to its report, dated February 22, 2016, the cylinder was manufactured by Engine Components, Inc., or ECi. The coating on the upper surface of the cylinder barrel had peeled away. The thickness of the coating measured approximately 0.0058 inch. Energy dispersive spectroscopy (EDS) analysis of the cylinder (base metal) produced a spectrum that contained a major elemental peak of iron and minor elemental peaks of nickel, chromium, silicon, and carbon, consistent with a steel alloy. The spectrum of the coating contained a major elemental peak of nickel and minor elemental peak of silicon, carbon, and oxygen, consistent with a nickel silicon carbide A wedge test, using the tip of a screw driver, revealed the inner coating could be peeled away from the top half portion of the barrel, ranging from "easy" to "moderate," but the inner coating could not be removed from the bottom half portion of the barrel.

Aircraft

Registration
N7279Z
Reported as
Piper PA-25-235
Category
Airplane
Serial number
25-3219
Built
1965
Airframe hours
5,396
Engine
Lycoming O-540-B2B5, 235 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · March 18, 2015
Departed
KJWG · Watonga, OK
Destination
KJWG · Watonga, OK
Equipment
Stall warning system, Handheld GPS

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
56
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
March 3, 2015
Seat
Single
Restraint
5-point
Flight hours
1,600 total · 900 in this make and model · 70 in the last 90 days

Weather

Conditions
Visual (VMC) · Dusk
Wind
350° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
59 °F, dew point 50 °F
Altimeter
30.20 inHg
Observed at
KJWG, 11 nm away

Docket · 6

The files NTSB released with the investigation on March 18, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.7 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.