CEN16LA227

NTSB accident investigation · Piper PA 28R-200 · Bowie, TX · June 20, 2016

Accident · No injuriesLimited investigationFinal report
Date
June 19, 2016, 20:45 local (Jun 20, 2016, 01:45 UTC)
Place
Bowie, TX
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9336NPiper PA 28R-200
Defining event
Enroute-descent: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report May 1, 2017
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20160619010499A
Case key
93422

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 inadequate maintenance and inspection of the throttle control arm, which resulted in its in-flight separation and the subsequent loss of engine power.

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 commercial pilot reported that he had just completed a cross-country flight and had been cleared for the approach when, during the descent, the engine did not respond when he pulled back on the throttle. When the pilot enriched the fuel/air mixture, the manifold pressure decreased, and the engine lost power. The pilot conducted a forced landing to a field, during which the airplane's wing sustained substantial damaged. The examination of the engine revealed that the throttle control arm, which was original hardware to the airplane, was separated from the joint assembly. Additionally, the female end of the throttle arm exhibited elongation at the linkage attachment point and was consistent with wear developing over time. An examination of the airplane, engine, and remaining systems revealed no other anomalies that would have precluded normal operation. The airplane manufacturer had issued a nonmandatory service letter (SL) recommending that the throttle arm and joint assembly be replaced with a new refinement kit if any indication of wear existed; a review of the engine logbooks found no record of compliance with the SL. Although the pilot reported that the airplane's last inspection was an annual inspection, he did not provide the date of the inspection, and it was not noted in the logbook. Given the condition of the throttle linkage attachment, it is likely that the inspection of the throttle linkage attachment was either not performed or was inadequate. Investigators were unable to determine what the exact state of the throttle arm was at the last inspection.

Factual narrative

On June 19, 2016, about 2045 central daylight time, a Piper PA 28R-200 airplane, N9336N, was substantially damaged during a forced landing to a field near Bowie, Texas. The commercial pilot and two passengers were not injured. The airplane was registered to and operated by a private individual under the provisions of 14 Code of Federal Regulations Part 91 on an instrument flight rules flight plan. Night visual meteorological conditions prevailed for the personal flight. The flight departed Epply Airfield (OMA), Omaha, Nebraska, about 1615 and was en route to Bowie Municipal Airport (0F2), Bowie, Texas. According to the written statement submitted to the National Transportation Safety Board (NTSB) by the pilot, he had been cleared for the RNAV 17 approach to 0F2 with a descent to 4,000 feet mean sea level (msl). The pilot reported that he "pulled back the throttle with no response from the engine." He reported the situation to air traffic control but stated that it was manageable and did not declare an emergency. About four miles from the airport the pilot enrichened the engine's fuel/air mixture at which time the manifold pressure decreased and the engine lost power. A line of trees and a small lake were in front of the flight path so the pilot elected to perform a forced landing towards a road and open field. According to the Federal Aviation Administration (FAA) inspector who responded to the accident, the airplane's right wing sustained substantial damage during the forced landing. And examination of the engine found that the throttle control arm was separated from the joint assembly. Further examination revealed that the throttle control arm was original hardware to the airplane (part number 31747-00). The female end of the throttle arm exhibited elongation at the attachment point. An examination of the airframe, engine, and remaining systems revealed no other anomalies that would have precluded normal operation. Piper Aircraft Corporation service Letter No. 747, titled 'Inspection of Throttle and Mixture Control Attachments', dated May 28, 1975, recommends that the throttle arm and joint assembly be replaced with a new refinement kit if any indication of wear existed. The Service Letter noted "careful inspection of throttle and mixture control attachments is normal maintenance and is a requirement of both standard Piper Period Inspections and the Piper Program Inspection Procedures." According to the FAA inspector, he examined the logbooks and found no record of compliance with this service letter. According to the accident report form submitted by the pilot, the last inspection performed was an annual type; however, no date for that inspection was provided. Investigators were unable to determine why the service letter was not complied with or what the exact state of the throttle arm was at the last inspection.

Aircraft

Registration
N9336N
Reported as
Piper PA 28R-200
Category
Airplane
Serial number
28R-35036
Built
1969
Engine
Lycoming IO360, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Departed
KOMA · Omaha, NE
Destination
0F2 · Bowie, TX
Flight plan
IFR
Equipment
Onboard weather, Handheld GPS, Electronic flight bag or handheld device, Auto-pilot, 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
44
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
August 17, 2015
Seat
Right
Restraint
4-point
Flight hours
1,380 total · 390 in this make and model · 1,014 as pilot in command · 316 in the last 90 days · 103 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 72 °F
Altimeter
30.12 inHg
Observed at
0F2

Docket · 5

The files NTSB released with the investigation on February 16, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.4 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.