CEN18LA299

NTSB accident investigation · Piper PA28 · Columbia, IL · July 28, 2018

Accident · Serious injuriesLimited investigationFinal report
Date
July 28, 2018, 12:25 local (17:25 UTC)
Place
Columbia, IL
Injuries
3 serious, 1 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N624FLPiper PA28
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report September 14, 2020
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20180728018179A
Case key
97921

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The airplane's inability to climb due to reduced engine power as a result of insufficient compression in all cylinders and fouled spark plugs in the No. 2 cylinder while operating near its maximum gross weight.

Findings · 4

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.

Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Fatigue/wear/corrosionPiper PA-28-140: 6 casesAll aircraft: 373 casesProbable cause
Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Not serviced/maintainedPiper PA-28-140: 6 casesAll aircraft: 373 casesProbable cause
Aircraft capability: maximum weightAircraft › Aircraft oper/perf/capability · Not specifiedPiper PA-28-140: 4 casesAll aircraft: 152 casesProbable cause
Object/animal/substance: wireEnvironmental issues › Physical environment · Contributed to outcomePiper PA-28-140: 4 casesAll aircraft: 588 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

During the pilot's departure for the local flight, witnesses observed the airplane climbing at a shallower attitude than normal. The airplane appeared to level off and then contacted transmission lines about 1/2 mile from the departure end of the runway, which resulted in substantial damage to the airplane. A postaccident examination of the engine found fouled sparkplugs in cylinder No. 2 and a compression check of all the cylinders revealed that they were all below 60 psi. Cylinder No. 2 was at 18 psi, and the other three cylinders were about 50 psi. An engine manufacturer's service letter stated if the pressure reading is below 60 psi, removal and overhaul of the cylinders should be considered. A weight and balance calculation revealed that the airplane was operating near its maximum gross weight. The circumstances of the accident are consistent with the partial loss of engine power due to low compression in all of the cylinders and fouled sparkplugs in the No. 2 cylinder. The loading of the airplane near its maximum gross weight combined with a reduction in available engine power likely did not allow for the airplane to climb normally.

Factual narrative

***This report was modified on September 3, 2020. Please see the docket for this accident to view the original report.*** On July 28, 2018, about 1225 central daylight time, a Piper PA-28-140 airplane, N624FL, was substantially damaged when it was involved in an accident near Columbia, Illinois. The pilot and two passengers were seriously injured, and one passenger sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 as a personal flight. According to information obtained by the responding Federal Aviation Administration (FAA) inspector, the airplane departed runway 3 at Sackman Field (H49) and was en route to Alton, Illinois. Witnesses told the FAA they observed the airplane depart the airport and climb at a shallower than normal attitude. The airplane appeared to level off as it continued away from the airport until it contacted transmission lines about 1/2 mile from the departure end of the runway. The FAA inspectors postaccident examination of the airframe did not find any anomalies which would have precluded normal operation. An examination of the engine conducted by the FAA inspector found fouled sparkplugs in cylinder No. 2 and a compression check of all the cylinders found low compression on each. (The No. 1 cylinder compression was 50 psi, the No. 2 cylinder compression was 19 psi, the No. 3 cylinder compression was 52 psi, and the No. 4 cylinder compression was 50 psi.) A borescope and visual inspection of the No. 2 cylinder did not detect the reason for its low compression. Lycoming Service Instruction 1191A states that "if the pressure reading for all cylinders is equal and above 70 psi; the engine is satisfactory; less then 65 psi indicates wear has occurred and subsequent compression checks should be made at 100 hour intervals to determine rate and amount of wear. If the pressure reading is below 60 psi …, removal and overhaul of the cylinders should be considered." The instruction also states that low pressure in a single cylinder is indicative of air passing by the piston or valve. In addition, the FAA inspector performed a weight and balance calculation with the occupants' weights obtained by first responders and verified by the pilot. The calculation revealed that the airplane was near the airplane's maximum gross weight.

Aircraft

Registration
N624FL
Reported as
Piper PA28 (140)
Category
Airplane
Serial number
28-7125513
Built
1971
Airframe hours
6,719
Engine
Lycoming O-320 SERIES, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 15, 2017 · 66 hours before
Departed
H49 · Columbia, IL
Destination
H49 · Columbia, IL
Airport
H49 · Sackman Field, runway 03, 2,450 × 150 ft, grass/turf

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
Flight instructor
Age
36
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3
Last flight review
March 28, 2015
Seat
Right
Flight hours
243 total · 200 in this make and model · 11 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
11,000 ft broken
Temperature
79 °F, dew point 63 °F
Altimeter
30.13 inHg
Observed at
KCPS, 7 nm away

Docket · 5

The files NTSB released with the investigation on July 2, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 610 KB 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 N624FL · 1

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