CEN19LA265

NTSB accident investigation · Piper PA28 · Fairhope, AL · July 30, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 30, 2019, 16:30 local (21:30 UTC)
Place
Fairhope, AL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N6754JPiper PA28
Defining event
Enroute: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20190730014909A
Case key
100043

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

Failure of the No. 3 exhaust valve and the subsequent loss of engine power due to engine operation with an excessively lean fuel mixture over a period of time.

Findings · 2

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 engine power sectionAircraft › Aircraft power plant · Damaged/degradedPiper PA-28-140: 3 casesAll aircraft: 233 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · PilotPiper PA-28-140: 15 casesAll aircraft: 1,386 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 flight instructor and student pilot had performed several touch-and-go landings; after the final landing, they departed for another airport. Shortly after takeoff, the engine started to vibrate severely and then lost power. The instructor performed a forced landing in a field, which resulted in substantial damage to the airplane's left wing. Postaccident engine examination revealed a failed No. 3 cylinder exhaust valve and extensive erosion on the No. 4 cylinder exhaust valve. The engine had accumulated 2,600 hours since the last overhaul, which was 600 hours beyond the manufacturer's recommended time before overhaul. The flight instructor reported that the leaning technique used while the airplane was on the ground was to lean the mixture during taxi or engine idle. For the engine run-up, they would use a full rich mixture. He added that during flight maneuvers at or below 3,000 ft mean sea level, they would not lean the mixture. However, the exhaust valve erosion is consistent with the engine being operated with an excessively lean fuel mixture over an extended period.

Factual narrative

On July 30, 2019, about 1630 central daylight time, a Piper PA28-140 airplane, N6754J, conducted a forced landing after departing the H L Sonny Callahan Airport (CQF), Fairhope, Alabama. The flight instructor and student pilot were not injured, and the airplane sustained substantial damage. The airplane was registered to and operated by Lightning Aviation, LLC under the provisions of Title 14 Code of Federal Regulations Part 91 as an instructional flight. The flight instructor reported that he was preparing the student pilot for his private pilot check ride and they had finished several touch-and-go landings. After the final landing, they planned to return to the Foley Municipal Airport (5R4). Shortly after take-off, the engine started a severe vibration, and then lost power. The instructor then preformed a forced landing in a cornfield, about two miles from the airport. An examination of the airplane by a Federal Aviation Administration inspector, found damage to the airplane's left wing and engine mount. Further examination of the engine's No. 3 cylinder revealed a failed exhaust valve. The examination also found extensive erosion on the No. 4 cylinder exhaust valve. He also noted that the engine had 2,600 hours since the last overhaul, adding that the engine manufacturer's recommended overhaul is 2,000 hours, and the flight school consistently ran the engines past the recommended overhaul time. Figure 1: Failed Exhaust valve FAA photo The flight instructor reported that the leaning technique used while on the ground, was to lean during taxi or engine idle. For the engine runup, they would go to a full rich mixture. He added that during flight maneuvers at or below 3,000 ft msl, they would not lean the mixture.

Aircraft

Registration
N6754J
Reported as
Piper PA28 (140)
Category
Airplane
Serial number
28-24477
Built
1968
Engine
Lycoming O-320 SERIES, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Departed
CQF · Fairhope, AL
Destination
5R4 · Foley, AL

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
Flight instructor
Age
42
Injuries
None
Certificates
Commercial, Flight engineer
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Right
Restraint
3-point
Flight hours
1,004 total · 300 in this make and model · 930 as pilot in command
Role
Student pilot
Injuries
None
Seat
Left
Restraint
3-point

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 5 knots
Visibility
10 statute miles
Temperature
86 °F, dew point 72 °F
Altimeter
30.02 inHg
Observed at
KCQF

Docket · 4

The files NTSB released with the investigation on March 30, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.5 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.