CEN20LA189

NTSB accident investigation · Piper PA28 · Steele, MO · May 22, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
May 22, 2020, 14:15 local (19:15 UTC)
Place
Steele, MO
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N7355WPiper PA28
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA - Saint Louis Flight Standards District Office
FAA report
20200522007119A
Case key
101322

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 loss of oil pressure for a reason that could not be determined leading to failure of the engine connecting rod.

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 eng oil sysAircraft › Aircraft power plant · Unknown/Not determinedPiper PA-28-180: 5 casesAll aircraft: 130 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 pilot stated that during cruise flight, following a low oil pressure indication, the engine started sounding unusual, began shaking violently, and quit. He determined that he would not be able to glide to the nearest airport and executed a forced landing during which, the wing sustained substantial damage. A post-accident examination revealed that the No. 2 cylinder connecting rod was separated from the crankshaft and there was a large hole in the engine crankcase. Examination of the failed connecting rod components revealed that the connecting rod strap failed due to fatigue fractures in both arms of the strap. Fretting damage on the mating surface between the connecting rod and cap indicated movement at the joint. Additionally, there were circumferential marks on the connecting rod strap and galled bearing material indicating that the bearing had spun within the connecting rod. Based on the available information the failure of the connecting rod was likely precipitated by the loss of oil pressure, ultimately resulting in the failure of the connecting rod. The reason for the loss of oil pressure could not be determined.

Factual narrative

On May 22, 2020, about 1415 central daylight time, a Piper PA-28-180, N7355W, was substantially damaged when it was involved in an accident near Steele, Missouri. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot said that while in cruise flight at 3,000 ft mean sea level (msl), he noticed that the oil pressure gauge read zero. Believing that the gauge was faulty, he started a turn to return to the departure airport to have it checked. During the turn, he noticed that the oil pressure came back to normal, but a short time later it went back to zero. Subsequently the engine started sounding unusual, began shaking violently, oil blew onto the windscreen. and the engine quit. When he determined that he would not be able to glide to the nearest airport, he executed a forced landing to a cotton field. The airplane sustained substantial damage to the left wing during the forced landing. Figure 1. Photograph of the airplane at the accident site. During a post-accident examination, oil was present on the exterior of the airplane but no evidence of a preimpact oil leak was discovered. The examination revealed that the No. 2 cylinder connecting rod was separated from the crankshaft and there was a large hole in the engine crankcase. Examination of the failed connecting rod components revealed that the connecting rod strap failed due to fatigue fractures in both arms of the strap. Fretting damage on the mating surface between the connecting rod cap and strap indicated movement at the joint. Additionally, there were circumferential marks on the connecting rod strap and galled bearing material indicating that the bearing had spun within the connecting rod. Figure 2. Photograph of the airplane’s engine showing the broken connecting rod and damage to the engine case. Review of the engine maintenance records indicated that the most recent engine overhaul was completed on September 11, 1998. The most recent annual inspection was completed on May 5, 2020, and the engine had accumulated 1063.77 hours since overhaul as of that date. Lycoming Service Instruction 1009BE, dated April 24, 2020, listed an operating hour time between overhaul of 2,000 hours for the O-360-A3A, however, the service instruction further stated: “All engine models are to be overhauled within twelve (12) calendar years of the date they first entered service or of last overhaul. This calendar year time period TBO is to mitigate engine deterioration that occurs with age, including corrosion of metallic components and degradation of non-metallic components such as gaskets, seals, flexible hoses and fuel pump diaphragms.”

Aircraft

Registration
N7355W
Reported as
Piper PA28 (180)
Category
Airplane
Serial number
28-1235
Built
1963
Engine
Lycoming O-360-A3A, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 5, 2020
Departed
HKA · Blytheville, AR
Destination
POF · Poplar Bluff, MO

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
45
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 1, Without waivers/limitations
Last flight review
January 21, 2019
Seat
Left
Restraint
Lap only
Flight hours
150 total · 116 in this make and model · 111 as pilot in command · 18 in the last 90 days · 10 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 7 knots
Visibility
10 statute miles
Lowest ceiling
4,000 ft broken

Docket · 6

The files NTSB released with the investigation on February 24, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 48.1 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.

Other investigations on N7355W · 1

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