- Date
- October 20, 2020, 20:20 local (Oct 21, 2020, 01:20 UTC)
- Place
- Buda, TX
- Injuries
- 2 uninjured
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N5932UPiper PA28
- Defining event
- Enroute: Loss of engine power (total)
- Weather
- Visual (VMC) · Night
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 3
- NTSB office
- Central Region
- Parties
- Flight Standards District Office
- FAA report
- 20201020018759A
- Case key
- 102197
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
An improperly torqued oil line fitting during an engine overhaul, which resulted in oil exhaustion and a total loss of engine power.
Findings · 5
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
During a night training flight, the flight instructor and student pilot experienced a total loss of engine power and executed a forced landing onto rough terrain, which damaged the airplane’s right-wing spar. Postaccident examination of the airplane revealed a nearly empty oil reservoir and oil residue on the underside of the fuselage and elevator, with significant thermal damage to the engine. The examination also found a disconnected oil line fitting. No material or structural anomalies were noted with the oil line or fitting. The engine had been recently overhauled, and the two mechanics who performed the overhaul stated it was very possible that they did not properly torque the oil line fitting. Following the accident, the overhaul facility implemented a requirement to torque seal applicable components to help ensure compliance with torque specifications.
Factual narrative
On October 20, 2020, about 2020 central daylight time, a Piper PA-28-140 airplane, N5932U, was substantially damaged when it was involved in an accident near Buda, Texas. The flight instructor and student pilot were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 flight. The flight instructor stated that while in cruise flight during the night training flight, the engine started to lose rpm, vibrate, and subsequently lost all power. During the descent, the flight instructor and student coordinated to select the closest runway and attempted to land at a private airport. After noticing the airplane was not able to the glide to the runway, the flight instructor conducted a forced landing onto rough terrain, which damaged the right-wing spar. A postaccident examination revealed significant thermal damage to the engine, a nearly empty oil reservoir, and a disconnected oil line fitting to the oil pressure indicator. Oil residue was trailing on the underside of the fuselage and the bottom of the elevator surface. Examination of the oil line fitting revealed no material or structural anomalies with the oil line or fitting. The accident was the airplane’s second flight following an engine overhaul due to a propeller strike. The two mechanics who conducted the overhaul stated that since both were involved and no procedure was in place to “verify all lines” were torqued properly, it was very possible the oil line fitting may have been missed. Following the accident, the overhaul facility implemented a requirement to torque seal applicable components during an overhaul to ensure compliance with torque specifications. This best practice is described in NTSB Safety Alert SA-056, “Take Time to Torque” (available at https://www.ntsb.gov/Advocacy/safety-alerts/Documents/SA-056.pdf) as well as in a maintenance article highlighting the importance of proper torque protocols that was published in the July 2018 FAA Safety Brief (located in the docket for this investigation).
Aircraft
- Registration
- N5932U
- Reported as
- Piper PA28 (140)
- Category
- Airplane
- Serial number
- 28-7125143
- Built
- 1971
- Airframe hours
- 7,960
- Engine
- Lycoming O-320, 160 hp, reciprocating
- Damage
- Substantial damage
- Flight
- Instructional · Part 91
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · September 21, 2020 · 3 hours before
- Departed
- 1T8 · Bulverde, TX
- Destination
- KAUS · Austin, TX
- Flight plan
- VFR
- Equipment
- ADS-B, Handheld GPS, 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 · 2
As NTSB recorded them. NTSB leaves out names.
- Role
- Flight instructor
- Age
- 51
- Injuries
- None
- Certificates
- Flight instructor, Commercial
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 3, Without waivers/limitations
- Last flight review
- December 12, 2019
- Seat
- Right
- Restraint
- Lap only
- Flight hours
- 775 total · 491 in this make and model · 687 as pilot in command · 190 in the last 90 days · 54 in the last 30 days · 1 in the last 24 hours
- Role
- Student pilot
- Age
- 39
- Injuries
- None
- Certificate
- Student
- Medical
- Class 3, Without waivers/limitations
- Seat
- Left
- Restraint
- Lap only
- Flight hours
- 54 total · 54 in this make and model · 1 as pilot in command · 23 in the last 90 days · 8 in the last 30 days · 0 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Night
- Wind
- 140° at 7 knots
- Visibility
- 10 statute miles
- Temperature
- 82 °F, dew point 66 °F
- Altimeter
- 29.93 inHg
- Observed at
- KAUS, 16 nm away
- METAR
- KAUS 210053Z 14007KT 10SM FEW060 FEW150 28/19 A2993 RMK AO2 SLP125 T02780189
Docket · 6
The files NTSB released with the investigation on April 28, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 33.8 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 N5932U · 1
Matched to the same aircraft by N-number and date.