CEN22LA225

NTSB accident investigation · Piper PA-22-160 · Roanoke, TX · May 27, 2022

Accident · No injuriesClass 4 · LimitedFinal report
Date
May 27, 2022, 09:40 local (14:40 UTC)
Place
Roanoke, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N8926DPiper PA-22-160
Defining event
Landing-landing roll: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Central Region
Parties
FAA NTX FSDO
FAA report
20220527022229A
Case key
105187

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

Inadequate maintenance of the airplane’s brake system that resulted in a hole in the brake line, the loss of brake fluid, and the subsequent loss of brake functionality.

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.

Misc hardware: hoses and tubesAircraft › Fluids/misc hardware · Not serviced/maintainedPiper PA-22-160: 1 caseAll aircraft: 40 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 reported that he was conducting a local pattern flight and performing touch and goes when during his second landing when he applied the brakes to slow down, the brakes did not respond. The pilot used the emergency break handle to stop but got no response. The pilot then steered the airplane into the grass adjacent to the runway to slow down. During the excursion, the left main landing gear struck a hole in the grass causing the aircraft to stop abruptly and nose over coming to rest inverted. The airplane sustained substantial damage to the forward fuselage and wings. A postaccident examination of the airplane revealed a small hole in left brake line and the line in that area was chaffed. The line transitioned from the airplane fuselage to the landing gear and brakes through a jagged hole in a metal support bulkhead. The hole did not possess a barrier or material to prevent rubbing of the break line. A review of the airplane’s maintenance logs did not show any entries regarding the brakes or any damage to the left brake line area. It is likely that the hole in the brake line existed for some time before it leaked enough fluid to cause the brakes to malfunction during the accident flight. According to a manufacturer’s engineering diagram, there should have been a grommet installed (Part Number: AN331-6-10) in the bulkhead hole that the brake line passed through. The part was designed to protect the brake line from chaffing. The pilot reported that there were no indications of a brake issue when he did his preflight.

Aircraft

Registration
N8926D
Reported as
Piper PA-22-160
Category
Airplane
Serial number
22-6083
Built
1958
Airframe hours
2,000
Engine
Lycoming O-320-B2A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Hashley Gary L
Registered owner
Hashley Gary L
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 1, 2022
Departed
MWL · Mineral Wells, TX
Destination
Same as departure
Airport
52F · Northwest Regional, runway 17, 3,500 × 75 ft, asphalt
Equipment
Stall warning system, ADS-B

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
59
Injuries
None
Certificates
Airline transport, Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
February 1, 2022
Seat
Left
Restraint
3-point
Flight hours
11,300 total · 200 in this make and model · 30 in the last 90 days · 5 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 45 °F
Altimeter
30.05 inHg
Observed at
KAFW, 5 nm away
METAR
KAFW 271553Z VRB03KT 10SM CLR 28/07 A3005 RMK AO2

Docket · 4

The files NTSB released with the investigation on February 23, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.6 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 N8926D · 1

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