CEN22LA344

NTSB accident investigation · Piper PA-32RT-300T · Dallas, TX · July 28, 2022

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
July 28, 2022, 14:38 local (19:38 UTC)
Place
Dallas, TX
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3027JPiper PA-32RT-300T
Defining event
Enroute: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration, North Texas FSDO
FAA report
20220728022199A
Case key
105619

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

Maintenance personnel’s inadequate maintenance of the magneto, which resulted in a loss of engine ignition, a loss of engine power, and a subsequent forced landing.

Findings · 3

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.

Ignition system: magneto/distributorAircraft › Aircraft power plant · Incorrect service/maintenancePiper PA-32RT-300T: 2 casesAll aircraft: 101 casesProbable cause
Record-keeping: aircraft/maintenance logsPersonnel issues › Task performance · Maintenance personnelPiper PA-32RT-300T: 1 caseAll aircraft: 21 cases
Ignition system: magneto/distributorAircraft › Aircraft power plant · InoperativePiper PA-32RT-300T: 2 casesAll aircraft: 101 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 declared an emergency to air traffic control after the airplane’s engine began to run rough while en route to the destination airport. He received radar vectors to an alternate airport but was unable to reach that airport. During the subsequent off-airport landing, the airplane impacted trees and sustained substantial damage to the wings and fuselage. Postaccident examination of the airplane revealed the magneto case’s cover screws were loose and there was corrosion present on the magneto housing. The corrosion would have resulted in the magneto’s capacitors not properly grounding to the magneto case due to the corrosion, which also resulted in electrical arcing near the points and melting that was found on the cam follower. Without a proper attachment of the magneto case due to the loose cover screws, there would have been a slight case separation that would result in a simultaneous failure of both magneto sides due to a lack of ground. A review of airframe logbooks showed that there was no logbook entry, as required by regulation, stating that the magneto was removed and replaced after a 500-hour inspection of the magneto was performed by a repair station. An invoice from a maintenance facility to the pilot stated that the magneto was removed and replaced for a 500-hour inspection. The repair station’s Airworthiness Approval Tag for the magneto stated that the installer of the magneto must comply with the magneto manufacturer’s Service Bulletin SB651, which was not performed based on the corrosion and electrical arching found during the postaccident examination.

Factual narrative

On July 28, 2022, at 1438 central daylight time, a Piper PA-32RT-300T, N3027J, was substantially damaged when it was involved in an accident near Dallas, Texas. The pilot sustained serious injuries. The airplane was operated under Title 14 Code of Federal Regulations (CFR) Part 91 as a personal flight. The pilot reported to air traffic control (ATC) that the airplane had a rough running engine and declared an emergency. ATC then provided flight radar vectors to Dallas Executive Airport (RBD), Dallas, Texas. The pilot advised ATC that he would be unable to reach RBD, and he was going to land in trees. The airplane landed about 0.5 miles southwest of RBD and was substantially damaged when it impacted trees and terrain. Postaccident examination of the airplane revealed that the engine was equipped with a dual magneto, in which the left and right magnetos were housed in a single casing. The magneto case had a yellow tag affixed to it with the following information: Continental Motors, Inc., type: D6LN-3000, part number: 10-682560-13 serial number: G199915GR. The magneto case also had a blue tag affixed to it with identifying information of a 14 CFR Part 145 repair station. Postaccident examination of the magneto revealed all four of the magneto case screws were loose before the case was opened. Grounding of the magneto halves and its capacitors occurred through the magneto case. Upon opening the case, the cam follower for the right side of the magneto assembly was melted, which would not provide clearance for the contact point. The left side of the magneto assembly did not exhibit melting or electrical arcing, and its contact point clearance was 0.008 in. According to the magneto manufacturer’s maintenance information, the contact point clearance is specified as 0.016 +/-0.002 in. The magneto capacitors that were installed at the time of the accident were tested and found to be within the magneto manufacturer’s specifications. The magneto case was reassembled in preparation for an initial bench test of the magneto. During the test, there was no ignition on the right side and very intermittent, almost nonexistent, ignition from the left side. The test leads were then swapped so that the left side was operating off the right capacitor and the right side was operating off the left capacitor; no ignition was produced. Examination of the magneto afterward revealed that the left-side cam follower began to melt. In preparation of a second bench test, the magneto’s left-side contact point clearance was then re-gapped to 0.018 and good test capacitors were used with test leads bypassing the installed capacitors. During the test, the ignition from the left side of the magneto functioned normally. In preparation for a third bench test, the test capacitors that were used for the second bench test were disconnected and the leads from the original capacitors from the time of the accident were reconnected. During the test, intermittent ignition was produced again.When a separate ground lead was connected directly to the left-side capacitor to bypass the magneto case, the ignition from the left side of the magneto functioned normally. The right-side capacitor was then tested in the same manner, and the ignition from the right side functioned normally. When the direct ground wire was removed, ignition was almost nonexistent, and arcing was observed melting the cam follower. The left capacitor was then removed from the magneto case and corrosion was noted on the inner and outer portions of the case, which provided a ground to the capacitor. Teledyne Continental Service Bulletin (SB) 651 provides capacitor information and installation for D-2000 and D-3000 series magnetos, which states the following warning: “High resistance or discontinuity between the capacitor and the remainder of the magneto will result in destruction of the contact assembly, loss of ignition, and loss of engine power.” The SB further states: “When a magneto is removed from an engine for replacement, its capacitors are sometimes left on the engine with the separated harness. If the reason for the original magneto's removal originated in the capacitor circuit, but the capacitors are not changed, the same symptoms can be expected to recur with the replacement magneto.” “If either the ground return path or the flag terminal lead path presents high resistance, arcing will occur at the points. Arcing causes the points to overheat, which also overheats the spring to which one of the points is attached. The nylon cam follower then melts where it bears against the hot spring.” The airplane tachometer indication at the time of the accident was 2,876.6 hours. A review of maintenance records showed that the last annual inspections of the airframe and engine were dated July 2, 2021, with a tachometer time of 2,876.3 hours. An invoice to the pilot from a maintenance facility, dated May 22, 2021, with a tachometer time of 2,876.2 hours, showed that the magneto was removed and replaced for a 500-hour inspection. There were no corresponding entries, as required by regulation, in the engine logbook for the magneto removal and installation. An Airworthiness Approval Tag, Federal Aviation Administration Form 8130-3, for the magneto’s 500-hour inspection by the repair station identified by the blue tag affixed to the magneto case, stated that the installer must comply with SB651.

Aircraft

Registration
N3027J
Reported as
Piper PA-32RT-300T
Category
Airplane
Serial number
32R-7987075
Built
1978
Airframe hours
2,876.3
Engine
Lycoming TIO-540-S1AD, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 2, 2021
Departed
GKY · Arlington, TX
Destination
TKI · McKinney, TX
Airport
RBD · Dallas Executive Airport
Equipment
Auto-pilot, ADS-B, 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
67
Injuries
Serious
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
January 21, 2021
Seat
Left
Restraint
3-point
Flight hours
33,000 total · 360 in this make and model · 24,000 as pilot in command · 10 in the last 90 days · 4 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 11 knots, gusting 17
Visibility
10 statute miles
Lowest ceiling
None
Temperature
99 °F, dew point 63 °F
Altimeter
29.95 inHg
Observed at
RBD, 0.5 nm away

Docket · 6

The files NTSB released with the investigation on November 15, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 34.5 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.