CEN23LA246

NTSB accident investigation · Piper PA46 · College Station, TX · June 18, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 18, 2023, 08:43 local (13:43 UTC)
Place
College Station, TX
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N463HPPiper PA46
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
FAA FSDO
FAA report
20230618007159A
Case key
192399

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 mechanic’s failure to properly secure the oil suction screen plug during recent maintenance, which resulted in an oil leak and subsequent loss of engine power due to oil starvation.

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.

MaintenancePersonnel issues › Task performance · Maintenance personnelPiper PA 46-350P: 3 casesAll aircraft: 143 casesProbable cause
Engine (reciprocating): recip eng oil sysAircraft › Aircraft power plant · Incorrect service/maintenancePiper PA 46-350P: 2 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

While climbing the airplane to cruise altitude after takeoff, the pilot observed an increase in engine oil temperature above the normal range and requested to return to the departure airport. While receiving vectors for an instrument approach, the pilot saw smoke in the cabin and the engine lost total power. Unable to glide to any runway, the pilot selected a field for the forced landing, during which the airplane sustained substantial damage to the wings and fuselage. Postaccident examination revealed that about 2 quarts of oil remained in the engine, and the recovered oil displayed evidence of metal contamination. There was evidence of an oil leak in the engine compartment and along the lower fuselage. There was evidence of a crankcase fracture near the oil dip stick port; however, a laboratory examination determined the fracture to be consistent with overload and likely due to impact-related damage. The engine exhibited no evidence of any loose or disconnected oil lines. The oil filter was removed, and the filter material was found to be saturated with metallic particles. The oil suction screen plug, located on the oil sump, was not secured with safety wire as required per the manufacturer’s maintenance manual. There was no evidence that the plug or required safety wire was damaged by other objects. The oil suction screen plug was found to be loose, with engine oil observed below the oil suction screen plug. The crush washer behind the oil screen plug was intact and exhibited no damage. Laboratory analysis of the metallic debris recovered from the oil suction screen was consistent with connecting rod material as well as steel from fittings, fasteners, and brackets. The metallic debris found in the recovered oil, oil filter, and oil suction screen was likely due to mechanical damage associated with oil starvation. Eleven days before the accident flight, the pilot observed decreased engine manifold pressure and a partial loss of engine power. He diverted to an airport, where he had the turbocharger replaced by an aviation mechanic. In addition to replacing the turbocharger, the mechanic also drained and replaced the engine oil, which included removal and reinstallation of the oil suction screen plug. The loss of engine power was likely due to a loss of oil during the flight that led to oil starvation within the engine. The loose oil suction screen plug, the absence of safety wire on the plug, and the evidence of an oil leak beneath the plug were consistent with the mechanic’s failure to properly secure the oil suction screen plug during recent maintenance.

Factual narrative

On June 18, 2023, about 0843 central daytime time, a Piper PA46-350P airplane, N463HP, was substantially damaged when it was involved in an accident near College Station, Texas. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that, during the climb through 4,000 ft mean sea level (msl), the oil temperature began increasing to 215°F, which was higher than the normal range of 190-200°F. The pilot reduced the airplane’s climb rate to increase cooling, but the oil temperature continued to climb to 230°F. At that time, the pilot requested an instrument clearance back to Easterwood Field Airport (CLL), College Station, Texas. While receiving vectors for the RNAV 11 approach at CLL, the pilot descended to about 2,000 ft msl when he noted smoke in the cabin and a loss of engine power. Unable to glide to any runway, the pilot selected a field to perform a forced landing. The airplane sustained substantial damage to the wings and fuselage during the forced landing. Eleven days before the accident flight, on June 7, 2023, the pilot was conducting a cross-country flight when he observed decreased manifold pressure and a partial loss of engine power. The pilot diverted to CLL, where after troubleshooting, an aviation mechanic told the pilot that the turbocharger required replacement. After the turbocharger was replaced, the mechanic completed an uneventful engine test run. An engine logbook entry dated June 16, 2023, stated that in addition to replacing the turbocharger, the mechanic drained the engine oil, opened the oil filter, and cleaned the oil pickup screen, where a small amount of metal was observed. The oil sump was flushed, and 11 quarts of new oil added to the engine. The maintenance logbook entry noted that after the maintenance, the engine ran normally at 42 inches of manifold pressure. Postaccident examination of the engine was conducted with the assistance of a technical representative from Lycoming Engines. The engine oil sump contained about 2 quarts of oil, and the recovered oil displayed evidence of metal contamination. The oil filter was removed, and the filter material was found to be saturated with metallic particles. There was no evidence of any loose or disconnected oil lines. Engine crankshaft continuity was established with cylinder compression noted on all cylinders except for cylinder No. 6. The sparkplugs exhibited signatures of normal operation. The oil suction screen plug located in the oil sump was found not secured with safety wire as required per the manufacturer’s maintenance manual. There was no evidence that the plug or its required safety wire were damaged by other objects. The oil suction screen plug was found loose, with engine oil observed below the oil suction screen plug. The crush washer behind the oil screen plug was found intact with no damage. A portion of the oil dipstick port and fractured crankcase were submitted foradditional metallurgical examination. The laboratory examination revealed no evidence of material defects in the crankcase material, and the observed fracture features were consistent with overload. Additional laboratory analysis of the metallic debris recovered from the oil suction screen was consistent with connecting rod material as well as steel from fittings, fasteners, and brackets.

Aircraft

Registration
N463HP
Reported as
Piper PA46 (350P)
Category
Airplane
Serial number
4636335
Built
2002
Airframe hours
1,871
Engine
Lycoming TIO-540-AE2A, 350 horsepower, reciprocating
Damage
Substantial damage
Fire
In-Flight
Flight
Personal · Part 91
Registered owner
3 Siblings LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 22, 2023 · 70 hours before
Departed
KCLL · College Station, TX
Destination
KAID · Anderson, IN
Flight plan
IFR
Airport
CLL
Equipment
Data recorder, Auto-pilot, Angle of attack indicator, ADS-B, Stall warning system, Onboard weather

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
37
Injuries
None
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
January 12, 2023
Seat
Left
Restraint
3-point
Flight hours
1,066 total · 189 in this make and model · 1,008 as pilot in command · 101 in the last 90 days · 34 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 12 knots, gusting 19
Visibility
10 statute miles
Lowest ceiling
1,500 ft overcast
Temperature
84 °F, dew point 77 °F
Altimeter
29.77 inHg
Observed at
KCLL, 8 nm away
METAR
METAR KCLL 181353Z 20012G19KT 10SM OVC015 29/25 A2977 RMK AO2 SLP075 T02940250=

Docket · 7

The files NTSB released with the investigation on August 29, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 18.7 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.