CEN24LA378

NTSB accident investigation · Piper PA32 · Caro, MI · September 30, 2024

Accident · No injuriesClass 3 · LimitedFinal report
Date
September 30, 2024, 12:30 local (16:30 UTC)
Place
Caro, MI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N31407Piper PA32
Defining event
Approach-VFR pattern final: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report August 20, 2026
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA-FSDO
FAA report
20240930019629A
Case key
195234

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

A total loss of engine power due to maintenance personnel’s failure to properly tighten the fuel supply line B-nut at the fuel servo.

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.

Maintenance: installationPersonnel issues › Task performance · Maintenance personnelPiper PA-32-300: 3 casesAll aircraft: 371 casesProbable cause
Engine fuel and control: fuel pumpAircraft › Aircraft power plant · Incorrect service/maintenancePiper PA-32-300: 2 casesAll aircraft: 34 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 airplane had been in maintenance for 2 years before the accident flight, during which the engine crankcase was repaired and a new fuel servo was installed. After the work was completed, the mechanic asked the pilot to fly the airplane for 5 hours in the local area, after which he would inspect the engine again. Before the flight, the pilot performed a preflight inspection and added fuel to the tip tanks and the right main fuel tank. He taxied to the runway and performed a run-up inspection, during which he noted an excessive drop in rpm on one of the magnetos. He added power, leaned the fuel mixture and ran the engine for about 2 minutes. A second magneto check indicated no anomalies. After takeoff, the pilot continued in the traffic pattern and, as he reduced the throttle on the downwind leg, the fuel flow decreased from 18 gallons per hour (gph) to about 15 gph. On final approach he increased the throttle and the engine did not respond. He then applied full power with no response from the engine and subsequently pitched the airplane for the best glide speed (87 knots). The airplane cleared the trees at the end of the runway and impacted the grass about 200 yards short of the runway. As it touched down, the left main landing gear separated, and the airplane veered left and came to rest in a ditch. The airplane sustained substantial damage to the right horizontal stabilizer and both wings. A postaccident examination of the engine revealed that, when the electric fuel pump was turned on, no fuel flowed from the injectors and a fuel leak was observed at the fuel servo. Further examination revealed the B-nut on the line from the fuel servo to the flow divider was loose at the fuel servo fitting. After the B-nut was tightened (between 1 and 1.5 turns), no leak was observed and fuel flowed evenly from all six injector nozzles. Several other engine connections were found only finger tight, including the No. 1 upper spark plug, the No. 3 lower spark plug, and the No. 4 fuel injector nozzle. A compression check revealed air leakage from cylinder Nos. 1, 4, 5, and 6. Based on the examination findings, the total loss of engine power likely resulted from the loose B-nut on the fuel line connection at the fuel servo, which allowed fuel to leak and prevented fuel from reaching the injector nozzles. Because the accident flight was the first flight following the maintenance and the fuel servo had recently been replaced, it is also likely that maintenance personnel did not adequately tighten the B-nut during maintenance.

Factual narrative

On September 30, 2024, about 1230 eastern daylight time, a Piper PA-32-300 airplane, N31407, was substantially damaged when it was involved in an accident near Caro, Michigan. The pilot was uninjured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 test flight. According to the pilot, the airplane had undergone maintenance over the previous two years, during which the engine was overhauled. Upon completion of the maintenance, the mechanic asked the pilot to fly the airplane for 5 hours in the local area; he would then remove the cowling and reinspect the engine. On the day of the accident, the pilot performed an extensive preflight inspection and added fuel to the tip tanks and the right main fuel tank. He taxied to the end of the runway and performed a run-up inspection. According to the pilot, one of the magnetos had an “overly extensive drop in RPMs.” He added power, leaned the fuel mixture, and ran the engine for about 2 minutes. The pilot then performed another magneto check that indicated no anomalies. He turned the fuel pump on, selected the right main fuel tank, and taxied onto the runway. The takeoff was normal, and the pilot continued on the crosswind and downwind legs of the traffic pattern. As the pilot reduced the throttle on the downwind leg, he noticed the fuel flow decreased from 18 gph to about 15 gph. He continued onto the base leg and then, on final approach, he increased the throttle and the engine did not respond. The pilot applied full power with no response from the engine and then pitched the airplane for the best glide speed (87 knots). The airplane cleared the trees at the end of the runway and then remained “just above stall” until it impacted the grass about 200 yards short of the runway. The left main landing gear separated, and the airplane veered to the left coming to rest in a ditch. The airplane sustained substantial damage to the right horizontal stabilizer and both wings. A postaccident examination of the airplane revealed the presence of fuel in both main fuel tanks and the left auxiliary tank; it was blue in color and had an odor similar to 100LL aviation fuel. The right auxiliary tank ruptured during the accident sequence. Fuel was drained from the fuel strainer, and a small amount of black contamination was observed. Examination of the engine revealed that the No. 1 upper spark plug and the No. 3 lower spark plug were finger tight. Additionally, the No. 4 fuel injector nozzle was finger tight in the cylinder. When the electric fuel pump was turned on, no fuel flowed from the injectors and a fuel leak was observed at the fuel servo. The fuel pump was shut off and the B-nut on the line from the fuel servo to the flow divider was found to be loose at the fuel servo fitting. The B-nut was tightened (between 1 and 1.5 turns), and the fuel pump was turned back on. No leak was observed and fuel flowed evenly from all six injector nozzles. A compression check was performed on the engine.As the propeller was rotated by hand, air leakage was noted on cylinder Nos. 1, 4, 5, and 6. All six cylinders were inspected with a borescope; all showed crackling in chrome plating. The valve seats on cylinder Nos. 1, 4, 5, and 6 showed evidence consistent with leakage. A dipstick check of the oil confirmed 10 quarts of oil in the engine; a sample was drained from the sump drain valve with no contaminants observed. The oil filter was removed and cut open; contaminants were observed in the filter pleats. A review of the engine logbook revealed an annual inspection was completed five days before the accident after completion of the repairs. The entry for the inspection specified that the engine crankcase was repaired due to a bearing failure corresponding to the statement from the pilot regarding the two years of maintenance. The entry further stated that new main bearings, a gasket set, and new ball bearings were installed; the fuel servo was also “exchanged” from the manufacturer. According to the entry, the engine was run on the ground for 15 minutes, checked for leaks, and run for another 15 minutes. No anomalies were noted in the logbook entry.

Aircraft

Registration
N31407
Reported as
Piper PA32 (300)
Category
Airplane
Serial number
32-7840130
Built
1978
Engine
Lycoming IO-540, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 27, 2024
Destination
Same as departure
Airport
CFS · Tuscola Area Airport, runway 06, 4,302 × 75 ft, asphalt
Equipment
Satellite tracking device, Handheld GPS, Auto-pilot

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
44
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Sport pilot, Without waivers/limitations
Last flight review
December 13, 2023
Seat
Left
Restraint
3-point
Flight hours
1,111 total · 487 in this make and model · 1,072 as pilot in command · 8 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 6 knots
Visibility
10 statute miles
Temperature
75 °F, dew point 57 °F
Altimeter
29.99 inHg
Observed at
KCFS
METAR
KCFS 302035Z AUTO 11006KT 10SM SCT039 24/14 A2999 RMK AO2 T02360142

Docket · 6

The files NTSB released with the investigation on August 20, 2026, on NTSB’s docket system: statements, records, photos and specialists’ reports. 195 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 N31407 · 1

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