CHI89DEC02

NTSB accident investigation · Piper PA-28R-201 · Brighton, MI · January 21, 1989

Accident · Serious injuriesFinal report
Date
January 21, 1989, 12:55 local (17:55 UTC)
Place
Brighton, MI
Injuries
1 serious, 1 minor
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N3536MPiper PA-28R-201
Weather
Visual (VMC) · Day
Status
Completed · report January 22, 1991
Report
Approved by Office Director
FAA report
19890121001019A
Case key
14175

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

Installation of an improper oil drain valve by other maintenance personnel and their failure to follow the applicable airworthiness directive (AD 81-11-02/R1), resulting in subsequent interference between the landing gear and oil drain valve. This caused the valve to move open & leak, which resulted in the loss of all engine oil.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfCruise - normal
Lubricating system,oil quickdrain/drain plug - improperCause
Maintenance,installation - improperOther maintenance personnelCause
Maintenance,compliance with ad - not followedOther maintenance personnelCause
Lubricating system,oil quickdrain/drain plug - openCause
Fluid,oil - leakCause
Fluid,oil - exhaustionCause
Forced landingDescent - emergency
Gear not extendedLanding - flare/touchdown
Wheels up landing - intentional
In flight collision with terrain/waterLanding

Analysis

The plt was on a x-country flt when he noticed the oil pressure was decreasing rapidly. He elected to make an off-airport landing, but the engine seized before he could reach the selected area. Subsequently, the aircraft was damaged during a wheels up landing. Initial touchdown was on a gravel road and the acft hit a berm before slowing to a stop. An exam of the aircraft and engine revealed an oil (quick) drain valve (aeroquip pn: AE80664H) had been installed on 7/10/87. It was installed with a 4-3/8 inch hose that extended below the engine reservoir, in the vicinity of the landing gear. Subsequently, the drain valve was pushed open by movement of the landing gear as it was being retracted. This resulted in loss of oil & subsequent engine seizure. This drain valve was not approved for installation on this model of aircraft. Piper service letter 910 & AD 81-11-02/R1 specified use of another valve (Piper pn: 492-172V).

Aircraft

Registration
N3536M
Reported as
Piper PA-28R-201
Category
Airplane
Serial number
28R7837121
Airframe hours
1,333
Engine
Lycoming IO-360-C1C6, 200 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
David J. Schwartz
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 2, 1988 · 119 hours before
Departed
PTK · Pontiac, MI
Destination
JXN · Jackson, MI

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
51
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
674 total · 268 in this make and model · 569 as pilot in command · 13 in the last 90 days · 3 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 10 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
19 °F, dew point 3 °F
Altimeter
30.00 inHg
Observed at
LAN, 38 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.