CHI91LA121

NTSB accident investigation · Piper PA-28-161 · Schaumburg, IL · April 5, 1991

Accident · Minor injuriesLimited investigationFinal report
Date
April 5, 1991, 11:00 local (17:00 UTC)
Place
Schaumburg, IL
Injuries
1 minor, 3 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N2366WPiper PA-28-161
Weather
Visual (VMC) · Day
Status
Completed · report March 31, 1993
Report
Approved by Office Director
FAA report
19910405009229A
Case key
15033

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

The mechanic's not understanding the identifying marks on the replacement part. A factor in the accident was that the mechanic was provided with an improper part.

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/malfTakeoff - initial climb
Engine assembly,cylinder - improper
Maintenance,replacement - misjudgedCompany maintenance personnelCause
Material inadequate,improperCompany/operator managementFactor
Engine assembly,piston - seized
Remedial action - not possible
Forced landingDescent - emergency
On ground/water collision with objectLanding
Object - tree(s)

Analysis

The airplane's engine seized at 70 feet on takeoff climb, and the pilot executed a forced landing. The engine had recently undergone replacement of the number 1 cylinder; no other parts were changed. Paint marks on the replacement cylinder indicated it had been chrome plated to standard bore. The 3 remaining cylinders and all pistons were marked 0.010 oversize. The operator's director of maintenance obtained the replacement part and provided it to the mechanic. The operator's mechanic stated he was unaware what the cylinders' color marks signified and had not measured matching parts during replacement.

Aircraft

Registration
N2366W
Reported as
Piper PA-28-161
Category
Airplane
Serial number
28-8516 046
Airframe hours
3,528
Engine
Lycoming O-320-D3G, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Northwest Flyers Inc
Registered owner
Three B'S Aero
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 22, 1991 · 25 hours before
Airport
06C · Schuamburg Air Park

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
24
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
2,325 total · 1,550 in this make and model · 2,225 as pilot in command · 250 in the last 90 days · 90 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 11 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 54 °F
Altimeter
30.00 inHg
Observed at
ORD, 9 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.

Other investigations on N2366W · 1

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