CHI95LA097

NTSB accident investigation · Piper PA-32RT · Joliet, IL · March 1, 1995

Accident · No injuriesLimited investigationFinal report
Date
March 1, 1995, 17:30 local (23:30 UTC)
Place
Joliet, IL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1978JPiper PA-32RT
Weather
Visual (VMC) · Day
Status
Completed · report June 29, 1995
Report
Approved by Office Director
FAA report
19950301002899A
Case key
9846

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 failure of the number four cylinder due to a loose cylinder hold down stud. A factor in the accident was the embankment.

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/malfClimb - to cruise
Engine assembly,cylinder - failure,totalCause
Engine assembly,cylinder - looseCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding
Terrain condition - drop-off/descending embankmentFactor

Analysis

According to the pilot, approximately ten minutes into the flight, the engine began to run rough. The pilot stated he began to troubleshoot and everything appeared normal except the fuel flow was low. At this time he advanced the throttle, switched fuel tanks, and turned the fuel boost pump on. The pilot stated he then heard a 'bang' from the engine and all engine power was lost. The pilot made a forced landing on an access road adjacent to a highway. Postaccident examination revealed the number four cylinder had separated from the crankcase. Fractures of the cylinder hold down studs showed no clear evidence of fatigue cracking. Fractures are representative of overstress separations. Fretting damage was observed on the mating cylinder flange, crankcase boss, and metal folds on the cylinder flange/hole wall corners.

Factual narrative

On March 1, 1995, at 1730 central standard time, a Piper PA-R, N1978J, registered to Lowe Automotive, St. Louis, Missouri, was substantially damaged following a loss of engine power and subsequent off-airport forced landing near Joliet, Illinois. The private pilot and one passenger reported minor injuries. The 14 CFR Part 91 flight originated in West Chicago, Illinois, at 1710 with an intended destination of Bloomington, Illinois. An IFR flight plan was filed and visual meteorological conditions prevailed at the time.

According to the pilot, approximately ten minutes after departing DuPage County Airport, West Chicago, Illinois, the engine began to run rough. The pilot stated he began to troubleshoot and "everything appeared good except [the] fuel flow was low." At this time, he advanced the throttle, switched fuel tanks, and turned the fuel boost pump on. The pilot stated he then heard a "bang" from the engine and all engine power was lost. The pilot made a forced landing on an access road adjacent to a highway. While landing, the airplane hit an embankment before coming to rest.

Postaccident examination revealed the number four cylinder was separated from the crankcase but still attached to the exhaust stack and ignition wires. The base of the cylinder was substantially damaged but there was no obvious damage to the inside walls of the cylinder. The bottom skirt of the number four piston was also substantially damaged.

The lower left cylinder hold down stud was found completely out of the crankcase, but still in the hole of the cylinder base flange with the nut attached. Another stud, which was found at the accident site, was fractured nearly flush with the underside of the assembled nut. Both studs were sent to the NTSB Materials Laboratory, Washington, D.C., for further examination.

Examination revealed the threads of the intact stud were damaged between the underside of the nut to a position corresponding to the plane of the crankcase cylinder boss when the stud is assembled to the crankcase. The Metallurgist Factual Report stated "the thread damage was as if the thread crowns had been flattened by the cylinder flange moving against this area." Examination of the other stud disclosed features indicative of an overstress separation with no evidence of preexisting cracking.

A second postaccident examination of the cylinder and crankcase was done by an NTSB Metallurgist at DuPage Airport where the airplane was being stored. Examination showed no clear evidence of fatigue cracking. All fractures appeared to be representative of overstress separations. No welding repair to the crankcase was observed. Fretting damage was observed on the mating cylinder flange, crankcase boss, and metal folds on the cylinder flange/hole wall corners. (See attached Metallurgist Factual Report)

Aircraft

Registration
N1978J
Reported as
Piper PA-32RT
Category
Airplane
Serial number
32R-7885223
Airframe hours
1,450
Engine
Lycoming IO-540-K1G5D, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Lowe Automotive
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 9, 1994 · 72 hours before
Departed
DPA · West Chicago, IL
Destination
BMI · Bloomington, IL
Flight plan
IFR

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
34
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
823 total · 415 in this make and model · 724 as pilot in command · 38 in the last 90 days · 11 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
15 statute miles
Lowest ceiling
None
Temperature
25 °F

FAA reports on this event · 1

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