CHI98LA140

NTSB accident investigation · Piper PA-38-112 · Omaha, NE · May 5, 1998

Accident · No injuriesLimited investigationFinal report
Date
May 5, 1998, 17:34 local (22:34 UTC)
Place
Omaha, NE
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N24435Piper PA-38-112
Weather
Visual (VMC) · Day
Status
Completed · report February 15, 2001
Report
Approved by Office Director
FAA report
19980505008419A
Case key
10865

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 fatigue failure of the crankshaft which resulted from a spun bearing and the low altitude at which the loss of engine power occurred. A factor in the accident was the embankment on which the airplane was landed.

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,crankshaft - failure,totalCause
Engine assembly,crankshaft - fatigueCause
Engine assembly,bearing - loose
Maintenance,overhaul,major - not performedOther maintenance personnel
Forced landingDescent - emergency
Altitude - lowCause
On ground/water encounter with terrain/waterLanding - flare/touchdown
Terrain condition - drop-off/descending embankmentFactor

Analysis

A total loss of engine power was experienced during an initial takeoff climb. A forced landing was made on a levee during which time the airplane was substantially damaged. The investigation revealed a fatigue failure of the crankshaft at the #3 main bearing journal on the Lycoming O-235-L2C engine. The nature of the failure indicated the #3 bearing spun due to undetermined reasons. The airplane had been involved in two propeller strike incidents. The engine was not overhauled after either of these incidents. Lycoming Service Letter L163C recommends removal, disassembly and inspection of the engine after propeller strikes.

Factual narrative

On May 5, 1998, at 1734 central daylight time, a Piper PA-38-112, N24435, registered to the Offutt Aero Club, and operated by a private pilot collided with the terrain following a loss of engine power. The loss of power occurred during an initial takeoff climb from runway 30 at the Offutt AFB, Omaha, Nebraska. The pilot and passenger were not injured. The airplane was substantially damaged. Visual meteorological conditions prevailed and a VFR flight plan was filed. The flight had originated shortly before the accident with an intended destination of Sioux City, Iowa.

The pilot reported that the engine start and run-up were normal with fuel pressure, oil pressure, and oil temperature gauges all indicating in the "green." The pilot continued to report that after a three minute hold due to wake turbulence, she was cleared to takeoff. The pilot reported that during the takeoff climb the engine seemed to be slowing down followed by the propeller coming to a complete stop. She stated she and her passenger, a student pilot, attempted to restart the engine to no avail. The pilot stated she selected a field in which to land, but the airplane touched down on a levee short of the field. The airplane slid sideways damaging the landing gear, fuselage, and both wings.

Post accident inspection of the airplane was conducted by an Inspector from the Federal Aviation Administration (FAA), Lincoln, Nebraska, Flight Standards District Office. Inspection of the airplane revealed it had a Lycoming O-235-L2C engine, s/n L- 21202-15, installed on it. The engine had a total time of 6,461.7 hours, 2,148.7 hours since overhaul. Further inspection of the engine revealed a failure of the crankshaft, p/n LW-12697, at the #3 main bearing journal.

The crankshaft, crankcase, camshaft, the #3 bearing, and other miscellaneous parts were sent to the University of Dayton Research Institute at Wright-Patterson AFB for a metallurgical examination. This examination revealed "Macroscopic indications of fatigue propagation were observed on the fracture surface. The fatigue initiated at a 'groove' in the bearing shoulder (figures 6 and 7). The groove is located in the radius where the journal transitions to the shaft. The groove extends around approximately three quarters of the circumference of the shaft." The report continues, "The location of the groove on the bearing shoulder is precisely aligned with the edge of the bearing. This contact occurs only when the bearing is displaced aft of center in the journal (figure 8)." "Circumferential marks were observed on the outer diameter (OD) of the #3 bearing (figure 11)." "The aft inner diameter corner of the bearing was heavily worked." "The interior of the crankcase was examined. Circumferential marks were detected at main bearing #3 (figure 14)."

A review of maintenance records revealed the overhauled engine was installed on N24435 on September 17, 1992. The engine had a total time of 4,313 hours when installed. On March 9, 1992, at a total engine time of 4,506 hours, the crankshaft flange was inspected and a new propeller was installed due to a propeller strike incident. On October 3, 1997, at a total engine time of 6,295 hours, a new propeller was installed due to another propeller strike incident. On April 18, 1998, the Discrepancy Log showed a loud "pop" was heard during takeoff at which time the oil pressure went from 60 psi to 90 psi then back to 60 psi. On final approach the oil pressure dropped to 3 psi and the pilot reported having to maintain 1,400 rpm in order to maintain 5 psi. The corrective action was "Cleaned & adjusted oil pressure regulator & installed serviceable oil pressure sending unit... ." On April 21, 1998, the Discrepancy Log showed a that the oil pressure reading dropped to 5 psi during an engine run-up at 1,800 rpm and it decreased to 0 psi during taxi. The corrective action for discrepancy was "Cleaned pump screen, changed oil and oil filter. Changed oil pressure sensor, and calibrated oil pressure gauge."

Textron Lycoming Service Letter, L163C, recommends "...that in a case of sudden engine stoppage, propeller strike, loss of propeller blade or tip, the safest procedure is to remove and disassemble the engine and completely inspect the reciprocating and rotating parts including crankshaft gear and dowel parts."

Aircraft

Registration
N24435
Reported as
Piper PA-38-112
Category
Airplane
Serial number
38-79A1121
Airframe hours
6,986
Engine
Lycoming O-235-L2C, 115 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Offutt Aero Club
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
100 hour · December 30, 1997 · 79 hours before
Departed
OFF
Destination
SUX · Sioux City, IA
Flight plan
VFR
Airport
OFF · Offutt Afb

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
Certificate
Private
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
108 total · 56 in this make and model · 108 as pilot in command · 19 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 4 knots
Visibility
7 statute miles
Lowest ceiling
25,000 ft overcast
Temperature
75 °F, dew point 41 °F
Altimeter
29.00 inHg
Observed at
OFF, 3 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.