DEN03LA050

NTSB accident investigation · Piper PA-28R-200 · Delta, CO · March 13, 2003

Accident · No injuriesLimited investigationFinal report
Date
March 13, 2003, 12:05 local (19:05 UTC)
Place
Delta, CO
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N16438Piper PA-28R-200
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 2003
Report
Approved by Office Director
Parties
Salt Lake City, UT
FAA report
20030313003569A
Case key
56656

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 loss of engine power due to company maintenance personnel's inadequate major engine overhaul (an oil pressure fitting in the engine accessory drive case had not been capped). Contributing factors were the loss of engine oil, and lack of suitable terrain for a forced landing.

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
Maintenance,overhaul,major - inadequateCompany maintenance personnelCause
Lubricating system,oil port/passage,internal - not securedFactor
Fluid,oil - loss,totalFactor
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterEmergency descent/landing
Terrain condition - rough/uneven
Terrain condition - none suitableFactor

Analysis

The airplane's engine had just been overhauled, and this was the initial flight test. The pilot said the airplane was performing normally, then the engine speed (rpm) increased to red line. He adjusted the prop control to compensate for the high engine rpm, but the engine stopped. The pilot then told the pilot-flying that he had control of the airplane. He proceeded to shut the fuel off, and selected a field for the forced landing. He stabilized the airplane at best glide airspeed, and subsequently the landing gear automatically deployed. The pilot selected a secondary landing site, which was on the back side of a hill. The airplane bounced several times while "rapidly" descending down the hill. The airplane came to rest with the nose gear and left main gear collapsed. Additionally, the left wing spar and firewall were bent. A postaccident examination of the engine showed that one oil pressure fitting in the engine accessory drive case had not been capped.

Factual narrative

On March 13, 2003, at approximately 1205 mountain standard time, a Piper PA-28R-200, N16438, was substantially damaged when it collided with terrain during a forced landing near Delta, Colorado. The private pilot and his passenger were not injured. Echo Aviation Partnership, LLP, was operating the airplane under Title 14 CFR Part 91. Visual meteorological conditions prevailed for the local maintenance test flight that originated at approximately 1155 from Montrose, Colorado. The pilot had not filed a flight plan.

According to the pilot, the airplane's engine had just been overhauled, and this was the initial flight test. He said the takeoff/departure was normal, and "the airplane climbed to a cruise altitude of 8,000 feet with no difficulty." Eight minutes into the flight, the pilot noted the engine's speed (revolutions per minute [rpm]) increase to red line. He then adjusted the propeller control to compensate for the high engine rpm. Reduction of the engine's rpm was followed by the engine stopping.

The pilot then told the pilot-flying that he had control of the airplane. He then proceeded to shut the fuel off, and selected a field for the forced landing. He stabilized the airplane at best glide airspeed, and subsequently the landing gear automatically deployed. The pilot selected a secondary landing site, which was on the back side of a hill. The airplane bounced several times while "rapidly" descending down the hill. The airplane came to rest with the nose gear and left main gear collapsed. Additionally, the left wing spar and firewall were bent.

A postaccident examination of the engine showed that one oil pressure fitting in the engine accessory drive case had not been capped.

Aircraft

Registration
N16438
Reported as
Piper PA-28R-200
Category
Airplane
Serial number
28R-7335147
Airframe hours
5,269.2
Engine
Lycoming IO-360-CIC, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Flight test · Part 91
Registered owner
Echo Aviation Partnership LLP
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 13, 2003 · 0.1 hours before
Departed
MTJ · Montrose, CB

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
3,800 total · 1 in this make and model · 3,800 as pilot in command · 1 in the last 24 hours
Role
Pilot
Age
34
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Wind
0° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 21 °F
Altimeter
30.19 inHg
Observed at
MTJ, 17 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.