DEN91FA065

NTSB accident investigation · Piper PA-31B-310 · Bennett, CO · May 1, 1991

Accident · FatalField investigationFinal report
Date
May 1, 1991, 06:53 local (12:53 UTC)
Place
Bennett, CO
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N7407LPiper PA-31B-310
Weather
Visual (VMC) · Day
Status
Completed · report October 2, 1992
Report
Approved by Office Director
FAA report
19910501013939A
Case key
18020

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

In-flight separation of the left engine cowl assembly that was not properly latched, and failure of the pilot to maintain minimum control speed, which resulted in his loss of aircraft control. Factors related to the accident were: an inadequate preflight inspection, inadequate markings/alignment indications to assure that the cowl fasteners were locked, and an insufficiently defined procedure in the flight manual for checking the cowl fasteners.

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.

Airframe/component/system failure/malfunctionClimb - to cruise
Cooling system,cowling - unlatchedCause
Aircraft preflight - inadequateFactor
Aircraft/equipment inadequateManufacturerFactor
Acft/equip,inadequate aircraft manualsManufacturerFactor
Condition(s)/step(s) insufficiently definedManufacturerFactor
Cooling system,cowling - separationCause
Vertical stabilizer surface - bent
Loss of engine powerClimb
1 engine - switched off
Propeller feathering - not attainedPilot in command
Forced landingDescent - emergency
Loss of control - in flightDescent - uncontrolled
Airspeed(vmc) - not maintainedPilot in commandCause
Aircraft control - not maintainedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

Shortly after takeoff, while climbing to cruise altitude, the pilot reported the left engine cowl assembly had come off. Witnesses observed the airplane at low altitude & noted that it was 'yawing, sputtering, and rocking back and forth.' They indicated the left engine was not running & that the airplane banked sharply to the right & disappeared behind trees before crashing. An investigation revealed the left propeller had not been feathered. The left engine cowling was found 1.8 miles from the accident site. The three primary (eyebolt) cowl fasterers on the outboard side of the left upper cowl were found unlocked & seven other cowl attaching studs (screws) were missing. The cowling had been removed 16 days before the accident to install an oil/air separator. This was the first flight since that work was performed. The mechanic, who did the work, said he noted several cowl stud fasteners were missing & that he had notified the pilot. The pilot was reported to have replied that he had some fasteners & would take care of the problem.

Aircraft

Registration
N7407L
Reported as
Piper PA-31B-310
Category
Airplane
Serial number
31-790
Engine
Lycoming TIO-540-A2B, 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Business · Part 91
Operator
John Westbrook, doing business as John Westbrook, Inc.
Departed
APA · Englewood, CO
Destination
DSM · Des Moines, IA

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
45
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Toxicology
Performed
Flight hours
6,200 total · 6,094 as pilot in command · 150 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 3 knots
Visibility
50 statute miles
Lowest ceiling
None
Temperature
-0 °F, dew point -0 °F
Observed at
APA, 21 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.