ERA12LA394

NTSB accident investigation · Piper PA-28-180 · Ocilla, GA · June 13, 2012

Accident · Minor injuriesLimited investigationFinal report
Date
June 13, 2012, 10:15 local (14:15 UTC)
Place
Ocilla, GA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9238JPiper PA-28-180
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report May 9, 2013
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20120613011269A
Case key
83959

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

A failure of the No. 2 cylinder connecting rod due to a lack of lubrication, which resulted in a total loss of engine power.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Fluids: oilAircraft › Fluids/misc hardware · Not specifiedPiper PA-28-180: 4 casesAll aircraft: 174 casesProbable cause
Engine (reciprocating): recip eng oil sysAircraft › Aircraft power plant · MalfunctionPiper PA-28-180: 5 casesAll aircraft: 130 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot was flying the airplane under the conditions specified in a Special Flight Permit to reposition it for a potential sale. The airplane and engine were inspected by a certificated mechanic in accordance with the permit requirements before the flight. During cruise flight, the engine began to “sputter.” The pilot turned to find a landing field, then heard a loud noise, and the engine lost all power. The pilot performed a forced landing in a cotton field; however, the landing gear collapsed in the soft soil and the airframe sustained substantial damage. Subsequent examination of the engine revealed puncture holes in the upper and lower sections of the engine case. The No. 2 cylinder connecting rod was separated from the crankshaft. The recovered parts of the crankshaft showed indications of heat distress and a lack of lubrication. The Nos. 3 and 4 cylinder connecting rods and rod bearings were still connected to the crankshaft; however their failure appeared imminent because of a severe lack of lubrication. All other crankshaft bearings appeared normal. The No. 1 cylinder connecting rod and bearing were normal in appearance with the exception of an overload fracture near the piston end. It is apparent that the No. 2 cylinder connecting rod end failed first due to a lack of lubrication, and the rotating and moving parts fractured the No. 1 cylinder connecting rod end, resulting in complete engine stoppage.

Factual narrative

On June 13, 2012, about 1015 eastern daylight time, a Piper PA-28-180, N9238J, was substantially damaged following a loss of engine power and forced landing near Ocilla, Georgia. The certificated private pilot sustained minor injuries. The airplane was registered to a corporation and was operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91, as a ferry flight. Visual meteorological conditions prevailed and no flight plan was filed. The flight originated at Livingston, Tennessee (8A3), about 0700 and was destined for Clearwater, Florida (CLW). According to the pilot, he was flying the airplane to Florida for a potential sale. While at 2,500 feet mean sea level, the engine began to “sputter.” He turned to the north in search of a landing field. He heard a loud noise and the engine lost all power. He force landed the airplane in a cotton field and the landing gear collapsed in the soft soil. A Special Flight Permit was issued on June 7, 2012 by the Nashville, Tennessee FAA Flight Standards District Office to allow the pilot to fly the airplane to CLW for the potential sale. The permit required that the airplane be inspected by a certificated mechanic or repair station to determine if the airplane was safe for the intended flight. The reason for the permit was to allow the flight to be conducted without a current annual inspection. According to the aircraft logbooks, the last annual inspection was accomplished on March 29, 2007. An inspection was performed on June 7, 2012 to comply with the Special Flight Permit. On the same day, the mechanic changed the engine oil and oil filter and performed an engine run-up with no anomalies noted. A Federal Aviation Administration (FAA) inspector responded to the accident site and examined the wreckage. The inspector confirmed substantial damage to the engine firewall and fuselage. An initial examination of the engine revealed damage to the number one cylinder and there was a hole in the upper case. The engine oil sump contained oil. The wreckage was recovered to Tennessee where a subsequent examination of the engine was performed. On October 1, 2012, the NTSB investigator-in-charge performed an examination of the engine at the owner’s storage facility at Livingston, Tennessee. External examination revealed a puncture hole in the upper right side case and a puncture hole in the lower left side case. The end of one connecting rod protruded through the lower left case and could not be moved by hand. The engine-driven oil pump was removed and examined. When manually rotated, there was no binding or noise and the gears turned smoothly. Suction was observed as the drive coupling was rotated. The unit was disassembled and no anomalies were noted. The unit was free of contaminants and the internal gears were coated with oil. The engine case was opened to facilitate inspection of the internal engine components. The end of the number one connecting rod was fractured and penetrated thelower, left case. The rod remained attached to the crankshaft and exhibited overload signatures. After removal from the crankshaft, the connecting rod bearing was found lubricated with oil and the bearing was normal in appearance. There were no signs of heat distress or lack of lubrication. The attachment point on the crankshaft was also lubricated with oil and free of heat or unusual wear. The number one cylinder and piston were damaged and could not be removed from the case. The number two connecting rod was not connected to the crankshaft. Small parts of the connecting rod and rod cap were found; however, the entire connecting rod was not accounted for. The located parts showed indications of heat distress and lack of lubrication. The number two cylinder and piston were damaged and could not be removed from the case. The crankshaft surface at the number two connecting rod showed significant wear, heat distress, and lack of lubrication. Some extruded bearing material remained attached to the crankshaft in this area. The numbers three and four connecting rods remained attached to the crankshaft. The rods ends at the crankshaft exhibited significant discoloration, surface corrosion, heat distress, and lack of lubrication. The numbers three and four connecting rods were removed from the crankshaft and inspected. The connecting rod bearings were severely scored, worn, and exhibited heat distress and a lack of lubrication. The crankshaft surfaces at the number three and four connecting rod attachment points showed significant wear, heat distress, and lack of lubrication. All crankshaft bearings on the engine case were found lubricated with oil and the bearings were normal in appearance.

Aircraft

Registration
N9238J
Reported as
Piper PA-28-180
Category
Airplane
Serial number
28-3312
Airframe hours
3,582
Engine
Lycoming O-360-A3A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Ferry · Part 91
Operator
Edward M. Butler II
Registered owner
Butler Family Lp
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 29, 2007 · 23 hours before
Departed
8A3 · Livingston, TN
Destination
CLW · Clearwater, FL

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
35
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Left
Flight hours
340 total · 335 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 68 °F
Altimeter
29.95 inHg
Observed at
MGR, 42 nm away

Docket · 17

The files NTSB released with the investigation on March 19, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 19.7 MB in all.

FAA reports on this event · 1

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