ERA15LA015

NTSB accident investigation · Piper PA-28-151 · Granville, MA · October 12, 2014

Accident · No injuriesClass 3 · LimitedFinal report
Date
October 12, 2014, 13:50 local (17:50 UTC)
Place
Granville, MA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N57SHPiper PA-28-151
Defining event
Enroute-cruise: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20141012020579A
Case key
90253

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

Deformation of the No. 1 cylinder's intake valve, which resulted in a partial loss of engine power and a subsequent off-airport precautionary landing.

Findings · 1

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.

Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Damaged/degradedPiper PA-28-151: 3 casesAll aircraft: 373 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

About 20 minutes into a visual flight rules cross-country flight, the airplane's engine began running roughly and shortly thereafter began losing power. The pilot initially attempted to divert to an airport about 20 miles away, but as the engine's power output continued to gradually decrease, the pilot instead decided to perform a precautionary landing to a farm field. During the landing, the airplane touched down hard resulting in substantial damage to the airframe. Postaccident examination of the engine revealed that the engine's No. 1 cylinder compression was intermittently low, that the head of the intake valve of that cylinder was deformed, and that the valve was not seating properly. The deformation of the intake valve may have been the result of high valve seating forces that occurred as the result of improperly adjusted valve spring tension. However, the airplane's maintenance records did not note any maintenance actions to the cylinder or its internal components between the last engine overhaul and the accident. While a maintenance log entry documenting the engine overhaul indicated that new cylinder assemblies were installed at that time, it did not indicate when the spring tension for the valve was last set.

Factual narrative

On October 12, 2014, about 1350 eastern daylight time, a Piper PA-28-151, N57SH, was substantially damaged during an off-airport landing near Granville, Massachusetts. The private pilot was not injured. Visual meteorological conditions prevailed, and no flight plan was filed for the flight, which departed from Floyd Bennett Memorial Airport (GFL), Glens Falls, New York and was destined for Norwood Memorial Airport (OWD), Norwood, Massachusetts. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. According to the pilot, about 20 minutes into the cross-country flight, the engine began running roughly. He scanned the engine instruments and noticed that the tachometer was still showing a normal rpm reading, but that the No. 1 cylinder's digital temperature indication graph was blank. Shortly thereafter, the engine began losing power, and the pilot advised air traffic control that he intended to divert to Westfield-Barnes Regional Airport (BAF), Springfield, Massachusetts, located about 20 miles away. Shortly thereafter, the pilot observed the No. 1 cylinder temperature briefly change from no indication to a full red bar, then back to no indication. As the engine's power output continued to gradually decrease, the pilot decided to perform a precautionary landing to a farm field. Approaching the field, the pilot felt that the airplane was too high and too fast for landing, so he performed a go-around in order to approach the field from the opposite direction. During the second landing attempt, the airplane touched down "hard," collapsing the nose landing gear and resulting in substantial damage to the firewall. A Federal Aviation Administration inspector examined the airframe and engine following the accident. During the examination, the inspector noted that the compression of the engine's No. 1 cylinder was intermittently lower than expected. Disassembly and examination of the cylinder revealed that the intake valve was not seating properly and that the hydraulic lifter spring was rubbing against the inside of the spring containment barrel. Removal of the intake valve revealed that the head of the valve was deformed and the stem was elongated by 0.1 inches when compared to another similar valve. The No. 1 cylinder assembly was forwarded to the NTSB materials laboratory for detailed examination. The examination confirmed that the deformed intake valve displayed the correct part number, that the material was of the proper hardness and alloy. The examination further confirmed the head of the valve displayed "cupping" or "tuliping" deformation. Review of maintenance logs for the airframe and engine revealed that the airplane's most recent annual inspection was completed on July 21, 2014, about 19 flight hours before the accident. An overhaul of the airplane's engine was most recently completed in May 2012, about 121 flight hours before the accident. The maintenance log entry documenting the engineoverhaul contained a parts list that noted the installation of, "New Lycoming nitrided cylinder assy's…" The logs did not note any maintenance to the No. 1 cylinder or its internal components between the time of the engine overhaul and the accident.

Aircraft

Registration
N57SH
Reported as
Piper PA-28-151
Category
Airplane
Serial number
28-7415336
Built
1974
Airframe hours
2,818
Engine
Lycoming O-320-E3D, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 21, 2014 · 19 hours before
Departed
GFL · Glens Falls, NY
Destination
OWD · Norwood, MA
Equipment
Electronic flight bag or handheld device

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
59
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
805 total · 813 in this make and model · 813 as pilot in command · 19 in the last 90 days · 11 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 39 °F
Altimeter
30.23 inHg
Observed at
BAF, 10 nm away

Docket · 6

The files NTSB released with the investigation on October 9, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.2 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.