ERA15LA217

NTSB accident investigation · Piper PA-28-181 · Corryton, TN · May 19, 2015

Accident · No injuriesLimited investigationFinal report
Date
May 19, 2015, 16:50 local (20:50 UTC)
Place
Corryton, TN
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N597JGPiper PA-28-181
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report March 6, 2017
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20150519006579A
Case key
91206

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The failure of the No. 4 engine cylinder due to fatigue, resulting in a catastrophic failure of the engine.

Findings · 2

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.

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

During a training flight, the student and flight instructor heard a "loud bang" from the engine area, accompanied by engine roughness and reduced power. The flight instructor performed a forced landing to a field, resulting in substantial damage to the engine firewall. An examination of the engine revealed the No. 4 cylinder head was fractured outboard of the barrel thread. Further examination revealed that the cylinder fractured due to fatigue that initiated at the interior of the head near the intake valve. The serial number for the cylinder was outside the range of those affected by an airworthiness directive requiring inspection and/or replacement of certain cylinders.

Factual narrative

On May 19, 2015, about 1650 eastern daylight time, a Piper PA-28-181, N597JG, was substantially damaged during a forced landing near Corryton, Tennessee. The student pilot and certificated flight instructor (CFI) were not injured. The airplane was registered to and operated by Knoxville Flyers Incorporated under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan had been filed for the instructional flight, which departed Knoxville Downtown Island Airport (DKX), Knoxville, Tennessee, at 1430.According to the CFI, his student was performing flight maneuvers when he heard a loud "bang" from the area of the engine. This was accompanied by engine roughness and a reduced rpm. The CFI took control of the airplane and the student pilot completed the engine restart checklist in an attempt to resolve the engine roughness. The engine continued to lose power and the airplane began losing altitude. The CFI declared an emergency and informed air traffic control that he would be conducting an off-airport landing. He then performed a forced landing in a field, and during the landing sequence the firewall was damaged. A detailed postaccidetn examination of the airplane revealed the nose gear mount attachment and firewall was buckled. No further damage was noted on the airframe. An examination of the engine revealed the No. 4 cylinder head was fractured circumferentially on the head at the outboard barrel thread. The cylinder was removed and sent to the NTSB Materials Laboratory for further examination. Detailed examination of the cylinder's fracture surfaces revealed that portion of the fracture surface had relatively smooth fracture features with curving crack arrest lines, features consistent with fatigue. Examination of the cylinder revealed that there were markings cast on the cylinder near the exhaust port opening that read ECI and AEL85099 IR. A stamp near the intake port opening read 51932-14. A review of the maintenance logbooks revealed that the engine was overhauled on February 7, 2008. On May 1, 2014, the engine had a time of 1,012.5 hours since overhaul. No anomalies were reported following a compression check performed during the annual inspection. The last engine service (oil change) prior to the accident was entered May 13, 2015, with a recorded time of 1509.7 hours since overhaul. A review of Airworthiness Directive (AD) 2009-26-12, effective February 4, 2010 required repetitive inspections or inspection and early replacement of cylinders with certain ECI part number AEL85099 heads installed on Lycoming 320, 360, and 540 series engines including the Lycoming O-360-A4M engine installed on the accident airplane. The serial number for the cylinder head in this accident was outside the range of serial numbers listed in AD 2009-26-12, and therefore was not subject to the inspection and replacement requirements.

Aircraft

Registration
N597JG
Reported as
Piper PA-28-181
Category
Airplane
Serial number
2843087
Built
1997
Airframe hours
3,519.9
Engine
Lycoming O-360-A4M, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2015 · 515 hours before
Departed
DKX · Knoxville, TN
Destination
DKX · Knoxville, TN
Equipment
Stall warning system

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
59
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
January 25, 2015
Seat
Right
Restraint
3-point
Flight hours
2,083 total · 97 in this make and model · 1,998 as pilot in command · 32 in the last 90 days · 13 in the last 30 days
Role
Student pilot
Age
42
Injuries
None
Certificate
Student
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
54 total · 53 in this make and model · 5 as pilot in command · 15 in the last 90 days · 13 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 5 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
82 °F, dew point 61 °F
Altimeter
30.03 inHg
Observed at
TYS, 12 nm away

Docket · 6

The files NTSB released with the investigation on January 3, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.4 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.