ERA16LA295

NTSB accident investigation · Piper PA34 · Hollywood, FL · August 19, 2016

Accident · No injuriesLimited investigationFinal report
Date
August 19, 2016, 11:30 local (15:30 UTC)
Place
Hollywood, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N16499Piper PA34
Defining event
Maneuvering: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed · report March 18, 2019
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Hartzell Propeller Inc
FAA report
20160819013359A
Case key
93862

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

Maintenance personnel’s failure to comply with an airworthiness directive for the propeller, which resulted in a propeller hub failure due to fatigue.

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.

Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelPiper PA-34-200: 2 casesAll aircraft: 320 casesProbable cause
Propeller system: propeller hub sectionAircraft › Aircraft propeller/rotor · FailurePiper PA-34-200: 1 caseAll aircraft: 13 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

During an instructional flight in a multiengine airplane, the pilot receiving instruction had just completed a right turn at an altitude of 3,300 ft mean sea level when the flight instructor heard a loud noise and saw something separate from the right engine. The flight instructor took the controls but was unable to maintain altitude with one engine operating and performed a forced landing into a swamp. Examination of the wreckage revealed that the right engine had separated from its mounts, one propeller blade was missing, and the right propeller hub was fractured. Metallurgical examination of the propeller hub revealed a fatigue fracture along a grease-fitting hole. An airworthiness directive had been issued about 8 years before the accident that required initial (within 50 flight hours) and repetitive (every 100 flight hours) eddy current inspection of the area around the lubrication holes of the propeller hub blade sockets. The right propeller had been overhauled about 14 months before the accident and had accrued about 440 hours at the time of the accident. The airplane's most recent 100-hour inspection (which included inspection of both propellers) occurred about 3 months before the accident. Review of maintenance records did not reveal any documentation that the airworthiness directive was complied with on the overhauled right propeller hub.

Factual narrative

On August 19, 2016, at 1130 eastern daylight time, a Piper PA-34-200, N16499, was substantially damaged during a forced landing near Hollywood, Florida. The flight instructor and pilot receiving instruction were uninjured. The airplane was registered to and operated by American Flight Training LLC. Visual meteorological conditions prevailed, and no flight plan was filed for the local instructional flight, which was conducted under the provisions of 14 Code of Federal Regulations Part 91. The flight departed from North Perry Airport (HWO), Hollywood Florida, about 1100.The purpose of the flight was to perform practice maneuvers in preparation for a multiengine instructor practical examination. According to the flight instructor, the pilot receiving instruction was at the controls and had just completed a right turn at an altitude of 3,300 feet mean sea level, when he heard a loud noise and observed something separate from the right engine. He took the controls and headed east toward the airport, when he noticed the airplane would not maintain altitude. According to the pilot receiving instruction, the right engine had partially separated from its mounts, and was angled downward. The instructor performed a forced landing to an area of tall sawgrass and shallow water. Examination of the wreckage at the scene by a Federal Aviation Administration (FAA) inspector revealed that the right engine had separated from its mounts and was found about 75 feet in front of the airplane. One propeller blade was missing and the propeller hub was fractured. The left wing trailing edge and aileron were substantially damaged. The empennage was buckled on both sides near the mid-section attachment point. Metallurgical examination of the right engine propeller hub revealed a features consistent with a fatigue fracture along a grease-fitting hole (for more information, see Materials Laboratory Factual Report for this accident in the NTSB public docket). An FAA airworthiness directive (AD 2008-13-28) had been issued on July 2, 2008 (and was superseded by AD 2009-22-03 on November 12, 2009). The 2009 AD required initial (within 50 hours time in service) and repetitive (every 100 hours) eddy current inspection of the area around the lubrication holes of the propeller hub blade sockets. The AD resulted from four reports of propeller hub cracks and was applicable to the make and model accident propeller hub. Maintenance records revealed that the airplane's most recent 100-hour inspection (which included inspection of both propellers) occurred on May 27, 2016, at which time the propeller installed on the right engine had accrued a total of 7,100 hours, with 380 hours since overhaul on June 2, 2015. The airplane flew about 60 hours since that inspection. Review of the maintenance records did not reveal any documentation that AD 2008-13-28 (or 2009-22-03) had been complied with on the overhauled accident propeller.

Aircraft

Registration
N16499
Reported as
Piper PA34 (200)
Category
Airplane
Serial number
34-7350132
Built
1973
Airframe hours
7,160
Engines
Lycoming LIO-360-C1E6, 200 horsepower, reciprocatingLycoming IO-360-C1E6, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
American Flight Training LLC
Registered owner
American Flight Training LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 27, 2016 · 61 hours before
Departed
HWO · Hollywood, FL
Destination
HWO · Hollywood, FL
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
51
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
February 2, 2015
Seat
Right
Restraint
3-point
Flight hours
10,995 total · 1,150 in this make and model · 9,300 as pilot in command · 135 in the last 90 days · 89 in the last 30 days · 6 in the last 24 hours
Role
Pilot-rated passenger
Age
22
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
June 22, 2016
Seat
Left
Restraint
3-point
Flight hours
429 total · 40 in this make and model · 335 as pilot in command · 86 in the last 90 days · 50 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 3 knots
Visibility
10 statute miles
Lowest ceiling
4,000 ft broken
Temperature
90 °F, dew point 73 °F
Altimeter
30.05 inHg
Observed at
KHWO, 19 nm away

Docket · 9

The files NTSB released with the investigation on December 20, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.0 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.