ERA21LA006

NTSB accident investigation · Piper PA28 · Fulton, NY · October 4, 2020

Accident · Minor injuriesClass 4 · LimitedFinal report
Date
October 4, 2020, 12:30 local (16:30 UTC)
Place
Fulton, NY
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N6179UPiper PA28
Defining event
Initial climb: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20201004012799A
Case key
102093

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 mechanic’s improper maintenance, which resulted in the crankshaft expansion plug dislodging in flight and a subsequent forced landing.

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: installationPersonnel issues › Task performance · Maintenance personnelPiper PA-28-160: 1 caseAll aircraft: 371 casesProbable cause
Power plantAircraft › Aircraft power plant · Incorrect service/maintenancePiper PA-28-160: 1 caseAll aircraft: 198 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

Shortly after takeoff, the engine crankshaft expansion plug dislodged, and oil started to cover the airplane’s windscreen. The pilot attempted to return to, and land on the departure runway; however, the airplane subsequently touched down more than halfway down the runway. The pilot was unable to stop the airplane and it went off the runway and struck a chain link fence, which resulted in substantial damage to the fuselage, vertical stabilizer, and both wings. The crankshaft expansion plug was installed during maintenance that was performed 3 days prior to the accident. The mechanic who performed the maintenance stated that he installed the crankshaft plug using a ball peen hammer; instead of following the procedures outlined by the engine manufacturer; which called for the use of a special tool to properly deform and seat the plug. The mechanic said that he has used a ball peen hammer in the past to install crankshaft plugs with success; however, in this instance, the plug did not seat properly, dislodged, and allowed oil to exit the end of the crankshaft in flight.

Aircraft

Registration
N6179U
Reported as
Piper PA28 (160)
Category
Airplane
Serial number
28-115
Built
164
Airframe hours
2,792.7
Engine
Lycoming O-320-B2B, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 1, 2020 · 1 hours before
Destination
Same as departure
Airport
FZY · Oswego County, runway 24, 3,996 × 100 ft, concrete
Equipment
Unknown

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
68
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
BasicMed, With waivers/limitations
Last flight review
May 2, 2019
Seat
Left
Restraint
3-point
Flight hours
170 total · 13.3 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
11,000 ft broken
Temperature
57 °F, dew point 32 °F
Altimeter
30.19 inHg
Observed at
FZY

Docket · 7

The files NTSB released with the investigation on June 17, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 15.2 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.