FTW96LA126

NTSB accident investigation · Piper PA-36-300 · Andrews, TX · February 22, 1996

Accident · Minor injuriesLimited investigationFinal report
Date
February 22, 1996, 09:15 local (15:15 UTC)
Place
Andrews, TX
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N57828Piper PA-36-300
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 1996
Report
Approved by Office Director
FAA report
19960222002449A
Case key
19766

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

the mechanic's improper overhaul of the engine. Factors were: the pilot in command's inability to maintain visual lookout due to oil on the windscreen and unsuitable terrain for the forced landing.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine powerClimb
Lubricating system,oil seal - incorrectCause
Maintenance,overhaul - improperOther maintenance personnelCause
Fluid,oil - leakFactor
Visual lookout - restrictedPilot in commandFactor
Forced landingEmergency landing after takeoff
In flight collision with terrain/waterEmergency landing after takeoff
Terrain condition - none suitableFactor
Terrain condition - rough/uneven

Analysis

The airplane was on its first flight after an engine overhaul. Shortly after takeoff, the engine blew oil onto the pilot's windshield. The pilot shut down the engine and turned back toward the airport. The airplane was unable to make the runway and landed in a rough field. An engine teardown revealed that an incorrect crankshaft oil seal had been installed during the overhaul, and the seal had become dislodged during the flight. In addition, cranshaft and crankcase damage was found, and the damage was determined to be the result of misalignment of the crankcase halves during a previous modification.

Factual narrative

On February 22, 1996, at 0915 central standard time, a Piper PA-36-300, N57828, owned and operated by a private owner, was substantially damaged during a forced landing near Andrews, Texas. The commercial pilot received minor injuries. The aircraft was being operated as a personal flight under Title 14 CFR Part 91. The flight originated in Andrews, Texas at 0915. Visual meteorological conditions prevailed for the local flight for which a flight plan was not filed.

The airplane was on its first flight after an engine overhaul. The pilot reported that moments after takeoff, oil "blew over my windshield," and he was unable to see out of the windshield. The pilot shut down the engine and turned back towards runway 30. Unable to make the runway, the airplane touched down in a "very rough pasture, bounced over a fence, and hit on the end of the [runway] overrun," damaging the landing gear and fuselage.

According to the FAA inspector, the crankshaft and crankcase thrust surfaces had failed. A field teardown of the engine, conducted by the FAA Inspector, revealed that the oil pressure loss was traced to the installation of the incorrect crankshaft oil seal. The oil seal had become dislodged during the flight. The crankshaft and crankcase thrust surface damage was determined to be the result of misalignment of the crankcase halves during a previous modification.

Aircraft

Registration
N57828
Reported as
Piper PA-36-300
Category
Airplane
Serial number
36-7760002
Airframe hours
1,370
Engine
Lycoming IO-540, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Mitchell Autry
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · February 20, 1996 · 0 hours before
Departed
E11
Destination
E11
Airport
E11 · Andrews County

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
70
Certificate
Commercial
Airplane ratings
Multi-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Front
Flight hours
7,768 total · 5 in this make and model · 7,467 as pilot in command · 17 in the last 90 days · 9 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None

FAA reports on this event · 1

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