FTW97LA077

NTSB accident investigation · Piper PA-28R-201T · Raton, NM · December 31, 1996

Accident · No injuriesLimited investigationFinal report
Date
December 31, 1996, 13:50 local (20:50 UTC)
Place
Raton, NM
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N40437Piper PA-28R-201T
Weather
Visual (VMC) · Day
Status
Completed · report August 25, 1997
Report
Approved by Office Director
FAA report
19961231043629A
Case key
20139

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

failure of the exhaust rocker arm retaining studs due to over torquing of the attachment bolts by maintenance personnel during installation. A factor was the lack of suitable 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 power(partial) - mech failure/malfCruise
Miscellaneous,bolt/nut/fastener/clamp/spring - overtorqueCause
Maintenance,installation - improperOther maintenance personnelCause
Miscellaneous,bolt/nut/fastener/clamp/spring - failure,totalCause
Engine assembly,rocker arm/tappet - failureCause
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - none suitableFactor
Terrain condition - rough/uneven

Analysis

The pilot reported that while in cruise flight the airplane shuddered and began to lose power. She changed the fuel selector from the right to left tank; checked the fuel mixture, the exhaust gas temperature, and the instrument panel. The pilot reported that the engine performance continued to decay and she initiated a forced landing to a pasture. Examination of the engine revealed that the number two cylinder exhaust rocker arm retaining studs had separated. Examination of the studs by a metallurgist revealed that over torquing of the attachment nuts during installation caused plastic deformation of the studs and probable cracking in the threads which led to a fatigue crack in at least one of the studs. The fatigue crack led to the subsequent failure of the exhaust rocker arm retaining studs.

Factual narrative

On December 31, 1996, approximately 1350 mountain standard time, a Piper PA-28R-201T, N40437, was substantially damaged during a forced landing after a power loss near Raton, New Mexico. The private pilot and her three passengers were not injured. The airplane was registered to and operated by a private owner under Title 14 CFR Part 91. Visual meteorological conditions prevailed for the cross country flight which originated from Midland, Texas, with the intended destination of Trinidad, Colorado. No flight plan had been filed and the flight had begun at 1210.

The pilot reported in the NTSB Pilot/Operator Aircraft Accident Report that while in cruise flight "the airplane shuddered" and began to lose power. She changed the fuel selector from the right to left tank; checked the fuel mixture, the exhaust gas temperature, and the instrument panel. The pilot reported that the engine performance continued to decay and she began looking for a place to land. She initiated a forced landing to a "pasture." Subsequently, during the landing roll, the landing gear separated from the airplane, the wings were damaged, and both wing spars were fractured.

Examination and tear down of the engine revealed that the number two cylinder exhaust rocker arm retaining studs had separated. Examination of the studs by a metallurgist revealed evidence of plastic deformation and a fatigue crack which was associated with "small cracks in the threads" (see enclosed metallurgist report).

Aircraft

Registration
N40437
Reported as
Piper PA-28R-201T (PA-28R-201)
Category
Airplane
Serial number
28R-7703304
Airframe hours
1,155
Engine
Continental TSIO-360-F, 225 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Sandra S. Mckenna
Registered owner
Mckenna Ranch
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 1, 1996 · 38 hours before
Departed
MDD · Midland, TX
Destination
TAD · Trinidad, CO

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
44
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
860 total · 213 in this make and model · 813 as pilot in command · 15 in the last 90 days · 5 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
60 statute miles
Lowest ceiling
None
Temperature
64 °F

FAA reports on this event · 1

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