- 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.
On this page
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.
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.