LAX01LA179

NTSB accident investigation · Piper PA-32RT-300T · Paulden, AZ · May 17, 2001

Accident · No injuriesLimited investigationFinal report
Date
May 16, 2001, 18:30 local (May 17, 2001, 01:30 UTC)
Place
Paulden, AZ
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N22467Piper PA-32RT-300T
Weather
Visual (VMC) · Day
Status
Completed · report July 15, 2002
Report
Approved by Office Director
Parties
FAA Flight Standards District Office
FAA report
20010516009129A
Case key
52301

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

Catastropic engine failure due to oil depletetion caused by an oil filter gasket failure.

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(total) - mech failure/malfCruise
Terrain condition - none suitable
Lubricating system,oil gasket - failure,totalCause
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterLanding

Analysis

En route at 13,500 feet mean sea level, the airplane experienced engine vibrations that subsequently led to the pilot shutting the engine down and performing an off-airport landing. During the forced landing roll, the airplane hit brush hidden rocks. An on-scene examination revealed engine oil covering the bottom of the airplane. A post accident examination of the engine revealed a catastrophic internal failure had occurred. Further examination revealed an oil filter gasket was pinched and extruded around the oil filter base plate, allowing engine oil to escape. On August 30, 2000, Textron Lycoming issued Mandatory Service Bulletin (SB) MSB-543A for the replacement of oil filter converter plate gaskets. Time of compliance with the SB, initially, was before further flight and each 50 hours thereafter. On September 5, 2000, the FAA issued Emergency Airworthiness Directive (AD) AD 2000-18-53 to mandate compliance with SB, MSB-543A. The AD is sent to maintenance facilities and all registered airplane owners with this engine model. On October 4, 2000, Revision 1) was issued to SB543A, it provided an alternate means of compliance (AMOC). The revision provided clarification of affected engines, elimination of gasket p/n LW-13388, and eliminated the requirement to replace the gasket at each 50 hours of flight. The revision also provided for marking the converter plate by Vibropeening the numbers 543 onto a designated location of the plate. The accident plate was not marked. The last documented annual inspection occurred on July 27, 2000, at 2,418.9 total hours, with 235.9 since engine major overhaul. The entry states that "A.D's checked through 2000-15." At the time of the accident the FAA Aircraft Registration database in Oklahoma City, Oklahoma, listed the registration as "Sale Reported" and no other information. The application for registration was clocked into the registration branch on April 9, 2001, and the application was dated March 5, 2001. The certificate of registration was issued July 24, 2001. According to registration information, an application from "A Limited Liability Corporation (LLC)" applicant requires additional information about the organization and principals, and requires additional time to process. No Emergency Airworthiness Directive was sent to any registered owner or applicant of this airplane.

Factual narrative

On May 16, 2001, about 1830 hours mountain standard time, a Piper PA-32RT-300T, N22467, made an off-airport forced landing following engine vibrations and shutdown near Paulden, Arizona. The private pilot, the sole occupant, was not injured. The aircraft was substantially damaged. The business flight was operated by the pilot under 14 CFR Part 91. Visual meteorological conditions prevailed, and no flight plan was filed. The flight had originated at Henderson, Nevada, about 1715, and was destined for Sedona, Arizona.

En route at 13,500 feet mean sea level, the airplane experienced engine vibrations that subsequently led to the pilot shutting the engine down and performing an off-airport landing. During the forced landing roll, the airplane hit brush covered rocks sustaining substantial damage.

An on-scene examination revealed engine oil covering the bottom of the airplane. A post accident examination of the engine revealed that a catastrophic mechanical internal failure had occurred. Further examination revealed an oil filter gasket was pinched and extruded around the oil filter base plate, allowing engine oil to escape.

On August 30, 2000, Textron Lycoming issued Mandatory Service Bulletin (SB) MSB-543A for the replacement of oil filter converter plate gaskets. Time of compliance with the SB, initially, was before further flight and each 50 hours thereafter.

On September 5, 2000, the Federal Aviation Administration (FAA) issued Emergency Airworthiness Directive (AD) AD 2000-18-53 to mandate compliance with SB MSB-543A. The AD is sent to maintenance facilities and all registered airplane owners with this engine model.

On October 4, 2000, Revision 1) was issued to SB543A, it provided an alternate means of compliance (AMOC). The revision provided clarification of affected engines, elimination of gasket p/n LW-13388, and eliminated the requirement to replace the gasket at each 50 hours of flight. The revision also provided for marking the converter plate by Vibropeening the numbers 543 onto a designated location of the plate. The accident plate was not marked.

On February 10, 2000, at a tachometer reading of 2,305.35 hours and 125.45 hours since major overhaul, a propeller ground strike examination of the engine was performed per Lycoming SB 53 and AD 91-14-22 procedures. According to the North Las Vegas, Nevada, engine company, the oil filter converter plate was not removed.

The last documented annual inspection occurred on July 27, 2000, at 2,418.9 total hours, with 235.9 since engine major overhaul. The entry states that "A.D's checked through 2000-15."

At the time of the accident the FAA Aircraft Registration database in Oklahoma City, Oklahoma, listed the registration as "Sale Reported" and no other information. The application for registration was clocked into the registration branch on April 9, 2001, and the application was dated March 5, 2001. The certificate of registration was issued July 24, 2001. According to registration information, an application from "A Limited Liability Corporation (LLC)" applicant requires additional information about the organization and principals, and requires additional time to process. No Emergency Airworthiness Directive was sent to any registered owner or applicant of this airplane.

Aircraft

Registration
N22467
Reported as
Piper PA-32RT-300T
Category
Airplane
Serial number
32R-7887263
Airframe hours
2,628
Engine
Avco Lycoming TIO-540-S1AD, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Scott S. Shrader
Registered owner
TBT Wings,LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 27, 2000 · 209 hours before
Departed
L15 · Henderson, NV
Destination
SEZ · Sedona, AZ

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
49
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
March 16, 2001
Seat
Left
Flight hours
966 total · 831 in this make and model · 850 as pilot in command · 71 in the last 90 days · 39 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
20 statute miles
Lowest ceiling
None
Temperature
81 °F

FAA reports on this event · 1

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