# NTSB LAX01LA179: Piper PA-32RT-300T, N22467, Paulden, AZ, May 17, 2001 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: May 16, 2001, 18:30 local (May 17, 2001, 01:30 UTC) - Place: Paulden, AZ - Coordinates: 34.630714, -112.310356 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=34.6307&lon=-112.3104&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 1 uninjured - Status: Completed, report July 15, 2002 - Report: Approved by Office Director - Parties: FAA Flight Standards District Office - ADs cited in the narratives: [AD 2000-18-53](https://openairdocs.org/ad/2000-18-53), [AD 91-14-22](https://openairdocs.org/ad/91-14-22) (OpenAirDocs) - NTSB case key (mKey): 52301 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX01LA179 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/52301/pdf - Page: https://openairdocs.org/ntsb/LAX01LA179 ## Probable cause Catastropic engine failure due to oil depletetion caused by an oil filter gasket failure. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - mech failure/malf, cruise - terrain condition - none suitable - lubricating system,oil gasket - failure,total (cause) - Forced landing, emergency descent/landing - On ground/water encounter with terrain/water, landing ## 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](https://openairdocs.org/deregistered/N22467-2004-08-28), registration cancelled 2004-08-28, S/N 32R-7887263, built 1978 (OpenAirDocs) - Reported make and model: Piper PA-32RT-300T - Registry model: [Piper PA-32RT-300T](https://openairdocs.org/model/piper-pa-32rt-300t) (registry code 7103216) (OpenAirDocs) - Registry engine: [Lycoming TI0-540 series](https://openairdocs.org/engine/lycoming-ti0-540-series) (registry code 41533, turbo-prop) (OpenAirDocs) - Category: Airplane - Serial number: 32R-7887263 - Airframe hours: 2628 - Engines: 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 ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 49; injuries: none; 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 (OpenAirDocs). - [Accident 20010516009129A](https://openairdocs.org/incident/20010516009129A), May 16, 2001: Piper PA32RT300T, Paulden, AZ, Substantial damage. (.19)On may 16, 2001, about 1830 hours mountain standard time, a Piper PA-32RT-300T, N22467, operated by the pilot was substantially damaged during an… From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.