LAX03LA130

NTSB accident investigation · Piper PA-28-181 · Baker, CA · April 6, 2003

Accident · Minor injuriesLimited investigationFinal report
Date
April 6, 2003, 10:00 local (17:00 UTC)
Place
Baker, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8465RPiper PA-28-181
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20030406028559A
Case key
56781

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

the separation of a propeller blade tip due to fatigue cracking that resulted from improper maintenance repair procedures.

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.

Propeller failure/malfunctionCruise
Propeller system/accessories,blade - fatigueCause
Propeller system/accessories,blade - separationCause
Maintenance - improperCompany maintenance personnelCause
Forced landingEmergency descent/landing
In flight collision with terrain/waterEmergency landing
Terrain condition - high vegetation
Hard landingLanding - flare/touchdown
Terrain condition - ground

Analysis

The airplane collided with obstacles during a forced landing in desert terrain. While in cruise flight, a portion of the propeller blade separated and the airplane's engine began to violently vibrate. The pilot executed a forced landing and the airplane collided with cactus plants prior to touch down. The airplane hit hard and the landing gear separated. The Safety Board's Materials Laboratory examined the remainder of the propeller blade, which revealed fatigue cracking. At the origin of the crack was a corrosion pit. High magnification optical examinations revealed that numerous small shallow corrosion concentration areas were imbedded on both the camber and flat surfaces, in indication that the blade had not been properly dressed. Paint and conversion coatings covered many of the pits and corrosion areas. The propeller was overhauled March 25, 2002, and had accumulated about 700 hours of total time since the overhaul, Logbook entries recorded that maintenance personnel removed propeller nicks on October 30, 2002. FAA Advisory Circular 43.13-1A, Section 3 "Repair of Metal propellers," paragraph 585(a) discusses procedures applied to the repair of aluminum propellers. Specifically, this reference addresses rounding out of nicks, scars, cuts, etc. by advising to "...exercise care to remove the deepest point of the injury..."

Factual narrative

On April 6, 2003, about 1000 Pacific daylight time, a Piper PA-28-181, N8465R, collided with obstacles during a forced landing in desert terrain following a loss of a portion of a propeller blade near Baker, California. Air Desert Pacific, Inc., was operating the airplane under the provisions of 14 CFR Part 91. The commercial pilot and one passenger received minor injuries; the airplane sustained substantial damage. The personal cross-country flight departed Brackett Field, La Verne, California, about 0830, with a planned destination of Jean, Nevada. Visual meteorological conditions prevailed, and a flight plan had not been filed. The wreckage was located at 35 degrees 15 minutes north latitude and 116 degrees 3.0 minutes west longitude.

During a telephone interview with a Safety Board investigator, the pilot reported that while in cruise flight, the airplane's engine began to violently vibrate. Thinking that the engine might separate from the airplane, the pilot opted to shut down the engine by manipulating the mixture control to the "off" position. While the pilot was executing a forced landing, the airplane collided with cactus plants about 100 yards south of I-15. During touchdown, the airplane hit hard and the landing gear separated. The wings were also crushed. After egressing the airplane, the pilot noted that a portion of a propeller blade was missing.

The propeller, manufactured by Sensenich Corporation, was a model 74DM6-0-60, fixed pitch, aluminum unit (serial number K34644). The Safety Board investigator-in-charge (IIC) examined the airplane logbooks. The propeller was overhauled March 25, 2002, and had accumulated about 700 hours of total time since the overhaul, Logbook entries recorded that maintenance personnel removed propeller nicks on October 30, 2002.

The missing propeller blade tip was not recovered, however, the IIC shipped the remainder of the propeller blade to the Safety Board's Materials Laboratory, Washington, DC, for further metallurgical examination. The examination revealed radial lines and microscopic fracture traces, which the Senior Metallurgist attributed to fatigue cracking. He stated that the crack initiated at a single location, mid-span on the camber face of the blade. Upon closer inspection he found that a corrosion pit, about 0.010 inches deep, was at the origin of the crack. Further examination indicated that fatigue accounted for approximately 72% of the total fracture area, before final overstress fracture.

High magnification optical examinations revealed that numerous small shallow corrosion concentration areas were imbedded on both the camber and flat surfaces. Remnants of blade paint and conversion coating filled many of the pits . The complete Materials Laboratory Factual Report (Report No. 03-080) is appended in the public docket.

FAA Advisory Circular 43.13-1A, Section 3 "Repair of Metal propellers," paragraph 585(a) discusses procedures applied to the repair of aluminum propellers. Specifically, this reference addresses rounding out of nicks, scars, cuts, etc. by advising to "...exercise care to remove the deepest point of the injury..."

The pilot and operator failed to file or return a Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1/2.

Aircraft

Registration
N8465R
Reported as
Piper PA-28-181
Category
Airplane
Serial number
28-8216031
Airframe hours
11,636
Engine
Lycoming O-360-A4M, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Air Desert Pacific, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 16, 2003
Departed
POC · La Verne, CA
Destination
0L7 · Jean, NV

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
32
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
194 total

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 25 °F
Altimeter
30.06 inHg
Observed at
DAG, 40 nm away

FAA reports on this event · 1

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