LAX87LA275

NTSB accident investigation · Piper PA-28-161 · Milpitas, CA · July 20, 1987

Accident · Minor injuriesLimited investigationFinal report
Date
July 20, 1987, 12:30 local (19:30 UTC)
Place
Milpitas, CA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N91338Piper PA-28-161
Weather
Visual (VMC) · Day
Status
Completed · report August 13, 1988
Report
Approved by Office Director
Safety recommendations
Yes
FAA report
19870720035569A
Case key
25644

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

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/malfClimb - to cruise
Engine assembly,rocker arm/tappet - fracturedCause
Maintenance,compliance with ad - improperOther maintenance personnelCause
Maintenance,service bulletin/letter - inadequateManufacturerCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - rough/unevenFactor

Analysis

While climbing to cruise plt heard a loud knocking noise followed by 'violent vibrations' & a loss of power. Plt made a frcd lnding in a newly excavated construction site & went over an embankment. Inves revealed deformation of the #4 cylinder valve cover. #4 exhaust valve rocker arm was found to be broken. Review of acft maintenance records revealed that AD 87-10-06 which incorporates Lycoming service bulletin (sb) 477A was accomp 78.7 hrs prior to the accident. The sb requires rocker arms that do not have a wall thickness of.075 be replaced. If the rocker arm passes the thickness exam the rocker arm oil drip hole outer edge must be 'burred' to the approx .030 radius prior to reassembly. The rocker arm was measured using a round anvil micrometer. The measurement met the min dimension of .075. After the accident, met lab exam revealed fracture features of high cycle fatigue & overstress. The origin of the fatigue was traced to the reworked oil drip hole which did not meet .030 radius. The wall thickness measured .055 using a measuring microscope.

Aircraft

Registration
N91338
Reported as
Piper PA-28-161
Category
Airplane
Serial number
288616008
Airframe hours
368
Engine
Lycoming O-320-D3G, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Flying Country Club, Inc.
Registered owner
R.F. Buttler
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 17, 1987 · 79 hours before
Departed
RHV · San Jose, CA
Destination
CCR · Concord, CA
Flight plan
VFR
Airport
RHV · Reid Hillview

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
50
Certificate
Student
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
101 total · 101 in this make and model · 28 as pilot in command · 49 in the last 90 days · 16 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 8 knots
Visibility
50 statute miles
Lowest ceiling
None
Altimeter
29.00 inHg
Observed at
RHV, 8 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.