LAX91LA085

NTSB accident investigation · Piper PA 32-300 · Anaheim, CA · January 21, 1991

Accident · Minor injuriesLimited investigationFinal report
Date
January 21, 1991, 08:58 local (16:58 UTC)
Place
Anaheim, CA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1885HPiper PA 32-300
Weather
Visual (VMC) · Dawn
Status
Completed · report September 28, 1992
Report
Approved by Office Director
FAA report
19910121003189A
Case key
27103

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

Maintenance personnel in that they improperly adjusted the left magneto which resulted in the complete erosion of the electrodes from six of the twelve installed spark plugs. The installation of spark plugs with colder heat ranges than specified by the manufacturer and rising terrain ahead of the aircraft during the forced landing were factors in the accident.

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
Ignition system,magneto - otherCause
Maintenance,adjustment - improperCompany maintenance personnelCause
Ignition system,spark plug - delaminationCause
Maintenance,replacement - improperCompany maintenance personnelFactor
Forced landingDescent - emergency
Gear collapsedLanding - roll
Terrain condition - risingFactor

Analysis

After installing spark plugs with heat ranges colder than specified by the engine manufacturer and adjusting the left magneto 10 degrees before its specified adjustment the aircraft was released for flight. The pilot took off for his non scheduled part 135 flight. Enroute the engine lost power and the aircraft began to descend. The pilot made a forced landing in a dry lake bed. The landing surface was too short and the left landing gear collapsed as the pilot attempted to steer the aircraft away from a steep bank.

Aircraft

Registration
N1885H
Reported as
Piper PA 32-300
Category
Airplane
Serial number
32R-7780197
Engine
Lycoming I0540, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Ameriflight
Registered owner
Ameriflight
Last inspection
Unknown · January 13, 1991 · 19 hours before
Departed
ONT · Ontario, CA
Destination
CRQ · Carlsbad, CA
Flight plan
VFR

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
28
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
2,930 total · 320 in this make and model · 2,740 as pilot in command · 250 in the last 90 days · 40 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dawn
Wind
90° at 10 knots
Visibility
20 statute miles
Lowest ceiling
15,000 ft broken
Observed at
FUL, 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.