LAX92FA374

NTSB accident investigation · Piper PA-23-160 · Concord, CA · September 2, 1992

Accident · FatalField investigationFinal report
Date
September 2, 1992, 14:41 local (21:41 UTC)
Place
Concord, CA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N4305YPiper PA-23-160
Weather
Visual (VMC) · Day
Status
Completed · report September 14, 1993
Report
Approved by Office Director
FAA report
19920902035109A
Case key
27451

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

The following Probable Cause was modified on April18, 2007, as a result of new information provided to the NTSB.

The improper installation of the 1.75 inch od plug in the crankshaft by unknown maintenance personnel which resulted in an inadvertent feathering of the left engine propeller.

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.

Airframe/component/system failure/malfunctionGo-around (vfr)
Propeller system/accessories - rupturedFactor
Maintenance,installation - improperOther maintenance personnelCause
Fluid,oil - pressure too lowFactor
Propeller feathering - inadvertentFactor
In flight collision with objectDescent - uncontrolled
Object - bridge/overpass
Proper climb rate - not attainedPilot in command(cfi)

Analysis

The following Brief was modified on April18, 2007, as a result of new information provided to the NTSB.

The aircraft collided with a bridge while trying to return to the airport after reporting an emergency during the previous touch and go landing. Witnesses indicated both engines sounded like they were running and both propellers were turning. The left engine propeller was found feathered after the accident. Investigation revealed a 1.75 inch od plug installed in the crankshaft to separate oil pressure from the propeller governor and the engine crankcase was blown aft damaging the number one rod connecting journal oil transfer tube. Examination of the plug disclosed that it was installed backwards.

Aircraft

Registration
N4305Y
Reported as
Piper PA-23-160
Category
Airplane
Serial number
2028
Engine
Lycoming O-320-B3B, 160 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Instructional · Part 91
Operator
Chavossy, Louis
Registered owner
Chavossy, Louis
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 23, 1992
Departed
HWD · Hayward, CA
Airport
CCR · Buchanan Field, runway 19, 4,400 × 150 ft, asphalt

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
40
Certificates
Flight instructor, Private, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Invalid Medical for flight
Seat
Right
Toxicology
Performed
Flight hours
800 total · 170 in this make and model · 650 as pilot in command · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 13 knots
Visibility
40 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 52 °F
Altimeter
30.00 inHg
Observed at
CCR, 1 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.