- Date
- June 1, 1994, 06:40 local (13:40 UTC)
- Place
- Trinity Center, CA
- Injuries
- 1 minor, 1 uninjured
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N36025Piper PA-28R-201T
- Weather
- Visual (VMC) · Dawn
- Status
- Completed · report December 7, 1994
- Report
- Approved by Office Director
- FAA report
- 19940601048789A
- Case key
- 28754
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 fatigue fracture of the crankshaft due to improper maintenance installation of the number 1 cylinder and the inadequate torquing of the case through bolts at that location.
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.
Analysis
The pilot said that he heard a grinding noise in the engine followed by a prop overspeed. Then the engine suddenly lost all power. ARTCC provided radar vectors to nearest airport and the pilot set up for a dead stick approach; however, he was unable to make the runway. The aircraft touched down gear up in a ditch, bounced out and onto parking lot, then crashed into a parked aircraft. Disassembly of the engine revealed fretting on the parting surfaces of the number 1 main bearing saddle. The crankshaft was found fatigue fractured across the number 1 crankpin at the interface with the number 2 long cheek. One rod end cap nut was found without a cotter pin installed. The second rod end cap nut was found with a shorter than normal cotter pin installed. The number 1 connecting rod bearing was found partially swaged out of the rod, with fretting observed on the bearing surfaces. The side faces of connecting rod number 1 were scored. The engine records revealed that cylinders number 1 and 4 were replaced on May 9, 1994, 29 hours prior to the accident.
Factual narrative
On June 1, 1994, at 0640 Pacific daylight time, a Piper PA-28R- 201T, N36025, collided with ground obstructions while attempting a forced landing at the Trinity Center, California, airport. The forced landing was precipitated by a total loss of engine power while in cruise flight. The aircraft was operated by Rainbow Air of Long Beach, California, and was rented by the pilot for a personal cross-country flight. Visual meteorological conditions prevailed at the time and an IFR flight plan was filed for the operation. The aircraft incurred substantial damage. The certificated private pilot incurred minor injuries and the passenger was not injured. The flight originated at the Medford, Oregon, airport on the morning of the accident at 0550 as an IFR cross-country flight to Long Beach, California.
The pilot said in his statement that while en route at 11,000 feet, he heard a "grinding noise" in the engine followed by a propeller overspeed. A few seconds later, the engine suddenly lost all power. The pilot said he informed Oakland ARTCC (ZOA) of his problem within 30 seconds of the event and they provided vector to nearest airport, which was Trinity Center. The pilot said he set up for a dead stick approach to the airport; however, he was unable to make the runway. The aircraft touched down gear-up in a ditch, bounced out and onto the parking lot, then crashed into a parked aircraft.
The engine was removed from the airframe for a detailed examination, which was conducted on June 9, 1994, at Hillside Aviation in Redding, California. The examination was conducted by a Federal Aviation Administration (FAA) airworthiness inspector from the Sacramento, California, Flight Standards District Office, with assistance provided by a technical representative from Teledyne Continental Motors. The reports from both the FAA inspector and the Teledyne Continental Motors representative are attached as an exhibit to this report.
Disassembly of the engine revealed fretting on the parting surfaces of the number 1 main bearing saddle. The crankshaft was found fractured across the number 1 crankpin at the interface with the number 2 long cheek.
The number 1 connecting rod remained on the number 1 crankpin. One rod end cap nut was found without a cotter pin installed in the castlenated nut. The second rod end cap nut was found with a shorter than normal cotter pin installed. The number 1 connecting rod bearing was found partially swaged out of the rod big end, with fretting observed on the bearing surfaces. The side faces of connecting rod number 1 were scored.
The fractured crankshaft was sent to the FAA Manufacturing Satellite Inspection Office in Mobile, Alabama, for analysis by the Teledyne Continental materials laboratory under FAA supervision. The metallurgical analysis report completed by Teledyne Continental is attached as an exhibit to this report. In pertinent part, the materials laboratory found that the crankshaft fractured at the number 1 crankpin due to a sub- surface initiated fatigue crack.
The engine maintenance records were examined in detail. The Continental TSIO-360-FB1 engine, serial No. 281066-R was remanufactured by the Continental factory on June 24, 1991, and installed in the accident aircraft on July 4, 1991. At the time of the accident, the engine had accrued 1,015 operating hours since remanufacture. Engine cylinders number 1 and 4 were replaced on May 9, 1994, 29 hours prior to the accident.
Aircraft
- Registration
- N36025
- Reported as
- Piper PA-28R-201T (PA-28R-201)
- Category
- Airplane
- Serial number
- 28R-7803308
- Airframe hours
- 4,362
- Engine
- Continental TSIO-360-FB1, 200 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Operator
- Rainbow Air
- Registered owner
- Marvin R. Grimmett
- Airworthiness certificate
- Standard, Normal
- Last inspection
- 100 hour · April 6, 1994 · 68 hours before
- Departed
- MFR · Medford, OR
- Destination
- LGB · Long Beach, CA
- Flight plan
- IFR
- Airport
- O86 · Trinity Center, runway 32, 3,200 × 50 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
- 31
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--no waivers/lim.
- Seat
- Left
- Flight hours
- 159 total · 28 in this make and model · 84 as pilot in command · 49 in the last 90 days · 9 in the last 30 days · 1 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Dawn
- Wind
- Calm
- Visibility
- 30 statute miles
- Lowest ceiling
- None
- Temperature
- 68 °F
- Altimeter
- 29.00 inHg
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.