LAX94LA377

NTSB accident investigation · Piper PA-32RT-300T · San Mateo, CA · September 25, 1994

Accident · Serious injuriesLimited investigationFinal report
Date
September 25, 1994, 13:50 local (20:50 UTC)
Place
San Mateo, CA
Injuries
2 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N39658Piper PA-32RT-300T
Weather
Visual (VMC) · Day
Status
Completed · report May 16, 1995
Report
Approved by Office Director
FAA report
19940925030609A
Case key
28871

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

A deteriorated magneto grounding ('P' lead) and failure of maintenance personnel to detect this condition when the engine was reinstalled in the airframe after overhaul. The lack of suitable terrain for the forced landing was a factor.

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(total) - nonmechanicalClimb - to cruise
Ignition system,magneto grounding lead (p-lead) - deterioratedCause
Ignition system,magneto grounding lead (p-lead) - shortedCause
Maintenance,inspection - inadequateOther maintenance personnelCause
Forced landingEmergency descent/landing
In flight collision with objectLanding - flare/touchdown
Terrain condition - residential area
Terrain condition - none suitableFactor
Object - wire,transmission
Object - vehicle
Object - wall/barricade

Analysis

The aircraft lost engine power after takeoff and was forced to land on a residential street. The engine had been overhauled by an faa-certified repair station 5 months and 150 flight hours before the accident. Examination of the engine magneto revealed internal corrosion and electrical arcing at the breaker points. The insulation on the 'p' lead wire was cracked along its entire length exposing bare wire at one point. Grounding of the 'p' lead as a result of a bare wire touching the airframe would have the same effect as the ignition switch in the off position.

Factual narrative

On September 25, 1994, at 1350 hours Pacific daylight time, a Piper PA-32RT-300T, N39658, lost engine power after takeoff and was forced to land on a residential street in San Mateo, California. The airplane was being operated by Aero Haven, Inc., Big Bear City, California, as a personal flight. The airplane was destroyed. The certificated private pilot and passenger received serious injuries. The flight originated from the San Carlos Airport, San Carlos, California, about 1345 hours and was destined for Big Bear City. Visual meteorological conditions prevailed.

The pilot stated the engine quit abruptly 1,000 to 1,500 feet above the ground over a city. The pilot manipulated the throttle in order to regain power. After getting no response, he elected to land on a residential street. The airplane struck wires during the initial flare and then struck an automobile and finally a brick wall during the ground run.

The airplane's maintenance records revealed the engine had been overhauled by a Federal Aviation Administration (FAA) certified repair station on May 5, 1994, about 150 flight hours before the accident. The repair station certified the airplane to be airworthy after the engine was reinstalled and returned the airplane to service.

The airplane's engine was examined at the El Monte Airport, El Monte, California, on October 21, 1994. Examination of the magneto revealed internal corrosion and electrical arcing at the breaker points. The impulse coupling was found intact and functioned. The insulation on the "P" lead wire was cracked along its entire length exposing bare wire at one point.

According to the engine manufacturer, the "P" lead wire connects the magneto's coil with the ignition switch. With the ignition switch in the off position, the "P" lead grounds the primary current. With the "P" lead grounded, the opening of the breaker points does not interrupt the primary current, preventing any build up of voltage in the primary circuit. Without primary voltage, the magneto will not fire the spark plugs. Grounding of the "P" lead as a result of a bare wire touching the airframe would have the same effect as the ignition switch in the off position.

Aircraft

Registration
N39658
Reported as
Piper PA-32RT-300T (PA-32RT-30)
Category
Airplane
Serial number
32R-7887135
Airframe hours
1,429
Engine
Lycoming TIO-540-S1AD, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Aero Haven, Inc.
Registered owner
Regli, Mike L.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 29, 1994 · 15 hours before
Departed
SQL · San Carlos, CA
Destination
L35 · Big Bear City, CA
Airport
SQL · San Carlos

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
34
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
340 total · 45 in this make and model · 330 as pilot in command · 45 in the last 90 days · 35 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 8 knots
Visibility
8 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 61 °F
Altimeter
29.00 inHg
Observed at
SQL, 4 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.