LAX99LA181

NTSB accident investigation · Piper PA-31-310 · La Verne, CA · April 15, 1999

Accident · No injuriesLimited investigationFinal report
Date
April 15, 1999, 15:30 local (22:30 UTC)
Place
La Verne, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N57ASPiper PA-31-310
Weather
Visual (VMC) · Day
Status
Completed · report November 22, 2000
Report
Approved by Office Director
FAA report
19990415042149A
Case key
46317

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 in-flight separation of the right engine cowling due to the operator's inadequate maintenance quality control procedures and the pilot's inadequate preflight inspection.

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.

Miscellaneous/otherClimb
Cooling system,cowling - not securedCause
Maintenance,installation - inadequateCompany maintenance personnelCause
Aircraft preflight - inadequatePilot in commandCause
Cooling system,cowling - separation

Analysis

The aircraft had been in maintenance for an adjustment to the right engine manifold pressure differential controller. The procedure required the uncowling of the engine. A certificated airframe and powerplant mechanic removed the cowling and made the required adjustments, then left for the day. A noncertificated mechanic replaced the cowling and the pilot then proceeded to perform the postmaintenance test flight. During climbout, the right engine upper cowling separated and wrapped around the right horizontal stabilizer. The pilot experienced difficulty in controlling the aircraft until the airspeed was reduced, then he returned to the airport and landed. Inspection of the cowling disclosed that the inboard latches on the upper cowling were not damaged. In his written statement, the pilot notes that his failure to detect the unlatched inboard cowling fasteners resulted from 'poor preflight inspection habits and a failure to follow the checklist.'

Factual narrative

On April 15, 1999, at 1530 hours Pacific daylight time, a Piper PA-31-310, N57AS, sustained substantial damage to the horizontal stabilizer when the right engine upper cowling separated in flight near La Verne, California. The aircraft was owned and operated by Air Desert Pacific Corporation of La Verne, and was on a postmaintenance test flight under 14 CFR Part 91 of the Federal Aviation Regulations. Visual meteorological conditions prevailed and no flight plan was filed for the local area flight. The commercial pilot, the sole occupant, was not injured. The flight originated from the Bracket Airport in La Verne at 1525.

The operator did not report the accident to either the Safety Board or the Federal Aviation Administration (FAA). FAA inspectors from the Los Angeles Flight Standards District Office discovered the damaged aircraft during an airport visit. The inspectors interviewed the pilot and the operator's maintenance personnel. According to the FAA inspector's report, the aircraft had been in maintenance for an adjustment to the right engine manifold pressure differential controller. The procedure required the uncowling of the engine. A certificated airframe and powerplant mechanic removed the cowling and made the required adjustments, then left for the day. A noncertificated mechanic replaced the cowling and the pilot then proceeded to perform the postmaintenance test flight. During climbout, the right engine upper cowling separated and wrapped around the right horizontal stabilizer. The pilot experienced difficulty in controlling the aircraft until the airspeed was reduced, then he returned to the airport and landed. Inspection of the cowling disclosed that the inboard latches on the upper cowling were not damaged.

In his written statement, the pilot notes that his failure to detect the unlatched inboard cowling fasteners resulted from "poor preflight inspection habits and a failure to follow the checklist."

Aircraft

Registration
N57AS
Reported as
Piper PA-31-310
Category
Airplane
Serial number
31-113
Airframe hours
7,259
Engine
Lycoming TSIO-540-A2B, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 91
Registered owner
Air Desert Pacific Corp
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 21, 1999 · 79 hours before
Departed
POC

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
38
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
1,455 total · 88 in this make and model · 1,347 as pilot in command · 40 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.