MIA03LA090

NTSB accident investigation · Piper PA-28R-180 · Sarasota, FL · April 1, 2003

Accident · No injuriesLimited investigationFinal report
Date
April 1, 2003, 18:15 local (23:15 UTC)
Place
Sarasota, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4952JPiper PA-28R-180
Weather
Visual (VMC)
Status
Completed · report March 30, 2004
Report
Approved by Office Director
Parties
FAA FSDO
FAA report
20030401015149A
Case key
56756

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

A loss of engine power due to the crankshaft bolt losing torque, the gear disengaging, and the engine ceasing to operate as a result of inadequate maintenance installation.

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) - mech failure/malfCruise - normal
Maintenance,installation - inadequateCompany maintenance personnelCause
Engine assembly,gear - loose part/bolt/nut/clamp/etc
Engine assembly,gear - disengaged
Forced landingEmergency descent/landing
On ground/water collision with objectLanding - roll
Object - sign

Analysis

The pilot stated that he had performed maneuvers in the practice area and was on his way back to the Sarasota/Bradenton Airport, Sarasota, Florida, at 1,600 feet, when all of a sudden, the airplane's engine ceased operating. He said he made a forced landing and during the landing rollout the airplane collided with a curb and a sign, incurring damage to the wings. Postaccident examination of the accident airplane revealed that the Bendix magneto had become displaced from its mount. In addition, there was a discontinuity within the engine accessory section. There was the presence of oil in the area of the airframe/engine tubular mount structure, and on the lower left portion of the fuselage. The crankshaft gear bolt was loose and had a flat mark on one of the threads, the lock tab was bent and twisted, and the dowel pin had sheared. The gears within the accessory section of the engine, including the impulse coupling for the left magneto were undamaged. There was also no damage to the crankshaft gear's teeth, and the center internal bore displayed signatures consistent with there having been a side load. The NTSB Metallurgical Laboratory in Washington DC, conducted an examination of the left "Bendix" magneto, the bottom magneto clamp, the dowel pin, the crankshaft gear, the lock tab, the crankshaft, and the crankshaft bolt. The damage noted was consistent with a loss of torque on the crankshaft assembly. The dowel was found to have fatigue fractures emanating from multiple origins at the outer diameter surface, consistent with having been produced by grinding and wear/fretting. Airplane records indicate that on September 1, 1993 the engine had undergone a field overhaul, had accumulated 1450.35 hours since the overhaul. On October 30, 2002, the engine had undergone maintenance, and had both the left and right crankcase halves replaced, about 200 hours before the accident.

Factual narrative

On April 1, 2003, about 1815 eastern standard time, a Piper PA-28R-180, N4952J, registered to and operated by Cirrus Aviation, as a Title 14 CFR part 91 personal flight, made a forced landing in Sarasota, Florida. Visual meteorological conditions prevailed, and no flight plan was filed. The private-rated pilot and one pilot-rated passenger were not injured, and the airplane incurred substantial damage. The flight originated in Sarasota, the same day, about 1725.

The pilot stated that he had flown to the practice area and had performed steep turns, slow flight, and steep spirals, and was on his way back to the Sarasota/Bradenton Airport, Sarasota, Florida, at 1,600 feet, when all of a sudden, the airplane's engine ceased operating. He said he saw a road and elected to land on it, but a car later turned onto the road, so he chose to land on a field instead. During the landing rollout the airplane collided with a curb and a sign, incurring damage to the wings.

Postaccident examinations of the accident airplane revealed that the left magneto, manufactured by "Bendix", was found to have wear on the aluminum flange in the area where the bottom mount clamp is normally secured. The clamp installed that was intended for a "Slick" manufactured magnetos, and the Bendix magneto had become displaced from its mount. In addition, there was a discontinuity within the engine accessory section. There was the presence of oil in the area of the airframe/engine tubular mount structure, and on the lower left portion of the fuselage. The crankshaft gear bolt was loose and had a flat mark on one of the threads, the lock tab was bent and twisted, and the dowel pin had sheared. The gears within the accessory section of the engine, including the impulse coupling for the left magneto. were undamaged. There was also no damage to the crankshaft gear's teeth, and the center internal bore displayed signatures consistent with there having been a side load.

The NTSB Metallurgical Laboratory in Washington, D.C., conducted an examination of the left "Bendix" magneto, the bottom magneto clamp, the dowel pin, the crankshaft gear, the lock tab, the crankshaft, and the crankshaft bolt. The damage noted was consistent with a loss of torque on the crankshaft assembly. The dowel was found to have fatigue fractures emanating from multiple origins at the outer diameter surface, consistent with having been produced by grinding and wear/fretting. Airplane records indicate that on September 1, 1993, the engine had undergone a field overhaul, and had accumulated 1450.35 hours since the overhaul. On October 30, 2002, the engine had undergone maintenance and had both the left and right crankcase halves replaced about 200 hours before the accident.

Aircraft

Registration
N4952J
Reported as
Piper PA-28R-180
Category
Airplane
Serial number
28R-30698
Airframe hours
5,731
Engine
Lycoming IO-360, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Cirrus Aviation
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · February 18, 2003 · 55 hours before
Departed
SRQ · Sarasota, FL

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
48
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
August 29, 2001
Seat
Left
Flight hours
388 total · 42 in this make and model · 327 as pilot in command · 19 in the last 90 days · 5 in the last 30 days

Weather

Conditions
Visual (VMC)
Wind
110° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 43 °F
Altimeter
30.29 inHg
Observed at
SRQ

FAA reports on this event · 1

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