MIA08LA168

NTSB accident investigation · Piper PA-22-160 · Jeannette, PA · August 19, 2008

Accident · No injuriesLimited investigationFinal report
Date
August 19, 2008, 18:52 local (22:52 UTC)
Place
Jeannette, PA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N9403DPiper PA-22-160
Defining event
Landing-landing roll: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Dusk
Status
Completed · report January 29, 2009
Report
Approved by Office Director
Parties
Allegheny FSDO
FAA report
20080819846559A
Case key
68750

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

Failure of the brakes to function due to inadequate inspection of the brake cable by maintenance personnel.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Landing gear system: brakeAircraft › Aircraft systems · Fatigue/wear/corrosionPiper PA-22-160: 2 casesAll aircraft: 297 cases
Landing gear system: brakeAircraft › Aircraft systems · Inadequate inspectionPiper PA-22-160: 2 casesAll aircraft: 297 casesProbable cause
Inspection: scheduled/routine inspectionPersonnel issues › Task performance · Maintenance personnelPiper PA-22-160: 1 caseAll aircraft: 167 casesProbable cause
Landing gear system: brakeAircraft › Aircraft systems · FailurePiper PA-22-160: 2 casesAll aircraft: 297 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot stated that the airplane bounced on landing. He aligned the airplane with the centerline and applied upward pressure on the manual brake; however, there was no response from the brake. He looked down towards the firewall, and observed the brake cable had separated. He started "S" turning the airplane in an attempt to slow down and stop. The airplane was about 50 yards from the end of the runway with an embankment. He applied right rudder to turn the airplane off the right side of the runway. The airplane continued off the runway and the nose wheel collapsed. Examination of the brake lever cable revealed that it failed due to fatigue. The last annual inspection was completed 36 days before the accident. The airframe and power plant mechanic who preformed the annual inspection stated that he also installed a brake booster on the airplane during the inspection. The mechanic stated that he did not totally remove the cable from the airplane during his examination; however he did check the brake cable with a cloth and there were no snags from broken wires. The Federal Aviation Administration advisory circular that pertains to the inspection of the brake cables states, "in addition to passing a cloth over the area to check on wire snags that a very careful visual inspection must be made since a broken wire will not always protrude or stick out, but may lie in the strand and remain in the position of the helix as it was manufactured. Broken wires of this type may show up as a hairline crack in the wire. If a broken wire of this type is suspected, further inspection with a magnifying glass of 7 power or greater, is recommended."

Factual narrative

On August 19, 2008, about 1852 eastern daylight time, a Piper PA-22-160, N9403D, registered to Tri Pacer Flyers LLC, operating as a 14 Code of Federal Regulations Part 91 personal flight went off the right side of runway 20 on landing roll out at Greensburg Jeannette Regional Airport (5G8), Jeannette, Pennsylvania. The airplane received substantial damage. Visual meteorological conditions prevailed and no flight plan was filed. The private pilot and one passenger reported no injuries. The flight originated from William T. Piper Memorial Airport (LHV), Lock Haven, Pennsylvania, at 1730. The pilot stated he over flew 5G8 and obtained the landing direction from the windsock. He entered the traffic pattern on a left downwind leg for runway 20, and made two visual approaches with go-arounds due to the airplane being too high. On the third approach, he landed the airplane 600 feet past the landing threshold. The airplane bounced and touched down on the runway about 1,300 feet past the landing threshold. He aligned the airplane with the centerline of the runway and applied upward pressure on the manual brake to slow the airplane down. There was no response from the brake. The pilot reapplied upward pressure on the brake and there was no response. He looked down towards the firewall, observed the brake cable had separated, and he started "S" turning the airplane on the runway in an attempt to slow down and stop. He then realized he was about 50 yards from the end of the runway and there was an embankment. He applied right rudder to turn the airplane off the right side of the runway. The right main landing gear came up off the runway, and the propeller and left wing tip collided with the runway. The airplane continued off the runway and the nose wheel collapsed. Examination of the airplane by Federal Aviation Administrator (FAA) inspectors revealed the firewall was buckled. The brake lever cable was removed and forwarded to the National Transportation Safety Board Materials Laboratory for examination. The cable was separated at about mid length. Scanning electron microscope examinations of one end of the brake cable revealed fatigue features on the wires on about two thirds of the cable wires with the remaining wires fractured due to overstress. Further examination of the cable uncovered an additional area of broken wires about midway between the brake handle end and the separation area. Multiple broken wires were visible when the cable was manually flexed as shown in the illustration in advisory circular (AC) 43.13.1B for cable inspections. Review of the airplane logbooks revealed the last annual inspection was conducted on July 14, 2008. In addition, according to the airport manager at LHV, who is the manager for Tri Pacer Flyers LLC, a brake booster was installed on the airplane during the annual inspection, and no anomalies were noted with the brake cable. The airframe and power plant mechanic who performed the annual inspection stated he did notremove the brake cable entirely from the airplane during his inspection and installation of the brake booster nor did he use a magnifying glass to inspect the brake cable. He stated he pulled the cable up one side to the pulley at the bottom of the firewall and inspected the brake cable all the way up to the brake handle. He used a cotton rag to detect any broken wires by running the rag over the cable and there were no snags. The notes section of the Piper Aircraft Inspection Report for the PA-22 series references FAA Advisory Circular 43.13-1B for cable inspections. For cable inspections the AC reports the following in chapter 7 section 149, paragraph d. "Close inspection in these critical fatigue areas, must be made by passing a cloth over the area to snag on broken wires. This will clean the cable for a visual inspection, and detect broken wires if the cloth snags on the cable. Also, a very careful visual inspection must be made since a broken wire will not always protrude or stick out, but may lie in the strand and remain in the position of the helix as it was manufactured. Broken wires of this type may show up as a hairline crack in the wire. If a broken wire of this type is suspected, further inspection with a magnifying glass of 7 power or greater, is recommended. Figure 7-16 shows a cable with broken wires that was not detected by wiping, but was found during a visual inspection. The damage became readily apparent when the cable was removed and bent as shown in figure 7-16."

Aircraft

Registration
N9403D
Reported as
Piper PA-22-160
Category
Airplane
Serial number
22-6376
Airframe hours
3,168
Engine
Lycoming O-320-B2B, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Tri Pacer Flyers LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 2008 · 23 hours before
Departed
LHV · Lock Haven, PA
Destination
5G8 · Jeannette, PA
Airport
5G8 · Greensburg Jeannette Regional, runway 20, 2,605 × 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
53
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
August 1, 2008
Seat
Left
Flight hours
89 total · 82 in this make and model · 33 as pilot in command · 10 in the last 90 days · 5 in the last 30 days

Weather

Conditions
Visual (VMC) · Dusk
Wind
340° at 5 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 63 °F
Altimeter
30.06 inHg
Observed at
LBE, 11 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.