MIA08LA169

NTSB accident investigation · Piper PA-32R-301 · Oxford, MS · August 4, 2008

Accident · No injuriesLimited investigationFinal report
Date
August 4, 2008, 18:30 local (23:30 UTC)
Place
Oxford, MS
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N532MJPiper PA-32R-301
Defining event
Enroute: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed · report June 22, 2009
Report
Approved by Office Director
Parties
Lycoming Engines, FAA/FSDO, Piper Aircraft
FAA report
20080804843139A
Case key
68752

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 fuel starvation as a result of maintenance personnel's failure to tighten a fuel line fitting.

Findings · 3

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.

Fuel systemAircraft › Aircraft systems · Incorrect service/maintenancePiper PA-32R-301: 2 casesAll aircraft: 181 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelPiper PA-32R-301: 1 caseAll aircraft: 371 casesProbable cause
Terrain: rough terrainEnvironmental issues › Physical environment · Contributed to outcomePiper PA-32R-301: 1 caseAll aircraft: 442 cases

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

According to the pilot, he was picking up the airplane following an engine overhaul. About 20 minutes into the flight home, the engine went to idle. The pilot set up for best glide and prepared for an emergency landing into a field. During the landing roll the airplane sustained substantial damage. During the visual examination of the engine, the lower fitting of the fuel supply line from the fuel injector servo to the fuel flow divider was observed loose. The "B" nut was marked and then tightened; the number of flats on the nut were counted and the nut was turned 8 flats before it was secure and tight. The loose "B" nut would have interfered with the fuel supply, resulting in a loss of engine power.

Factual narrative

On August 4, 2008, about 1830 central daylight time, a Piper PA-32R-301, N532MJ, registered to J-Com Inc., crashed into a bean field while attempting a forced landing following a loss of engine power in Oxford, Mississippi. The certificated private pilot was not injured, and the airplane sustained substantial damage. The flight was operated as a personal flight under the provisions of 14 Code of Federal Regulations (CFR) Part 91, and no flight plan was filed. Visual meteorological conditions prevailed at the time of the accident. The flight originated from the Holly Springs-Marshall County Airport (M41), Holly Springs, Mississippi, about 1800, on the same day.

According to the pilot, he was picking up the airplane following an engine overhaul. He took off and was heading for the Bruce Campbell Field (MBO), Madison, Mississippi. About 20 minutes into the flight the engine went to idle. The pilot set up for best glide, and prepared for an emergency landing into a bean field about 5 miles northwest of the University-Oxford Airport (UOX), Oxford, Mississippi. During the landing roll the airplane sustained substantial damage to both wings, their control surfaces, and the fuselage.

Examination of the airplane by a Federal Aviation Administration (FAA) inspector found all three blades of the propeller were bent aft about 90 degrees near mid span and the leading edges of the blades were "worn and abraided [sic]." The fuselage had been placed on stands for further examination. The right main gear was broken and separated. The left main gear had collapsed and was in the wheel well. The nose gear door was loose and bent and the top right corner of the firewall was buckled.

On August 13, 2008, an engine examination and run was conducted at the facilities of Dallas Air Salvage in Arlington, Texas. Present at the examination was a FAA representative from the Dallas FSDO, a representative from Piper Aircraft, a representative from Lycoming Engines, and the owner of John Jewell Aircraft, Inc.

Examination of the engine logbooks found that it had been installed following a Lycoming factory overhaul and had about 35-45 minutes of operating time since the instillation. The installation was performed by John Jewell Aircraft, Inc., 162 A. Q. Greer Dr. Holly Springs, Mississippi, 38635. The Hobbs meter at the time of the installation was 1035.8 hours.

Examination of the engine found no visible damage to the accessories section. About eight quarts of clean engine oil was present in the oil sump. All of the top spark plugs were removed and the cylinders were inspected using a lighted borescope, no anomalies were noted.

During the visual examination of the engine, the lower fitting of the fuel supply line from the fuel injector servo to the fuel flow divider was observed loose. The "B" nut was marked and then tightened, the number of flats on the nut were counted, and the nut was turned 8 flats before it was secure and tight.

After securing the "B" nut the damaged propeller was removed and a two-bladed test propeller was installed. The engine was rotated by hand and the impulse couplings were heard snapping and continuity was observed throughout the rotating assembly.

A temporary fuel supply was connected to the fuel selector valve and the engine was started using onboard power.

The engine performed normally through mid range, a magneto check was performed with normal readings, and then the revolutions per minute (RPM) were increased to maximum RPM (2400), which was governor limited with the temporary propeller.

The "B" nut was loosened on the fuel flow divider source line at the flow divider and an immediate drop in fuel flow and RPM was noted. This was consistent with what the pilot had experienced during the accident flight. The "B" nut was again secured and the engine resumed its normal operation.

Following the engine shut down, the representative from John Jewell Aircraft Inc., was asked if the mechanic recalled securing that subject line, he stated that the mechanic did not check the line as it was already installed by Lycoming before the engine was shipped to him, and he had assumed that it was secure.

According to Lycoming, this engine was a custom overhauled under HENPL-RT9591. This HENPL requires that the fuel servo be shipped loose, meaning that the fuel injector should have been provided in a box on the skid with the engine. The injector would have had to have been installed by a mechanic in the field and the subject hose would also have had to have been connected in the field.

Aircraft

Registration
N532MJ
Reported as
Piper PA-32R-301
Category
Airplane
Serial number
3246203
Airframe hours
1,036
Engine
Lycoming IO-540-K1G5, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 4, 2008 · 0 hours before
Departed
M41 · Holly Springs, MS
Destination
MBO · Madison, MS

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
52
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
August 7, 2006
Seat
Left
Flight hours
1,495 total · 1,217 in this make and model · 1,323 as pilot in command · 23 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 73 °F
Altimeter
30.00 inHg
Observed at
TUP, 5 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.