MIA89FA093

NTSB accident investigation · Piper PA-28R-200 · Inverness, FL · February 25, 1989

Accident · Serious injuriesField investigationFinal report
Date
February 24, 1989, 21:32 local (Feb 25, 1989, 02:32 UTC)
Place
Inverness, FL
Injuries
2 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N43330Piper PA-28R-200
Weather
Visual (VMC) · Night/dark
Status
Completed · report May 22, 1990
Report
Approved by Office Director
FAA report
19890224003189A
Case key
32275

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

The failure of the propeller governor oil line due to fatigue which was caused by bending damage to the line and the failure of mechanics to install support clamps on the line which caused the fatigue to propagate at a faster rate.

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
Lubricating system,oil line - not securedCause
Maintenance,installation - improperOther maintenance personnelCause
Lubricating system,oil line - bentCause
Maintenance,adjustment - improperCompany maintenance personnelCause
Lubricating system,oil line - fatigueCause
Fluid,oil - loss,totalCause
Engine assembly,connecting rod - disconnectedCause
Engine assembly - seizedCause
Forced landingDescent - emergency
In flight collision with objectDescent - emergency
Object - wire,static
Object - tree(s)
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - loose gravel/sandy

Analysis

During cruise flt a total loss of engine power was experienced. The plt was attempting a forced landing when the acft contacted electrical wires and a tree prior to colliding with the terrain. Post accident inspection revealed the propeller governor oil line cracked to the point that engine oil pumped out of the engine which subsequently seized. The oil line was installed after engine overhaul without two clamps and was bent in the area where the alternator belt is adjusted. The bending damage caused a fatigue crack in the line and the lack of support clamps aided in the cracking process.

Aircraft

Registration
N43330
Reported as
Piper PA-28R-200
Category
Airplane
Serial number
28R-7435262
Airframe hours
4,351
Engine
Lycoming IO-360-C1C, 200 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Operator
Eagle Flight Center, Inc.
Registered owner
D.K. Aviation
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
100 hour · February 19, 1989 · 10 hours before
Departed
X31 · Crystal River, FL
Destination
DAB · Daytona Beach, 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
21
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
650 total · 25 in this make and model · 515 as pilot in command · 260 in the last 90 days · 80 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
30 °F, dew point 19 °F
Altimeter
30.00 inHg
Observed at
GNV, 50 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.