# NTSB MIA89FA093: Piper PA-28R-200, N43330, Inverness, FL, February 25, 1989

- Type: NTSB accident investigation
- Classification: Accident · Serious injuries · Field investigation · Final report
- Date: February 24, 1989, 21:32 local (Feb 25, 1989, 02:32 UTC)
- Place: Inverness, FL
- Location: 28.8442° N, 82.3429° W: Placed by OpenAirDocs: center of Inverness, FL, within about 6 miles (OpenAirDocs)
- Nearby events: https://openairdocs.org/map.md?lat=28.8442&lon=-82.3429&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Highest injury: Serious injuries
- Injuries: 2 serious
- Status: Completed, report May 22, 1990
- Report: Approved by Office Director
- NTSB case key (mKey): 32275
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=MIA89FA093
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/32275/pdf
- Page: https://openairdocs.org/ntsb/MIA89FA093

## 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

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Loss of engine power(total) - mech failure/malf, cruise
  - lubricating system,oil line - not secured (cause)
  - maintenance,installation - improper, other maintenance personnel (cause)
  - lubricating system,oil line - bent (cause)
  - maintenance,adjustment - improper, company maintenance personnel (cause)
  - lubricating system,oil line - fatigue (cause)
  - fluid,oil - loss,total (cause)
  - engine assembly,connecting rod - disconnected (cause)
  - engine assembly - seized (cause)
- Forced landing, descent - emergency
- In flight collision with object, descent - emergency
  - object - wire,static
  - object - tree(s)
- In flight collision with terrain/water, descent - 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](https://openairdocs.org/deregistered/N43330-2013-06-18), registration cancelled 2013-06-18, S/N 28R-7435262, built 1974 (OpenAirDocs)
- Reported make and model: PIPER PA-28R-200
- Registry model: [Piper PA-28R-200](https://openairdocs.org/model/piper-pa-28r-200) (registry code 7102811) (OpenAirDocs)
- Registry engine: [Lycoming I0360 series](https://openairdocs.org/engine/lycoming-i0360-series) (registry code 41515, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 28R-7435262
- Airframe hours: 4351
- Engines: 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

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 21; 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 (OpenAirDocs).

- [Accident 19890224003189A](https://openairdocs.org/incident/19890224003189A), Feb 24, 1989: Piper PA28R200, Inverness, FL, Destroyed. Prop governor oil line broke. Engine lost oil and seized. On landing hit powerline, tree, no oil line clamps.

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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