MIA91LA115

NTSB accident investigation · Piper PA-28-181 · Vero Beach, FL · April 3, 1991

Accident · No injuriesLimited investigationFinal report
Date
April 2, 1991, 21:15 local (Apr 3, 1991, 02:15 UTC)
Place
Vero Beach, FL
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8156EPiper PA-28-181
Weather
Visual (VMC) · Night/dark
Status
Completed · report January 25, 1993
Report
Approved by Office Director
FAA report
19910402026039A
Case key
32845

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

Failure of maintenance personnel to follow directions of a service bulletin during the major overhaul of the engine. This resulted in failure to detect a foreign object under the crankshaft gear. As a result the crankshaft gear became loose and quit turning resulting in the total loss of engine power.

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
Accessory drive assy,drive gear - foreign objectCause
Maintenance,service bulletin/letter - not followedOther maintenance personnelCause
Maintenance,overhaul,major - poorOther maintenance personnel
Accessory drive assy,drive gear - failure,total
Forced landingDescent - emergency
On ground/water collision with objectLanding - roll
Object - tree(s)
Object - other

Analysis

While on a short cross country flt, the eng quit. The plt was unable to restart the eng. During the forced landing on a road, the acft collided with a tree then a guardrail. Exam of the eng revealed that the crankshaft gear which drives two crankshaft idler gears which in turn drives each magneto drive gear failed to do so when the bolt which secures it to the crankshaft backed out about three turns. This was due to a foreign object located under the gear for an undetermined time. The loose bolt resulted in the torque from the crankshaft being transmitted to the crankshaft alignment dowel, which is a non-load carrying member. The alignment dowel failed due to fatigue resulting in the total loss of eng power. The foreign object was reportedly not located. Review of the eng logbooks revealed that the eng was overhauled 1,574 hrs earlier.

Aircraft

Registration
N8156E
Reported as
Piper PA-28-181
Category
Airplane
Serial number
28-8290102
Airframe hours
3,602
Engine
Lycoming O-360-A4M, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Sun Aviation, Inc.
Registered owner
Vero Air Rental, Inc.
Last inspection
100 hour · January 25, 1991 · 87 hours before
Departed
2RR · River Ranch, FL
Destination
VRB · Vero Beach, FL

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
42
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Flight hours
121 total · 121 in this make and model · 48 as pilot in command · 44 in the last 90 days · 26 in the last 30 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
60° at 13 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
79 °F

FAA reports on this event · 1

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