MIA94LA017

NTSB accident investigation · Piper PA-32-300 · Plymouth, FL · November 7, 1993

Accident · No injuriesLimited investigationFinal report
Date
November 7, 1993, 15:00 local (20:00 UTC)
Place
Plymouth, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9000MPiper PA-32-300
Weather
Visual (VMC) · Day
Status
Completed · report October 20, 1994
Report
Approved by Office Director
FAA report
19931107046159A
Case key
37455

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

Total failure of the crankshaft due to fatigue resulting in a forced landing and subsequent hard landing.

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/malfClimb - to cruise
Engine assembly,crankshaft - fatigueCause
Engine assembly,crankshaft - failure,totalCause
Forced landingDescent - emergency
Hard landingLanding - flare/touchdown
On ground/water collision with objectLanding - roll
Object - fence post

Analysis

Shortly after takeoff while climbing to cruise, the engine failed. The pilot executed a forced landing in a field and landed hard. Examination of the engine revealed that the crankshaft failed at the connecting rod thrust face just above the rear fillet radius of the no.5 crankpin journal. Metallurgical examination of the crankshaft revealed that it failed due to fatigue. Review of the engine logbooks revealed that the engine was overhauled then during the run-in, a cam follower failed. The engine was disassembled and the crankshaft was magnafluxed. No defects were noted. The engine was overhauled again and had accumulated about 372 hours since the second overhaul.

Factual narrative

On November 7, 1993, about 1500 eastern standard time, a Piper PA-32-300, N9000M, registered to Thomas J. and Carol A. Lewis, was substantially damaged during a forced landing about 5 miles north of Plymouth, Florida, while on a 14 CFR Part 91 personal flight. Visual meteorological conditions prevailed at the time and no flight plan was filed. The private-rated pilot, the sole occupant, was not injured. The flight originated about 10 minutes earlier from the Orlando Country Airport, Plymouth, Florida.

The pilot stated that shortly after takeoff while climbing to cruise, the engine began losing power, then failed. He initiated an emergency descent and while attempting a forced landing in a field, the airplane landed hard and collided with fence poles.

The engine was removed for further examination by the manufacturer and an FAA airworthiness inspector. Examination of the engine revealed that the crankshaft failed at the connecting rod thrust face just above the rear fillet radius of the No.5 crankpin journal. Dimensional measurements of all journals revealed that they were within the overhaul manual service limits. Chemical analysis revealed that the crankshaft material conformed to specification requirements. The case depth, case hardness, and core hardness of the crankshaft were determined to conform to the engineering drawing requirements.

Metallurgical examination of the fracture surfaces by the engine manufacturer revealed that the crankshaft failed due to fatigue. Magnetic particle inspection revealed heat cracks at all of the connecting rod thrust faces just above the front as well as rear fillet radii of the crankpin journals. Additionally, severely damaged spots were observed at the crank cheeks and some damaged areas were blended with no nitriding case observed in the blended areas. The metallurgical report states that lack of concaveness of the beach mark patterns at the apparent origin indicate that the fatigue initiated from a surface origin.

Review of the engine logbook revealed that the engine was major overhauled on July 27, 1990, and about 1 hour later during the engine break-in period, a camshaft follower failed. The engine was disassembled and the crankshaft in part was sent to an FAA approved repair station where the crankshaft was magnafluxed. According to the repair station work order, no cracks were detected. The crankshaft was returned and several components of the engine was replaced including both halves of the crankcase. The engine was overhauled, installed, and at the time of the accident had accumulated about 372.07 hours since the second overhaul.

The manufacturer's metallurgical report was reviewed by personnel in the NTSB Materials Laboratory in Washington, D.C., who state that the report adequately documents the factual observations.

Aircraft

Registration
N9000M
Reported as
Piper PA-32-300
Category
Airplane
Serial number
32-7240053
Airframe hours
2,454
Engine
Lycoming IO-540-K1A5, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Lewis, Thomas J. & Carol A.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 1, 1993 · 42 hours before
Destination
CRG · Jacksonville, FL
Airport
X04 · Orlando Country

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
58
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
412 total

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 8 knots
Visibility
7 statute miles
Lowest ceiling
25,000 ft broken
Temperature
63 °F, dew point 54 °F
Altimeter
30.00 inHg
Observed at
ORL, 25 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.