MIA95LA127

NTSB accident investigation · Piper PA-32-260 · N. Miami Beach, FL · May 5, 1995

Accident · Minor injuriesLimited investigationFinal report
Date
May 5, 1995, 10:24 local (14:24 UTC)
Place
N. Miami Beach, FL
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3482WPiper PA-32-260
Weather
Visual (VMC) · Day
Status
Completed · report September 24, 1995
Report
Approved by Office Director
FAA report
19950505013759A
Case key
37764

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

Inadequate annual inspection by maintenance personnel for failure to identify a hardened oil hose from the oil pump to the oil cooler inlet inside a protective fire sleeve. Additionally, unsuitable terrain encountered during the forced landing contributed to the accident.

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
Lubricating system,oil hose - failure,total
Maintenance,annual inspection - inadequateOther maintenance personnelCause
Fluid,oil - exhaustion
Engine assembly,connecting rod bolt - failure
Forced landingEmergency descent/landing
DitchingEmergency landing
Terrain condition - none suitableFactor

Analysis

Shortly after takeoff the pilot observed that the oil pressure began decreasing. He turned to return to the departure airport but the engine failed and the airplane crashed into a lake near the airport. The airplane was recovered and examination of the engine revealed that an oil hose from the oil pump to the oil cooler inlet failed in two places inside the protective fire sleeve. The fire sleeve was oil soaked and internally found to contain metal particles. The failed oil hose was manufactured in the third quarter of 1987 and installed following engine overhaul on July 22, 1987. Further examination of the engine revealed that three of the six cylinder connecting rods failed due to lack of lubrication. The remaining three connecting rods were found to be heat distressed and their associated rod bearings extruded. Review of the engine logbook revealed that the engine had been operated for about 53 hours since the last inspection in November 1994.

Factual narrative

On May 5, 1995, about 1024 eastern daylight time, a Piper PA-32-260, N3482W, registered to R & D Aero Service, Inc., crashed in a lake shortly after takeoff from the Opa-Locka Airport, Opa-Locka, Florida, while on a 14 CFR Part 91 personal flight. Visual meteorological conditions prevailed at the time and a VFR flight plan was filed for the flight to Nassau, Bahamas. The airplane was substantially damaged and the commercial-rated pilot, the sole occupant, sustained minor injuries. The flight originated about 1020.

The pilot stated that when the flight was about 1/2 mile west of the shoreline at 1,300 feet [mean sea level] flying eastbound, he observed that the oil pressure began decreasing. He turned to return and observed that the oil pressure indicating needle was "in the red." Unable to maintain altitude and land at the departure airport, he crashed the airplane into a lake about 4 nautical miles east-northeast from the departure airport. The airplane was recovered from the lake and examination revealed that the right wing separated at the wing root. Additionally, oil stains were noted on the left side of the fuselage aft of the engine assembly and also on the bottom of the fuselage. The engine was removed from the airplane for further examination.

Examination of the engine revealed that an oil hose from the engine-driven oil pump to the oil cooler inlet failed in two places inside the fire sleeve. The fire sleeve was found to be oil soaked and contained metal particles. The data tag attached to the failed oil hose indicated that it was manufactured in the third quarter of 1987 and pressure tested in July 1987. Examination of the failed hose revealed that it was hardened. Further examination of the engine revealed that cylinder Nos. 4, 5, and 6 connecting rods failed at the crankshaft end due to lack of lubrication. Cylinder Nos. 1, 2, and 3 connecting rods were still secured to the crankshaft, however, their associated bearings were extruded and the connecting rods were heat distressed. All oil passages in the crankshaft and crankcase halves were found to be free of obstructions. The oil pump gears were found to be intact, however, slight scoring was observed on the inside of the oil pump housing. Metal was observed in the paper element of the spin on oil filter which was properly torqued and metal was also observed in the oil suction screen. Examination of the main bearings of the crankshaft revealed that they were not heat distressed.

Review of the engine logbook revealed that the engine was overhauled on July 22, 1987, and installed in the airplane on August 5, 1987. The associated entry in the engine logbook revealed that new customer supplied oil hoses were installed when the engine was installed. The engine was last inspected on November 28, 1994. The mechanic who performed the inspection indicated that he used the scope and detail of items in Appendix D of 14 CFR Part 43 as a reference. The engine had been operated for about 53 hours since the last inspection in November.

Aircraft

Registration
N3482W
Reported as
Piper PA-32-260
Category
Airplane
Serial number
32-359
Airframe hours
4,876
Engine
Lycoming O-540-E4B5, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Tynes, Kevin E.
Registered owner
R & D Aero Service, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 28, 1994 · 53 hours before
Departed
OPF · Opa Locka, FL
Destination
MYN · Nassau, OF
Flight plan
VFR

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
24
Certificates
Private, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
293 total

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 5 knots
Visibility
8 statute miles
Lowest ceiling
20,000 ft overcast
Altimeter
30.00 inHg
Observed at
OPF, 4 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.