MIA99LA065

NTSB accident investigation · Piper PA-22-108 · Perry, GA · January 6, 1999

Accident · No injuriesLimited investigationFinal report
Date
January 6, 1999, 11:30 local (16:30 UTC)
Place
Perry, GA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N4542ZPiper PA-22-108
Weather
Visual (VMC) · Day
Status
Completed · report September 7, 2000
Report
Approved by Office Director
FAA report
19990106045409A
Case key
45585

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

The maintenance personnel incorrect adjustment of the intake and exhaust valves resulting in the induction system fire and subsequent 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(partial) - nonmechanicalTakeoff - initial climb
Engine assembly,valve,intake - incorrectCause
Engine assembly,valve,exhaust - incorrectCause
Maintenance,adjustment - improperOther maintenance personnelCause
Forced landingDescent - emergency
In flight collision with terrain/waterEmergency landing
Terrain condition - open field

Analysis

The pilot stated that shortly after takeoff while climbing through 200 feet, the engine rpm decreased to 1,500 rpm. He changed the throttle settings which had no effect and unable to maintain altitude, he maneuvered the airplane for a forced landing at a nearby sod farm. The airplane stalled, and landed hard just short of the intended touchdown location then nosed over. Examination of the airplane and engine by an FAA Airworthiness Inspector revealed that the fuel selector valve was improperly assembled; no detents could be felt. Also, cold differential compression readings for cylinder Nos. 1, 2, 3, and 4 were recorded to be 20, 19, 54, and 5 psi respectively. The No. 2 cylinder valves were adjusted and the cold compression reading increased to 50 plus psi. Fire damage was noted to the back side of the induction air filter assembly. The carburetor was found to contain a two-piece venturi when by an airworthiness directive, a one-piece venturi is required. The maintenance records indicated that a one-piece venturi was installed. The records also indicated that the rocker arms were adjusted on April 21, 1997. The airplane had accumulated approximately 85 hours since then at the time of the accident.

Factual narrative

On January 6, 1999, about 1130 eastern standard time, a Piper PA-22-108, N4542Z, registered to a private individual, landed hard then nosed over during a forced landing shortly after takeoff from Middle Georgia Airport, Perry, Georgia. Visual meteorological conditions prevailed at the time and no flight plan was filed for the 14 CFR Part 91 personal flight. The airplane was substantially damaged and the private-rated pilot, the sole occupant, was not injured. The flight was originating at the time of the accident.

The pilot stated that before departure, a total of 10 gallons of automotive fuel were added to the fuel tanks; 5 gallons into the left and right fuel tanks. He then performed a preflight with no discrepancies noted. After takeoff while climbing through 200 feet, the engine rpm decreased to 1,500 rpm. He pumped the throttle, which had no effect. While descending for a forced landing on a nearby sod farm, the airplane stalled, landed hard in a field short of the intended touchdown location (sod farm) and nosed over.

Examination of the airplane at the accident site by an FAA airworthiness inspector while the airplane was inverted revealed fuel leakage from the right wing fuel tank cap. The airplane owner/pilot reported that during recovery of the airplane, he noted that the carburetor bowl was damaged and the carburetor control was connected at the carburetor. Further examination of the engine following recovery revealed that the differential compression readings (cold) from cylinder Nos. 1, 2, 3, and 4 were 20, 19, 54, and 5 psi respectively. The valve adjustment for the No. 2 cylinder was then loosened and the cold differential compression reading increased to 50 plus psi. The fuel selector was determined to be improperly assembled; no detent for each position could be felt. Marks were noted adjacent to the fuel selector which coincided with fuel selector position. Fire damage was noted to the inside portion of the bracket type air filter element, and the sending unit for the right wing fuel tank was improperly installed. With respect to the carburetor, a two-piece venturi was installed, which according to the FAA inspector, was required by Airworthiness Directive to be changed to a one-piece venturi.

Review of the maintenance records revealed an entry dated April 21, 1997, which indicates that all valve rocker arms were adjusted and a one-piece venturi was installed. The airplane had accumulated approximately 85 hours since the valve adjustment at the time of the accident.

Aircraft

Registration
N4542Z
Reported as
Piper PA-22-108
Category
Airplane
Serial number
22-8047
Airframe hours
2,809
Engine
Lycoming O-235-C1B, 108 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
David G. Morris
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 1998 · 32 hours before
Departed
68GA
Airport
68GA · Middle Georgia Airport, runway 36, 2,500 × 50 ft, grass/turf

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
56
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
350 total · 100 in this make and model · 40 in the last 90 days · 10 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
39 °F, dew point 12 °F
Altimeter
30.00 inHg
Observed at
MCN, 12 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.