MKC89FA191

NTSB accident investigation · Piper PA-20 · Moose Lake, MN · August 30, 1989

Accident · FatalField investigationFinal report
Date
August 29, 1989, 19:45 local (Aug 30, 1989, 00:45 UTC)
Place
Moose Lake, MN
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N2841PPiper PA-20
Weather
Visual (VMC) · Day
Status
Completed · report December 10, 1990
Report
Approved by Office Director
FAA report
19890829032469A
Case key
34694

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

Severe corrosion of the lower forward lift strut for the right wing, inadequate inspection of the lift strut by maintenance personnel, and subsequent failure of the lift strut, which resulted in an overload failure (folding back) of the wing. Related factors were: inadequate inspection procedures provided by the manufacturer & inadequate surveillance by the FAA.

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.

Airframe/component/system failure/malfunctionCruise
Wing,bracing strut - corrodedCause
Maintenance,inspection - inadequateOther maintenance personnelCause
Procedure inadequateManufacturerFactor
Inadequate surveillance of operationFaa(organization)Factor
Wing,bracing strut - failure,totalCause
Wing - overload
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The acft (Piper PA-22, converted to a PA-20, iaw STC SA45AM) was being used to provide a biennial flt review for the owner/plt (considered as PIC on this flt). Drg flt, the rgt wing folded back over the fuselage & the acft crashed. An exam of the wreckage revealed the fwd lift strut for the rgt wing had failed in an area of severe corrosion. The failureoccurred at the lower part of the lift strut near the fuselage attachment point. An exam of the annual inspn checklist indcd all applicable airworthiness directives (ad's) were complied with as of 7/21/89 & that the lift struts were visually inspd at the annual inspn. The acft logbook showed that AD 77-03-08 (requiring mechanical testing of the lift strut for evidence of corrosion at 5 yr intervals) had been complied with in July 1988. The aroma of linseed oil was noted in all lift struts, but polymerized linseed oil was found in the rgt & left rear struts. Internal corrosion had perforated the rgt fwd lift strut prior to its failure.

Aircraft

Registration
N2841P
Reported as
Piper PA-20
Category
Airplane
Serial number
22-3138
Engine
Lycoming O-360-A4A, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Operator
Prachar, Kenneth M
Registered owner
Prachar, Kenneth M
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 21, 1989
Departed
21Y · Moose Lake, MN

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
44
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
246 total · 218 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 19 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 57 °F
Altimeter
29.00 inHg
Observed at
DLH, 38 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.