NYC91FA178

NTSB accident investigation · Piper PA-32RT-300T · Yarmouth, MA · July 13, 1991

Accident · FatalField investigationFinal report
Date
July 12, 1991, 20:02 local (Jul 13, 1991, 00:02 UTC)
Place
Yarmouth, MA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N36272Piper PA-32RT-300T
Weather
Visual (VMC) · Dusk
Status
Completed · report April 14, 1992
Report
Approved by Office Director
Safety recommendations
Yes
FAA report
19910712027389A
Case key
36800

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 failure of the number one cylinder fuel injector line due to fatigue cracking induced by corrosion and propagated by cyclic loading which resulted in a total loss of engine power. The corrosion was due to the manufacturer's process of brazing the metal joint, and the cyclic loading was due to the absence of a clamp to minimize the effect of vibration. A contibuting factor was the lack of suitable terrain during the subsequent forced 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/malfApproach - vfr pattern - base leg/base to final
Fuel system,line - corrodedCause
Material inadequateManufacturerCause
Fuel system,line - vibrationCause
Maintenance,installation - improperOther maintenance personnelCause
Fuel system,line - fatigueCause
Fuel system,line - separationCause
Fluid,fuel - starvationCause
Forced landingApproach - vfr pattern - base leg/base to final
On ground/water collision with objectApproach - vfr pattern - base leg/base to final
Terrain condition - high obstruction(s)Factor
Object - tree(s)

Analysis

After receiving clearance to land, the pilot called that he was in trouble and was going down. Witnesses saw the airplane at a low altitude, and heard the engine sputtering and then quit. The left wing struck a tree; the airplane impacted the ground and was completely destroyed by the post crash fire. Engine teardown revealed that the cylinder #1 fuel injector line had failed at the outer diameter (od) surface at the manifold end near the b-nut fitting. Metallurgical examination indicated that the separation was due to fatigue cracking that originated at the od surface of the tube at the edge with the brazed filler metal. Intergranular corrosion was observed at the fracture origin which occurred during manufacture, when the line was sensitized near the brazing joint. There was no evidence of clamping of the tube at midpoint per the engineering drawing.

Aircraft

Registration
N36272
Reported as
Piper PA-32RT-300T (PA-32RT-30)
Category
Airplane
Serial number
32R-7887030
Engine
Lycoming TIO-540-S1AD, 300 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
John & Mary Santoin
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 4, 1991 · 20 hours before
Departed
MUY · Marthas Vineyar, MA
Destination
Hyannis, MA
Airport
HYA · Barnstable Muni, runway 24, 5,430 × 150 ft, asphalt

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
40
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
1,260 total

Weather

Conditions
Visual (VMC) · Dusk
Wind
200° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 57 °F
Altimeter
29.00 inHg
Observed at
HYA, 1 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.

Other investigations on N36272 · 1

Matched to the same aircraft by N-number and date.