- Date
- September 10, 1994, 13:00 local (17:00 UTC)
- Place
- North Anson, ME
- Injuries
- 2 minor
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N55GVPiper PA-24-250
- Weather
- Visual (VMC) · Day
- Status
- Completed · report January 26, 1995
- Report
- Approved by Office Director
- FAA report
- 19940910026179A
- Case key
- 38829
From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.
On this page
Probable cause
the inadequately installed cylinder mounting stud nuts, by the engine overhaul facility, which resulted in the separation of the number two cylinder and 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.
Analysis
The pilot and passenger were on the second leg of a cross country flight. Thirty minutes into the flight a vibration began, followed by oil seeping from the engine cowling. A few seconds later the engine failed and oil covered the airplane windshield. The pilot performed a forced landing to an open field with no forward visibility due to the oil. The pilot was unable to stop the airplane before it struck trees at the end of the field. Examination revealed that the number two cylinder had separated from the engine. Seven of the eight cylinder studs had sheared. The stud not sheared was intact and undamaged. An upper stud was rusted partially across, with the remainder of the stud sheared cleanly. The engine had been overhauled 362 tach hours before the failure by a local engine overhaul facility.
Factual narrative
On September 10, 1994, at 1300 eastern daylight time, a Piper PA-24-250, N55GV, owned by O&A Aircraft Modifications, Inc., and piloted by Joseph S. Grabin, was substantially damaged during a forced landing to an open field near North Anson, Maine. The pilot and passenger were not injured. Visual meteorological conditions prevailed, and no flight plan had been filed for the flight operating under 14 CFR Part 91.
This was the second leg of a cross country flight that originated in Factoryville, Pennsylvania, the same day. Mr. Grabin and his passenger departed the Oxford County Regional Airport, Oxford, Maine, at approximately 1230 for the last leg to Greenville, Maine.
In the NTSB Form 6120.1/2, the pilot stated:
"...thirty minutes into the flight a vibration began in the engine. A few seconds later I noticed a small bit of oil seeping up at the rear of the cowling. I turned direct to Central Maine Airport. Thirty seconds or so later, more oil came out and covered half of the window. A few seconds later the engine let go followed by more oil in the slip stream, which completely covered the windshield...looking out the side window I turned sharp and slipped into the field with no forward visibility. Touched down was good, but I was unable to stop before the end, and went into the trees."
In the Federal Aviation Administration (FAA) Inspector's report, he stated that an inspection of the engine revealed that the number two cylinder had separated from the engine case. The top of the cylinder did not show any evidence of damage, except where it had punctured the left hand engine cowl. He further stated:
"...All damage appeared to be the result of the cylinder separating from the case. Seven of the eight cylinder mounting studs were sheared off, while the eighth stud (lower forward position) was intact...the absence of paint on this stud's threads would indicate that the nut had been originally installed when the engine was painted during overhaul...the #2 cylinder lower side of the mounting flange and the corresponding case surface showed evidence of fretting...the initial evidence indicated an undertorque situation which could have propagated into the loss of the lower forward stud mount nut. This may have resulted in the failure of the upper forward mount stud over a period of time as suggested by the rusting found on this stud...With the failure of this stud and lack of holding power from the lower forward stud, the stress on the remaining studs conceivably would cause their failure..."
The engine was installed on November 2, 1990. It had been overhauled by a company no longer in business, the Windham Aircraft Engines, Inc., of Willimantic, Connecticut. The engine had accumulated approximately 362 hours since installation.
Aircraft
- Registration
- N55GV
- Reported as
- Piper PA-24-250
- Category
- Airplane
- Serial number
- 24-401
- Airframe hours
- 3,218
- Engine
- Lycoming O-540-A1A5, 250 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Registered owner
- O & N Aircraft Modifications
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · May 1, 1994 · 51 hours before
- Departed
- 81B · Oxford, ME
- Destination
- 3B1 · Greenville, ME
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
- 42
- Certificate
- Commercial
- Airplane ratings
- Multi-engine land, Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 2, Valid Medical--w/ waivers/lim
- Seat
- Left
- Flight hours
- 2,808 total · 3 in this make and model · 1,470 as pilot in command · 19 in the last 90 days · 5 in the last 30 days · 3 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 260° at 7 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- 4,600 ft broken
- Temperature
- 59 °F, dew point 43 °F
- Altimeter
- 29.00 inHg
- Observed at
- WVL, 21 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.