NYC97LA046

NTSB accident investigation · Piper PA-28R-200 · Thorndale, PA · January 18, 1997

Accident · No injuriesLimited investigationFinal report
Date
January 18, 1997, 11:45 local (16:45 UTC)
Place
Thorndale, PA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N57010Piper PA-28R-200
Weather
Visual (VMC) · Day
Status
Completed · report April 10, 1998
Report
Approved by Office Director
FAA report
19970118000619A
Case key
39321

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 overhaul of the crankshaft that failed to detect fatigue cracks, which resulted in a total loss of engine power when the crankshaft separated in two.

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/malfCruise - normal
Engine assembly,crankshaft - fatigueCause
Maintenance,overhaul - inadequateOther maintenance personnelCause
Engine assembly,crankshaft - failure,total
Forced landingEmergency descent/landing
In flight collision with objectEmergency descent/landing
Object - utility pole

Analysis

The pilot reported that during cruise flight the engine started to run rough followed by a total loss of engine power. The pilot performed a forced landing during which the airplane collided with a utility pole. Examination of the engine revealed that the crankshaft was separated in two with an additional crack. Review of the maintenance records revealed that the crankshaft was overhauled by Engine Components, Inc., San Antonio, Texas. During the first magnetic particle inspection, the crankshaft was considered for rejection due to heat cracks in the area of the number 3 main journal. The main and rod journals were then ground and renitrided. The crankshaft then had two additional magnetic particle inspections and was returned to service. Examination of the crankshaft revealed that preexisting fatigue cracks propagated at least 75 percent of the crank cheek wall. The accident occurred about 9 flight hours after the crankshaft inspections which were conducted in December, 1996.

Factual narrative

On January 18, 1997, about 1145 eastern standard time, a Piper PA-28R-200, N57010, was substantially damaged when it collided with a utility pole during a forced landing, near Thorndale, Pennsylvania. The certificated airline transport pilot and private pilot were not injured. Visual meteorological conditions prevailed for the local flight that departed the Chester County G.O. Carlson Airport, Coatesville, Pennsylvania. No flight plan was filed for the instructional flight conducted under 14 CFR Part 91.

In a written statement submitted by the airline transport pilot, a certificated flight instructor, he stated the following:

"This started as a high performance checkout. After some stalls and slow flight and VOR tracking, engine started to run rough. Switched [fuel] tanks, alternate air and check and switched magnetos. Pointed airplane toward [Coatesville] upon which the engine seized. . . ."

On February 25, 1997, the engine was examined at the manufacturer, Textron Lycoming, Williamsport, Pennsylvania under the supervision of the NTSB investigator. The engine model was an IO-360-C1C. During the examination, the engine was unable to be rotated by hand. The engine was then disassembled for further examination. During the disassembly, it was revealed that the crankshaft was separated in two just aft of the number 2 cylinder connecting rod. Another crack was observed just forward of the number 1 cylinder connecting rod.

On April 18, 1997, the crankshaft was examined at the NTSB office of research and engineering material laboratory division, Washington, District of Columbia. The following are excerpts from the metallurgist's factual report:

"This crankshaft separated through the number 3 crank cheek intersecting the forward radius of the number 3 main journal and the aft radius of the number 2 rod journal. . . .Stereo microscope examination of [the aft] fracture revealed ratchet marks indicative of multiple fracture origins that emanated from the surface of the forward radius of the number 3 main journal. . . .Clam shell marks typical of a fatigue crack progressed away from the ratchet marks. . . .This fatigue crack propagated at least 75% of the crank cheek wall. The area outside the fatigue region contained features typical of overstress separation as well as isolated areas with mechanical damage."

"In December 11, 1996, the crankshaft was overhauled by Engine Components, Inc. (ECI), San Antonio, Texas. According to the travel card for this overhaul, an initial magnetic particle inspection method found heat cracking [in] the front fillet radius of the number 3 main journal and there was a remark entered indicating possibility for rejection. The main and rod journals were then ground 0.010 inch undersize and renitrided. During the NTSB metallurgical examination a representative from ECI was contacted by phone to clarify additional information made on the work card. This representative indicated that the crankshaft passed 2 additional magnetic particle inspections on December 3, 1996 after the grinding process and on December 11, 1996 after the renitride process. The engine log book indicated that at about the same time period as the crankshaft overhaul, ECI repaired excessive fretting damage in the middle main bearing saddle of the crankcase."

According to the NTSB form 6120.1/2, the airplane had accumulated about 9 hours of flight time since the overhaul of the crankshaft.

Aircraft

Registration
N57010
Reported as
Piper PA-28R-200
Category
Airplane
Serial number
28R-7435072
Airframe hours
6,975
Engine
Lycoming IO-360-C1C, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Chester County Aviation
Airworthiness certificate
Standard, Utility
Last inspection
Annual · December 31, 1996 · 9 hours before
Departed
40N · Coatesville, PA

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
61
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
12,000 total · 500 in this make and model · 11,800 as pilot in command · 400 in the last 90 days · 100 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 18 knots
Visibility
30 statute miles
Lowest ceiling
20,000 ft broken
Temperature
14 °F, dew point 10 °F
Altimeter
29.00 inHg
Observed at
LNS, 22 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.