NYC98LA152

NTSB accident investigation · Piper PA-28-151 · Newport, NH · July 24, 1998

Accident · Minor injuriesLimited investigationFinal report
Date
July 24, 1998, 11:58 local (15:58 UTC)
Place
Newport, NH
Injuries
4 minor
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N44438Piper PA-28-151
Weather
Visual (VMC) · Day
Status
Completed · report January 28, 2000
Report
Approved by Office Director
FAA report
19980724046449A
Case key
43603

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 seizure of the throttle shaft, due to the overhaul facilities' failure to insure all metal fragments had been removed from the carburetor before inserting the throttle shaft after reaming the throttle shaft bushings.

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) - mech failure/malfCruise - normal
Throttle/power lever - seizedCause
Maintenance,overhaul - improperOther maintenance personnelCause
Forced landingDescent - emergency
OverrunEmergency landing
On ground/water encounter with terrain/waterEmergency landing
Terrain condition - rough/uneven

Analysis

After departing and climbing to a cruise altitude of 6,500 feet above mean sea level, the pilot made a power reduction to descend below a cloud layer. After reducing power the throttle became stuck. Unable to move the throttle, the pilot diverted to an alternate airport. With the engine still running the airplane touchdown on the runway, but the pilot was unable to stop the airplane. The airplane exited the departure end of the runway, traveled 75 feet, and came to rest on top of a hill. While landing, the pilot thought the throttle was in the idle position. After the accident he realized it was slightly open. Examination of the carburetor, which had 12 hours since overhaul, revealed that the throttle shaft could not be rotated by hand, and a punch and hammer was required to remove the shaft. The shaft was galled where it rested on the bushings. Both ends of the original shaft (part number CF 13-1521) measured .3105 of an inch in diameter. A new shaft supplied by the overhaul facility measured .3104 of an inch in diameter at both ends. Under the supervision of the NTSB Investigator, the original throttle bushings were re reamed with the original router. Then, the new throttle shaft was inserted, and it rotated freely. The old shaft was then inserted, but was difficult to rotate. After removing the old throttle shaft, the bushings were re reamed, using a new router the company had bought after the accident. Again, the old shaft was inserted, but this time it rotated freely. The butterfly valve was then installed, and the throttle shaft continued to rotate without difficulty

Factual narrative

On July 24, 1998, at 1158 eastern daylight time, a Piper PA-28-151, N44438, owned and operated by the East Coast Aero Club Inc., was substantially damaged when it ran off the end of the runway at Parlin Field Airport, Newport, New Hampshire. The certificated private pilot and three passengers received minor injuries. Visual meteorological conditions prevailed for the personal flight that originated at the Laurence G. Hanscom Field Airport, Bedford, Massachusetts, about 1100, destined for Burlington International Airport, Burlington, Vermont. A visual flight rules flight plan had been filed for the flight conducted under 14 CFR Part 91.

According to the pilot, after he departed Bedford and was established in cruise flight at 6,500 feet above mean sea level, he made a power reduction to descend below a cloud layer. When he reduced the throttle he felt it stick, in what he though was the idle position. He then verified that the friction was off and that he could move the mixture lever. According to the pilot the throttle and mixture share a common control. The pilot added that he unsuccessfully attempted to move the throttle using two hands, in both directions. At that point, he decided to divert to Newport, New Hampshire, and advised Boston Center who was providing him with radar traffic advisories.

The pilot stated that he circled once over the Newport Airport to lose altitude then entered the traffic pattern for Runway 18. On final, according to the pilot, he was fast, and high. He added that he "landed long," and was unable to stop the airplane before it reached the end of the runway. The airplane came to rest approximately 75 feet past the departure end of Runway 18 on top of a small brush covered hill. All four occupants sustained minor injuries, and were able to egress under their own power.

The pilot stated that earlier in the flight he could move the throttle freely, except when it was close to the full open or idle position. He added that after the accident he realized the throttle was in fact stuck slightly open.

On November 19, 1998, at the NTSB Northeast Regional Office, the carburetor which had a total of 12 hours since overhaul was examined under the supervision of the NTSB Investigator. Also present for the examination, were two representatives from the maintenance facility that overhauled the carburetor last. Prior to disassembling the carburetor, the throttle shaft could not be rotated by hand, and under the investigator's supervision a maintenance person provided by the overhaul facility had to use a punch and hammer to remove the throttle shaft.

Examination of the carburetor throttle shaft revealed galling on the throttle assembly side of the shaft where it rested on the bushing. Galling was also observed on the shaft, opposite of the throttle assembly, where the shaft contacted the bushing.

Both ends of the original shaft (part number CF 13-1521) measured .3105 of an inch in diameter. A new shaft supplied by the overhaul facility measured .3104 of an inch in diameter at both ends.

Under the supervision of the NTSB Investigator, the original throttle bushings were re reamed with the original router. Then, the new throttle shaft was inserted, and it rotated freely. The old shaft was then inserted, but was difficult to rotate. After removing the old throttle shaft, the bushings were re reamed, using a new router the company had bought after the accident. Again, the old shaft was inserted, but this time it rotated freely. The butterfly valve was then installed, and the throttle shaft continued to rotate without difficulty.

Aircraft

Registration
N44438
Reported as
Piper PA-28-151
Category
Airplane
Serial number
28-7415639
Airframe hours
6,663
Engine
Lycoming O-320-D3G, 161 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
East Coast Aero Club
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 17, 1998 · 12 hours before
Departed
BED · Bedford, MA
Destination
BTV · Burlington, VT
Flight plan
VFR
Airport
2B3 · Parlin Field, runway 18, 3,450 × 50 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
26
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
128 total · 56 in this make and model · 83 as pilot in command · 9 in the last 90 days · 3 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 14 knots, gusting 21
Visibility
10 statute miles
Lowest ceiling
20,000 ft broken
Temperature
73 °F, dew point 48 °F
Altimeter
29.00 inHg
Observed at
LEB, 17 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.