WPR11LA401

NTSB accident investigation · Piper PA-31-310 · Cabazon, CA · August 21, 2011

Accident · No injuriesLimited investigationFinal report
Date
August 21, 2011, 15:45 local (22:45 UTC)
Place
Cabazon, CA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1009SPiper PA-31-310
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report June 22, 2015
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20110821019259A
Case key
81571

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

A total loss of left engine power due to the failure of the aft crankshaft counterweight retaining washer for reasons that could not be determined during postaccident examinations.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that, while in cruise flight about 20 miles from the departure airport, he heard a loud bang come from the left engine and then saw oil gushing out of it, followed by a loss of engine power. The pilot feathered the propeller and attempted to return to the airport. When he realized that the airplane could not maintain altitude, he made a forced landing on uneven, vegetated desert terrain, which resulted in substantial damage to the airplane. A visual examination of the left engine revealed that the engine crankcase had fractured above the Nos. 5 and 6 cylinders. The postaccident teardown examination of the engine revealed that the aft crankshaft counterweight was partially separated from the crankshaft. The trailing edge roller pin, retaining washer, and part of the retaining snap ring were found displaced from the counterweight and were subsequently located in the oil sump. The retaining washer was fragmented into multiple pieces, which allowed the roller pin to move within its respective slot with the retaining snap ring still installed. As the roller pin became partially extracted from the counterweight, it contacted a connecting rod, which resulted in a catastrophic failure of the engine. Removal of the remaining portion of the snap ring revealed that it was installed correctly. The reason for the failure of the retaining washer could not be determined.

Factual narrative

HISTORY OF FLIGHT On August 21, 2011, about 1545 Pacific daylight time, a Piper PA-31-310, N1009S, experienced a loss of engine power in the left engine during cruise, and the pilot made a forced landing in open desert terrain near Cabazon, California. Southern California Edison (SoCal Edison) operated the airplane under the provisions of 14 Code of Federal Regulations Part 91 as an aerial survey flight. The commercial pilot and two surveyors were not injured; the airplane sustained substantial damage. Visual meteorological conditions prevailed for the local area flight that departed Banning Airport (BNG), Banning, California, at an undetermined time. No flight plan had been filed. The pilot was interviewed by the National Transportation Safety Board investigator-in-charge (NTSB IIC). He stated that the purpose of the flight was to survey the power lines between BNG and Palm Springs wind farms. The pilot had flown the airplane to BNG the day before and the morning of the accident; the accident flight in the afternoon was to be the last flight. On the previous two flights, there had been no mechanical discrepancies encountered. The first part of the flight from BNG to the wind farms was uneventful. The pilot made the turn back to BNG, and was about 20 miles out of BNG when he heard a loud bang come from the left engine. Oil began gushing out of the engine, followed by an engine shutdown. The pilot stated that he then feathered the propeller, and attempted to return to BNG airport. He stated that he was not able to maintain altitude, and decided to make a forced landing in an open field, which damaged both wings, and the undercarriage. According to the operator, the airplane was hired by Towill, Inc., to perform survey work for SoCal Edison. The owner of the airplane and the pilot did not return the National Transportation Safety Board (NTSB) Pilot/Operator Report NTSB Form 6120.1/2. WRECKAGE AND IMPACT INFORMATION According to the responding Federal Aviation Administration (FAA) Airworthiness inspector, the airplane landed short of the runway on the desert floor. It skidded across brush and rocks for 213 feet. The FAA inspector reported that the engine case had cracked between the numbers five and six cylinders at the top of the engine. Visual inspection of the engine did not reveal any other discrepancies. The spark plugs were removed and were normal and clean in appearance; the oil filter contained grainy debris. The top and bottom of the left engine cowls, as well as the inside of the cowls, were covered in oil. The pilot reported to the FAA inspector that both engines had 10 quarts of oil prior to the flight. TEST AND RESEARCH An examination of the left engine was performed at Jet Components in Ovilla, Texas, under the auspices of the National Transportation Safety Board (NTSB). The engine was a Lycoming LIO-540-A2D, serial number L-166861. The engine remained attached to the engine mounts, and the engine accessories were separated from theengine; all six cylinders remained attached to the engine. Visual examination confirmed that the engine crank case had fractured above the numbers five and six cylinders. The fracture extended into the accessory case. Cylinder numbers one, two, three, and four exhibited normal operating signatures with no damage noted. Once all of the cylinders were moved, rotational continuity of the crankshaft was established to the aft accessory gears. During the examination, the aft most counterweight was found partially attached to the crankshaft. The trailing edge roller pin, washer, and part of the retaining snap ring were displaced from the counterweight and were subsequently found in the oil sump. The retaining washer was fragmented into multiple pieces. The remaining portion of the retaining snap ring was removed from the counterweight and found to be installed correctly (beveled side facing inward and the sharp side facing outward). The retaining washer was separated from the trailing edge of the aft counter weight. No additional anomalies were noted during the examination. A detailed engine examination report is attached to the public docket for this accident. According the left engine logbook, on September 24, 2010, the engine had been removed, disassembled, repaired, and reinstalled on the airplane. The last annual inspection was signed off on January 14, 2011.

Aircraft

Registration
N1009S
Reported as
Piper PA-31-310
Category
Airplane
Serial number
31-329
Airframe hours
10,878.5
Engines
Lycoming TI0-540 SER, 310 horsepower, reciprocatingLycoming TIO-540 -A2B, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial observation · Part 91
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · January 14, 2011
Departed
BNG · Banning, CA
Destination
BNG · Banning, CA
Airport
BNG · Banning Municipal Airport

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
41
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
8,000 total · 5,000 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
120 °F, dew point 28 °F
Altimeter
29.75 inHg
Observed at
PSP, 18 nm away

Docket · 5

The files NTSB released with the investigation on May 26, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.5 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.