WPR15LA137

NTSB accident investigation · Piper PA 46-310P · Redmond, OR · March 1, 2015

Accident · No injuriesLimited investigationFinal report
Date
March 1, 2015, 09:40 local (17:40 UTC)
Place
Redmond, OR
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9133GPiper PA 46-310P
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report September 6, 2017
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA, Continental Motors Inc
FAA report
20150301002719A
Case key
90955

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 loss of engine power during cruise flight for reasons that could not be determined because postaccident examination of the engine did not reveal any anomalies that would have precluded normal operation.

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.

Not determinedNot determined › Not determined · Unknown/Not determinedPiper PA-46-310P: 5 casesAll aircraft: 2,247 casesProbable cause

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 private pilot reported that, about 30 minutes into the private, cross-country flight and while the airplane was cruising at 23,000 ft mean sea level, the engine started running roughly. The pilot noticed that the No. 5 cylinder head temperature (CHT) was lower than normal. He cycled the magnetos and noticed that the engine ran rougher than normal when the left magneto was selected. He then enriched the mixture, and the engine smoothed out. He continued to monitor the engine and adjust the mixture. About 30 minutes later, the engine lost power. The pilot diverted to a nearby airport and attempted to line up for a runway but did not have sufficient altitude. He performed a forced landing to the airport infield, which resulted in the nose landing gear collapsing and structural damage to the wing spar. Postaccident examination of the engine did not reveal any anomalies that would have precluded normal operation. During an engine test run up to full power, the only anomaly noted was that the No. 5 CHT was 50 to 70° lower than all the other cylinders. However, the lower CHT likely would not cause a loss of engine power.

Factual narrative

On March 1, 2015, at 0940 Pacific standard time, a Piper PA-46-310P, N9133G, executed a forced landing into Roberts Field Airport, Redmond, Oregon, after a loss of engine power. The airplane was registered to, and operated by, the private pilot under the provisions of 14 Code of Federal Regulations, Part 91. The pilot was not injured, and the airplane sustained substantial damage to both wings. Visual meteorological conditions prevailed, and an instrument flight plan had been filed. The flight originated from Oak Harbor, Washington, at 0800.The pilot reported that he was cruising at 23,000 feet mean sea level (msl) when he noticed the engine running a bit rough as he passed Portland, Oregon. He noticed that the number 5 cylinder head temperature (cht) was lower than normal. The pilot cycled the magnetos and noticed that the engine ran rougher than normal when the left magneto was selected. The engine smoothed out when he enriched the mixture. He continued to monitor the engine and adjusting the mixture. About 30 minutes later engine power completely dropped off. The pilot diverted to Roberts Field, Redmond, Oregon, using his GPS for navigation. About 2 miles out he acquired the airport visually, and attempted to line up for a runway but did not have enough altitude. He performed a forced landing into the airport infield. The landing resulted in a collapsed nose landing gear, and wing spar damage at both main landing gear mounts. On March 3, 2015, an airframe and power plants (A&P) mechanic examined the airplane under the supervision of a Federal Aviation Administration (FAA) inspector. He reported on the airframe structural damage, and that he found no obvious reason for the loss of engine power. The airplane was then relocated to a facility in Greeley, Colorado, for further examination. The airplane was equipped with a EDM 930 engine data monitoring system. On April 14 the data from the EDM 930 was downloaded and sent to the NTSB Investigator-in-Charge (IIC). The data showed that about 25 minutes before the loss of engine power the number 5 cylinder head temperature (cht) started to trend about 50°F below its previous steady temperature (300°F), and then fluctuate twice between 300°F – 250°F during the last 12 minutes. The exhaust gas temperature (egt) remained steady for cylinder number 5 throughout the record. All the remaining cylinders exhibited steady egt and cht values. On May 13, 2015, the NTSB IIC, and a technical representative from the engine manufacturer examined the airplane. A fuel sample was taken from the fuel strainer. The fuel sample was light green in color and tested negative for water or kerosene/jet fuel contamination. Results of a chemical analysis confirmed that the sample was chemically consistent with 100LL avgas. The engine was examined externally, the cylinders bore scoped, sparkplugs inspected, internal magneto timing verified, and internal continuity confirmed by rotating the propeller/crankshaft. The number 5cylinder fuel injection nozzle was removed, examined, and found to be in good condition with no blockages. An external fuel tank was plumbed into the right-wing fuel outlet and an external priming pump placed inline. The engine started on the first attempt, ran smoothly at idle, magneto checked performed, and the engine was run up to red line producing full power. No anomalies were noted during the engine run other than that the number 5 cylinder head temperature was notably 50°-70°F cooler than all the other cylinders.

Aircraft

Registration
N9133G
Reported as
Piper PA 46-310P
Category
Airplane
Serial number
4608111
Built
1988
Airframe hours
3,208.3
Engine
Cont Motor TSIO-520 SER, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 16, 2014 · 94 hours before
Departed
KFHR · Friday Harbor, WA
Destination
KVGT · North Las Vegas, NV
Flight plan
IFR
Airport
KRDM · Roberts Field Airport
Equipment
Onboard weather, Stall warning system, ADS-B, Auto-pilot, Electronic flight bag or handheld device, Electronic multifunction display

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
68
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Waiver time limited special
Last flight review
April 22, 2014
Seat
Left
Restraint
3-point
Flight hours
2,572 total · 1,299 in this make and model · 90 in the last 90 days · 29 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
34 °F, dew point 16 °F
Altimeter
30.19 inHg
Observed at
KRDM

Docket · 7

The files NTSB released with the investigation on July 24, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.8 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.