WPR18LA033

NTSB accident investigation · Piper PA 28R-201T · Nipton, CA · November 17, 2017

Accident · No injuriesClass 3 · LimitedFinal report
Date
November 16, 2017, 18:00 local (Nov 17, 2017, 02:00 UTC)
Place
Nipton, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N5966VPiper PA 28R-201T
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Night/dark
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Continental Motors, Federal Aviation Administration
FAA report
20171116021399A
Case key
96337

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 NTSB’s determination of the probable cause, and any contributing factors.

A loss of engine power due to the detonation of the No. 5 cylinder due to excessive leaning at high power settings, which resulted in a forced landing and the subsequent hard touchdown.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

About 40 minutes after takeoff and while the airplane was at a cruise altitude of 10,000 ft mean sea level, the pilot began leaning the engine mixture. After about 5 minutes, the pilot observed that the engine was running roughly, the No. 5 cylinder head temperature had spiked, and the airplane was unable to maintain altitude. The pilot could not restore engine power and subsequently made a forced landing on a highway. The airplane touched down hard, which resulted in substantial damage to both wings. A postaccident engine examination confirmed continuity to the accessory section. Spark was produced on all six top spark plug leads, and thumb compression was obtained on all cylinders except the No. 5 cylinder. The top spark plugs were removed, and all except the No. 5 spark plug exhibited dark-colored combustion deposits; the No. 5 spark plug exhibited a molten, metal-like substance around the electrode. Cylinder Nos. 1 and 3 exhibited minor signs of detonation. The No. 5 cylinder exhibited signs of detonation/preignition with material missing from around the circumference of the piston face, and the No. 5 cylinder exhaust and intake valves showed signs of mechanical damage. The detonation was consistent with excessive leaning at high power settings.

Factual narrative

The factual narrative559 words

On November 16, 2017, about 1800 Pacific standard time, a Piper PA-28R-201T, N5966V, was substantially damaged when it was involved in an accident near Nipton, California. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The flight departed North Las Vegas Airport (VGT), Las Vegas, Nevada, about 1655, destined for Brackett Field Airport (POC), La Verne, California. The pilot reported that while en route at a cruise altitude of 10,000 ft mean sea level, he began leaning the engine mixture using the JPI-700 onboard engine data monitor; the procedure was routine and uneventful. The pilot stated that after about 5 minutes, both he and the passenger noted an abrupt engine roughness. About that time, the pilot observed that the No. 5 cylinder head temperature (CHT) had spiked, the airplane started slowing, and he was unable to maintain altitude. The pilot reported that during the descent, a slight acrid odor permeated the cockpit for about 1 minute and then dissipated. The pilot confirmed that the electric fuel pump was set to high and switched fuel tanks, but he noticed no change in performance. After the airplane lost about 500 ft in altitude, air traffic control contacted the pilot, who advised of engine trouble. The controller stated that an alternate airport was about 26 miles to the west, but the pilot determined that a highway was the safest landing point. During the descent, the pilot noted that the propeller was still turning but did not “feel” like it was producing power. The pilot stated that the touchdown was hard, and that his visual reference was inhibited by dust, vibration, and the moonless night conditions. The right main landing gear collapsed, and the airplane sustained substantial damage to both wings, with the right main landing gear strut pushed up through the wing. The onboard JPI-700 engine data monitor was sent to the National Transportation Safety Board Vehicle Recorder Laboratory for download of recordable nonvolatile memory data. Data showed a rise in CHT for the No. 5 cylinder just after 1740. Exhaust gas temperature (EGT) values for cylinder Nos. 1, 3, and 5 diverged about the same time, and the device calculated a disparity in EGT differential about the same time. Engine rpm started to drop from 2,400 about 1743:45, with rpm stabilizing shortly thereafter about 2,100. Rpm then began to drop off sharply about 1751:03, and the recording ended at 17:51:15. A postaccident engine examination was conducted, during which the crankshaft was rotated by hand using the propeller. Continuity to the accessory section was confirmed, and spark was produced on all six top spark plug leads. Thumb compression was obtained on all cylinders except the No. 5 cylinder. The top spark plugs were removed, and all except the No. 5 spark plug exhibited dark-colored combustion deposits. The No. 5 spark plug exhibited a molten, metal-like substance around theelectrode. The cylinders were examined with a lighted borescope. The No. 2, 4, and 6-cylinder combustion chambers, piston faces, and exhaust and intake valves exhibited normal operating signatures. The No. 5 cylinder combustion chamber exhibited signs consistent with detonation/preignition, with material missing from around the circumference of the piston face, and the exhaust and intake valves showed signs of mechanical damage. Cylinder Nos. 1 and 3 exhibited minor signs of detonation.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N5966V
Reported as
Piper PA 28R-201T (201T)
Category
Airplane
Serial number
28R-7703172
Built
1977
Airframe hours
5,654
Engine
Cont Motor TSIO-360-FB-1, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 11, 2017 · 50 hours before
Departed
VGT · Las Vegas, NV
Destination
POC · La Verne, CA
Flight plan
IFR
Equipment
Handheld GPS, Onboard weather, Satellite tracking device, Stall warning system, ADS-B, Auto-pilot

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
60
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
March 12, 2016
Seat
Left
Restraint
3-point
Flight hours
1,379 total · 1,013 in this make and model · 1,375 as pilot in command · 9 in the last 90 days · 5 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
220° at 21 knots, gusting 26
Visibility
10 statute miles
Lowest ceiling
10,000 ft
Temperature
72 °F, dew point 39 °F
Altimeter
29.87 inHg
Observed at
HND, 44 nm away

Docket · 6

The files NTSB released with the investigation on January 5, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.8 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.