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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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NTSB Report

April 15, 1999 · Piper PA-31-310 · N57AS

La Verne, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
April 15, 1999
Injury Outcomes
No injuries (1 uninjured)
Location
La Verne, CA
Aircraft
Piper PA-31-310
Tail Number
N57AS
Injuries
None
Aircraft Damage
Substantial
NTSB Number
LAX99LA181

The aircraft had been in maintenance for an adjustment to the right engine manifold pressure differential controller. The procedure required the uncowling of the engine. A certificated airframe and powerplant mechanic removed the cowling and made the required adjustments, then left for the day. A noncertificated mechanic replaced the cowling and the pilot then proceeded to perform the postmaintenance test flight. During climbout, the right engine upper cowling separated and wrapped around the right horizontal stabilizer. The pilot experienced difficulty in controlling the aircraft until the airspeed was reduced, then he returned to the airport and landed. Inspection of the cowling disclosed that the inboard latches on the upper cowling were not damaged. In his written statement, the pilot notes that his failure to detect the unlatched inboard cowling fasteners resulted from 'poor preflight inspection habits and a failure to follow the checklist.'

NTSB Probable Cause

The in-flight separation of the right engine cowling due to the operator's inadequate maintenance quality control procedures and the pilot's inadequate preflight inspection.

Full Narrative

On April 15, 1999, at 1530 hours Pacific daylight time, a Piper PA-31-310, N57AS, sustained substantial damage to the horizontal stabilizer when the right engine upper cowling separated in flight near La Verne, California. The aircraft was owned and operated by Air Desert Pacific Corporation of La Verne, and was on a postmaintenance test flight under 14 CFR Part 91 of the Federal Aviation Regulations. Visual meteorological conditions prevailed and no flight plan was filed for the local area flight. The commercial pilot, the sole occupant, was not injured. The flight originated from the Bracket Airport in La Verne at 1525. The operator did not report the accident to either the Safety Board or the Federal Aviation Administration (FAA). FAA inspectors from the Los Angeles Flight Standards District Office discovered the damaged aircraft during an airport visit. The inspectors interviewed the pilot and the operator's maintenance personnel. According to the FAA inspector's report, the aircraft had been in maintenance for an adjustment to the right engine manifold pressure differential controller. The procedure required the uncowling of the engine. A certificated airframe and powerplant mechanic removed the cowling and made the required adjustments, then left for the day. A noncertificated mechanic replaced the cowling and the pilot then proceeded to perform the postmaintenance test flight. During climbout, the right engine upper cowling separated and wrapped around the right horizontal stabilizer. The pilot experienced difficulty in controlling the aircraft until the airspeed was reduced, then he returned to the airport and landed. Inspection of the cowling disclosed that the inboard latches on the upper cowling were not damaged. In his written statement, the pilot notes that his failure to detect the unlatched inboard cowling fasteners resulted from "poor preflight inspection habits and a failure to follow the checklist."

Flight

Event TypeAccident
Event Time15:30 PDT
Nearest Airport0nm
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftPiper PA-31-310
Tail NumberN57AS
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines2
Engine TypeReciprocating
Engine DetailsLycoming · TSIO-540-A2B · Reciprocating · 310
Seats2

People & Injuries

Injury SummaryNo injuries (1 uninjured)
Fatal0
Serious0
Minor0
Uninjured1
Total1
Crew 1Age 38 · Second Class

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility10 sm
CeilingNone
Temperature / Dew Point64 F / 0 C
Altimeter0
Weather SourcePILO

Appendix: Source Data