Premium research interface

The modern interface for aviation safety intelligence.

Search investigations, review source evidence, monitor watched reports, and trace long-term patterns from one calm, data-first workspace.

63k+
Reports indexed
1940-2026
Coverage
Recent
Last data refresh
Featured Report

Loading…

Loading featured report…

Loading…
Open Report

Safety trends by operating rule

Track fatal and non-fatal accident patterns across Part 91, Part 135, and Part 121 operations.

Loading trend charts…

Browse the aviation graph

Move quickly by aircraft, airport, operator, and time with indexes built for research, not wandering.

Last Data Update

By Decade

By Month

Aircraft Manufacturer

More manufacturers

Airports

More airports

Operators

More operators

About

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.

The goal is practical safety education: make it faster to find relevant investigations, compare similar events, review factual records, and understand the evidence behind probable-cause and preliminary reports.

The investigative work and source records belong to the National Transportation Safety Board and the published investigation record. This site is not affiliated with or endorsed by the NTSB.

FAQs

NTSB Report

August 9, 1996 · Piper PA-28-180 · N2559R

Midlothian, TX

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
August 9, 1996
Injury Outcomes
1 injury (1 minor injury), 1 uninjured
Location
Midlothian, TX
Aircraft
Piper PA-28-180
Tail Number
N2559R
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
FTW96LA343

The pilot reported that during the takeoff initial climb, there was an engine vibration and a partial loss of power. A forced landing was made in a soft field, and structural damage occurred to the landing gear, propeller, firewall, engine mounts, and the left wing. During an engine test run at full power, FAA inspectors observed an engine power drop of 200 RPM; however, they were not able to duplicate the engine vibrations. Magneto timing was at 27 degrees BTDC, and a carbon brush was missing from the right magneto. The specification for timing was 25 degrees BTDC. The rocker arms had been installed in reverse positions on all four cylinders, and the FAA inspector reported that 'the exhaust valve was not receiving adequate lubrication.' Physical evidence on the exhaust valve rotator caps indicated binding of the exhaust valves. Time in service since a major engine overhaul and magneto overhaul was 170 hours. The pilot reported that before this accident 'there had not been any previous indications of engine problems since the engine overhaul.'

NTSB Probable Cause

maintenance personnel's improper engine overhaul procedures resulting in the installation of the rocker arms in reversed positions, which led to improper lubrication and binding of the exhaust valves. A related factor was the lack of suitable terrain for the forced landing.

Full Narrative

On August 9, 1996, at 0800 central daylight time, a Piper PA-28-180, N2559R, registered to and operated by a private owner as a Title 14 CFR Part 91 flight, sustained substantial damage during the forced landing following a loss of engine power near Midlothian, Texas. The private pilot was not injured and the passenger received minor injuries. Visual meteorological conditions prevailed for the planned personal cross country flight to Angel Fire, New Mexico. A flight plan was not filed. The accident occurred at the flight origination airport. During telephone interviews, conducted by the investigator-in-charge, the pilot reported that about 1/4 mile north of the departure end of runway 35 and 200 feet AGL, an engine vibration and a partial loss of power occurred. During a 180 degree turn toward the airport the airplane lost altitude and the landing was made to a soft field. Structural damage occurred to the landing gear, propeller, firewall, engine mounts, and the left wing. The pilot stated that the engine had 170 hours since the overhaul. The pilot further stated that prior to this accident "there had not been any previous indications of engine problems since the engine overhaul." In October 1996, the airplane was examined under the oversight of the FAA inspectors. During an engine test run at full power, the inspectors observed an engine power drop of 200 RPM; however, they were not able to duplicate the engine vibrations that had been reported by the pilot. During an examination of the magnetos, the magneto timing was found to be 27 degrees before top dead center (BTDC). According to the FAA inspector, 25 degrees is the normal timing for these magnetos. The carbon brush was missing from the right magneto. Further inspection revealed that the rocker arms had been installed in reverse positions on all four cylinders. One FAA inspector stated that "the exhaust valve was not receiving adequate lubrication." The other FAA inspector stated that "an indication of inadequate lubrication on the exhaust valve would be excessive and premature wear in the valve guides, which in turn results in valve sticking and excessive and severe vibration of the engine." An FAA certificated mechanic, who examined the engine, stated that the "wear patterns on the exhaust valve rotator caps indicated that the exhaust valves had been binding." A review of the maintenance records by the FAA inspectors and the investigator-in-charge revealed that the airplane was returned to service on December 4, 1994, following a major engine overhaul. Overhauled magnetos were installed at the time of the engine overhaul. On January 21, 1996, the airplane was returned to service following a 100 hour inspection at which time the mechanic entry stated in part: "checked mag[neto] timing to eng[ine], ops ck [operation check] good."

Flight

Event TypeAccident
Event Time08:00 CDT
Nearest AirportEagles Nest (0nm)
Runway35
Runway Length3200 ft
Runway Width36 ft
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftPiper PA-28-180
Tail NumberN2559R
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O-360-A4A · Reciprocating · 180
Seats4

People & Injuries

Injury Summary1 injury (1 minor injury), 1 uninjured
Fatal0
Serious0
Minor1
Uninjured1
Total2
Crew 1Age 51 · Third Class

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility6 sm
CeilingNone
Temperature / Dew Point0 C
Altimeter0
Weather SourcePILO

Appendix: Source Data