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NTSB Report

April 1, 2003 · Piper PA-28R-180 · N4952J

Sarasota, FL

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
April 1, 2003
Injury Outcomes
No injuries (2 uninjured)
Location
Sarasota, FL
Aircraft
Piper PA-28R-180
Tail Number
N4952J
Injuries
None
Aircraft Damage
Substantial
NTSB Number
MIA03LA090

The pilot stated that he had performed maneuvers in the practice area and was on his way back to the Sarasota/Bradenton Airport, Sarasota, Florida, at 1,600 feet, when all of a sudden, the airplane's engine ceased operating. He said he made a forced landing and during the landing rollout the airplane collided with a curb and a sign, incurring damage to the wings. Postaccident examination of the accident airplane revealed that the Bendix magneto had become displaced from its mount. In addition, there was a discontinuity within the engine accessory section. There was the presence of oil in the area of the airframe/engine tubular mount structure, and on the lower left portion of the fuselage. The crankshaft gear bolt was loose and had a flat mark on one of the threads, the lock tab was bent and twisted, and the dowel pin had sheared. The gears within the accessory section of the engine, including the impulse coupling for the left magneto were undamaged. There was also no damage to the crankshaft gear's teeth, and the center internal bore displayed signatures consistent with there having been a side load. The NTSB Metallurgical Laboratory in Washington DC, conducted an examination of the left "Bendix" magneto, the bottom magneto clamp, the dowel pin, the crankshaft gear, the lock tab, the crankshaft, and the crankshaft bolt. The damage noted was consistent with a loss of torque on the crankshaft assembly. The dowel was found to have fatigue fractures emanating from multiple origins at the outer diameter surface, consistent with having been produced by grinding and wear/fretting. Airplane records indicate that on September 1, 1993 the engine had undergone a field overhaul, had accumulated 1450.35 hours since the overhaul. On October 30, 2002, the engine had undergone maintenance, and had both the left and right crankcase halves replaced, about 200 hours before the accident.

NTSB Probable Cause

A loss of engine power due to the crankshaft bolt losing torque, the gear disengaging, and the engine ceasing to operate as a result of inadequate maintenance installation.

Full Narrative

On April 1, 2003, about 1815 eastern standard time, a Piper PA-28R-180, N4952J, registered to and operated by Cirrus Aviation, as a Title 14 CFR part 91 personal flight, made a forced landing in Sarasota, Florida. Visual meteorological conditions prevailed, and no flight plan was filed. The private-rated pilot and one pilot-rated passenger were not injured, and the airplane incurred substantial damage. The flight originated in Sarasota, the same day, about 1725. The pilot stated that he had flown to the practice area and had performed steep turns, slow flight, and steep spirals, and was on his way back to the Sarasota/Bradenton Airport, Sarasota, Florida, at 1,600 feet, when all of a sudden, the airplane's engine ceased operating. He said he saw a road and elected to land on it, but a car later turned onto the road, so he chose to land on a field instead. During the landing rollout the airplane collided with a curb and a sign, incurring damage to the wings. Postaccident examinations of the accident airplane revealed that the left magneto, manufactured by "Bendix", was found to have wear on the aluminum flange in the area where the bottom mount clamp is normally secured. The clamp installed that was intended for a "Slick" manufactured magnetos, and the Bendix magneto had become displaced from its mount. In addition, there was a discontinuity within the engine accessory section. There was the presence of oil in the area of the airframe/engine tubular mount structure, and on the lower left portion of the fuselage. The crankshaft gear bolt was loose and had a flat mark on one of the threads, the lock tab was bent and twisted, and the dowel pin had sheared. The gears within the accessory section of the engine, including the impulse coupling for the left magneto. were undamaged. There was also no damage to the crankshaft gear's teeth, and the center internal bore displayed signatures consistent with there having been a side load. The NTSB Metallurgical Laboratory in Washington, D.C., conducted an examination of the left "Bendix" magneto, the bottom magneto clamp, the dowel pin, the crankshaft gear, the lock tab, the crankshaft, and the crankshaft bolt. The damage noted was consistent with a loss of torque on the crankshaft assembly. The dowel was found to have fatigue fractures emanating from multiple origins at the outer diameter surface, consistent with having been produced by grinding and wear/fretting. Airplane records indicate that on September 1, 1993, the engine had undergone a field overhaul, and had accumulated 1450.35 hours since the overhaul. On October 30, 2002, the engine had undergone maintenance and had both the left and right crankcase halves replaced about 200 hours before the accident.

Flight

Event TypeAccident
Event Time18:15 EST
Nearest Airport0nm
Flight Plan FiledNone
Flight Plan ActivatedNo

Aircraft

AircraftPiper PA-28R-180
Tail NumberN4952J
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · IO-360 · Reciprocating · 200
Seats4

People & Injuries

Injury SummaryNo injuries (2 uninjured)
Fatal0
Serious0
Minor0
Uninjured2
Total2
Crew 1Age 48 · Third Class · None

Conditions

ConditionsVMC
Wind110° @ 5 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point70 F / 43 C
Altimeter30.29 inHg
Observation Time17:53
Weather SourceWFAC

Appendix: Source Data