Aircraft Accident/Incident Report

Atlantic Ocean
Wednesday, October 18, 1995 20:55 EDT

NTSB Narrative Summary Released at Completion of Accident

While descending from 5,000 feet to 3,000 feet, the pilot informed ATC that the left engine had failed and the engine cowling was open. The crew said that after feathering the left propeller, and with the right engine at full power, they could not arrest a 300-500 fpm rate of descent. The crew informed ATC that they would be landing in the water. All the occupants exited the airplane from the left front pilot's emergency door. The victims were in the water for approximately 30 minutes before being rescued. One of the passengers was in cardiac arrest when he was retrieved from the water. Examination of the left engine revealed that the #2 cylinder had separated from the engine in flight as a result of high stress fatigue cracking of the cylinder hold down studs and the #3 main bearing thru-studs. The fatigue in the studs occurred as a result of the cylinder fastener preload forces either initially inadequate or lost during service. Maintenance records indicated that the thru-stud was replaced 80 service hours prior to the accident. Examination of the cylinder hold down studs and the #3 main bearing thru-studs revealed that they were improperly torqued, resulting in low initial preload on the fasteners. Incorrect installation of the oversize thru-studs, per existing service information, could have also been a factor in the improper torquing of the studs. The locations of the fatigue origins and the edge worn into the deck indicate that the upper studs were probably the first to fail, allowing the cylinder to rock on the lower rear corner of the cylinder flange.

NTSB Probable Cause Narrative

a total loss of left engine power as a result of an in-flight separation of the #2 cylinder. The cylinder separated due to high stress fatigue cracking of the cylinder hold down studs and the #3 main bearing thru-studs. Factors in this accident were: improper torquing of the studs and failure of maintenance personnel to properly comply with service information.

Event Information

Type of Event Accident
Event Date 10/18/1995
Event Day of the Week Wednesday
Time of Event 2055
Event Time Zone Eastern Daylight Time
Event City ATLANTIC OCEAN
Event State ATLANTIC OCEAN
Event Country --
Zipcode of the event site
Event Date Year 1995
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 2051 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 180
Weather Observation Facility ID JFK
Elevation of weather observation facility 13
Distance of event from weather observation facility (units?) 6
Time Zone of the weather observation EDT
Lighting Conditions Night/Bright
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 25000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 20
Air Temperature at event time (in degrees celsius) 15
Dew Point at event time (in degress fahrenheit) 9
Wind Direction (degrees magnetic) 220
Variable Wind Indicator Unknown
Wind Speed (knots) 6
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 1
Injury Total Minor 1
Injury Total None 4
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 2050
NTSB Notification Source --
NTSB Notification Date Oct 18 1995 12:00AM
NTSB Notification Time 2115
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 7 2000 4:40PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N711EX
NTSB Number NYC96FA012
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-31-350
Aircraft Series Identifier PA-31-350
Aircraft Serial Number 7952075
Certified Max Gross Weight 7250
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 10
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Oct 5 1995 12:00AM
Airframe hours since last inspection 12
Airframe Hours 7335
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name DON THURBER ENTERPRISES INC.
Aircraft Owner Street Address 1300 NEW HIGHWAY
Aircraft Owner City FARMINGDALE
Aircraft Owner State NY
Aircraft Owner Country
Aircraft Owner Zipcode 11735
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code ECAA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code ACY
Departure City ATLANTIC CITY
Departure State NJ
Departure Country
Departure Time 2010
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code FRG
Destination City FARMINGDALE
Destination State NY
Destination Country
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:30AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --