Aircraft Accident/Incident Report

Raton, New Mexico 87740
Tuesady, December 31, 1996 13:50 MST

NTSB Narrative Summary Released at Completion of Accident

The pilot reported that while in cruise flight the airplane shuddered and began to lose power. She changed the fuel selector from the right to left tank; checked the fuel mixture, the exhaust gas temperature, and the instrument panel. The pilot reported that the engine performance continued to decay and she initiated a forced landing to a pasture. Examination of the engine revealed that the number two cylinder exhaust rocker arm retaining studs had separated. Examination of the studs by a metallurgist revealed that over torquing of the attachment nuts during installation caused plastic deformation of the studs and probable cracking in the threads which led to a fatigue crack in at least one of the studs. The fatigue crack led to the subsequent failure of the exhaust rocker arm retaining studs.

NTSB Probable Cause Narrative

failure of the exhaust rocker arm retaining studs due to over torquing of the attachment bolts by maintenance personnel during installation. A factor was the lack of suitable terrain for the forced landing.

Event Information

Type of Event Accident
Event Date 12/31/1996
Event Day of the Week Tuesday
Time of Event 1350
Event Time Zone Mountain Standard Time
Event City RATON
Event State NEW MEXICO
Event Country --
Zipcode of the event site 87740
Event Date Year 1996
Event Date Month 12
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 Unknown
Investigator's weather source Pilot
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 60
Air Temperature at event time (in degrees celsius) 18
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Unknown
Wind Speed (knots) 0
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 4
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 1593
NTSB Notification Source --
NTSB Notification Date Dec 31 1996 12:00AM
NTSB Notification Time 1756
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 8 2000 10:29AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N40437
NTSB Number FTW97LA077
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-28R-201T
Aircraft Series Identifier PA-28R-201
Aircraft Serial Number 28R-7703304
Certified Max Gross Weight 2900
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 4
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Aug 1 1996 12:00AM
Airframe hours since last inspection 38
Airframe Hours 1155
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name MCKENNA RANCH
Aircraft Owner Street Address 7110 HWY 10
Aircraft Owner City WALSENBURG
Aircraft Owner State CO
Aircraft Owner Country
Aircraft Owner Zipcode 81089
Operator is an individual? --
Operator Name SANDRA S. MCKENNA
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 7110 HWY 10
Operator City WALSENBURG
Operator State CO
Operator Country
Operator Zip code 81089
Operator Code
Owner has at least one certificate None
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code MDD
Departure City MIDLAND
Departure State TX
Departure Country
Departure Time 1210
Departure Time Zone MST
Destination Same as Local Flt --
Destination Airport Code TAD
Destination City TRINIDAD
Destination State CO
Destination Country
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
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 --