Aircraft Accident/Incident Report

Des Moines, Iowa 50317
Tuesady, April 1, 1997 18:24 CST

NTSB Narrative Summary Released at Completion of Accident

The pilot reported that about 40 minutes after takeoff the tachometer started surging. The oil pressure gauge dropped to zero and the engine started knocking. The engine seized and the pilot landed the airplane in a soy bean field. During landing rollout the airplane hit some large ruts which collapsed the landing gear. The engine examination indicated the number six connecting rod had failed and knocked a hole in the top of the crankcase. The number three upper piston pin plug had deteriorated and was contaminating the engine with aluminum metal. The oil filter was opened and evidence of aluminum metal contamination was found. The cam shaft and tappets indicated various stages of spalling. Rust was noted inside all cylinder walls and all the connecting rods had surface rust on them. In addition to the separated number six connecting rod, the number four and five connecting rods were blued and not free to move. The pilot reported that the oil filter was not opened during the oil changes to inspect for metal contamination. The pilot was unaware that the engine oil filter indicated that the oil system was contaminated with metal particles.

NTSB Probable Cause Narrative

oil contamination and starvation due to the inadequate maintenance inspection of the pilot/owner. Factors included the deterioration of the piston pin plug, the connecting rod failure, and the unsuitable terrain for landing.

Event Information

Type of Event Accident
Event Date 4/1/1997
Event Day of the Week Tuesday
Time of Event 1824
Event Time Zone Central Standard Time
Event City DES MOINES
Event State IOWA
Event Country --
Zipcode of the event site 50317
Event Date Year 1997
Event Date Month 4
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 1854 Central Standard Time
Direction of event from weather observation facility (degrees) 180
Weather Observation Facility ID DSM
Elevation of weather observation facility 990
Distance of event from weather observation facility (units?) 10
Time Zone of the weather observation CST
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) 10
Air Temperature at event time (in degrees celsius) 15
Dew Point at event time (in degress fahrenheit) 2
Wind Direction (degrees magnetic) 150
Variable Wind Indicator Unknown
Wind Speed (knots) 11
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
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 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 1
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 196
NTSB Notification Source --
NTSB Notification Date Apr 1 1997 12:00AM
NTSB Notification Time 1954
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 8 2000 12:12PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9004W
NTSB Number CHI97LA097
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-28-235
Aircraft Series Identifier PA-28-235
Aircraft Serial Number 28-10585
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 Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Feb 24 1996 12:00AM
Airframe hours since last inspection 70
Airframe Hours 2321
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name WILLIAM B. SEVENBERGEN
Aircraft Owner Street Address 4128 E. 25TH ST.
Aircraft Owner City DES MOINES
Aircraft Owner State IA
Aircraft Owner Country
Aircraft Owner Zipcode 50317
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
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 Yes
Departure Airport Code Y76
Departure City
Departure State
Departure Country
Departure Time 1730
Departure Time Zone CST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Cruise
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 --