Individually Owned: 150,657
Corporate Owned: 137,281
Aircraft Accident/Incident Report
Tucson, Arizona 85726
Friday, April 18, 1997 13:06 MST
NTSB Narrative Summary Released at Completion of Accident
At 300 feet agl in the takeoff initial climb the engine ran roughly for a moment, then smoothed out for a short time at a low power output. The pilot stated that the engine power was insufficient for flight, and, he did not feel that he had sufficient altitude or vehicle energy to return to the runway. The pilot therefore elected to land on a dirt road. The right wing contacted trees during the landing rollout. An engine overhaul was completed on April 3, 1997, and it was reinstalled on the airframe on April 17th, 2 hours prior to the accident. The overhaul facility performed work on only the core engine. The operator's maintenance facility reinstalled all accessories, including all fuel system components, on the engine prior to installing it on the airframe. External visual examination of the engine noted blistered, missing, and discolored paint on the No. 2 cylinder, which had no compression. No valve lash was observed at the No. 2 cylinder intake valve, and air leakage was noted from that area. Exhaust gas residue was noted in all intake tubes during their removal from the engine. The No. 2 cylinder bottom spark plug electrode was damaged, with deposits of what appeared to be molten metal particles. The plugs for cylinders 1, 3, and 4 exhibited sooting. All fuel injection nozzles, including the No. 2 cylinder, were unobstructed. Bench flow tests confirmed normal postaccident flows for the distributor, nozzles, and lines. The No. 2 cylinder was removed from the engine. The piston and combustion chamber were burned. The intake valve stem and back face were burned, and the head was distorted into a tulip configuration. The valve length was stretched. No other internal abnormalities were noted with the engine.
NTSB Probable Cause Narrative
The partial blockage of the No. 2 cylinder injection line/nozzle by a transient contaminant, which induced an excessively lean mixture in that cylinder, and the subsequent overheating of the cylinder and intake valve. The engine power loss was due to the open intake valve allowing hot exhaust gasses into the induction system. The contamination was due to inadequate installation/inspection procedures used by the operator's maintenance organization when the fuel system was reinstalled on the engine following the overhaul.
Event Information
| Type of Event | Accident |
| Event Date | 4/18/1997 |
| Event Day of the Week | Friday |
| Time of Event | 1306 |
| Event Time Zone | Mountain Standard Time |
| Event City | TUCSON |
| Event State | ARIZONA |
| Event Country | -- |
| Zipcode of the event site | 85726 |
| 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 | 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) | 30 |
| Air Temperature at event time (in degrees celsius) | 27 |
| Dew Point at event time (in degress fahrenheit) | -- |
| Wind Direction (degrees magnetic) | 50 |
| 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) | -- |
| 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 | 2 |
| Injury Total Serious | -- |
| Injury Total All | -- |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 1197 |
| NTSB Notification Source | -- |
| NTSB Notification Date | Apr 18 1997 12:00AM |
| NTSB Notification Time | 1320 |
| Fiche Number and/or location -used to find docket information | IMAGE |
| Date of most recent change to record | Dec 8 2000 12:13PM |
| User who most recently changed record | dbo |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N2847F |
| NTSB Number | LAX97LA163 |
| 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 | 28-7918172 |
| Certified Max Gross Weight | 2750 |
| 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 | 100 Hour |
| Date of Last Inspection | Apr 17 1997 12:00AM |
| Airframe hours since last inspection | 2 |
| Airframe Hours | 5712 |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | Unknown |
| ELT Type | -- |
| Aircraft Owner Name | CHANDLER AIR SERVICE |
| Aircraft Owner Street Address | 1675 E. RYAN ROAD |
| Aircraft Owner City | CHANDLER |
| Aircraft Owner State | AZ |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | 85249 |
| 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 | Yes |
| Departure Point Same as Event | Yes |
| Departure Airport Code | RYN |
| Departure City | |
| Departure State | |
| Departure Country | |
| Departure Time | 1300 |
| Departure Time Zone | MST |
| Destination Same as Local Flt | -- |
| Destination Airport Code | CHD |
| Destination City | CHANDLER |
| Destination State | AZ |
| Destination Country | |
| Specific Phase of Flight | Takeoff |
| 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 | -- |