Aircraft Accident/Incident Report

Gila Bend, Arizona 85337
Thursday, November 12, 1998 13:00 MST

NTSB Narrative Summary Released at Completion of Accident

The pilot said that no engine discrepancies were noted during either the preflight or the initial cruise portion of the flight, and that all engine instrument readings were normal. Between 500 and 1,100 mean sea level, the engine suffered a significant loss of power accompanied by sputtering, vibration, and the rpm fluctuating. He declared an emergency, performed the emergency checklist with no changes, and made a forced landing on a road. During the landing rollout the airplane struck a road sign that he had not seen. Postaccident inspection of the engine revealed the gear at the back of the crankshaft was detached and moving freely between the corresponding gears. The crankshaft gear attaching bolt and threads were undamaged and the bolt appeared to have backed out of the crankshaft and was resting in the crankshaft gear bore. The bolt locking plate remained at the head of the bolt, and exhibited fretting signatures. Fretting signatures were also located around the mating surfaces of the gear and crankshaft bore. The crankshaft gear dowel pin had failed, with fatigue striations visible to the naked eye. An engine overhaul was completed 1 month after an airworthiness directive (AD) was published requiring inspection of the crankshaft gear and the bolt to prevent the bolt from backing out and liberating the crankshaft gear. No evidence of compliance with this AD was found in the engine maintenance records.

NTSB Probable Cause Narrative

The crankshaft gear attach bolt loosening and backing out of its crankshaft bore, which led to the fatigue failure of the crankshaft gear dowel pin due to excessive working of the gear. The sequence of failures was the result of the engine overhaul shop's failure to comply with an Airworthiness Directive and the engine manufacturer's Service Bulletin.

Event Information

Type of Event Accident
Event Date 11/12/1998
Event Day of the Week Thursday
Time of Event 1300
Event Time Zone Mountain Standard Time
Event City GILA BEND
Event State ARIZONA
Event Country --
Zipcode of the event site 85337
Event Date Year 1998
Event Date Month 11
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 1255 Mountain Standard Time
Direction of event from weather observation facility (degrees) 40
Weather Observation Facility ID GBN
Elevation of weather observation facility 778
Distance of event from weather observation facility (units?) 90
Time Zone of the weather observation MST
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 5000
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) 50
Air Temperature at event time (in degrees celsius) 18
Dew Point at event time (in degress fahrenheit) 6
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Unknown
Wind Speed (knots) 5
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 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) 1935
NTSB Notification Source --
NTSB Notification Date Nov 13 1998 12:00AM
NTSB Notification Time 927
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 11 2000 11:53AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N991PK
NTSB Number LAX99LA029
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-28-150
Aircraft Series Identifier PA-28-150
Aircraft Serial Number 28-2369
Certified Max Gross Weight 2150
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 Jun 20 1998 12:00AM
Airframe hours since last inspection 30
Airframe Hours 4680
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name JEFFREY ELDEN
Aircraft Owner Street Address 496 GARDNER ST.
Aircraft Owner City EL CAJON
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 92020
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 No
Departure Airport Code MYF
Departure City SAN DIEGO
Departure State CA
Departure Country
Departure Time 1000
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code PHX
Destination City PHOENIX
Destination State AZ
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 --