Aircraft Accident/Incident Report

Vero Beach, Florida 32963
Tuesady, April 2, 1991 21:15 EST

NTSB Narrative Summary Released at Completion of Accident

WHILE ON A SHORT CROSS COUNTRY FLT, THE ENG QUIT. THE PLT WAS UNABLE TO RESTART THE ENG. DURING THE FORCED LANDING ON A ROAD, THE ACFT COLLIDED WITH A TREE THEN A GUARDRAIL. EXAM OF THE ENG REVEALED THAT THE CRANKSHAFT GEAR WHICH DRIVES TWO CRANKSHAFT IDLER GEARS WHICH IN TURN DRIVES EACH MAGNETO DRIVE GEAR FAILED TO DO SO WHEN THE BOLT WHICH SECURES IT TO THE CRANKSHAFT BACKED OUT ABOUT THREE TURNS. THIS WAS DUE TO A FOREIGN OBJECT LOCATED UNDER THE GEAR FOR AN UNDETERMINED TIME. THE LOOSE BOLT RESULTED IN THE TORQUE FROM THE CRANKSHAFT BEING TRANSMITTED TO THE CRANKSHAFT ALIGNMENT DOWEL, WHICH IS A NON-LOAD CARRYING MEMBER. THE ALIGNMENT DOWEL FAILED DUE TO FATIGUE RESULTING IN THE TOTAL LOSS OF ENG POWER. THE FOREIGN OBJECT WAS REPORTEDLY NOT LOCATED. REVIEW OF THE ENG LOGBOOKS REVEALED THAT THE ENG WAS OVERHAULED 1,574 HRS EARLIER.

NTSB Probable Cause Narrative

FAILURE OF MAINTENANCE PERSONNEL TO FOLLOW DIRECTIONS OF A SERVICE BULLETIN DURING THE MAJOR OVERHAUL OF THE ENGINE. THIS RESULTED IN FAILURE TO DETECT A FOREIGN OBJECT UNDER THE CRANKSHAFT GEAR. AS A RESULT THE CRANKSHAFT GEAR BECAME LOOSE AND QUIT TURNING RESULTING IN THE TOTAL LOSS OF ENGINE POWER.

Event Information

Type of Event Accident
Event Date 4/2/1991
Event Day of the Week Tuesday
Time of Event 2115
Event Time Zone Eastern Standard Time
Event City VERO BEACH
Event State FLORIDA
Event Country --
Zipcode of the event site 32963
Event Date Year 1991
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 0
Degrees magnetic from airport 0
Airport Elevation 0
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 Night/Dark
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) 7
Air Temperature at event time (in degrees celsius) 26
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 60
Variable Wind Indicator Unknown
Wind Speed (knots) 13
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) 414
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 43701
Date of most recent change to record Dec 12 2000 9:45AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N8156E
NTSB Number MIA91LA115
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-28-181
Aircraft Series Identifier PA-28-181
Aircraft Serial Number 28-8290102
Certified Max Gross Weight 2550
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 100 Hour
Date of Last Inspection Jan 25 1991 12:00AM
Airframe hours since last inspection 87
Airframe Hours 3602
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name VERO AIR RENTAL, INC.
Aircraft Owner Street Address P.O. BOX 3371
Aircraft Owner City VERO BEACH
Aircraft Owner State FL
Aircraft Owner Country
Aircraft Owner Zipcode 32964
Operator is an individual? --
Operator Name SUN AVIATION, INC.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 3350 CHEROKEE
Operator City VERO BEACH
Operator State FL
Operator Country
Operator Zip code 32960
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 2RR
Departure City RIVER RANCH
Departure State FL
Departure Country
Departure Time 2055
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code VRB
Destination City VERO BEACH
Destination State FL
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:35AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length 0
Runway Width 0
Sight Seeing flight No
Air Medical Flight No
Medical Flight --