Aircraft Accident/Incident Report

Valley Springs, California 95252
Friday, May 28, 1999 16:23 PDT

NTSB Narrative Summary Released at Completion of Accident

The airplane had a catastrophic engine failure while the pilot was in cruise flight at 4,500 feet. The pilot declared an emergency and began to perform the emergency checklist. The pilot located a flat field and struck a barbed wire fence during the landing roll, which damaged the wings and collapsed the nose gear. The engine was sent back to the Textron Lycoming factory for materials examination. The No. 6 connecting rod initially fractured through the cap with the fracture most likely initiating from an area of galling on the inner diameter of the cap. The fracture was propagated by a fatigue mechanism until it failed with catastrophic overload. Following the metallurgical examination on the No. 6 connecting rod and associated components, additional disassembly of the engine was accomplished that did not conform to investigative protocols. No measurements were taken of the case through bolt torque or the remaining rod end cap bolt torque. No determination was made whether the bearing inserts were of the correct size or assembled properly in engine build-up. Review of the engine maintenance records disclosed that it was remanufactured by the Lycoming factory in 1991, and had operated 869 hours since rebuild and installation in the airframe. No removal and replacement of cylinders was noted in the records.

NTSB Probable Cause Narrative

The fatigue failure and separation of the No. 6 connecting rod end cap, which led to a catastrophic failure of the engine. The fatigue crack initiation was due to galling on the rod end cap, which was most likely caused by an undetermined factory manufacturing process error during the engine rebuild.

Event Information

Type of Event Accident
Event Date 5/28/1999
Event Day of the Week Friday
Time of Event 1623
Event Time Zone Pacific Daylight Time
Event City VALLEY SPRINGS
Event State CALIFORNIA
Event Country --
Zipcode of the event site 95252
Event Date Year 1999
Event Date Month 5
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 Weather Observation Facility
Time of the weather observation 1556 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID SCK
Elevation of weather observation facility 30
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation PDT
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) 27
Dew Point at event time (in degress fahrenheit) 2
Wind Direction (degrees magnetic) 270
Variable Wind Indicator Unknown
Wind Speed (knots) 17
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
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) 1676
NTSB Notification Source --
NTSB Notification Date May 28 1999 12:00AM
NTSB Notification Time 1710
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Mar 4 2001 7:08AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N38908
NTSB Number LAX99LA201
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-32R-300
Aircraft Series Identifier PA-32R-300
Aircraft Serial Number 32R-7780487
Certified Max Gross Weight 3600
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 6
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Oct 16 1998 12:00AM
Airframe hours since last inspection 75
Airframe Hours 2857
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name ERIC C. DISBROW
Aircraft Owner Street Address 3640 FAIRWAY DRIVE
Aircraft Owner City CAMERON PARK
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 95682
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) Business
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code MER
Departure City ATWATER
Departure State CA
Departure Country
Departure Time 1600
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code 061
Destination City CAMERON PARK
Destination State CA
Destination Country
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 4 2001 7:08AM
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 --