Aircraft Accident/Incident Report

Westlake Villag, California 91359
Saturday, January 11, 2003 10:23 PST

NTSB Narrative Summary Released at Completion of Accident

The airplane collided with ground obstacles during a forced landing when the pilots could not maintain altitude after one propeller blade and part of the propeller hub from the right engine separated in flight. The CFI and the student practiced two simulated engine-out maneuvers. The CFI was reaching for the mixture control for a third simulation when he heard a loud bang. The airplane yawed violently to the right and began to lose altitude. The CFI turned toward his home field, but was having difficulty maintaining altitude. He decided that he would not be able to make it to the airport, and would have to make an off field landing. He landed in the only clear spot that he could see, which was a cemetery. The airplane collided with monuments and a wood chip pile before coming to rest next to a mausoleum. The right propeller hub fractured and separated. Investigators did not recover one blade and the corresponding part of the hub. The hub fractured as a result of fatigue cracking emanating from one of the grease-fitting holes. The fatigue cracking originated in the area of the grease-fitting threads closest to the interior surface of the hub, at the intersection between the grease-fitting hole and the chamfer. No material or manufacturing defect was found that could be identified as the source of the fatigue cracking. The fatigue cracking originated just outside the thread remnants of the grease fitting hole that were plastically deformed during a chamfering process. The grease fitting was located in a region where the wall of the hub was approximately at its thinnest, and where there was a slight change in the profile along the axis of the propeller. These geometrical factors would have led to high stresses at the edges of the hole. Chamfers were retrofitted to the grease-fitting holes by the manufacturer at both the interior and exterior surfaces of the hub in response to fatigue fractures that occurred in three-bladed propellers. This accident was the first occurrence of fatigue emanating from a grease-fitting hole for a two-bladed propeller. The chamfering was apparently introduced in an effort to smooth the stress distribution around the grease-fitting holes. The chamfer at the interior surface should have removed the stress concentration associated with the change in wall profile, but would also have decreased the amount of material in the wall, leading to higher stresses overall. The stress concentration associated with the grease-fitting hole and the chamfer, coupled with the location in a position where the hub wall was very thin, were likely sufficient to initiate fatigue cracking in this case. In more recently manufactured hubs, the grease-fitting holes have been relocated to positions where the hub wall is much thicker.

NTSB Probable Cause Narrative

a fatigue crack in the propeller hub due to the inadequate design location of the grease fitting and the chamfering process.

Event Information

Type of Event Accident
Event Date 1/11/2003
Event Day of the Week Saturday
Time of Event 1023
Event Time Zone Pacific Standard Time
Event City Westlake Villag
Event State CALIFORNIA
Event Country --
Zipcode of the event site 91359
Event Date Year 2003
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 340800N
Event Location Longitude 1184300W
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 958 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 60
Weather Observation Facility ID VNY
Elevation of weather observation facility 802
Distance of event from weather observation facility (units?) 20
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 600
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 6
Air Temperature at event time (in degrees celsius) 11
Dew Point at event time (in degress fahrenheit) 8
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator Light and Variable
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.17
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None --
Injury Total Serious 2
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 17743
NTSB Notification Source FAA
NTSB Notification Date Jan 11 2003 12:00AM
NTSB Notification Time 1100
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jun 8 2005 12:51PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-VNY-FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N56484
NTSB Number LAX03FA065
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-34-200
Aircraft Series Identifier --
Aircraft Serial Number 34-7350338
Certified Max Gross Weight 4200
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 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Nov 29 2002 12:00AM
Airframe hours since last inspection 256
Airframe Hours --
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Roxy Corporation
Aircraft Owner Street Address 3511 Silverside Rd, Suite 105
Aircraft Owner City Wilmington
Aircraft Owner State DE
Aircraft Owner Country USA
Aircraft Owner Zipcode 19810
Operator is an individual? No
Operator Name The Aero Club
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 7552 Hayvenhurst PL
Operator City VAN NUYS
Operator State CA
Operator Country USA
Operator Zip code 91406
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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) Instructional
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code VNY
Departure City Van Nuys
Departure State CA
Departure Country USA
Departure Time 945
Departure Time Zone PST
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 Maneuvering
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Apr 6 2005 5:39PM
User who most recently changed record COOS
Since inspection or accident --
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --