Aircraft Accident/Incident Report

Rachel, Texas 78353
Thursday, September 9, 2004 6:14 CDT

NTSB Narrative Summary Released at Completion of Accident

A single-engine airplane, operating in dark night instrument meteorological conditions as a Part 135 mail cargo flight, impacted terrain after an in-flight break up. Several minutes before the impact, the pilot reported to air traffic control that he had lost his vacuum pump. An on-site examination of the wreckage revealed that the vacuum pump the drive was separated from the engine and the flex coupling displayed a torsion-type separation with coupling wear consistent with engine operation after the separation. Disassembly of the model 211CC vacuum pump revealed the following. A number was assigned to each of the rotor segments and the corresponding vanes were marked and removed from their respective slots. Five of the six vanes were intact, and vane #4 was broken. Four pieces were reassembled to recreate approximately 80 percent of vane #4. Three of the four pieces were found in the mounting flange, and one piece was found in the back flange. The rotor segments were marked such that vane slot #4 is between segment 4 and segment 5. Upon examination of the walls of vane slot 4, a groove approximately .450 inches by .120 inches by .020 inches deep was found on both sides of the vane slot. These grooves corresponded in dimension and position to the portion of the vane that was missing. Three carbon pieces were found, which exhibited extensive wear, which, in two cases, were smooth and round like a "BB." The rear fracture surface of vane #4 exhibited a smooth, polished, spherical wear mark corresponding with the carbon pieces found. The pump housing had severe wear such that there were washboard marks around its entire circumference. At the bottom of the bore, a burr was found on the edge of one of the back flange discharge ports. Corresponding rotational marks were found on the pump's rotor. According to Parker Hannifin, the rule of thumb for vane wear versus service life is: .025-inches of wear for every 100 hours of operation. Using Parker's original new vane length of .845 inches, the estimated time of operation of the vanes of the accident pump was approximately 1,380 hours. According to Parker the vacuum pump had been overhauled. Parker's service letters require replacement of model 211CC vacuum pumps after 500 hours of operation or 6 years from the date of manufacture, which ever occurs first. Examination of the directional gyro revealed that the housing was intact and the gyro was free to move. No rotational marks were found on the gyro or inside the housing. The turn coordinator gyro was examined and no rotational scoring was found when removed from the housing. A small portion of the housing was fractured and missing. The attitude indicator gyro was free to move within its housing and the housing was intact. No rotational scoring was noted when the gyro was removed from the housing. The filament of the vacuum enunciator bulb # PL33[0] exhibited stretching.

NTSB Probable Cause Narrative

The total failure of the vacuum pump that resulted in an inoperative attitude gyro and spatial disorientation and a subsequent loss of aircraft control by the pilot. Factors were; the prevailing instrument meteorological conditions, and the dark night light condition.

Event Information

Type of Event Accident
Event Date 9/9/2004
Event Day of the Week Thursday
Time of Event 614
Event Time Zone Central Daylight Time
Event City Rachel
Event State TEXAS
Event Country --
Zipcode of the event site 78353
Event Date Year 2004
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 265756N
Event Location Longitude 0981503W
Event Location Airport --
Event Location Nearest Airport ID SAT
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 Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 625 Central Daylight Time
Direction of event from weather observation facility (degrees) 45
Weather Observation Facility ID BKS
Elevation of weather observation facility 112
Distance of event from weather observation facility (units?) 8
Time Zone of the weather observation CDT
Lighting Conditions Night/Dark
Lowest Ceiling Height 4200
Lowest Non-Ceiling Height 4200
Sky/Lowest/Cloud Conditions Thin Overcast
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 22
Dew Point at event time (in degress fahrenheit) 18
Wind Direction (degrees magnetic) 330
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29.95
Density Altitude (feet) 1144
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 17957
NTSB Notification Source FAA Operations Center
NTSB Notification Date Sep 9 2004 12:00AM
NTSB Notification Time 1000
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jul 7 2005 10:33AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Instrument Meteorological Cond
FAA District Office San Antonio, Texas

Aircraft Involved

Aircraft #1

Aircraft Registration Number N6209J
NTSB Number FTW04FA235
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-32R-300
Aircraft Series Identifier --
Aircraft Serial Number 32R-7680332
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 2
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Aug 2 2004 12:00AM
Airframe hours since last inspection 89.4
Airframe Hours 8411.38
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name San Antonio Piper Inc.
Aircraft Owner Street Address 8411 Mission Road
Aircraft Owner City San Antonio
Aircraft Owner State TX
Aircraft Owner Country --
Aircraft Owner Zipcode 78214
Operator is an individual? No
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 --
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 Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Cargo
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code SSF
Departure City San Antonio
Departure State TX
Departure Country USA
Departure Time 510
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code MFE
Destination City Mc Allen
Destination State TX
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Aug 2 2005 1:59PM
User who most recently changed record NTSB\HAMG
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --