Aircraft Accident/Incident Report

Bernardsville, New Jersey 07924
Thursday, September 6, 2007 18:00 EDT

NTSB Narrative Summary Released at Completion of Accident

About 25 minutes into the positioning flight, the pilot felt a slight vibration and a few minutes later noticed a small streak of smoke trailing along the right engine cowling. He shut down the right engine as a precautionary measure. He then observed a flame emanating from the right side of the engine, so he pitched the nose of the airplane down, increasing the airspeed and extinguishing the fire almost immediately. He subsequently landed uneventfully. Examination of the right engine revealed that the number 3 cylinder was separated from the engine case, and that the right wing was substantially damaged. Detailed examination of the number 3 cylinder attachment studs revealed that they had failed in fatigue, most likely due to insufficient preload of the fastening nuts. Paint in the nut contact area around one of the cylinder hold down plates was present, and was not disturbed. Adequate friction during the attachment and torquing process would be expected to disturb and remove the paint layer, as was seen at other locations on the hold down plate. Further, the paint observed between the cylinder flange and hold down plate was not the primer specified by the engine manufacturer's overhaul manual, and was applied at a thickness greater than that specified in the manual. The presence of this paint could have lead to an in-service loss of preload, even if sufficient torque was applied to the cylinder nuts at the time of installation. Although logbook records had no entries to show that any of the right engine’s cylinders had been removed or replaced since the last engine overhaul, evidence indicated that the No. 3 cylinder had been replaced after the engine was overhauled. According to Federal Aviation Administration records, the cylinders installed during the overhaul were new, and had serial and cylinder class numbers stamped on them. The overhauler stated that new cylinders were received with a thin coat of zinc chromate, and that the engine was painted after reassembly. The failed No. 3 cylinder examined after the accident did not have serial numbers, and had paint between the cylinder flange and hold down plate. Logbook records had no entries to show any of the right engine's cylinders had been removed or replaced since the last engine overhaul.

NTSB Probable Cause Narrative

The failure by unidentified maintenance personnel to follow appropriate procedures when attaching the No. 3 cylinder, which was replaced subsequent to the engine overhaul and not entered in the logbook, resulting in fatigue failures of the cylinder studs.

Event Information

Type of Event Accident
Event Date 9/6/2007
Event Day of the Week Thursday
Time of Event 1800
Event Time Zone Eastern Daylight Time
Event City Bernardsville
Event State NEW JERSEY
Event Country --
Zipcode of the event site 07924
Event Date Year 2007
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 404442N
Event Location Longitude 0743324W
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 --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1753 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 10
Weather Observation Facility ID TTN
Elevation of weather observation facility 213
Distance of event from weather observation facility (units?) 40
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 28
Dew Point at event time (in degress fahrenheit) 18
Wind Direction (degrees magnetic) 170
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 11
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.2
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 1
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 24099
NTSB Notification Source FAA FSDO Philadelphia, PA
NTSB Notification Date Sep 10 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Aug 28 2008 3:01PM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office Philadelphia FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N62BA
NTSB Number NYC07LA221
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire In-flight
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-23-250
Aircraft Series Identifier --
Aircraft Serial Number 27-4859
Certified Max Gross Weight 5200
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Aug 1 2007 12:00AM
Airframe hours since last inspection --
Airframe Hours 16880
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Northeast Aviation Inc
Aircraft Owner Street Address 11301 Norcom Road
Aircraft Owner City Philadelphia
Aircraft Owner State PA
Aircraft Owner Country USA
Aircraft Owner Zipcode 19054
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 NAHA
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Positioning
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code PNE
Departure City Philadelphia
Departure State PA
Departure Country USA
Departure Time --
Departure Time Zone --
Destination Same as Local Flt --
Destination Airport Code SWF
Destination City Newburgh
Destination State NY
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 10 2008 8:57PM
User who most recently changed record KENJ
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --