Hilliard Airpark Airport
Aircraft Accident/Incident Report

Hilliard, Florida 32046
Thursday, April 23, 2009 15:00 EDT

NTSB Narrative Summary Released at Completion of Accident

Approximately 2 hours into the cross-country flight the pilot heard a loud noise from the engine compartment and the engine subsequently failed. The pilot performed a forced landing in a field and the empennage struck a tree, resulting in substantial airframe damage. Examination of the engine revealed that the No. 3 cylinder partially separated in flight, resulting in the engine failure. An engine cylinder attachment stud and nut were found at the run-up pad at the departure airport. Examination of the stud revealed evidence of fatigue cracking, which was indicative of an under torque condition. Other cylinder attachment nuts on the engine showed evidence of under torquing. The pilot had recently purchased the airplane and the seller reported that an oil leak was noted during the "pre-buy" inspection. The mechanic who inspected the airplane at the pre-buy reported that two cylinders were leaking oil. The seller installed the cylinders as part of a major overhaul that occurred approximately 131 hours prior to the accident. The pilot did not have maintenance performed to address the cylinder oil leaks prior to the accident.

NTSB Probable Cause Narrative

A total loss of engine power due to the fatigue failure of the No. 3 cylinder attachment stud as a result of insufficient torque during installation. Contributing to the accident was the pilot’s operation of the airplane with a known mechanical deficiency.

Event Information

Type of Event Accident
Event Date 4/23/2009
Event Day of the Week Thursday
Time of Event 1500
Event Time Zone Eastern Daylight Time
Event City Hilliard
Event State FLORIDA
Event Country --
Zipcode of the event site 32046
Event Date Year 2009
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 304111N
Event Location Longitude 0815518W
Event Location Airport Hilliard Airpark
Event Location Nearest Airport ID 01J
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 1
Degrees magnetic from airport --
Airport Elevation 59
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1456 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 120
Weather Observation Facility ID JAX
Elevation of weather observation facility 30
Distance of event from weather observation facility (units?) 16
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 4000
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling --
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 30
Dew Point at event time (in degress fahrenheit) 12
Wind Direction (degrees magnetic) 280
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 15
Altimeter Setting at event time (in. Hg) 30.17
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 4
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 26643
NTSB Notification Source FAA Southern ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Feb 18 2010 4:00PM
User who most recently changed record kenj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N2938R
NTSB Number ERA09LA261
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 None
Aircraft Explosion None
Aircraft Manufacturer's Full Name PIPER
Aircraft Model PA-28R-200
Aircraft Series Identifier --
Aircraft Serial Number 28R-35333
Certified Max Gross Weight 2600
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 4
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jul 12 2008 12:00AM
Airframe hours since last inspection 131
Airframe Hours 3661
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name GARRISON CHADRICK
Aircraft Owner Street Address --
Aircraft Owner City CHATTANOOGA
Aircraft Owner State TN
Aircraft Owner Country USA
Aircraft Owner Zipcode 37421-4587
Operator is an individual? No
Operator Name GARRISON CHADRICK
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City CHATTANOOGA
Operator State TN
Operator Country USA
Operator Zip code 37421-4587
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code 1A0
Departure City Chattanooga
Departure State TN
Departure Country USA
Departure Time 1245
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code GIF
Destination City Winter Haven
Destination State FL
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Feb 18 2010 4:01PM
User who most recently changed record kenj
Since inspection or accident Time of Accident
Event Location Runway Number and Location 18
Runway Length 3365
Runway Width 125
Sight Seeing flight No
Air Medical Flight No
Medical Flight --