Accident Details
Probable Cause and Findings
The powerplant mechanic’s failure to properly affix the engine crankshaft gear lockplate during overhaul, resulting in a total loss of engine power.
Aircraft Information
Registered Owner (Current)
Analysis
On May 26, 2020, about 1430 eastern daylight time, a Piper PA-24-250, N5948P, was substantially damaged when it was involved in an accident near South Boston, Virginia. The private pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight.
The pilot stated that he performed a preflight inspection of the airplane before the intended 20 to 25 minutes flight, which included a check of each wing fuel tank sump drain and also the gascolator with no contaminants found. He also checked the flexible hoses in the engine compartment for condition and security, looked for fuel stains, and checked the P-Leads for condition and security. Prior to departure he performed an engine run-up noting that the magneto decreases were about 25 rpm or less from each magneto.
After takeoff he proceeded towards the William M Tuck Airport (W78), South Boston, Virginia, where while on a close-in downwind leg of the airport traffic for runway 19 flying at 1,200 ft mean sea level, the engine experienced a sudden total loss of power. He turned on the auxiliary fuel pump, moved the fuel selector from the left tank where it had been since takeoff to the right tank, and moved the mixture control to full rich, but engine power was not restored. He turned towards the approach end of the runway with the airplane configured with the flaps and landing gear retracted and maintained 80 miles-per-hour (mph). The airplane subsequently impacted an obstruction light, touched down in tall/thick grass on airport property and slid an unknown distance before coming to rest upright. The airplane was recovered to W78 for examination of the engine.
Examination of the engine following recovery by a Federal Aviation Administration (FAA) inspector revealed hand rotation of the crankshaft did not result in rotation of the magnetos, or valve train action at the No. 1 cylinder. The accessory case was removed and during rotation of the crankshaft, the crankshaft gear did not rotate. The crankshaft gear attachment bolt which was marked on the head with “2247”, was “found unsecured and loose.” The bolt, fractured remnants of the lockplate, and crankshaft gear were removed. It was noted that the alignment dowel pin was sheared. The profile of the intact portion of the accident lockplate was similar to an un-bent exemplar lockplate. The left and right magneto driven gears, crankshaft gear, and crankshaft gear attachment bolt were undamaged. It was not determined if there was Loctite anti-seize compound on the lower portion of the crankshaft gear attachment bolt threads. The crankshaft gear drives two idler gears in the accessory gearbox, which drive the camshaft, engine driven fuel pump, vacuum pump and the magneto drive couplings.
A review of the engine maintenance records revealed the engine was overhauled by an airframe and powerplant (A&P) mechanic in 2011 and had accrued about 253 hours since overhaul at the time of the accident. The maintenance record entry for the engine overhaul did not specify installation of a new crankshaft gear attachment bolt or lockplate, or the final torque value of the crankshaft gear attaching bolt, as specified by Lycoming Service Bulletin 475C, dated January 30, 2003.
According to the FAA inspector, the A&P mechanic was deceased; therefore, it could not be determined what procedures were used to install the crankshaft gear or whether a new crankshaft gear attachment bolt or lockplate was installed at the time of engine overhaul.
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ERA20LA195