N5932U

Substantial
None

PIPER PA28S/N: 28-7125143

Accident Details

Date
Wednesday, October 21, 2020
NTSB Number
CEN21LA031
Location
Buda, TX
Event ID
20201027102197
Coordinates
30.077712, -97.965563
Aircraft Damage
Substantial
Highest Injury
None
Fatalities
0
Serious Injuries
0
Minor Injuries
0
Uninjured
2
Total Aboard
2

Probable Cause and Findings

An improperly torqued oil line fitting during an engine overhaul, which resulted in oil exhaustion and a total loss of engine power.

Aircraft Information

Registration
Make
PIPER
Serial Number
28-7125143
Engine Type
Reciprocating
Year Built
1971
Model / ICAO
PA28P28A
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1
Seats
4
FAA Model
PA-28-140

Registered Owner (Current)

Name
ANDERSON THOMAS E DBA
Address
1071 CHESTNUT SPGS
City
BULVERDE
State / Zip Code
TX 78163-1701
Country
United States

Analysis

On October 20, 2020, about 2020 central daylight time, a Piper PA-28-140 airplane, N5932U, was substantially damaged when it was involved in an accident near Buda, Texas. The flight instructor and student pilot were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 flight.

The flight instructor stated that while in cruise flight during the night training flight, the engine started to lose rpm, vibrate, and subsequently lost all power. During the descent, the flight instructor and student coordinated to select the closest runway and attempted to land at a private airport. After noticing the airplane was not able to the glide to the runway, the flight instructor conducted a forced landing onto rough terrain, which damaged the right-wing spar.

A postaccident examination revealed significant thermal damage to the engine, a nearly empty oil reservoir, and a disconnected oil line fitting to the oil pressure indicator. Oil residue was trailing on the underside of the fuselage and the bottom of the elevator surface. Examination of the oil line fitting revealed no material or structural anomalies with the oil line or fitting.

The accident was the airplane’s second flight following an engine overhaul due to a propeller strike. The two mechanics who conducted the overhaul stated that since both were involved and no procedure was in place to “verify all lines” were torqued properly, it was very possible the oil line fitting may have been missed.

Following the accident, the overhaul facility implemented a requirement to torque seal applicable components during an overhaul to ensure compliance with torque specifications. This best practice is described in NTSB Safety Alert SA-056, “Take Time to Torque” (available at https://www.ntsb.gov/Advocacy/safety-alerts/Documents/SA-056.pdf) as well as in a maintenance article highlighting the importance of proper torque protocols that was published in the July 2018 FAA Safety Brief (located in the docket for this investigation).

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN21LA031