Casualties unknown

Engine Failure Due to Improper Torque on Cylinder Hold-Down Nuts (N2841T)

LA Salle, IL, US

On August 17, 1984, a Piper PA-28R-200 (registration N2841T) was involved in an aviation accident near LA Salle, IL. Investigators recorded the probable cause as: The pilot's inability to maintain engine power due to a mechanical failure caused by improperly torqued cylinder hold-down nuts (35 ft-lbs instead of the required 55 ft-lbs), which resulted in the crankcase halves separating. This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 2026-06-17Data APIEditorial standards

A pilot executed a forced landing in a corn field after experiencing engine vibration and power loss. Investigation revealed that cylinder hold-down nuts were under-torqued, leading to crankcase separation.

What happened

The aircraft was involved in a forced landing within a corn field following an unexpected loss of engine power. Prior to departure, the pilot reported that the engine appeared to be running roughly during start-up. After adjusting the mixture and performing a run-up check, the engine operation smoothed out sufficiently for takeoff.

Approximately twenty minutes into the flight, the engine began to vibrate noticeably. The exhaust gas temperature (EGT) climbed to 1379 degrees Fahrenheit. In response, the pilot enriched the fuel mixture, which caused the EGT to drop to 1349 degrees; however, the vibration intensified rather than subsiding. As the pilot reduced power in an attempt to manage the situation, the number one cylinder detached from the engine and penetrated the cowling. The pilot subsequently shut down the engine and managed to land the aircraft safely.

The investigation

Post-accident examination of the engine revealed that the crankcase halves were not fastened together securely. A critical maintenance error was identified regarding the hold-down nuts on the number three and number four cylinders. These nuts had been torqued to only 35 foot-pounds, which is significantly below the required specification of 55 foot-pounds.

Maintenance records indicated that this specific engine crankcase had been replaced when the engine reached 1137 hours of operation. The last major overhaul was performed at 3969 hours, and the most recent annual inspection occurred at 4393 hours. The discrepancy in torque values suggests a failure to adhere to standard maintenance procedures during one of these recent service intervals.

Findings

The primary mechanical failure was caused by the improper torque applied to the cylinder hold-down nuts. The under-torqued fasteners allowed the crankcase halves to separate under operational stress, leading to the loss of the number one cylinder and subsequent power loss. This case highlights the critical importance of verifying torque specifications during engine maintenance and overhaul procedures.

Probable cause

The pilot's inability to maintain engine power due to a mechanical failure caused by improperly torqued cylinder hold-down nuts (35 ft-lbs instead of the required 55 ft-lbs), which resulted in the crankcase halves separating.

Frequently asked questions

What happened in the 17 Aug 1984 Piper PA-28R-200 accident near LA Salle, IL?

A pilot executed a forced landing in a corn field after experiencing engine vibration and power loss. Investigation revealed that cylinder hold-down nuts were under-torqued, leading to crankcase separation.

What aircraft was involved and where did it happen?

The accident on 17 Aug 1984 involved a Piper PA-28R-200, registration N2841T, at LA Salle, IL.

What was the probable cause of the accident?

The pilot's inability to maintain engine power due to a mechanical failure caused by improperly torqued cylinder hold-down nuts (35 ft-lbs instead of the required 55 ft-lbs), which resulted in the crankcase halves separating.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001214X40644. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.