Casualties unknown

1996-12-31: Piper PA-28R-201T (N40437) — Sandra S. Mckenna — Raton, NM

Raton, NM, US

On December 31, 1996, a Piper PA-28R-201T (registration N40437) operated by Sandra S. Mckenna was involved in an aviation accident near Raton, NM. Investigators recorded the probable cause as: Over torquing of the attachment nuts during installation caused plastic deformation of the studs and probable cracking in the threads, leading to a fatigue crack and subsequent failure of the exhaust rocker arm retaining studs. 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 1781061362Data APIEditorial standards

During cruise flight, the airplane shuddered and lost power. The pilot performed a forced landing to a pasture. Examination revealed separated exhaust rocker arm retaining studs on cylinder number two due to over torquing during installation.

Incident Summary

The pilot reported that while in cruise flight, the airplane shuddered and began to lose power. She changed the fuel selector from the right to left tank, checked the fuel mixture, exhaust gas temperature, and instrument panel. Despite these actions, engine performance continued to decay, and she initiated a forced landing to a pasture.

Examination Findings

Post-landing examination of the engine revealed that the number two cylinder exhaust rocker arm retaining studs had separated. The studs were examined by a metallurgist, who determined that over torquing of the attachment nuts during installation caused plastic deformation of the studs and probable cracking in the threads. This cracking led to a fatigue crack in at least one of the studs, which subsequently led to the failure of the exhaust rocker arm retaining studs.

Conclusion

The engine failure was traced to the failure of the exhaust rocker arm retaining studs on cylinder number two, caused by over torquing during installation.

Probable cause

Over torquing of the attachment nuts during installation caused plastic deformation of the studs and probable cracking in the threads, leading to a fatigue crack and subsequent failure of the exhaust rocker arm retaining studs.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001208X07171. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.