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ERA09LA261 · Piper PA-28R-200

23 Apr 2009 · Hilliard, FL, United States

Piper PA-28R-200 · Accident: loss of engine power (total) en route

From 1A0 · Chattanooga, TN to Winter Haven Regional Airport - Gilbert Field (GIF)

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Event

NTSB case
ERA09LA261
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
0 · all aircraft and ground
Ground fatalities
Unknown
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
General aviation
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Visual Meteorological Cond

Piper PA-28R-200

Aircraft type
Piper PA-28
Category
Airplane
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N2938R
Onboard fatalities
Unknown
Route
From 1A0 · Chattanooga, TNTo Winter Haven Regional Airport - Gilbert Field (GIF), Winter Haven, FL
Aircraft age
Not recorded
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 91: General Aviation
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
En route · change of cruise level
Defining eventThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Loss of engine power (total)
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Substantial

Cause areas

  • Aircraft › Aircraft power plant
  • Personnel issues › Task performance

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

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.

Probable cause

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.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record ERA09LA261
Event ID
20090423X05546
Case number
ERA09LA261
Dataset
full-current
Source SHA-256
5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: f8b924cc9c018d2d30ae6a3691e2e94b190860328c22f1838f6c9bad6fc52377; retrieved 2026-09-15T10:58:26.502Z.