Aviation safety investigations & reports

Piper PA32-300, VH-BTL, Kantappa Station, 78km NNW of Broken Hill NSW, 13 June 1986

Investigation number:
198600699
Status: Completed
Investigation completed

Summary

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The pilot was conducting a flight under Night Visual Flight Rules from his property to Broken Hill. About 30 minutes after DEPARTURE the pilot reported that the aircraft engine was running roughly. Shortly afterwards he reported that the engine cowling had become detached and then that the aircraft was on fire. No further transmissions were received from the aircraft which was destroyed as a result of impact forces and fire. It was established that the No.3 cylinder became detached from the engine crankcase and damaged the engine cowling as it was forced outwards against it. The cowling blew back against, and smashed the left windshield. Engine oil escaped from the crankcase where the cylinder had been attached, and was blown onto the cabin area. The likely source of the fire was fuel escaping from broken fuel lines. Engineering investigation revealed that the lower front, half-inch cylinder hold-down nut ceased to maintain tension on the hold-down plate. Other cylinder hold-down nuts from this engine were examined and showed no signs of structural weaknesses. It is considered that the subject nut also complied to specifications, although this nut was not recovered. The engine had been overhauled 46 flight hours prior to the accident. It is considered that the nut was incorrectly torqued at that overhaul. The reason for the incorrect torquing of the cylinder hold-down nut could not be established. The subsequent severe impact with the ground was a result of the extreme distractions with which the pilot had to contend. The aircraft was cruising at 3500' AMSL when the engine disintegrated and the fire broke out. Part of the emergency procedure for this type of occurrence is to dive the aircraft in an attempt to blow out the fire. As the aircraft impacted the ground in a steep nose-down but wings near-level attitude, and only slightly off course, it is thought that the pilot was complying with that drill. However, the low cruising altitude did not afford him sufficient time to accomplish this and establish the aircraft in a more suitable attitude for a forced landing. His limited night flying experience in combination with a dark night might have resulted in him not being able to estimate his height above ground level.

Download Final Report
[Download  PDF: 23KB]
 
 
 
General details
Date: 13 June 1986   Investigation status: Completed  
Time: 1734    
Location: Kantappa Station, 78km NNW of Broken Hill    
State: New South Wales    
Release date: 15 July 1987   Occurrence category: Accident  
Report status: Final   Highest injury level: Fatal  

Aircraft details

Aircraft details
Aircraft manufacturer Piper Aircraft Corp  
Aircraft model PA-32  
Aircraft registration VH-BTL  
Type of operation Private  
Damage to aircraft Destroyed  
Departure point Border Downs Station, 187km NNW of Broken Hill NSW  
Departure time 1734  
Destination Broken Hill NSW