NTSB CAROL · Event
Event ERA16LA071
Aircraft involved
Probable cause & findings
Maintenance personnel's failure to properly torque a No. 4 cylinder hold-down nut during engine overhaul, which resulted in the loosening of the nut and the subsequent failure of the studs and through bolts and separation of the cylinder.
Factual narrative
On December 15, 2015, at 1050 eastern standard time, a Piper PA-32-300, N8675N, made a forced landing about .1-mile north of Malcolm McKinnon Airport (SSI), Brunswick, Georgia, after a catastrophic engine failure. The pilot and the passenger sustained minor injuries. The airplane landed on the roof of a home and collided with trees which resulted in substantial damage to the fuselage and wings. The airplane was registered to a private company and operated as a 14 Code of Federal Regulations (CFR) Part 91 personal flight. Visual flight rules conditions existed near the accident site at the time of the accident. No flight plan was filed for the flight that originated from Jacksonville Executive at Craig Airport (CRG), Jacksonville, Florida, about 1020 and was destined for the Rock Hill/York County/Bryant Field (UZA), Rock Hill, South Carolina. The pilot stated that he was in cruise flight at 7,500 ft mean sea level (msl) when, without any warning, there was a loud explosion from the engine and an immediate loss of engine power. The explosion caused the oil filler door to open and it partially pushed the Garmin 430 out of the dashboard. Oil spewed all over the windshield and smoke filled the cockpit. The pilot declared an emergency and attempted to glide to St. Simons Airport, St. Simons, Georgia; however, he landed on a rooftop a few hundred yards short of the runway. There was no post-impact fire. An examination of the engine was conducted on January 26, 2016, by the National Transportation Safety Board (NTSB). The examination revealed the No. 4 cylinder had separated from the engine case. The cylinder skirt was split in several areas consistent with the piston making contact with the cylinder after it separated from the case. Groove marks etched on the top of the piston were consistent with it striking the cylinder skirt. All of the No.4 cylinders mounting stubs and thru-bolts were fractured except for the bottom forward stud. The piston and corresponding connecting rod for the No. 4 cylinder were found in the bottom of the engine cowling. The other engine components appeared unremarkable. The engine was completely disassembled and the No. 4 crank-journal showed no signs of bearing migration or excessive heat. However, there were numerous gouges and scratches throughout the inside of the engine from debris after the cylinder separated. A review of the engine logbook revealed the engine was overhauled in February 2007 and installed on the airplane on March 16, 2007. The last engine inspection was completed on November 17, 2015, at total time of 1,005.0 hours since overhaul. A review of the engine's maintenance history since it was overhauled revealed no maintenance had been done to the No. 4 cylinder. The private pilot was conducting a personal cross-country flight. The pilot reported that the airplane was in cruise flight at 7,500 ft mean sea level when, without any warning, there was a loud explosion from the engine and an immediate loss of engine power. The explosion caused the oil filler door to open, and oil subsequently spewed over the windshield, and smoke filled the cockpit. The pilot declared an emergency and attempted to glide to a nearby airport; however, he landed the airplane on a rooftop a few hundred yards short of the runway. Examination of the engine revealed that the No. 4 cylinder had separated from the engine case. All of the No.4 cylinder mounting stubs and through bolts were fractured except for the bottom forward stub; the nut for this stub was not located. The piston and corresponding connecting rod for the No. 4 cylinder were found in the bottom of the engine cowling. A review of the engine maintenance logbooks revealed that the engine was overhauled almost 8 years before the accident and had accrued a total time of 1,005.0 hours since overhaul. There were no subsequent maintenance entries related to the No. 4 cylinder. Based on the evidence, it is likely that maintenance personnel applied insufficient torque to the cylinder's bottom forward hold-down nut, which allowed it to loosen over time. The stress load was then transferred to the remaining nuts, which resulted in the failure of the stubs and through bolts and to the separation of the No. 4 cylinder. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- C Aircraft-Aircraft power plant-Engine (reciprocating)-Recip eng cyl section-Failure - C
- C Personnel issues-Task performance-Maintenance-(general)-Maintenance personnel - C
- C Aircraft-Aircraft power plant-Engine (reciprocating)-Recip eng cyl section-Incorrect service/maintenance - C
Verbatim from NTSB's published report. Source file
NTSB_2015_ERA16LA071.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall, engine failure, maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2023 · Conference paper
The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- NASA NTRS 2026 · Conference Paper
Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Semantic Scholar 2025 · Article (Applied Sciences)
Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
Browse the full corpus — academia portal ↗