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Atlas / NTSB / ERA24LA109

NTSB CAROL · Event

Event ERA24LA109

2024-02-01 Louisville, Kentucky, United States Airport · LOU None 1 aircraft Status: Completed

Registry · N1317P

FAA Aircraft Registry record.

Make / Model

PIPER PA-23

Year of manufacture

1955 · 69 years old at event

Engine

LYCOMING O&VO-360 SER (180 hp)

Seats / Engines

5 seats · 2 engines

Last airworthiness date

19551111

ADS-B equipped

Yes — Mode-S A08243

Registrant of record

WHITE CHRISTOPHER N

Source: FAA Aircraft Registry (releasable master file).

Aircraft involved

Probable cause & findings

The failure of maintenance personnel to thoroughly inspect and repair the worn-out panel fasteners and fastener holes.

Factual narrative

After recently completed maintenance, and the pilot and pilot-rated passenger decided to take the airplane for a test flight. Both occupants reported that a preflight inspection was completed and that no anomalies were noted during the preflight. Shortly after takeoff, the pilot and passenger noticed that a large part of the right engine nacelle cover had departed from the airplane. They requested to return to land at the airport and made a subsequent uneventful landing. The pilot reported that there were no adverse control issues observed during the return for landing. A subsequent inspection of the airplane revealed that the nacelle panel had impacted the right side of the horizontal stabilizer, resulting in substantial damage. Postaccident examination of the right engine nacelle revealed that most of the inspection panel had separated from the nacelle and was not located; however, a small portion of the outboard section of the panel remained attached to the engine nacelle. The remaining portion of the panel displayed significant wear around the camlock and screw retention holes; at least one of the retention screw holes was significantly larger than the retention screw head. While the missing portion of the of the inspection panel was not available for examination, it is likely that the screw holes on this portion were similarly worn. This wear should have been apparent to maintenance personnel when inspecting the airplane (but likely would have been obscured by the engine cowling and not visible during a pilot’s preflight inspection). Based on this information, it is likely, that when exposed to high airflow during departure, a portion of the panel pulled out of the retention fasteners and was pulled out into the airstream, resulting in most of the panel being torn from the airframe. 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).

  • Aircraft-Fluids/misc hardware-Misc hardware-Fasteners-Inadequate inspection
  • Aircraft-Aircraft structures-(general)-(general)-Fatigue/wear/corrosion
  • Personnel issues-Task performance-Inspection-Scheduled/routine inspection-Maintenance personnel

Verbatim from NTSB's published report. Source file NTSB_2024_ERA24LA109.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.

Related research

What the literature says.

Academic papers and agency reports matching this event's aircraft type or causal vocabulary (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.

Browse the full corpus — academia portal ↗