NTSB CAROL · Event
Event NYC99IA056
Registry · N37KW
FAA Aircraft Registry record.
Make / Model
PIPER PA-42-1000
Year of manufacture
1989 · 10 years old at event
Engine
AIRESEARCH TPE331 SERIES (904 hp)
Seats / Engines
11 seats · 2 engines
Last airworthiness date
19960203
ADS-B equipped
Yes — Mode-S A43268
Registrant of record
BROCO VIII LLC
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
Improper assembly of the engine gearcase by the manufacturer, which resulted in an uncontained failure of the 1st bull gear.
Factual narrative
On February 5, 1999, about 1000 eastern standard time, a Piper, PA42-1000, N37KW, experienced an uncontained failure of the right engine during a descent for landing at the Blue Grass Airport (LEX), Lexington, Kentucky. The certificated airline transport pilot and passenger were not injured. Visual meteorological conditions prevailed and an instrument flight rules flight plan had been filed for the flight that departed the New Castle County Airport, Wilmington, Delaware, about 0800, destined for LEX. The personal flight was conducted under 14 CFR Part 91. In a telephone interview, the pilot stated the airplane was descending through 19,000 feet, when he experienced a momentary fluctuation in engine torque for the right engine. Shortly thereafter, he heard a "loud explosion," and observed flames emanating from the airplane's right engine cowling. He then secured the engine which extinguished the fire, and declared an emergency. The airplane landed at LEX without further incident. Examination of the airplane by a Federal Aviation Administration Inspector, revealed extensive fire damage forward of the right engine firewall. A 12 inch, by 24 inch hole was found burned through the upper engine cowling. A 5 inch, by 10 inch hole was found in the upper engine case near the combustion section, and a 1 inch, by 3 inch hole was found in the engine inlet gear case housing. Additionally, damage was observed at the first stage compressor blades. The engine, an AlliedSignal, TPE331-14B, was retained for further examination. The engine was disassembled at AlliedSignal, Phoenix, Arizona, under the supervision of a Safety Board Investigator. The disassembly revealed that the gearcase was ruptured in the 1st bull gear's plane of rotation. Additionally, the 1st bull gear had a 90 degree arc of the rim, and gear teeth separated. The combustor plenum was also ruptured; however, the turbine disks, which were located underneath the combustor, were all intact. According to the Safety Board's Metallurgist factual report, the examination of the 1st bull gear revealed a fatigue fracture that originated in the gear's bore splines. The fatigue originated in an area where the spline thickness was significantly reduced by indentations on the pressure surface of the splines. Review of the engine maintenance records revealed that at the time of the incident, the engine had 3,535.1 hours time since new, and 768.1 hours since the last overhaul, which was performed by AlliedSignal. Additionally, the gearcase was disassembled, and reassembled during repairs, which were performed by AlliedSignal on November 19,1996. Review of the engine's overhaul manual revealed a tie-rod was used to provide a clamping force between the spur gear and 1st bull gear. The assembly procedures required that the tie-rod be stretched with a load of 22,000 pounds, and then secured with a nut that was hand-tightened. During disassembly of the gearcase, it was not possible to determine the amount of stretch on the tie-rod, or the breakaway torque on the retaining nut. As a result of the investigation, AlliedSignal advised that it would be revising the TPE331 engine manuals and assembly procedures to require a measurement of stretch on the tie-rod before and after the nut is installed and require that the retaining nut be torqued to some value greater than hand-tight. The during descent for landing, the airplane's right engine, a TPE331-14B, experienced an uncontained gearcase failure. Disassembly of the engine revealed that the gearcase was ruptured in the 1st bull gear's plane of rotation and that the 1st bull gear had a 90 degree arc of the rim and gear teeth separated. Metallurgical examination of the 1st bull gear revealed a fatigue fracture that had originated in the gear's bore splines. The fatigue originated in area where the spline thickness was significantly reduced by indentations on the pressure surface of the splines. Review of the engine's overhaul manual revealed a tie-rod was used to provide a clamping force between the spur gear and 1st bull gear. The assembly procedures required that the tie-rod be stretched with a load of 22,000 pounds, and then secured with a nut that was hand-tightened. During disassembly of the gearcase, it was not possible to determine the amount of stretch on the tie-rod, or the breakaway torque on the retaining nut. Maintenance records revealed that the gearcase was disassembled, and reassembled during repairs, which were performed by engine manufacturer. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1999_NYC99IA056.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, 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 ↗