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Accidents · NTSB ERA20LA309 · Final report

Piper PA28 accident near Mcminnville, Tennessee, September 8, 2020

On September 8, 2020 at about 4:30 pm local time, a 2000 Piper PA28, registered N4166Z, was substantially damaged in an accident during emergency descent near Mcminnville, Tennessee (Warren County Memorial airport). It was a personal flight under general aviation rules (Part 91). 3 people were killed. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

A total loss of engine power due to a fatigue failure in a cylinder, and the pilot’s subsequent failure to maintain airspeed and her exceedance of the airplane’s critical angle-of-attack while maneuvering at low altitude.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
September 8, 2020 · about 4:30 pm local time
Place
Mcminnville, Tennessee · Warren County Memorial · map
Type
Accident
Injuries
3 people were killed.
Weather
visual conditions (good weather)
Aircraft
Piper PA28 181, built 2000 · all PA28s on the register
Registration
N4166Z · no longer on the register · serial 2843327
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

During initial climb, below 500 ft above ground level, the engine experienced a total loss of power due to a separated cylinder head. The pilot initiated a right turn (based on the orientation of the wreckage) and the airplane stalled and spun flat into a field. Metallurgical examination of the cylinder revealed fatigue cracking, which was observed around approximately 180° of the cylinder circumference. The fatigue cracking emanated from the vertical stiffener on the front of the cylinder between the third and fourth fins. The fatigue cracking appeared to initiate at the start of the fillet between the vertical stiffener and the circumferential outer wall of the cylinder. The remainder of the fracture surface was consistent with overstress. The cylinder was installed new when the engine was overhauled about 19 months prior to the accident. The engine had accrued about 671 hours since overhaul.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Powerplant sys/comp malf/fail during initial climb
  2. Loss of control in flight during emergency descent defining event
  3. Aerodynamic stall/spin during emergency descent
  4. Collision with terrain or object (not controlled flight into terrain) during uncontrolled descent
  5. Loss of engine power (total) during initial climb

The NTSB's findings

  • Aircraft › Aircraft power plant › Engine (reciprocating) › Recip eng cyl section › Fatigue/wear/corrosion
  • Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
  • Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Airspeed › Not attained/maintained
  • Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Angle of attack › Not attained/maintained

Pilot

  • Certificate: private
  • Ratings: single-engine land
  • Flight time: 299 hours in all; 170 in this make and model; 1 in the last 90 days; 1 in the last 30 days
  • Last flight review: February 23, 2020
  • Medical certificate: Class 3 (without waivers/limitations)
  • Seat: left
  • Injury: fatal

The aircraft

  • Airframe total time: 2,274.5 hours
  • Last inspection: annual inspection, November 26, 2019; 358 hours since
  • Maximum gross weight: 2,552 lb
  • Seats: 4
  • Landing gear: fixed
  • Engine: Lycoming O360-A4M (piston); 2,274 hours total
  • Operator: Lebanon Flying Club

The flight

  • Departed from: RNC Mcminnville TN at 4:28 pm
  • Destination: RNC Mcminnville TN
  • Flight plan: none
  • Runway 23, 5,000 ft by 100 ft

Weather at the time

  • Light: daylight
  • Wind: from 200° at 4 knots
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 81°F (27°C), dew point 63°F (17°C)
  • Altimeter: 30.09 inHg
  • Observation at 4:35 pm from RNC, 5 miles away

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers2

Documents from the investigation the NTSB's docket: the evidence folder behind the report

12 documents, released by the NTSB on October 15, 2021. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

#DocumentWhat it is
1 FAA Interview Summaries PDF, 2 pages View Download
2 Excerpts from Pilot Logbook PDF, 3 pages View Download
3 Rnc Aviation Director Statement PDF, 1 page View Download
4 Excerpts from Maintenance Recordsdd PDF, 18 pages View Download
5 radar Plot of Arrival to Rnc PDF, 1 page View Download
6 Rnc Security Video of Landing, Taxi, and Takeoff (6 Minutes, 59 Seconds Long, Wmv Format, 93MB) WMV file Download
7 Map of Accident Site PDF, 1 page View Download
8 Photo Array PDF, 4 pages View Download
9 Toxicological Report PDF, 1 page View Download
10 Materials Laboratory Factual Report PDF, 8 pages View Download
11 Statement of Party Representatives to NTSB Investigation PDF, 12 pages View Download
12 Wreckage Release and Evidence Control Form PDF, 2 pages View Download

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.