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Accidents · NTSB NYC96FA012 · Final report

Piper PA-31-350 accident near Atlantic Ocean, AO, October 19, 1995

On October 19, 1995, a Piper PA-31-350, registered N711EX, was substantially damaged in an accident near Atlantic Ocean, AO. It was a flight of an unrecorded kind under charter and air-taxi rules (Part 135). 1 person was killed and 1 person had minor injuries; 4 others were unhurt. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

a total loss of left engine power as a result of an in-flight separation of the #2 cylinder. The cylinder separated due to high stress fatigue cracking of the cylinder hold down studs and the #3 main bearing thru-studs. Factors in this accident were: improper torquing of the studs and failure of maintenance personnel to properly comply with service information.

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

What the record shows

Date
October 19, 1995
Place
Atlantic Ocean, AO
Type
Accident
Injuries
1 person was killed and 1 person had minor injuries; 4 others were unhurt.
Weather
visual conditions (good weather)
Aircraft
Piper PA-31-350 · all PA-31-350s on the register
Registration
N711EX · no longer on the register · serial 7952075
Damage
Substantial damage
Flight
Flight of an unrecorded kind · charter and air-taxi rules (Part 135)

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

While descending from 5,000 feet to 3,000 feet, the pilot informed ATC that the left engine had failed and the engine cowling was open. The crew said that after feathering the left propeller, and with the right engine at full power, they could not arrest a 300-500 fpm rate of descent. The crew informed ATC that they would be landing in the water. All the occupants exited the airplane from the left front pilot's emergency door. The victims were in the water for approximately 30 minutes before being rescued. One of the passengers was in cardiac arrest when he was retrieved from the water. Examination of the left engine revealed that the #2 cylinder had separated from the engine in flight as a result of high stress fatigue cracking of the cylinder hold down studs and the #3 main bearing thru-studs. The fatigue in the studs occurred as a result of the cylinder fastener preload forces either initially inadequate or lost during service. Maintenance records indicated that the thru-stud was replaced 80 service hours prior to the accident. Examination of the cylinder hold down studs and the #3 main bearing thru-studs revealed that they were improperly torqued, resulting in low initial preload on the fasteners. Incorrect installation of the oversize thru-studs, per existing service information, could have also been a factor in the improper torquing of the studs. The locations of the fatigue origins and the edge worn into the deck indicate that the upper studs were probably the first to fail, allowing the cylinder to rock on the lower rear corner of the cylinder flange.

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

Pilot

  • Certificate: airline transport pilot, commercial pilot
  • Ratings: multi-engine land; single-engine land; instrument: airplane; instrument: helicopter; rotorcraft: helicopter
  • Flight time: 6,950 hours in all; 425 in this make and model; 225 in the last 90 days; 70 in the last 30 days; 1,950 as pilot in command
  • Medical certificate: Class 1 (valid medical--no waivers/lim.)
  • Seat: left

The aircraft

  • Airframe total time: 7,335 hours
  • Last inspection: 100-hour inspection, October 5, 1995; 12 hours since
  • Maximum gross weight: 7,250 lb
  • Seats: 10
  • Landing gear: retractable
  • Engine: Lycoming TIO-540-J2BD (piston); 0 hours total

The flight

  • Departed from: ACY Atlantic City NJ
  • Destination: FRG Farmingdale NY
  • Flight plan: IFR
  • Runway 0
  • A second pilot was aboard

Weather at the time

  • Light: night, bright
  • Wind: from 220° at 6 knots
  • Visibility: 20 statute miles
  • Sky: scat at 25,000 ft
  • Temperature: 59°F (15°C), dew point 48°F (9°C)
  • Altimeter: 30.00 inHg

Injuries

FatalSeriousMinorNone
Crew11
Passengers13

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

The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.

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.