ASN Wikibase Occurrence # 175100
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Date: | Saturday 4 April 2015 |
Time: | 11:31 |
Type: | Piper PA-28R-200 Arrow II |
Owner/operator: | Private |
Registration: | N5469T |
MSN: | 28R-7235233 |
Year of manufacture: | 1972 |
Total airframe hrs: | 6819 hours |
Engine model: | Lycoming IO360 SER |
Fatalities: | Fatalities: 0 / Occupants: 3 |
Aircraft damage: | Substantial |
Category: | Accident |
Location: | Near Santa Maria Public Airport/Hancock Field (KSMX), Santa Maria, CA -
United States of America
|
Phase: | Initial climb |
Nature: | Private |
Departure airport: | Santa Maria, CA (SMX) |
Destination airport: | Santa Maria, CA (SMX) |
Investigating agency: | NTSB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:The pilot reported that, during climbout, while the airplane was about 3,500 ft mean sea level, the engine lost partial power. He then turned the airplane back toward the airport. Shortly thereafter, the engine lost all power, and the pilot chose to initiate a forced landing to a nearby field about 4 miles southeast of the airport.
During postaccident examination of the engine, two cracks were observed on the upper portion of the engine crankcase near the No. 2 cylinder mounting surface. The crankshaft would not rotate by hand. Oil residue was observed on the left lower portion of the engine cowling and on the airplane’s belly. A minimal amount of oil was observed in the oil filter and oil sump.
Review of the airplane’s maintenance records revealed that an oil quick drain valve was installed on the engine 2 days before the accident. An aircraft manufacturer service letter (SL) and an airworthiness directive (AD) had been issued about 14 years before the accident to inform maintenance personnel about which oil quick drain valve should be installed on the accident make and model airplane. The SL provided a sketch of both the incorrect and correct oil quick drain valves, and the AD provided the approved part number. Examination of the engine revealed that the incorrect oil quick drain valve was installed on the engine. When the nose landing gear (NLG) assembly was actuated into its up-and-locked position, the bolt connecting the NLG assembly struck the oil quick drain valve, and several impact marks were present. It is likely that this damage resulted in the loss of oil and subsequent oil starvation to the engine.
The AD also required that two warning placards be installed, one on each side of the engine mounts, stating that unapproved oil quick drain valves can cause inadvertent draining when the gear is retracted and to use only the manufacturer-approved part to prevent the loss of oil due to the installation of an incorrect oil quick drain valve. No placards were observed on the engine mounts.
Probable Cause: The engine failure due to oil starvation, which resulted from the installation of an unapproved oil quick drain valve that subsequently led to the inadvertent draining of the oil when the nose landing gear was retracted. Contributing to the accident was the lack of required warning placards on the engine mounts.
Accident investigation:
|
| |
Investigating agency: | NTSB |
Report number: | WPR15LA141 |
Status: | Investigation completed |
Duration: | |
Download report: | Final report |
|
Sources:
NTSB
FAA register:
http://registry.faa.gov/aircraftinquiry/NNum_Results.aspx?NNumbertxt=5469T Location
Revision history:
Date/time | Contributor | Updates |
04-Apr-2015 21:06 |
Geno |
Added |
11-Apr-2015 02:36 |
Geno |
Updated [Time, Phase, Nature, Departure airport, Destination airport, Source, Damage, Narrative] |
21-Dec-2016 19:30 |
ASN Update Bot |
Updated [Time, Damage, Category, Investigating agency] |
01-Dec-2017 13:02 |
ASN Update Bot |
Updated [Other fatalities, Departure airport, Destination airport, Source, Narrative] |
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