ASN Wikibase Occurrence # 223686
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Date: | Wednesday 3 April 2019 |
Time: | 10:00 LT |
Type: | Piper PA-28R-200 Arrow II |
Owner/operator: | Private |
Registration: | N41AT |
MSN: | 28R-7635146 |
Year of manufacture: | 1975 |
Total airframe hrs: | 4754 hours |
Engine model: | Lycoming IO-360-C1C |
Fatalities: | Fatalities: 0 / Occupants: 1 |
Aircraft damage: | Minor |
Category: | Accident |
Location: | East Baton Rouge, LA -
United States of America
|
Phase: | Landing |
Nature: | Private |
Departure airport: | Baton Rouge Metropolitan Airport, LA (BTR/KBTR) |
Destination airport: | Gonzales-Louisiana Regional Airport, LA (KREG) |
Investigating agency: | NTSB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:The pilot was conducting the airplane's first flight following an annual inspection. About 5 minutes after takeoff, the engine started to run rough and seized. The pilot performed a forced landing, during which he sustained serious injuries. Postaccident examination revealed that the engine oil drain valve was damaged when the nose landing gear contacted the valve during gear retraction after takeoff. This resulted in a loss of engine oil and subsequent engine failure due to oil starvation. Further examination revealed that the installed drain valve did not meet manufacturer specifications; the installed valve protruded about 1-1/8 inches from the engine, while the manufacturer-specified valve protruded about 1/2 inch. A review of the airplane maintenance records revealed that the valve was replaced during the annual inspection because it had been leaking.
The airframe manufacturer had previously issued a service bulletin regarding installation of an incorrect engine oil drain valve. The Federal Aviation Administration subsequently issued an Airworthiness Directive requiring the replacement of any incorrectly installed valves and placement of a warning placard on the engine mount. The airplane maintenance manual also included a cautionary note regarding the engine oil drain valve and noted the requirement for a warning placard. A warning placard was not present on the accident airplane.
Probable Cause: Installation of an incorrect engine oil drain valve, which resulted in damage to the valve during landing gear retraction and subsequent engine failure due to oil starvation. Contributing to the accident was the failure of maintenance personnel to comply with the Airworthiness Directive regarding the engine oil drain valve.
Accident investigation:
|
| |
Investigating agency: | NTSB |
Report number: | CEN19LA132 |
Status: | Investigation completed |
Duration: | |
Download report: | Final report |
|
Sources:
FAA register:
https://registry.faa.gov/aircraftinquiry/NNum_Results.aspx?NNumbertxt=41AT NTSB CEN19LA132
Location
Media:
Revision history:
Date/time | Contributor | Updates |
03-Apr-2019 16:31 |
Geno |
Added |
03-Apr-2019 16:32 |
Geno |
Updated [Location, Narrative] |
03-Apr-2019 18:50 |
Captain Adam |
Updated [Nature, Destination airport, Narrative] |
03-Apr-2019 21:46 |
Iceman 29 |
Updated [Embed code] |
28-Mar-2021 17:18 |
ASN Update Bot |
Updated [Time, Other fatalities, Destination airport, Source, Damage, Narrative, Category, Accident report] |
28-Mar-2021 17:43 |
harro |
Updated [Destination airport, Source, Embed code, Narrative] |
28-Mar-2021 17:45 |
harro |
Updated [Destination airport] |
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