20170414003459I

Incident · Minor damage

FAA incident report · Vans RV-12 · Eugene, OR · April 14, 2017

Date
April 14, 2017 · 13:13 local
Place
Eugene, OR
Airport
Mahlon Sweet Field Airport
Phase of flight
Cruise/Level Flight
Operating rules
Pilot school (Part 141)
Operator
EM8S
Damage
Minor damage
Aircraft
N234VA
Reported as
Vans RV-12
Reported engine
ROTAX 912ULS
People aboard
2
Fatal injuries
0
Other injuries
0
Pilot’s certificate
Commercial pilot
Pilot’s flight hours
580 total

From the FAA’s Accident/Incident Data System (AIDS), through its Aviation Safety Information Portal, as reported. The NTSB investigates accidents separately, and its record of an accident is the fuller one. The aircraft is matched to the registry by N-number and event date, checked against the reported make and model; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

What happened

The FAA’s narrative, in sentence case. The FAA writes it in capitals and removes private details.

During a part 141 training flight with a CFI employed by lane community college (EM8S), and a student pilot, at about four miles north of keug, the CFI noticed the engine oil pressure had dropped to zero with a rising engine oil temperature. The CFI elected to return to keug and at approx. one mile NE of keug the engine ceased operation. The CFI elected to land on hwy 99W. The airplane landed with no damage or injuries to the aircraft or traffic on the hwy. the airplane was pushed off the hwy onto the shoulder.

Following the incident a report was submitted by the lcc lead mechanic detailing mechanical issues he found prior to and following the incident flight. Prior to the incident flight the mechanic performed a 50 hour oil / filter change on the engine. He found that the oil reservoir tank lower baffle plate had been installed upside down during a previous oil change by another facility. He notified the lcc chief pilot who observed the removal and cleaning of the lower baffle and tank assemblies. The lead mechanic demonstrated to the chief pilot how the lower baffle plate could be installed upside down as well as a correct installation. Due to time constraints he did not open the oil filter that had just been removed, to inspect for metal particles prior to the incident flight which is a checklist item for the manufacturers recommended 50 hour inspection.

Following the incident flight the lead mechanic opened the previously removed oil filter and found numerous, fine, bronze colored, metal particles in the paper filter element. The lead mechanic also found that during the oil / filter change he had performed just prior to the incident flight that he had not installed the oil reservoir baffle insert (screen). He said that reassembling the oil reservoir tank without the screen allowed the lower baffle plate to be loose and drawn up blocking the oil pick-up opening and resulting in oil starvation of the engine with a consequent engine seizure.

As the FAA filed it

DURING A PART 141 TRAINING FLIGHT WITH A CFI EMPLOYED BY LANE COMMUNITY COLLEGE (EM8S), AND A STUDENT PILOT, AT ABOUT FOUR MILES NORTH OF KEUG, THE CFI NOTICED THE ENGINE OIL PRESSURE HAD DROPPED TO ZERO WITH A RISING ENGINE OIL TEMPERATURE. THE CFI ELECTED TO RETURN TO KEUG AND AT APPROX. ONE MILE NE OF KEUG THE ENGINE CEASED OPERATION. THE CFI ELECTED TO LAND ON HWY 99W. THE AIRPLANE LANDED WITH NO DAMAGE OR INJURIES TO THE AIRCRAFT OR TRAFFIC ON THE HWY. THE AIRPLANE WAS PUSHED OFF THE HWY ONTO THE SHOULDER.

FOLLOWING THE INCIDENT A REPORT WAS SUBMITTED BY THE LCC LEAD MECHANIC DETAILING MECHANICAL ISSUES HE FOUND PRIOR TO AND FOLLOWING THE INCIDENT FLIGHT. PRIOR TO THE INCIDENT FLIGHT THE MECHANIC PERFORMED A 50 HOUR OIL / FILTER CHANGE ON THE ENGINE. HE FOUND THAT THE OIL RESERVOIR TANK LOWER BAFFLE PLATE HAD BEEN INSTALLED UPSIDE DOWN DURING A PREVIOUS OIL CHANGE BY ANOTHER FACILITY. HE NOTIFIED THE LCC CHIEF PILOT WHO OBSERVED THE REMOVAL AND CLEANING OF THE LOWER BAFFLE AND TANK ASSEMBLIES. THE LEAD MECHANIC DEMONSTRATED TO THE CHIEF PILOT HOW THE LOWER BAFFLE PLATE COULD BE INSTALLED UPSIDE DOWN AS WELL AS A CORRECT INSTALLATION. DUE TO TIME CONSTRAINTS HE DID NOT OPEN THE OIL FILTER THAT HAD JUST BEEN REMOVED, TO INSPECT FOR METAL PARTICLES PRIOR TO THE INCIDENT FLIGHT WHICH IS A CHECKLIST ITEM FOR THE MANUFACTURERS RECOMMENDED 50 HOUR INSPECTION.

FOLLOWING THE INCIDENT FLIGHT THE LEAD MECHANIC OPENED THE PREVIOUSLY REMOVED OIL FILTER AND FOUND NUMEROUS, FINE, BRONZE COLORED, METAL PARTICLES IN THE PAPER FILTER ELEMENT. THE LEAD MECHANIC ALSO FOUND THAT DURING THE OIL / FILTER CHANGE HE HAD PERFORMED JUST PRIOR TO THE INCIDENT FLIGHT THAT HE HAD NOT INSTALLED THE OIL RESERVOIR BAFFLE INSERT (SCREEN). HE SAID THAT REASSEMBLING THE OIL RESERVOIR TANK WITHOUT THE SCREEN ALLOWED THE LOWER BAFFLE PLATE TO BE LOOSE AND DRAWN UP BLOCKING THE OIL PICK-UP OPENING AND RESULTING IN OIL STARVATION OF THE ENGINE WITH A CONSEQUENT ENGINE SEIZURE.

Other reports on N234VA · 1

Matched to the same aircraft by N-number and date.