ANC19LA011

NTSB accident investigation · Piper PA-22-150 · Anchorage, AK · January 22, 2019

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
January 22, 2019, 09:15 local (18:15 UTC)
Place
Anchorage, AK
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N7640DPiper PA-22-150
Defining event
Enroute-cruise: Loss of engine power (partial)
Weather
Visual (VMC) · Dawn
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
FAA - Juneau Flight Standards District Office
FAA report
20190122000439A
Case key
98850

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

A loss of engine power due to oil starvation as the result of a loose B-nut fitting on the engine oil cooler, resulting in a forced landing to a soft, snow-covered surface, and a subsequent nose over.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Runway/land/takeoff/taxi surface: soft surfaceEnvironmental issues › Physical environment · Contributed to outcomePiper PA-22-150: 2 casesAll aircraft: 264 casesProbable cause
Fluids: oilAircraft › Fluids/misc hardware · Fluid levelPiper PA-22-150: 1 caseAll aircraft: 174 casesProbable cause
Eng oil sys (airframe furnish): coolerAircraft › Aircraft power plant · Not serviced/maintainedPiper PA-22-150: 1 caseAll aircraft: 7 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that while in level cruise flight he noticed the smell of burning oil, which was immediately followed by a change in engine sound, followed by a partial loss of engine power. The engine continued to lose power and the pilot selected a snow-covered beach as a forced landing site. During touchdown, as the airplane's main landing gear wheels contacted an area of deep snow, it abruptly nosed over, sustaining substantial damage to the wings, fuselage, and empennage. Examination of the engine revealed that there was no engine oil in the sump. An oil cooler B-nut, which was located on the right side of the oil cooler, was found loose, and there was a significant oil streaking on the right side of the fuselage. Review of maintenance records revealed that there had been no recent maintenance activity to the oil cooler or other engine components adjacent to the loose B-nut. Given the accident pilot’s account of the accident, along with the discovery of the loose oil cooler B-nut, it is likely that the engine failed due to oil starvation after all engine oil was lost through the loose B-nut.

Factual narrative

On January 22, 2019, about 0915 Alaska standard time, a Piper PA-22-150 airplane, N7640D, sustained substantial damage when it was involved in an accident near Anchorage, Alaska. The private pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that while in level cruise flight over the tidal waters of the Cook Inlet, he noticed the smell of burning oil, which was immediately followed by a change in engine sound. He turned the airplane 180° to return to the southern shoreline of the Cook Inlet, and as the airplane approached the shoreline, the engine began to run rough and lose power. As the airplane passed over the shoreline, the engine continued to lose power and the pilot selected a snow-covered beach as a forced landing site. During touchdown, as the airplane's main landing gear wheels contacted an area of deep snow, it abruptly nosed over, sustaining substantial damage to the wings, fuselage, and empennage. Examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed a loose oil cooler B-nut located on the right side of the oil cooler. The FAA inspector also reported that there was significant oil streaking on the right side of the fuselage extending from the engine cowling to the empennage. The engine dipstick revealed no engine oil in the sump. A review of the accident airplane’s maintenance records revealed that there was no recent maintenance activity to the oil cooler or other engine components adjacent to the loose B-nut. In a follow-up conversation with the FAA inspector, the pilot noted that during his preflight, just before the accident flight, there were no oil leaks found, and that he routinely checked around the oil cooler during every preflight.

Aircraft

Registration
N7640D
Reported as
Piper PA-22-150
Category
Airplane
Serial number
22-5349
Built
1957
Airframe hours
2,030
Engine
Lycoming O-320 SERIES, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
J & H Sewing & Vacuum Inc
Registered owner
J & H Sewing & Vacuum Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 14, 2018 · 40 hours before
Departed
SXQ · Soldotna, AK
Destination
LHD · Anchorage, AK
Airport
SXQ · Soldotna

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
60
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Unknown
Seat
Left
Restraint
Lap only
Flight hours
710 total · 710 in this make and model · 685 as pilot in command · 23 in the last 90 days · 7 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dawn
Wind
35° at 15 knots, gusting 20
Visibility
10 statute miles
Lowest ceiling
10,000 ft overcast
Altimeter
29.92 inHg
Observed at
PANC, 15 nm away

Docket · 4

The files NTSB released with the investigation on October 5, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.2 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.