ATL95LA061

NTSB accident investigation · Cessna 177B · Collegedale, TN · March 15, 1995

Accident · Serious injuriesLimited investigationFinal report
Date
March 15, 1995, 15:45 local (20:45 UTC)
Place
Collegedale, TN
Injuries
1 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N35138Cessna 177B
Weather
Visual (VMC) · Day
Status
Completed · report October 13, 1995
Report
Approved by Office Director
FAA report
19950315005569A
Case key
3530

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

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Probable cause

The mechanic's failure to follow approved engine overhaul procedures which resulted in the separation of the oil return line, and the complete loss of engine power.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfCruise
Lubricating system,oil line - separationCause
Maintenance,overhaul,major - inadequateOther maintenance personnelCause
Forced landingDescent - emergency
In flight collision with terrain/waterEmergency descent/landing

Analysis

About four months before the accident, the engine was removed from the airplane, and overhauled by a local mechanic. The engine was installed the day before the accident. During the engine installation the mechanic failed to install new parts as directed by a mandatory service bulletin. After a brief period of ground operation, the pilot departed for a test flight. Approximately five minutes into the flight the engine lost oil pressure, and subsequently resulted in a complete loss of engine power. The pilot established an emergency descent for a forced landing at Collegedale airport. The airplane collided with rising terrain 50 feet short of runway 03. A film of engine oil was discovered over the aircraft skin aft of the engine compartment. Wreckage examination also disclosed that the oil cooler return line separated at the metal fitting. According to the installation mechanic, the owner decided not to install new hoses as prescribed by a mandatory service bulletin.

Factual narrative

On March 15, 1995, at 1545 eastern standard time, a Cessna 177B, N35138, collided with the ground 50 feet short of runway 03, while maneuvering for an emergency landing to the Collegedale Municipal Airport in Collegedale, Tennessee. The maintenance flight operated under the provisions of 14 CFR Part 91 with no flight plan filed. Visual weather conditions prevailed at the time of the accident. The airplane was destroyed,and the pilot received serious injuries. The flight departed the pilot's private airstrip in McDonald, Tennessee, at 1540 hours.

About four months before the accident, a local mechanic removed the engine from N35138, and overhauled it. According to the pilot's family, the engine was installed on the airframe on March 14, 1995. During the ground runup , no fluid leaks were noted on the engine. The mechanic also stated that no new fluid lines were installed with the overhauled engine. On March 15, 1995, another engine runup was completed, and the mechanic again did not observe fluid leakage from the engine (see attached statements of interview and FAA Inspector's Statement.)

Due to other aircraft discrepancies, the mechanic asked the pilot if he would test fly the airplane as part of the break-in procedure. The flight departed the private airstrip enroute to Lafayette, Georgia. After climbing to 600 feet and 3.5 miles south of the departure airport, the pilot experienced a loss of engine oil pressure, and the subsequent loss of engine power. He established an emergency descent for runway 03 at Collegedale Municipal Airport. The airplane collided with rising terrain 75 feet short of the runway.

Upon arriving at the accident site, emergency medical personnel noticed that the airplane was covered with engine oil. An examination of the engine compartment disclosed that the engine oil line to the oil cooler had separated from the metal fitting. Citing cost concerns expressed by the pilot, the mechanic did not install new oil lines and hoses when the engine was installed. According to a mandatory service bulletin from Textron Lycoming dated March 31, 1992, "during overhaul of any Textron Lycoming reciprocating engine, it is mandatory that certain parts be replaced regardless of their apparent condition." All flexible hoses and all engine oil hoses are included in the list of parts that must be changed.

Aircraft

Registration
N35138
Reported as
Cessna 177B
Category
Airplane
Serial number
17702227
Airframe hours
2,696
Engine
Lycoming O-360-A1F6D, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Part 91
Registered owner
Eberhart, Joseph K.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 22, 1994 · 70 hours before
Departed
NONE · Mcdonald, TN
Destination
9A5 · Lafayette, GA
Airport
3M3 · Collegedale Municipal, runway 3, 4,700 × 75 ft, asphalt

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
54
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
1,811 total

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
15 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 45 °F
Altimeter
30.00 inHg
Observed at
CHA, 10 nm away

FAA reports on this event · 1

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