CEN19LA159

NTSB accident investigation · Lancair LC41 · Cleburne, TX · May 30, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
May 30, 2019, 11:00 local (16:00 UTC)
Place
Cleburne, TX
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N2514FLancair LC41
Defining event
Enroute: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA FSDO, Textron Aviation, Inc, Van Bortel Aircraft, Inc, Continental Aerospace Technologies
FAA report
20190530017719A
Case key
99516

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 total loss of engine power due to oil starvation as the result of the oil pressure switch failure due to a manufacturing defect.

Findings · 4

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.

Manufacture/productionOrganizational issues › Development · ManufacturerLancair LC41-550FG: 1 caseAll aircraft: 17 casesProbable cause
Fluids: oilAircraft › Fluids/misc hardware · Fluid levelLancair LC41-550FG: 1 caseAll aircraft: 174 casesProbable cause
Eng oil sys (airframe furnish): pressureAircraft › Aircraft power plant · Fatigue/wear/corrosionLancair LC41-550FG: 1 caseAll aircraft: 6 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 departed on a maintenance test flight in the airplane to break in an engine cylinder, which had just been replaced. During the flight, the pilot noticed an oil pressure warning light illuminate, followed by a low oil temperature indication. The pilot attempted to divert to a nearby airport; however, the engine experienced a total loss of power, and he conducted a forced landing, during which the wings sustained substantial damage. Examination of the airplane revealed a hole in the engine case above the No. 4 cylinder. Further examination revealed that the engine oil pressure switch had separated into two pieces . A detailed examination of the switch found that it had failed at a manufacturing swaged joint between its threaded section and cap piece. Therefore, it is likely that the swaging process was insufficient during manufacture. The broken switch allowed engine oil to escape the system, resulting in oil starvation and failure of the No. 4 cylinder.

Factual narrative

On May 30, 2019, about 1100 central daylight time, a Lancair LC41 airplane, N2514F, conducted a forced landing near the Cleburne Regional Airport (CPT), Cleburne, Texas. The pilot was not injured, and the airplane sustained substantial damage. The airplane was registered to and operated by Van Bortel Aircraft, Inc under the provisions of Title 14 Code of Federal Regulations Part 91 as a maintenance test flight. Visual meteorological conditions prevailed for the local flight at the time of the accident. The flight was conducted to break-in the engine's No. 5 cylinder, which had just been replaced. During the flight, the pilot noticed the oil pressure warning light illuminate, followed by a low oil temperature indication. The pilot attempted to divert to CPT; however, the engine experienced a loss of power and he conducted a forced landing. During the landing, the airplane collided with trees and came to rest upright and partly submerged in a small pond about one mile from CPT. Inspection of the airplane revealed substantial damage to the wings, and water submersion damage to the airplane. The airplane's Hobbs meter read 1,090.1 hours. The airplane was recovered to a secure facility for further examination. The examination was conducted by the NTSB Investigator-in-Charge, a representative from Van Bortel Aircraft, and technical representatives from the engine and airframe manufacturers. The examination noted the engine case had a hole above the No. 4 cylinder, and when the propeller was rotated by hand, the engine had limited rotation and internal binding was noted. A light, oil film was noted on the bottom of the airplane. The exam also found an oil pressure switch separated in two pieces. The threaded section remained to its mating joint; the other section rested on an exhaust tube and attached by its wire connector as seen in Figure 1. Figure 1: Oil Pressure Switch Photo Continental A visual inspection of the switch noted that the switch had separated at a manufacturing joint between the body and threaded section. The switch was removed and sent to Textron Aviation, Inc, Materials Laboratory for a detailed examination of the switch. Textron's examination noted the switch failed at the swaged joint between the threaded section and the base cap section of the switch. The examination was not able to determine how the joint failed, since there were no physical indications as to how the swaged joint failed.

Aircraft

Registration
N2514F
Reported as
Lancair LC41 (550FG)
Category
Airplane
Serial number
41093
Built
2005
Airframe hours
1,090.1
Engine
Continental TSIO-550-C(5), 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Van Bortel Aircraft, Inc
Registered owner
Van Bortel Aircraft, Inc
Airworthiness certificate
Standard, Normal
Departed
GKY · Arlington, TX
Destination
GKY · Arlington, TX
Equipment
Electronic primary flight display, Electronic multifunction display, Auto-pilot, ADS-B, Stall warning system

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
58
Injuries
None
Certificates
Airline transport, Flight engineer, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
May 5, 2019
Seat
Left
Restraint
3-point
Flight hours
20,019 total · 165 in this make and model · 233 in the last 90 days · 73 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 7 knots
Visibility
10 statute miles
Temperature
79 °F, dew point 63 °F
Altimeter
30.01 inHg
Observed at
KCPT

Docket · 5

The files NTSB released with the investigation on February 28, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.1 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.