CEN20LA301

NTSB accident investigation · Vans RV4 · Idabel, OK · July 22, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 22, 2020, 17:45 local (22:45 UTC)
Place
Idabel, OK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N54WPVans RV4
Defining event
Enroute: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA FSDO
Case key
101655

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

The pilot’s improper installation of an oil line, resulting in the loss of oil and subsequent total loss of engine power.

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.

Maintenance: installationPersonnel issues › Task performance · PilotJanicki Steven B RV4: 1 caseAll aircraft: 371 casesProbable cause
Eng oil sys (airframe furnish)Aircraft › Aircraft power plant · Incorrect service/maintenanceJanicki Steven B RV4: 1 caseAll aircraft: 18 casesProbable cause
Fluids: oilAircraft › Fluids/misc hardware · Related maintenance infoJanicki Steven B RV4: 1 caseAll aircraft: 174 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

After a full stop landing to refuel on a cross-country flight in the experimental airplane, the pilot noticed a chaffed oil line leading to the propellor governor. The pilot, with assistance from a local mechanic, removed the damaged oil line and replaced it with a used serviceable line. The pilot pre-flighted the airplane, took off, and continued his flight. About 70 minutes into the flight, the pilot observed oil on the windscreen. As the pilot maneuvered for a precautionary landing at a nearby airport, the engine stopped producing power. About 1/2 mile from the airport, the pilot attempted to land on a roadway. The airplane impacted power lines and the ground. The pilot stated that he could not see the power lines through the oil-covered windscreen. The airplane came to rest in a ditch adjacent to the roadway, resulting in structural damage to the fuselage and empennage. Examination of the airplane and engine after the accident revealed a crack in the oil line leading to the propeller governor from its connection at the engine case. There was no clamp installed to secure the line. A conditional airworthiness inspection had recently been completed on the experimental airplane. According to Federal Aviation Administration Airworthiness Directive (AD) 90-04-06R1, a clamp should have been installed on the oil line leading to the propeller governor. The pilot reported that when he replaced the oil line, there was no clamp present, so he did not install a clamp and was not aware of the applicable AD. He stated that had he been aware of the AD, he would have installed a new oil line and clamp. The available evidence indicates that the pilot’s improper installation of the oil line resulted in the in-flight loss of oil and subsequent total loss of engine power.

Factual narrative

On July 22, 2020, about 1745 central daylight time, a Vans RV4, N54WP, was substantially damaged when it was involved in an accident near Idabel, Oklahoma. The airline transport pilot and a child passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, he was on a multi-leg cross-country flight. On a planned refueling stop at Kennett Memorial Airport (TKX), Kennett, Missouri, the pilot noticed an oil leak coming from a chaffed oil line leading to the propeller governor. The pilot, with assistance from a local fixed base operator mechanic, removed the damaged oil line and replaced the line with a used serviceable oil line. After the installation and preflight, the pilot took off and climbed to 5,500 ft mean sea level, en route to his destination. About 70 minutes later, the pilot smelled something and observed oil on the windscreen. The pilot asked air traffic control for the nearest airport, which was about 11-miles away. As the pilot was maneuvering to the airport to land, the engine stopped producing power. About 1/2 mile from the airport, about 70 ft above the ground, the pilot attempted to maneuver the airplane to land on a roadway. The airplane impacted power lines and the ground. The pilot stated that he could not see the power lines through the oil-covered windscreen. The airplane came to rest in a ditch adjacent to the roadway, resulting in structural damage to the fuselage and empennage. Both occupants exited the airplane uninjured. Examination of the engine after the accident revealed a crack in the oil line leading to the propeller governor from its connection at the engine case. There was no clamp installed to secure the line. The experimental airplane had a conditional airworthiness inspection on May 1, 2020. According to Federal Aviation Administration Airworthiness Directive (AD) 90-04-06R1, a clamp should have been installed on the oil line leading to the propeller governor. The pilot reported that when he replaced the oil line at TKX, there was no clamp present, so he did not install a clamp and was not aware of the applicable AD. He also reported that had he been aware of the AD, he would have installed a new oil line and clamp.

Aircraft

Registration
N54WP
Reported as
Vans RV4 (Undesignat)
Category
Airplane
Serial number
2197
Built
2009
Airframe hours
670
Engine
Lycpming IO 360 EXP, 189 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · May 1, 2020 · 26 hours before
Departed
TKX · Kennett, MO
Destination
T56 · Midlothian, TX
Airport
4O4 · McCurtain County Airport
Equipment
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
41
Injuries
Minor
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
December 19, 2019
Seat
Front
Restraint
3-point
Flight hours
5,776 total · 332 in this make and model · 91 in the last 90 days · 44 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 70 °F
Altimeter
29.95 inHg
Observed at
4O4, 1 nm away

Docket · 5

The files NTSB released with the investigation on October 13, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.3 MB in all.