# NTSB CHI92FA188: Beech 24R, N2195W, Oak Creek, WI, June 25, 1992 - Type: NTSB accident investigation - Classification: Accident · Minor injuries · Field investigation · Final report - Date: June 25, 1992, 12:08 local (17:08 UTC) - Place: Oak Creek, WI - Coordinates: 42.8796, -87.889526 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=42.8796&lon=-87.8895&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: Minor injuries - Injuries: 1 minor - Status: Completed, report August 31, 1993 - Report: Approved by Office Director - NTSB case key (mKey): 15295 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CHI92FA188 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/15295/pdf - Page: https://openairdocs.org/ntsb/CHI92FA188 ## Probable cause A RESULT OF INADEQUATE AIRCRAFT MAINTENANCE INSPECTION ON BEHALF OF THE COMPANY MAINTENANCE PERSONNEL. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - mech failure/malf, cruise - normal - lubricating system,oil line - disconnected - fluid,oil - loss,total - maintenance,inspection - inadequate, company maintenance personnel (cause) - powerplant - seized - Forced landing, descent - emergency - terrain condition - residential area - In flight collision with object, descent - emergency - object - residence - clearance - not possible, pilot in command (contributing factor) ## Analysis THE AIRPLANE HAD RECEIVED AN OIL CHANGE PRIOR TO THE ACCIDENT FLIGHT. THE PILOT STATED HE PERFORMED AN UNEVENTFUL PREFLIGHT INSPECTION OF THE AIRPLANE AND PREPARED FOR DEPARTURE. DURING HIS TAXI TO THE ACTIVE RUNWAY THE PILOT STATED HE DID NOT NOTICE ANYTHING UNUSUAL ABOUT THE OIL PRESSURE AND TEMPERATURE INDICATIONS. THE PILOT SAID THE TAKEOFF WAS UNEVENTFUL AND SHORTLY AFTER LEVELING OFF FROM INITIAL CLIMB, HE EXPERIENCED ENGINE VIBRATION WHICH BECAME PROGRESSIVELY WORSE. THE PILOT DECLARED AN EMERGENCY WITH AIR TRAFFIC CONTROL AND REQUESTED VECTORING BACK TO THE DEPARTURE AIRPORT. EVENTUALLY, WHILE OVER A RESIDENTIAL AREA, THE AIRPLANE'S ENGINE SEIZED WHILE HEADING BACK TO THE AIRPORT. THE PILOT SELECTED AN OPEN FIELD WITHIN THE AREA OF HOMES. BELIEVING THE EMERGENCY LANDING FIELD WAS ATTAINABLE, THE PILOT EXTENDED THE LANDING GEAR. SHORTLY AFTER THIS THE AIRPLANE STRUCK A SINGLE FAMILY HOME AND CAME TO REST ON THE HOME'S ROOF AND SIDE. THE ON SCENE INVESTIGATION REVEALED THE AIRPLANE'S PROPELLER OIL RETURN LINE HAD DISCONNECTED FROM THE ENGINE'S CRANKCASE FITTING. AN EXAMINATION OF THE AIRPLANE'S TAXI ROUTE REVEALED A TRAIL OF OIL FROM ITS PARKING PLACE TO THE POINT WHERE THE AIRPLANE BEGAN ITS TAKEOFF ROLL. ## Aircraft - Registration: [N2195W](https://openairdocs.org/deregistered/N2195W-2011-06-28), registration cancelled 2011-06-28, S/N MC-285, built 1974 (OpenAirDocs) - Reported make and model: BEECH 24R - Registry model: [Beech B24R](https://openairdocs.org/model/beech-b24r) (registry code 1151253) (OpenAirDocs) - Registry engine: [Continental O-470 series](https://openairdocs.org/engine/continental-o-470-series) (registry code 17026, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: MC-285 - Airframe hours: 583 - Engines: LYCOMING IO-360-A1B6 200 horsepower reciprocating - Damage: Destroyed - Flight: Personal, Part 91 - Operator: Paul G.Hegg/W.J. Nieuwkerk - Registered owner: Paul G.Hegg/W.J. Nieuwkerk - Airworthiness certificate: Standard, Normal - Last inspection: 100 hour, June 22, 1992, 3 hours before - Departed: MKE, MILWAUKEE, WI - Destination: CAK, CANTON, OH - Flight plan: VFR ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 40; private; airplane ratings: single-engine land; medical: class 3, valid medical--w/ waivers/lim; seat: left; flight hours: 173 total, 2 in this make and model, 133 as pilot in command, 46 in the last 90 days, 20 in the last 30 days ## Weather - Conditions: Visual (VMC), Day - Wind: 120° at 9 knots - Visibility: 6 statute miles - Lowest ceiling: none - Temperature: 64 °F, dew point 52 °F - Altimeter: 29.00 inHg - Observed at: MKE, 2 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 (OpenAirDocs). - [Accident 19920625021749A](https://openairdocs.org/incident/19920625021749A), Jun 25, 1992: Beech B24R, Milwaukee, WI, Destroyed. Engine seized on climbout. Crashed into residence.100 hours inspection prior flight. Prop oil line off at crank case ## Other investigations on N2195W (1) From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. - [NTSB NYC75FNC28](https://openairdocs.org/ntsb/NYC75FNC28), Apr 12, 1975: Beech B24R (N2195W), Morrisville, VT, substantial damage From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.