- Date
- March 20, 2001, 15:00 local (23:00 UTC)
- Place
- Stanford, CA
- Injuries
- 2 uninjured
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N6307RCessna 172RG
- Weather
- Visual (VMC) · Day
- Status
- Completed · report November 28, 2001
- Report
- Approved by Office Director
- Parties
- FEDERAL AVIATION ADMINISTRATION
- FAA report
- 20010320005549A
- Case key
- 51939
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
Failure of company maintenance personnel to properly install and safety wire the oil filter, which subsequently lead to a 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.
Analysis
On the landing roll out following an emergency landing, the nose landing gear dug into the soft dirt and the airplane nosed over. During cruise, the CFI asked the student if he heard knocking. The student replied that he did hear the knocking. Both pilots saw the oil pressure gage reading zero, simultaneously the knocking increased, and then the engine quit. The external examination of the engine revealed that the bottom of the fuselage, firewall, and the rear of the engine were coated with oil. The inspection further revealed that the oil filter had not been tightened or safety wired to the engine. Review of the engine logbook disclosed that an oil change was completed the day prior to the accident.
Factual narrative
On March 20, 2001, at 1500 hours Pacific standard time, a Cessna 172RG, N6307R, lost engine power and made an emergency landing in an open dirt field in Stanford, California, where it came to rest inverted. The airplane was operated by the West Valley Flying Club as an instructional flight under the provisions of 14 CFR Part 91, and sustained substantial damage. The certified flight instructor (CFI) and the private student pilot were not injured. Visual meteorological conditions prevailed for the local area flight. The flight departed from the Palo Alto Airport of Santa Clara County, Palo Alto, California, at 1416. No flight plan had been filed. The flight was scheduled to terminate at the Palo Alto airport.
The purpose of the flight was to provide instruction for a complex airplane checkout. The CFI stated that they were over Webb Ranch, about 2,000 feet msl, when he noted a loss of oil pressure. He contacted the Palo Alto Air Traffic Control Tower and declared an emergency. He stated the engine stopped at 1,600 feet. He and the student pilot shutdown the airplane systems. He noted at one point the cockpit filled with smoke and they had to open the windows. The CFI set up for the emergency landing on a side road. A truck entered the road, and he had to maneuver the airplane onto an adjacent open field. On the landing rollout the nose landing gear dug into the soft dirt and the airplane nosed over.
The student pilot stated that they were getting ready to go back to home base when the CFI asked him if he heard knocking. He replied that he heard the knocking. They both observed the oil pressure was at zero. The knocking continued to increase in intensity. The CFI declared an emergency and landed in an open field.
A Federal Aviation Administration (FAA) inspector inspected the engine. A Textron Lycoming engine manufacturer's representative, who was a party to the investigation, assisted the FAA. They found that the oil filter had not been tightened or safety wired to the engine. The bottom of the fuselage, firewall, and the rear of the engine were coated with oil. The engine was seized.
A Safety Board investigator conducted a review of the airframe and engine logbooks. It was noted that the last annual inspection was completed on March 21, 2000. On March 19, 2001, maintenance was performed on the airplane that included an oil change.
Aircraft
- Registration
- N6307R
- Reported as
- Cessna 172RG
- Category
- Airplane
- Serial number
- 172RG0158
- Airframe hours
- 9,120
- Engine
- Lycoming O-360-F1A6, 180 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Instructional · Part 91
- Operator
- West Valley Flying Club
- Registered owner
- Mark Conover
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · March 19, 2001 · 4 hours before
- Departed
- PAO · Palo Alto, CA
- Destination
- PAO
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 · 2
As NTSB recorded them. NTSB leaves out names.
- Role
- Pilot
- Age
- 35
- Injuries
- None
- Certificates
- Flight instructor, Commercial
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 2, Valid Medical--no waivers/lim.
- Last flight review
- February 13, 2001
- Seat
- Right
- Flight hours
- 409 total · 100 in this make and model · 360 as pilot in command · 90 in the last 90 days · 45 in the last 30 days · 2 in the last 24 hours
- Role
- Student pilot
- Age
- 40
- Injuries
- None
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Medical
- Class 3, Valid Medical--no waivers/lim.
- Seat
- Left
- Flight hours
- 65 total
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 340° at 8 knots
- Visibility
- 12 statute miles
- Lowest ceiling
- 25,000 ft broken
- Temperature
- 75 °F, dew point 54 °F
- Altimeter
- 29.93 inHg
- Observed at
- PAO
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.