- Date
- June 4, 2006, 12:56 local (19:56 UTC)
- Place
- Alpine, CA
- Injuries
- 2 uninjured
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N4438TPiper PA-28R-200
- Weather
- Visual (VMC) · Day
- Status
- Completed · report October 3, 2006
- Report
- Approved by Office Director
- Parties
- Federal Aviation Administration
- FAA report
- 20060604013519A
- Case key
- 63849
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 loss of engine power due to the aviation maintenance technician's failure to install the correct oil sump quick drain, which resulted in the inadvertent draining of engine oil during flight.
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
The airplane lost oil pressure in flight and was damaged in an encounter with rough terrain during a forced landing. The oil sump quick drain valve was replaced the day of the accident. On the first flight following the replacement, 2 quarts of oil were lost. The aviation maintenance technician retorqued the valve and the maintenance test flight was successful. The instructor departed on a local instructional flight with a student and about 50 minutes into the flight, oil pressure decreased and the engine revolutions per minute were fluctuating. The instructor shut down the engine and force landed the airplane. The installed oil sump quick drain valve, a Safe-Air 5000, had an extension of 1.9 inches. The approved Piper quick drain valve (Piper part number 492-172V) has an extension of 0.21-inch. Airworthiness Directive 81-11-02 R1 states that unapproved drain valves can cause inadvertent draining of oil when the gear is retracted and that only Piper approved parts should be used for the oil sump quick drain installation in this airplane model.
Factual narrative
On June 4, 2006, at 1256 Pacific daylight time, a Piper PA-28R-200, N4438T, lost oil pressure during flight and the certified flight instructor (CFI) made a precautionary landing in a field in Alpine, California. During the landing, the landing gear punctured through the wings and resulted in substantial damage. Anglo American Aviation International was operating the airplane under the provisions of 14 CFR Part 91. The CFI and private pilot undergoing instruction were not injured. Visual meteorological conditions prevailed and no flight plan had been filed for the local area instructional flight. The airplane departed from Gillespie Field, El Cajon, California, at 1200.
In an interview with the aviation maintenance technician (AMT) immediately following the accident, he stated that the oil sump quick drain valve was replaced on June 4. The AMT flew the airplane to Gillespie Field from Borrego Springs and noted a 2-quart loss of oil. The AMT replaced the oil and retorqued the newly installed valve. The CFI test flew the airplane and did not note any loss of oil.
The CFI reported that following the maintenance test flight, he departed with the student on the accident flight and approximately 50 minutes into the flight, the oil pressure decreased and the revolutions per minute were fluctuating. The CFI shut down the engine and performed a forced landing in a field.
In an interview with the operator, he reported that the installed quick drain was a Safe-Air P5000. Examination of the quick drain showed that this was the installed drain.
The Federal Aviation Administration issued airworthiness directive (AD) 81-11-02 R1 on October 2, 1981. The AD requires that within the next 50 hours time in service or at the next oil change, install two warning placards, one on each side, on the lower engine mount beneath the intake and the exhaust tubes which reads:
Caution
Unapproved oil drain valves can cause inadvertent draining when the gear is retracted- use only Piper approved part.
The AD also notes that Piper part number 492-172V is the approved part for this installation. In the closed position, the valve extension is 0.21-inch. The Safe-Air P5000 quick drain valve extension is 1.9 inches.
Aircraft
- Registration
- N4438T
- Reported as
- Piper PA-28R-200
- Category
- Airplane
- Serial number
- 28R-7235050
- Engine
- Textron Lycoming IO-360, reciprocating
- Damage
- Substantial damage
- Flight
- Instructional · Part 91
- Registered owner
- Anglo American Aviation, Inc.
- Airworthiness certificate
- Standard, Normal
- Departed
- SEE · El Cajon, CA
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
- Flight instructor
- Age
- 24
- Certificates
- Flight instructor, Commercial
- Airplane ratings
- Multi-engine land, Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1
- Flight hours
- 478 total · 52 in this make and model · 50 in the last 90 days · 17 in the last 30 days
- Role
- Pilot
- Age
- 18
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Medical
- Class 2
Weather
- Conditions
- Visual (VMC) · Day
- Visibility
- 10 statute miles
- Lowest ceiling
- None
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.