- Date
- October 26, 1995, 16:10 local (23:10 UTC)
- Place
- Chandler, AZ
- Injuries
- 1 uninjured
- Damage
- Substantial damage
- Phase of flight
- Maneuvering
- Aircraft
- N3808FGreat Lakes 2T-1A-2
- Weather
- Visual (VMC) · Day
- Status
- Completed · report April 1, 1996
- Report
- Approved by Office Director
- FAA report
- 19951026034639A
- Case key
- 29319
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 improper installation of an intake manifold tube assembly during engine overhaul which permitted leakage into the induction system resulting in detonation and piston failure in the associated cylinder.
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 pilot elected to make an off-airport landing due to a rough engine, oil on the windshield, and a radio report that his aircraft was trailing smoke. During the rollout on a dirt road, the aircraft struck a ditch and nosed over. Examination of the engine revealed that an intake manifold seal was leaking at the attachment to the #4 cylinder, and there was a burned hole in the #4 piston. The propeller shaft seal had been displaced forward onto the engine propeller shaft, and the engine oil supply had been vented overboard through the engine breather and around the propeller shaft. The engine had been overhauled 11 hours prior to the accident.
Factual narrative
On October 26, 1995, at 1610 hours mountain standard time, a Great Lakes 2T-1A-2, N3808F, nosed over while making a forced landing 4.5 miles southeast of Chandler Airport, Chandler, Arizona. The aircraft sustained substantial damage and the commercial pilot was not injured. The aircraft was operated by Chandler Air Service, Inc., and was rented by the pilot for a personal flight when the accident occurred. The local area flight originated from Chandler Airport at 1545. Visual meteorological conditions prevailed at the time and no flight plan had been filed.
The pilot reported that the purpose of the flight was to practice an aerobatic sequence three or four times and return to Chandler. However, at completion of the first sequence he felt an abnormal vibration in the engine and terminated his practice. The engine rpm was 200 rpm low and could not be restored with the propeller control, and within a minute engine oil began to appear on the windshield. He turned toward Chandler when the pilot of a nearby aircraft radioed that he was trailing smoke. The pilot identified a suitable dirt road and decided to make a precautionary off-airport landing. During the landing rollout, the aircraft struck a ditch and nosed over.
Examination of the aircraft revealed that the engine oil supply had vented overboard through the engine crankcase breather and the propeller shaft. There was engine oil on the exterior of the aircraft aft of the breather tube, and on the exterior of the engine aft of the propeller shaft. The propeller shaft seal was displaced from its normal position and was positioned onto the propeller shaft.
The engine had been overhauled by the operator 11 hours prior to the accident. Disassembly of the engine by the operator following the accident revealed that the intake manifold tube flange and flange gasket (Lycoming part numbers 70485 and 71973) on the number four cylinder were leaking due to misalignment. A hole had burned through the number four piston. The hole was located in the perimeter of the piston around the rings and went through to the crankcase side of the piston in vicinity of the wrist pin.
Aircraft
- Registration
- N3808F
- Reported as
- Great Lakes 2T-1A-2
- Category
- Airplane
- Serial number
- 0776
- Airframe hours
- 1,559
- Engine
- Lycoming AEIO-360-B1G6, 180 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Registered owner
- Chandler Air Service, Inc.
- Airworthiness certificate
- Standard, Aerobatic
- Last inspection
- Annual · October 22, 1995 · 11 hours before
- Departed
- CHD · AZ
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
- 35
- Certificates
- Flight instructor, Commercial
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--no waivers/lim.
- Seat
- Rear
- Flight hours
- 3,280 total · 280 in this make and model · 3,050 as pilot in command · 198 in the last 90 days · 86 in the last 30 days · 4 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 280° at 4 knots
- Visibility
- 30 statute miles
- Lowest ceiling
- None
- Temperature
- 84 °F, dew point 25 °F
- Altimeter
- 29.00 inHg
- Observed at
- IWA, 10 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.
Other investigations on N3808F · 1
Matched to the same aircraft by N-number and date.