# NTSB NYC91LA151: Aerofab 4/210, N516L, Paulding, OH, June 7, 1991

- Type: NTSB accident investigation
- Classification: Accident · No injuries · Limited investigation · Final report
- Date: June 7, 1991, 11:30 local (15:30 UTC)
- Place: Paulding, OH
- Location: 41.1427° N, 84.5827° W: Placed by OpenAirDocs: center of Paulding, OH, within about 6 miles (OpenAirDocs)
- Nearby events: https://openairdocs.org/map.md?lat=41.1427&lon=-84.5827&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Highest injury: No injuries
- Injuries: 1 uninjured
- Status: Completed, report May 7, 1993
- Report: Approved by Office Director
- NTSB case key (mKey): 36939
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=NYC91LA151
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/36939/pdf
- Page: https://openairdocs.org/ntsb/NYC91LA151

## Probable cause

THE IMPROPER INSTALLATION OF THE OIL FILTER BY THE PILOT WHICH RESULTED IN A LEAK AND SUBSEQUENT OIL EXHAUSTION.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Loss of engine power(total) - nonmechanical, climb - to cruise
  - lubricating system,oil filter/screen - leak (cause)
  - fluid,oil - exhaustion (cause)
  - maintenance,installation - improper, pilot in command (cause)
  - complacency, pilot in command
- Forced landing, descent - emergency
  - object - wire,transmission

## Analysis

THE PILOT SAID THE ENGINE OIL PRESSURE DROPPED TO ZERO, WHICH RESULTED IN A LOSS OF ENGINE POWER AND SUBSEQUENT FORCED LANDING. DURING THE FORCED LANDING THE RIGHT WING STRUCK WIRES CAUSING THE AIRPLANE TO IMPACT THE GROUND SHORT OF THE INTENDED LANDING FIELD. EXAMINATION OF THE WRECKAGE REVEALED THE ENGINE OIL LEAKED FROM THE AREA OF THE OIL FILTER UNTIL THE ENGINE WAS DEPLETED OF OIL. THE PILOT STATED HE HAD CHANGED THE ENGINE OIL A DAY PRIOR TO THE FLIGHT AND DID NOT TEST RUN THE ENGINE TO CHECK FOR OIL LEAKS.

## Aircraft

- Registration: [N516L](https://openairdocs.org/deregistered/N516L-1994-08-02), registration cancelled 1994-08-02, S/N 538 (OpenAirDocs)
- Reported make and model: Aerofab Inc. 4/210
- Registry model: [Lake LA-4-200](https://openairdocs.org/model/lake-la-4-200) (registry code 5110310) (OpenAirDocs)
- Category: Airplane
- Serial number: 538
- Engines: LYCOMING IO-360-A1B6 200 horsepower reciprocating
- Damage: Substantial damage
- Flight: Personal, Part 91
- Operator: Herbert J. Beil
- Registered owner: Herbert J. Beil
- Last inspection: Unknown, January 2, 2000
- Departed: 091, DELPHOS, OH
- Destination: GLR, GAYLORD, MI
- Flight plan: VFR
- Airport: OH28, Paulding

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 60; private; airplane ratings: single-engine land, single-engine sea; medical: class 3, valid medical--no waivers/lim.; flight hours: 1,400 total, 40 in this make and model

## Weather

- Conditions: Visual (VMC), Day
- Wind: calm
- Lowest ceiling: none
- Temperature: 81 °F

## 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 19910607020519A](https://openairdocs.org/incident/19910607020519A), Jun 7, 1991: Conaer LA4200, Paulding, OH, Substantial damage. Lost oil pressure. Engine seized. Hit wires on forced landing. Pilot had just changed oil filter. No leak check.

## Other investigations on N516L (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 CHI85LA263](https://openairdocs.org/ntsb/CHI85LA263), Jun 29, 1985: Lake LA-4-200 (N516L), Hart, MI, 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.

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