NYC96LA117

NTSB accident investigation · Cessna 177B · Chatham, MA · May 28, 1996

Accident · Minor injuriesLimited investigationFinal report
Date
May 28, 1996, 18:05 local (22:05 UTC)
Place
Chatham, MA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N19708Cessna 177B
Weather
Visual (VMC) · Day
Status
Completed · report February 1, 1997
Report
Approved by Office Director
FAA report
19960528011659A
Case key
39189

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

failure of the oil pump, which resulted in oil starvation and subsequent failure of the number two and four cylinder connecting rods. Also causal was inadequate maintenance by noncompliance with the airworthiness directive that required replacement of the oil pump.

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.

Loss of engine power(total) - mech failure/malfDescent
Lubricating system,oil pressure pump - failure,totalCause
Maintenance,compliance with ad - not performedOther maintenance personnelCause
Maintenance,compliance with ad - not performedOwner/pilot mechanicCause
Fluid,oil - starvationCause
Engine assembly,connecting rod - failureCause
Forced landingEmergency descent/landing
DitchingEmergency landing
Terrain condition - water

Analysis

The pilot/owner was 4 miles from the destination airport when the engine lost power. This was followed by white smoke, oil, and flames from under the engine cowling, and a complete loss of engine power. A forced landing was then accomplished to a pond. Examination of the engine revealed the engine oil pump had failed, and the number two and four cylinder connecting rods were separated from the crankshaft. An FAA Airworthiness Directive, AD 81-18-04, was issued in 1981, which required the replacement of the oil pump sintered iron impellers within 25 hours of service after the effective date of the AD. A review of the airplane maintenance records revealed that the AD had not been complied with, but was 'signed off' as not applicable until the 2,000 hour engine overhaul. The pilot/owner was a certified airframe and power plant mechanic and had performed four of the airplane's last six annual inspections. The last two annual inspections had been completed by another mechanic. The engine had accumulated over 1,500 hours since AD 81-18-04 was issued.

Factual narrative

On May 28, 1996, at 1805 eastern daylight time, a Cessna 177B, N19708, was substantially damaged during a forced and ditching to water near Chatham, Massachusetts. The commercial pilot and passenger received minor injuries. Visual meteorological conditions prevailed for the personal flight that originated at Beverly, Massachusetts, about 1715. No flight plan had been filed for the flight conducted under 14 CFR Part 91.

In the NTSB Form 6120.1/2, the pilot/owner stated that about 4 miles from the Chatham Municipal Airport (CQX), she attempted to adjust the propeller RPM; however, there was no change in RPM when the propeller control was moved. When the pilot reduced engine power and began a turn to enter the CQX traffic pattern, the engine began to shake. The pilot then increased power and the shaking continued. While looking for a forced landing area, white smoke appeared from the engine cowling, followed by oil and flames, and a complete loss of engine power. A forced landing was then performed to a pond.

Examination of the engine by a Federal Aviation Administration (FAA) Inspector, revealed a hole in the engine case on the side of the number two and four cylinders, and the connecting rods for the same pistons were separated from the crankshaft.

An FAA Airworthiness Directive, AD 81-18-04, was issued in 1981 and stated:

"...To prevent failure of engine oil pumps which incorporate sintered iron impellers, accomplish the following: (a) Compliance is required within the next 25 hours in service after the effective date of this AD...Replace the existing drive and driven impellers with a steel driving impeller...and an aluminum impeller and shaft..."

The FAA Inspector's statement said, "...It appears that the engine failed due to oil starvation to the connecting rod journals and bearings, as a result of engine oil pump failure. A search of the aircraft logs indicates that AD 81-18-4 was not accomplished."

The airplane's maintenance records revealed that the AD had been signed off by a mechanic in 1981, prior to the pilot/owner purchasing the airplane, as not applicable until engine overhaul at 2,000 hours. The pilot/owner was a certified airframe and power plant mechanic, and had performed four of the airplane's last six annual inspections. The last two annual inspections were performed by another mechanic.

The engine had accumulated over 1,500 hours since AD 81-18-04 was issued.

Aircraft

Registration
N19708
Reported as
Cessna 177B
Category
Airplane
Serial number
17702585
Airframe hours
1,800
Engine
Lycoming O-360-A1F6D, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Barbara J. Gard
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 1, 1995 · 150 hours before
Departed
BVY · Beverly, MA
Destination
CQX · MA
Airport
CQX · Chatham

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
47
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
1,669 total · 1,243 in this make and model · 1,559 as pilot in command · 48 in the last 90 days · 9 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 43 °F
Altimeter
30.00 inHg
Observed at
CQX, 1 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 N19708 · 1

Matched to the same aircraft by N-number and date.