SEA03LA146

NTSB accident investigation · Cessna 182S · Henry's Lake, ID · July 21, 2003

Accident · No injuriesLimited investigationFinal report
Date
July 21, 2003, 12:45 local (18:45 UTC)
Place
Henry's Lake, ID
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N146NECessna 182S
Weather
Visual (VMC) · Day
Status
Completed · report June 2, 2004
Report
Approved by Office Director
Parties
FAA-FSDO
FAA report
20030721015769A
Case key
57537

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

A set of inadequately torqued vacuum pump retaining nuts, leading to the failure of the vacuum pump gasket, resulting in oil exhaustion, which resulted in a loss of engine power during cruise. A ditch and rough uneven terrain were factors.

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(partial) - mech failure/malfCruise
Lubricating system,oil gasket - failureCause
Maintenance,installation - inadequateOther maintenance personnelCause
Fluid,oil - exhaustionCause
Miscellaneous,bolt/nut/fastener/clamp/spring - undertorquedFactor
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - ditchFactor
Terrain condition - rough/unevenFactor

Analysis

The pilot reported that about five minutes after takeoff, the oil low pressure light illuminated and shortly thereafter he heard a knocking sound coming from the engine. The pilot shut the engine down and attempted to return to the airport of departure. Unable to make it to the airport, a power-off landing was made to a rough open field about one mile from the runway. Although the touchdown was uneventful, during the landing roll, the aircraft encountered a ditch, which resulted in the separation of the nose gear and substantial damage to the aircraft structure. On site inspection of the aircraft indicated that oil residue was noted at the aft end of the engine around the accessory section. After the tail was lowered, a noticeable oil leak was noted around the vacuum pump flange (approximately 6 drops per minute). Further inspection of the engine found that the pneumatic pump gasket had failed and was blown out the top between the mating surfaces of the pump and the mounting pad. All four mounting nuts of the pump were found only slightly more than finger tight and were removed with no resistance. The internal star locking washers were in place under the nuts and had been crushed indicating proper torque at one time. Standard torque on these nuts is 90" pounds.

Factual narrative

On July 21, 2003, approximately 1245 mountain daylight time, a Cessna 182S, N146NE, impacted the terrain during an attempted forced landing in a field near Henry's Lake, Idaho. The private pilot and his four passengers were not injured, but the aircraft, which is owned and operated by the pilot, sustained substantial damage. The 14 CFR Part 91 personal pleasure flight, which was en route to Pocatello, Idaho, departed Henry's Lake Airport about 10 minutes prior to the accident. No flight plan had been filed. The aircraft was being operated in visual meteorological conditions.

According to the pilot, about five minutes after takeoff, the oil low pressure light illuminated and shortly thereafter he heard a knocking sound coming from the engine. He therefore shut the engine down and attempted to return to the airport of departure. Although he attempted to stretch his glide so that he could return to Henry's Lake Airport, he was unable to do so, and eventually had to make a power-off landing in a field about one mile from the runway. Although the touchdown was uneventful, during the landing roll, the aircraft encountered a ditch, which resulted in the separation of the nose gear and substantial damage to the aircraft structure.

On July 22, 2003, a Federal Aviation Administration (FAA) Inspector from the Salt Lake City, Utah, Flight Standards District Office arrived at the accident site and inspected the aircraft. The inspector reported that oil residue was noted at the aft end of the engine around the accessory section. After the tail was lowered, a noticeable oil leak was noted around the vacuum pump flange (approximately 6 drops per minute).

On August 7, 2003, another inspector from the FAA inspected the engine. The inspector reported that, "It was obvious the pneumatic pump gasket had failed..." and "...was blown out the top between the mating surfaces of the pump and the mounting pad." The inspector further reported that the four mounting nuts of the pump were only "slightly more than finger tight." All four nuts were removed with no resistance. The internal star locking washers were in place under the nuts and had been crushed. Standard torque on these nuts is 90" pounds.

A review of maintenance records indicated that on October 23, 2002, at a tach time of 763.8 hours, Mandatory Lycoming Service Bulletin No. 554 was accomplished to replace the crankshaft gear retaining bolt. During this process, the removal of all accessories on the accessory housing was required. At the completion of the work, an engine test run was accomplished, as well as a leak check. No other maintenance had been accomplished on the engine except for an oil change on June 5, 2003. Approximately 116 hours had been accumulated on the engine at the time of the accident since the Service Bulletin accomplishment.

The aircraft is equipped with four seats. The pilot reported that a three-year-old child was sharing a seat and seatbelt with the passenger in the left rear seat.

Aircraft

Registration
N146NE
Reported as
Cessna 182S
Category
Airplane
Serial number
18280221
Airframe hours
880
Engine
Lycoming IO-540-AB1A5, 230 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Michael L. Bartu
Registered owner
Idaho Rail Shop Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 2002 · 207 hours before
Departed
U53 · Henry's Lake, ID
Destination
PIH · Pocatello, ID

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
27
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Last flight review
October 10, 2001
Seat
Left
Flight hours
324 total · 230 in this make and model · 252 as pilot in command · 24 in the last 90 days · 16 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.