SEA95LA190

NTSB accident investigation · Mooney M20K · Roundup, MT · August 22, 1995

Accident · No injuriesLimited investigationFinal report
Date
August 22, 1995, 17:00 local (23:00 UTC)
Place
Roundup, MT
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1154LMooney M20K
Weather
Visual (VMC) · Day
Status
Completed · report March 6, 1996
Report
Approved by Office Director
FAA report
19950822025389A
Case key
42228

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

an engine failure due to foreign object ingestion into the oil pump. A ruptured oil inlet screen contributed to the accident.

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/malfCruise - normal
Lubricating system,oil filter/screen - rupturedFactor
Lubricating system,oil pressure pump - foreign objectCause
Lubricating system,oil pressure pump - disabledCause
Forced landingEmergency landing
On ground/water collision with objectEmergency landing
Object - fence

Analysis

The pilot reported that while cruising 28 miles north of Roundup, Montana, the engine surged momentarily, then returned to normal RPM. He then noted that the oil pressure had dropped to zero, and turned toward the Roundup airport for an emergency landing. He reported that the engine failed 3 minutes later and that he could not make the airport. He then made a forced landing in a field 9 miles north of Roundup. The airplane went through a barbed-wire fence during landing. A postaccident engine examination revealed a metal chip between the oil inlet screen and the oil pump inlet. The inlet screen was split open along the solder seam and the oil pump inlet was gouged. A scanning electron microscope examination of the chip revealed that the chip was copper-plated steel characteristic of material used in the engine gears and camshaft. Teledyne Continental also reported that the oil screen appeared to have been subjected to an axial compressive load at an undetermined time.

Factual narrative

On August 22, 1995, approximately 1700 mountain daylight time, a Mooney M20K, N1154L, received substantial damage in a forced landing 9 miles north of Roundup, Montana, following an inflight engine failure. Neither the private pilot, who owned the airplane, nor his passenger were injured. The 14 CFR 91 flight was en route from Aurora State Airport, Oregon, to Bismarck, North Dakota. Visual meteorological conditions existed and no flight plan had been filed.

The pilot reported that the flight had been proceeding uneventfully. He stated that he was cruising at 11,500 feet at approximately 65 percent power during the flight. He stated that approximately three minutes before the event, he noticed oil temperature in the upper third of the green arc and opened 1/2 cowl flaps; and that about one minute before the event, he noted oil temperature "dropping normally." Approximately 28 miles north of Roundup, he noticed a slight propeller surge "like speeding up for 1/2 second, then [the engine] sound[ed] normal." He scanned the engine instruments and noted that the engine oil pressure had dropped to zero. He contacted the automated flight service station (AFSS) at Great Falls, Montana, informed them of the problem and told them he would attempt a landing at the Roundup airport. He stated that the engine "[made] grinding noises and start[ed] to smell hot" approximately 3 minutes after the oil pressure drop. At this point, the pilot stated, he advised Great Falls AFSS that "we will not make [the] airport." Deciding that there was too much vehicle traffic to attempt a forced landing on a highway in the vicinity, he landed the aircraft in a cow pasture. During the forced landing, the airplane went through a barbed wire fence and into an area of rough terrain.

The passenger submitted a written statement which was in agreement with the report submitted by the pilot.

A FAA on-scene investigator was able to rotate the airplane's engine, a Continental TSIO-360-GB, with difficulty. He noted one propeller blade bent slightly back. He reported that there was no visible oil on the external surfaces of the aircraft and noted no oil leaks from the engine. He reported that the engine contained 7 quarts of oil.

Investigators from the NTSB and Teledyne Continental Motors (TCM) examined the engine at Discount Aircraft Salvage, Deer Park, Washington, on October 8, 1995. The examination revealed a ferrous metallic chip on the outlet side of the oil inlet screen, between the screen and the oil pump inlet. The oil inlet screen was ruptured open along its solder seam. The metallic chip was small enough to pass through this gash. The oil pump inlet was gouged; the metallic chip matched the gouge at the pump inlet.

The TSIO-360-GB oil pump design is such that the pump rotor is mated to the pump drive shaft via nut torque and resultant friction between the mating surfaces. Investigators discovered the mating nut on the accident engine's oil pump to be only slightly more than finger tight, with rotational scoring on the mating surfaces.

The oil inlet screen and the ferrous metallic chip were shipped to the TCM factory in Mobile, Alabama, for metallurgical analysis. A scanning electron microscope examination of the chip revealed the chip material to be copper-plated steel; TCM reported that the material was characteristic of that used in the engine gears and camshaft. The TCM product analysis manager reported that the piece appeared to be a small chip from an engine gear. He also reported that the oil inlet screen appeared to have been subjected to an axial compressive load which split the screen open along its solder seam. A FAA manufacturing inspector who coordinated the testing at TCM reported that the time at which the screen was subjected to this compressive load could not be determined.

A work order filed with the aircraft logbooks, dated July 3, 1995, stated the following: "Vacuum pump [seized], drive [assembly] has frozen bearing. This [assembly] also drives the standby generator....Removed generator and adaptor [assembly]. Installed used starter drive [assembly]. Standard without generator pad....Installed new Sigmatek vacuum pump...."

Aircraft

Registration
N1154L
Reported as
Mooney M20K
Category
Airplane
Serial number
25-0635
Airframe hours
1,348
Engine
Continental TSIO-360-GB, 210 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Fritz, Harry M.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 20, 1995 · 88 hours before
Departed
3S2 · Aurora State, OR
Destination
BIS · Bismarck, ND

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
44
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
732 total · 592 in this make and model · 644 as pilot in command · 70 in the last 90 days · 33 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 52 °F
Altimeter
30.00 inHg
Observed at
BIL, 49 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.