WPR18LA101

NTSB accident investigation · Piper PA28R · Paso Robles, CA · March 7, 2018

Accident · No injuriesClass 3 · LimitedFinal report
Date
March 6, 2018, 22:26 local (Mar 7, 2018, 06:26 UTC)
Place
Paso Robles, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N33807Piper PA28R
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
FSDO
FAA report
20180306021779A
Case key
96834

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 pilots' inadequate preflight inspection, which failed to ensure that the oil filler cap was secured and resulted in oil starvation and a total loss of engine power.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Inspection: preflight inspectionPersonnel issues › Task performance · PilotPiper PA-28R-200: 2 casesAll aircraft: 551 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · Student/instructed pilotPiper PA-28R-200: 2 casesAll aircraft: 551 casesProbable cause
Engine (reciprocating): recip eng oil sysAircraft › Aircraft power plant · Incorrect use/operationPiper PA-28R-200: 3 casesAll aircraft: 130 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The flight instructor and private pilot receiving instruction completed a touch-and-go landing in night visual meteorological conditions. During the initial climb, they heard a "loud tick" noise, then the low vacuum annunciator light illuminated. About 350 to 400 ft above ground level, the engine lost all power, and the propeller came to a complete stop. The flight instructor took control of the airplane and performed a forced landing to a nearby field, during which the airplane sustained substantial damage to the wings and aft fuselage. Examination revealed that the oil filler cap was not secured, and that the engine contained about 1 quart of oil. In addition, oil was splattered on the inside of the engine compartment. It is likely that the pilots failed to secure the oil filler cap during the preflight inspection, which resulted in the loss of engine oil inflight, eventual oil starvation, and the total loss of engine power.

Factual narrative

On March 6, 2018, about 2226 Pacific standard time, a Piper PA-28R-200 airplane, N33807, was substantially damaged when it was involved in an accident near Paso Robles, California. The flight instructor and private pilot receiving instruction were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The instructor reported that, before the flight, he watched as the airplane was fueled to capacity and he checked the engine oil level, which was 6 quarts. He then asked the pilot receiving instruction to conduct a preflight inspection while he went inside. Upon returning to the airplane, he verbally confirmed the fuel and engine oil levels with the pilot and they subsequently departed. The flight was uneventful, and they performed a touch-and-go landing at the destination airport. During takeoff following the touch-and-go, the pilots heard a "loud tick" noise, followed by the illumination of the low vacuum annunciator light. The instructor took control of the airplane, retracted the landing gear, and instructed the pilot to retract the wing flaps; about 350 to 400 ft above ground level, the airplane stopped climbing, the engine lost all power, and the propeller came to a complete stop. The instructor performed a forced landing to a nearby field. During the landing roll, the wings and aft fuselage were substantially damaged. The following day, a Federal Aviation Administration inspector examined the wreckage and noted that the oil filler cap was not secured, and that the engine contained about 1 quart of oil. In addition, oil was splattered inside the engine compartment. (see Figure 1.) Figure 1. Loose oil cap visible through the access panel on the engine cowling

Aircraft

Registration
N33807
Reported as
Piper PA28R (200)
Category
Airplane
Serial number
28R-7535198
Built
1969
Airframe hours
11,933.5
Engine
Lycoming IO-360-C1C, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Utility
Last inspection
Annual · February 2, 2018
Departed
RHV · San Jose, CA
Destination
PRB · Paso Robles, CA
Airport
PRB · Paso Robles Muni, runway 13, 4,701 × 100 ft, asphalt
Equipment
Stall warning system, ADS-B

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
47
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
411 total · 14 in this make and model · 49 in the last 90 days
Role
Flight instructor
Age
23
Injuries
None
Certificate
Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Right
Restraint
3-point
Flight hours
961 total · 211 in this make and model · 879 as pilot in command · 109 in the last 90 days · 45 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Temperature
54 °F, dew point 43 °F
Altimeter
30.03 inHg
Observed at
KPRB

Docket · 5

The files NTSB released with the investigation on February 11, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.7 MB in all.

FAA reports on this event · 1

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