- Date
- June 30, 2019, 11:34 local (18:34 UTC)
- Place
- Ludlow, CA
- Injuries
- 2 uninjured
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N24580Beech C23
- Defining event
- Enroute-cruise: Loss of engine power (total)
- Weather
- Visual (VMC) · Day
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 3
- NTSB office
- Western Pacific Region
- Parties
- FAA
- FAA report
- 20190630008689A
- Case key
- 99848
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
Maintenance personnel’s failure to properly tighten an oil line fitting, which resulted in a total loss of engine power.
Findings · 2
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.
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 pilot and the passenger departed on a cross-country flight. While at cruise, the pilot noted a faint smell of burning paint, followed by the oil pressure drop to zero and eventually experienced a complete loss of engine power. The pilot performed an emergency landing during which the airplane sustained substantial damage. A postaccident examination revealed there was no oil remaining in the engine, the AN hose fitting on the oil cooler was loose, and there was evidence of an oil leak in the area of the loose fitting. No other pre-impact mechanical anomalies were detected that could have precluded normal operations. The engine had been overhauled about 4 operating hours prior to the accident. The accident is consistent with maintenance personnel failing to properly tighten the oil hose fitting, which resulted in a total loss of engine power.
Factual narrative
On June 30, 2019, about 1134 Pacific daylight time, a Beechcraft C23 airplane, N24580, was substantially damaged when it was involved in an accident near Ludlow, California. The pilot and the passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot stated no anomalies were found during the preflight and 1 quart (qt) of oil was added for a total of 7.5+ qts.The pilot further stated that he was at cruise flight at 6,000 ft above ground level when he noted a faint smell of burning paint. Within 10 seconds, he observed the oil pressure drop to zero and the engine RPM decay to about 2,100. A couple of seconds later, the engine lost all power. The pilot subsequently performed an emergency landing. Upon impact with the terrain, the three-landing gear separated, the engine cowling was forced aft, and the firewall suffered deformation at the mounting points. Evidence of oil loss was visible on the lower left side of the fuselage. No oil appeared on the dipstick, which was properly secured. The engine was recently overhauled and had accumulated about 4 hours of operating time since returning to service. The engine was examined by a certified mechanic with oversight by a Federal Aviation Administration inspector at Chino, CA. The examination revealed that the AN hose fitting on the oil cooler was loose, and oil residue was present in the area of the fitting. No other pre-impact mechanical anomalies were detected that could have precluded normal operation.
Aircraft
- Registration
- N24580
- Reported as
- Beech C23
- Category
- Airplane
- Serial number
- M-1410
- Built
- 1972
- Airframe hours
- 3,889.37
- Engine
- Lycoming O&VO-360 SER, 180 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Operator
- Tiger Capital, LLC
- Registered owner
- Tiger Capital, LLC
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · June 27, 2019
- Departed
- EED · Needles, CA
- Destination
- cno · Chino, CA
- Equipment
- Stall warning system, Electronic flight bag or handheld device, ADS-B, Video recording device
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
- 55
- Injuries
- None
- Certificates
- Flight instructor, Airline transport
- Airplane ratings
- Single-engine land, Multi-engine sea
- Instrument ratings
- Airplane
- Medical
- Class 1, With waivers/limitations
- Last flight review
- February 1, 2019
- Seat
- Left
- Restraint
- 4-point
- Flight hours
- 18,000 total · 150 in this make and model · 17,800 as pilot in command · 100 in the last 90 days · 35 in the last 30 days · 1 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- Calm
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 105 °F
- Altimeter
- 30.00 inHg
- Turbulence
- Unknown
- Observed at
- EED, 75 nm away
Docket · 6
The files NTSB released with the investigation on January 25, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 28.3 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.
Other investigations on N24580 · 2
Matched to the same aircraft by N-number and date.