Aviation Accident Summaries

Aviation Accident Summary CEN17LA286

Walters, OK, USA

Aircraft #1

N6257V

BEECH V35

Analysis

The airline transport pilot was conducting a personal, cross-country flight. He reported that, about 10 minutes after takeoff, the oil pressure decreased to 0, and the engine experienced a loss of all power. The pilot conducted a forced landing on a soft field about 1 mile short of an airport, during which the airplane sustained substantial damage to the firewall and lower fuselage. A review of the airplane's maintenance records revealed that the vacuum pump had been replaced the day before the accident. Examination of the engine revealed that three connecting rods exhibited thermal and impact damage, and three rod journals were found dry and exhibited thermal discoloration, indicative of oil starvation. Disassembly indicated that a gasket typically used for carburetors was installed on the vacuum pump. The installed gasket did not completely cover the high-pressure oil orifice on the vacuum pump mounting fixture, which resulted in oil leakage, subsequent oil starvation to the engine, and the loss of engine power.

Factual Information

On July 8, 2017, about 1050 central daylight time, a Beech VA airplane, NV, sustained substantial damage during a forced landing after a loss of engine power near Walters, Oklahoma. The airline transport pilot and one passenger sustained minor injuries. Visual meteorological conditions prevailed and no flight plan was filed. The airplane was registered to Gas Corporation of America of Wichita Falls, Texas, and the flight was being operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91. The flight originated at 1040 from Kickapoo Downtown Airport (CWC), Wichita, Falls, Texas, and was en route to Lawton, Oklahoma. The pilot reported that about 10 minutes after departing CWC, the oil pressure went to zero and the engine failed. He executed a forced landing to a soft farm field, about one mile south of the Walters Airport (OK12). The pilot and passenger exited the airplane with minor injuries. The airplane sustained substantial damage to the firewall and lower fuselage. A review of the airplane maintenance records showed that the vacuum pump was replaced on July 7, 2017, the day before the accident. The engine was visually examined and disassembled. During the disassembly, it was discovered that a improper gasket (P/N-21051) was installed on the vacuum pump. The gasket was normally used for the installation of a carburetor. The installed gasket did not completely cover the high-pressure oil orifice on the vacuum pump mounting fixture. The proper gasket was (PN-MS9134-01) for the vacuum pump. Three connecting rods showed thermal and impact damage, and three rod journals were observed to be dry and showed thermal discoloration.

Probable Cause and Findings

Maintenance personnel’s installation of an improper vacuum pump gasket, which resulted in oil starvation to the engine and a subsequent total loss of engine power.

 

Source: NTSB Aviation Accident Database

Get all the details on your iPhone or iPad with:

Aviation Accidents App

In-Depth Access to Aviation Accident Reports