Hilo International Airport
Aircraft Accident/Incident Report

Hilo, Hawaii 96720
Friday, August 25, 2000 17:35 HST

NTSB Narrative Summary Released at Completion of Accident

The pilot ditched the twin engine airplane in the Pacific ocean after experiencing a loss of engine power and an in-flight engine fire while in cruise flight. The flight was operating at 1,000 feet msl, when the pilot noticed a loss of engine power in the right engine. At the same time the pilot was noticing the power loss, passengers noted a fire coming from the right engine cowling. The pilot secured the right engine and feathered the propeller. He attempted to land the airplane at a nearby airport; however, when he realized that the airplane was unable to maintain altitude he elected to ditch the airplane in the ocean. Prior to executing the forced landing, the pilot instructed the passengers to don their life jackets and assume the crash position. After touchdown, all but one passenger exited the airplane through the main cabin and pilot doors. It was reported that the remaining passenger was frightened, and could not swim. One survivor saw the remaining passenger sitting in the seat with the seat belt still secured and the life vest inflated. The pilot and passengers were then rescued from the ocean via rescue helicopter and boat. Postaccident examination of the airplane revealed that the right engine's oil converter plate gasket had deteriorated and extruded from behind the converter plate, allowing oil to spray in the accessory section and resulting in the subsequent engine fire. The engine manufacturer had previously issued a mandatory service bulletin (MSB) requiring inspection of the gasket every 50 hours for evidence of gasket extrusion around the cover plate or oil leakage. Maintenance records revealed that the inspection had been conducted 18.3 hours prior to the accident. At the time of the accident, the right engine had accumulated 386.8 hours since its last overhaul, and gasket replacement. The MSB was issued one month prior to the accident, after the manufacturer received reports of certain oil filter converter plate gaskets extruding around the oil filter converter plate. The protruding or swelling of the gasket allowed oil to leak and spray from between the plate and the accessory housing. A series of tests were conducted on exemplar gaskets by submerging them in engine oil heated to 245 degrees F; after about 290 hours, the gasket material displayed signs of deterioration similar to that of the accident gasket. A subsequent investigation revealed that the engine manufacturer had recently changed gasket suppliers, which resulted in a shipment of gaskets getting into the supply chain that did not meet specifications. As a result of this accident, the engine manufacturer revised the MSB to require the replacement of the gasket every 50 hours. The FAA followed suit and issued an airworthiness directive to mandate the replacement of the gasket every 50 hours.

NTSB Probable Cause Narrative

Deterioration and failure of the oil filter converter plate gasket, which resulted in a loss of engine power and a subsequent in-flight fire.

Event Information

Type of Event Accident
Event Date 8/25/2000
Event Day of the Week Friday
Time of Event 1735
Event Time Zone Hawaii Standard Time
Event City Hilo
Event State HAWAII
Event Country --
Zipcode of the event site 96720
Event Date Year 2000
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 194300N
Event Location Longitude 1550200W
Event Location Airport Hilo International
Event Location Nearest Airport ID KOA
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 3.1
Degrees magnetic from airport 203
Airport Elevation 38
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1653 Hawaii Standard Time
Direction of event from weather observation facility (degrees) 123
Weather Observation Facility ID ITO
Elevation of weather observation facility 38
Distance of event from weather observation facility (units?) 3
Time Zone of the weather observation HST
Lighting Conditions Day
Lowest Ceiling Height 3400
Lowest Non-Ceiling Height 2300
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 26
Dew Point at event time (in degress fahrenheit) 21
Wind Direction (degrees magnetic) 80
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 12
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.08
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 1
Injury Total Minor 8
Injury Total None --
Injury Total Serious --
Injury Total All 9
Investigating Agency NTSB
NTSB Docket Number (internal use) 12986
NTSB Notification Source FAA
NTSB Notification Date Aug 25 2000 12:00AM
NTSB Notification Time 2050
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Apr 17 2003 10:23AM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N923BA
NTSB Number LAX00FA310
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed VFR
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire In-flight
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-31-350
Aircraft Series Identifier PA-31-350
Aircraft Serial Number 31-8252024
Certified Max Gross Weight 7000
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 10
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Aug 21 2000 12:00AM
Airframe hours since last inspection 18
Airframe Hours 3492.3
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Tom Beard
Aircraft Owner Street Address P.O. Box 1476
Aircraft Owner City Kailua-Kona
Aircraft Owner State HI
Aircraft Owner Country USA
Aircraft Owner Zipcode 96745
Operator is an individual? No
Operator Name Big Island Air, Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code BIAA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code KOA
Departure City Kailua-Kona
Departure State HI
Departure Country USA
Departure Time 1700
Departure Time Zone HST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code --
Destination City --
Destination State --
Destination Country --
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred Yes
Date of most recent change to record Jan 29 2003 4:24PM
User who most recently changed record COOS
Since inspection or accident Last Inspection
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight Yes
Air Medical Flight No
Medical Flight --