Aircraft Accident/Incident Report

Guistine, California 95322
Sunday, November 19, 2000 12:00 PST

NTSB Narrative Summary Released at Completion of Accident

The airplane nosed over during a forced landing after the pilot encountered smoke in the cockpit. Oil was spewing onto the windshield, the engine was losing oil pressure, and smoke was filling the cockpit. The pilot made an emergency landing on an abandoned dirt strip that was about 1,400 feet long. However, the airplane overran the runway into a ravine and overturned. Maintenance that had been completed the day before the accident included an oil change and replacement of the crankshaft nose seal; a run-up had revealed no oil leaks. The engine sustained no visible damage resulting from the forced landing, and visual examination revealed no evidence of catastrophic mechanical malfunction or fire. A significant amount of engine oil emanated from the nose cowling where the engine and propeller flange protruded. The oil film proceeded aft onto the windscreen as well as the horizontal and vertical stabilizers. The spark plugs, cylinder walls, valves, and pistons exhibited no mechanical damage. Oil lines within the engine compartment were secure on their fittings. The propeller governor was secure and not leaking. The oil filter and oil filter converter plate were properly installed and secure. There were no visible contaminates in the oil filter or suction screen. The propeller was removed, but there was no evidence of oil leakage at the propeller seal. The crankshaft oil seal was out of its bore and resting on the crankshaft. One oil ring was cracked, but no compression rings were broken. There was evidence of overheating from running lean. The breather hose had been mounted over the motor mount rather than under it. In this location the hose was pinched when the cowling was installed. This plugged the breather hose and pressurized the case, forcing oil out through the front seal.

NTSB Probable Cause Narrative

Maintenance personnel misrouted the crankcase breather hose so that it was pinched when the cowling was installed. This pressurized the crankcase displacing the oil seal and forcing oil out of the engine. A factor was the unsuitable terrain encountered during the forced landing.

Event Information

Type of Event Accident
Event Date 11/19/2000
Event Day of the Week Sunday
Time of Event 1200
Event Time Zone Pacific Standard Time
Event City GUISTINE
Event State CALIFORNIA
Event Country --
Zipcode of the event site 95322
Event Date Year 2000
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 311344N
Event Location Longitude 1212227W
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1150 Pacific Standard Time
Direction of event from weather observation facility (degrees) 93
Weather Observation Facility ID RHV
Elevation of weather observation facility 133
Distance of event from weather observation facility (units?) 22
Time Zone of the weather observation PST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 25000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 13
Dew Point at event time (in degress fahrenheit) 4
Wind Direction (degrees magnetic) 320
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Unknown
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None --
Injury Total Serious 1
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 12349
NTSB Notification Source FAA
NTSB Notification Date Nov 19 2000 12:00AM
NTSB Notification Time 1149
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Oct 24 2002 3:20PM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N540AK
NTSB Number LAX01LA045
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name COLLETTE
Aircraft Model GLASSAIR III
Aircraft Series Identifier GLASSAIR I
Aircraft Serial Number 3077
Certified Max Gross Weight 2500
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? Yes
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Nov 18 2000 12:00AM
Airframe hours since last inspection 2
Airframe Hours 700
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name MICHAEL K. SNOW
Aircraft Owner Street Address --
Aircraft Owner City CUPERTINO
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 95014
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
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 --
Owner has at least one certificate None
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code 3O1
Departure City GUISTINE
Departure State CA
Departure Country USA
Departure Time 1135
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code RHV
Destination City SAN JOSE
Destination State CA
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred No
Date of most recent change to record Aug 17 2002 12:41PM
User who most recently changed record COOS
Since inspection or accident Last Inspection
Event Location Runway Number and Location --
Runway Length 1400
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --