Individually Owned: 150,657
Corporate Owned: 137,281
Aircraft Accident/Incident Report
Van Nuys, California 91406
Friday, November 17, 1989 15:00 PST
NTSB Narrative Summary Released at Completion of Accident
NEAR THE END OF THE FIRST FLIGHT FOLLOWING INSTALLATION OF AN OVERHAULED ENGINE, THE ENGINE SIEZED AFTER THE PILOT NOTICED A RAPID DROP IN OIL PRESSURE. AFTER THE ACCIDENT, THE LEFT SIDE LOWER EXTERIOR FUSELAGE WAS FOUND TO BE COVERED WITH FRESH OIL, WITH THE OIL SMEAR ORIGINATING NEAR THE OIL BREATHER LINE. THE ENGINE COWL BAFFLE SEALS WERE FOUND INSTALLED INCORRECTLY. LESS THAN 1 QUART OF OIL WAS FOUND IN THE ENGINE SUMP. ON THE EXTERNAL REAR SIDES OF THE #3 & #4 CYLINDER BARRELS, AN OVAL AREA OF HEAT DISTRESS WAS NOTED. THE CRANKSHAFT & PISTON RODS EXHIBITED PROGRESSIVE HEAT DISTRESS ON ALL ROD BEARINGS AND CRANKSHAFT JOURNALS, WITH THE #1 ROD EXHIBITING THE LEAST HEAT SIGNATURES & THE #4 THE MOST SEVERE. THE #3 ROD CAP WAS FOUND LOOSE IN THE ENGINE; EXAMINATION OF THE CAP BOLTS REVEALED SEVERE NECKING SIGNATURES AT THE POINT OF TENSION FAILURE. A MICROMETER WAS USED TO MEASURE THE CYLINDER BARRELS FOR ROUNDNESS. THE #3 CYL WAS FOUND TO BE OUTSIDE THE FACTORY SPEC BY .002 INCHES.
NTSB Probable Cause Narrative
THE INCORRECT INSTALLATION OF THE ENGINE COWL AND BAFFLE SEALS DURING THE INSTALLATION OF THE ENGINE FOLLOWING AN OVERHAUL.
Event Information
| Type of Event | Accident |
| Event Date | 11/17/1989 |
| Event Day of the Week | Friday |
| Time of Event | 1500 |
| Event Time Zone | Pacific Standard Time |
| Event City | VAN NUYS |
| Event State | CALIFORNIA |
| Event Country | -- |
| Zipcode of the event site | 91406 |
| Event Date Year | 1989 |
| Event Date Month | 11 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | |
| Event Location Longitude | |
| Event Location Airport | |
| Event Location Nearest Airport ID | |
| Indicates whether the acc/inc occurred off or on an airport | Off Airport/Airstrip |
| Distance from airport in statute miles | 0 |
| Degrees magnetic from airport | 0 |
| Airport Elevation | 0 |
| Weather Briefing Completeness | Unknown |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1505 Pacific Standard Time |
| Direction of event from weather observation facility (degrees) | 274 |
| Weather Observation Facility ID | VNY |
| Elevation of weather observation facility | 799 |
| Distance of event from weather observation facility (units?) | 1 |
| Time Zone of the weather observation | PST |
| Lighting Conditions | Day |
| Lowest Ceiling Height | 0 |
| Lowest Non-Ceiling Height | 0 |
| Sky/Lowest/Cloud Conditions | Partial Obscuration |
| Sky Condition for Lowest Ceiling | None |
| Visibility Runway Visual Range (Feet) | 0 |
| Visibility Runway Visual Value (Statute Miles) | 0 |
| Visibility (Statute Miles) | 5 |
| Air Temperature at event time (in degrees celsius) | -18 |
| Dew Point at event time (in degress fahrenheit) | -18 |
| Wind Direction (degrees magnetic) | 120 |
| Variable Wind Indicator | Unknown |
| Wind Speed (knots) | 8 |
| Wind Velocity Indicator | Unknown |
| Wind Gust Indicator | Unknown |
| Wind Gust (knots) | 0 |
| Altimeter Setting at event time (in. Hg) | -- |
| Density Altitude (feet) | 0 |
| Intensity of Precipitation | Unknown |
| 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 | 1 |
| Injury Total None | -- |
| Injury Total Serious | 1 |
| Injury Total All | 2 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 2264 |
| NTSB Notification Source | -- |
| NTSB Notification Date | Nov 17 1989 12:00AM |
| NTSB Notification Time | 1507 |
| Fiche Number and/or location -used to find docket information | 42164 |
| Date of most recent change to record | Dec 18 2002 11:28AM |
| User who most recently changed record | NTSB\GIUV |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N2069Q |
| NTSB Number | LAX90LA035 |
| Missing Aircraft Indicator | N |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | -- |
| Damage | Substantial |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | CESSNA |
| Aircraft Model | 177RG |
| Aircraft Series Identifier | 177RG |
| Aircraft Serial Number | 177RG0469 |
| Certified Max Gross Weight | 2800 |
| 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 | 4 |
| Number of Engines | 1 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | Unknown |
| Date of Last Inspection | -- |
| Airframe hours since last inspection | 0 |
| Airframe Hours | -- |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | Unknown |
| ELT Type | -- |
| Aircraft Owner Name | |
| Aircraft Owner Street Address | |
| Aircraft Owner City | |
| Aircraft Owner State | |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | |
| Operator is an individual? | -- |
| Operator Name | WILLIAM A. RYAN |
| Operator Same as Owner? | No |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | No |
| Operator Street Address | 381 CRANE BLVD. |
| Operator City | LOS ANGELES |
| Operator State | CA |
| Operator Country | |
| Operator Zip code | 90065 |
| Operator Code | |
| Owner has at least one certificate | None |
| Other Operator of large aircraft? | No |
| Certified for Part 133 or 137 Operation | Unknown |
| 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 | Yes |
| Departure Point Same as Event | Yes |
| Departure Airport Code | VNY |
| Departure City | |
| Departure State | |
| Departure Country | |
| Departure Time | 1400 |
| Departure Time Zone | PST |
| 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 | Landing |
| Report sent to ICAO? | -- |
| Evacuation occurred | -- |
| Date of most recent change to record | Jan 2 2001 10:30AM |
| User who most recently changed record | dbo |
| Since inspection or accident | -- |
| Event Location Runway Number and Location | 0 |
| Runway Length | 0 |
| Runway Width | 0 |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |