Individually Owned: 150,657
Corporate Owned: 137,281
North Las Vegas Airport
Aircraft Accident/Incident Report
North Las Vegas, Nevada 89130
Saturday, May 19, 2001 10:32 PDT
NTSB Narrative Summary Released at Completion of Accident
The airplane collided with obstructions during a forced landing precipitated by a loss of engine power. In a radio exchange with the control tower, the pilot reported a total loss of oil pressure. The airplane had accrued about 1 hour of flight time since a owner-assisted annual inspection was accomplished during which the owner changed the oil and filter element. Post accident examination of the underside of the forward fuselage/engine compartment area revealed an oil filter element hanging free from the oil filter base by the installation safety wire and fresh oil on the underside of the fuselage. The airplane had a STC'd remote mounted oil filter base that used a screw on filter element. The installation location was in the aft engine compartment on the forward side of the firewall, requiring a blind insertion of the element by feel only onto the threaded shaft. The only way to see the element pad and threaded shaft is by mirror or by looking up through the right cowl flap with a light. Examination of the filter base revealed evidence of thread damage to the first complete thread in the bore. The first 5 or 6 threads of the shaft were damaged, also with a cross the thread appearance to the first 2 or 3 threads. Other threads were damaged and had the appearance of attempted file repair. Both ends of the shaft revealed internal damage to the bore of the shaft. During manufacture, the shaft is permanently factory installed to a depth about 5 threads with red Locktite and torqued into the base. No evidence of Locktite was noted on the shaft or in the base bore. According to the Aircraft Maintenance Technician and IA who approved the annual inspection, the pilot/owner had recently commented to him that other filter elements could be used besides the one specified for the system. The pilot reportedly told the mechanic that you could either unscrew the 3/4-16 shaft from the other elements or the ones without a shaft could be screwed onto the shaft in the base unit.
NTSB Probable Cause Narrative
The pilot/owner's failure to correctly install the oil filter, which resulted in oil exhaustion and a loss of engine power. Also causal was his attempt to modify the design of the oil filter element adapter by breaking the bond between the base and the threaded shaft, which resulted in a loss of torque during filter element installation.
Event Information
| Type of Event | Accident |
| Event Date | 5/19/2001 |
| Event Day of the Week | Saturday |
| Time of Event | 1032 |
| Event Time Zone | Pacific Daylight Time |
| Event City | NORTH LAS VEGAS |
| Event State | NEVADA |
| Event Country | -- |
| Zipcode of the event site | 89130 |
| Event Date Year | 2001 |
| Event Date Month | 5 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | 361242N |
| Event Location Longitude | 1151144W |
| Event Location Airport | North Las Vegas |
| Event Location Nearest Airport ID | VGT |
| Indicates whether the acc/inc occurred off or on an airport | Off Airport/Airstrip |
| Distance from airport in statute miles | 0.5 |
| Degrees magnetic from airport | 255 |
| Airport Elevation | 2203 |
| Weather Briefing Completeness | Not pertinent |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1056 Pacific Daylight Time |
| Direction of event from weather observation facility (degrees) | 255 |
| Weather Observation Facility ID | LAS |
| Elevation of weather observation facility | 2177 |
| Distance of event from weather observation facility (units?) | 1 |
| Time Zone of the weather observation | PDT |
| Lighting Conditions | Day |
| Lowest Ceiling Height | 15000 |
| Lowest Non-Ceiling Height | 10000 |
| 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) | 10 |
| Wind Direction (degrees magnetic) | -- |
| Variable Wind Indicator | -- |
| Wind Speed (knots) | -- |
| Wind Velocity Indicator | Calm |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 29.98 |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | -- |
| METAR weather report | -- |
| Event Highest Injury | Fatal |
| On Ground, Fatal Injuries | -- |
| On Ground, Minor Injuries | -- |
| On Ground, Serious Injuries | -- |
| Injury Total Fatal | 1 |
| Injury Total Minor | -- |
| Injury Total None | -- |
| Injury Total Serious | -- |
| Injury Total All | 1 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 14616 |
| NTSB Notification Source | FAA |
| NTSB Notification Date | May 19 2001 12:00AM |
| NTSB Notification Time | 1050 |
| Fiche Number and/or location -used to find docket information | DMS |
| Date of most recent change to record | Dec 30 2003 8:55AM |
| User who most recently changed record | NTSB\JOHB |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | WP-FSDO LAS VEGAS, NV |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N9820R |
| NTSB Number | LAX01FA186 |
| Missing Aircraft Indicator | -- |
| 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 | Beech |
| Aircraft Model | M35 |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | D-6364 |
| Certified Max Gross Weight | 2950 |
| 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 | Annual |
| Date of Last Inspection | May 4 2001 12:00AM |
| Airframe hours since last inspection | 1 |
| Airframe Hours | 4294 |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | FRANKLIN P. STREET |
| Aircraft Owner Street Address | -- |
| Aircraft Owner City | NORTH LAS VEGAS |
| Aircraft Owner State | NV |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 89030 |
| 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 | Yes |
| Departure Airport Code | VGT |
| Departure City | NORTH LAS VEGAS |
| Departure State | NV |
| Departure Country | USA |
| Departure Time | 1020 |
| Departure Time Zone | PDT |
| Destination Same as Local Flt | dest & departure same, accident can occur anywhere |
| Destination Airport Code | -- |
| Destination City | NORTH LAS VEGAS |
| Destination State | NV |
| Destination Country | USA |
| Specific Phase of Flight | Emergency landing |
| Report sent to ICAO? | No |
| Evacuation occurred | No |
| Date of most recent change to record | Oct 30 2003 6:22PM |
| User who most recently changed record | COOS |
| Since inspection or accident | Time of Accident |
| Event Location Runway Number and Location | 7 |
| Runway Length | 5004 |
| Runway Width | 75 |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |