Individually Owned: 150,657
Corporate Owned: 137,281
Seward Airport
Aircraft Accident/Incident Report
Seward, Alaska 99644
Sunday, August 15, 2004 13:23 AKD
NTSB Narrative Summary Released at Completion of Accident
The private pilot, with two passengers, was flying one of two wheel-equipped airplanes en route to a remote beach site. The route of flight was over ocean waters, flanked by steep vertical cliffs to the waters edge. After passing over the last suitable landing site, an airport about 12 miles north, the accident pilot reported to the pilot of the second airplane that he had a severe engine oil leak, and was retuning to the airport. The pilot reported that once the oil stopped leaking, about 3 miles from the airport, the engine began to vibrate so violently that he thought the engine was going to be torn from its mounts, and he shut the engine off. He said he turned the airplane in an attempt to glide to the nearest beach, but he was unable to reach the beach, and was forced to ditch the airplane about 300 yards from shore. When the airplane's main landing gear wheels touched the water, it nosed over abruptly, and the cabin rapidly filled with water. The pilot said he struggled to free himself and the passengers from their seat belts, while upside-down, and submerged in cold ocean water. Once he was free, he swam to the rear of the airplane, kicked out one of the aft windows, swam to the surface, and summoned help. Rescue personnel discovered the two passengers still restrained within their seats. A postaccident examination of the engine revealed that a hex head plug at the front of the engine, in front of the propeller governor idler gear shaft, was missing, allowing engine oil under pressure to flow overboard. Additionally, the propeller governor idler gear shaft setscrew was loose, and the idler gear shaft was missing. There was no evidence that the hex head plug had been safety wired as required at the last engine overhaul, 299.6 service hours prior to the accident. According to the owner/pilot, he and a friend assembled the overhauled components of the accident engine in the pilot/owner's home-based shop. He said that that all work was accomplished in accordance with Textron Lycoming technical data. The pilot/owner did not possess an aviation mechanic's certificate. The pilot/owner reported that his friend, who owned and operated an aircraft maintenance facility, was supervising his work during the engine overhaul. A review of the engine logbooks revealed that the overhaul was certified by the pilot/owners friend, who also possessed inspector authority (IA).
NTSB Probable Cause Narrative
The failure of an aviation mechanic/inspector to adequately inspect the pilot/owner's work during the engine overhaul, which resulted in a loss of engine oil and engine power during cruise flight, and a subsequent ditching. Factors associated with the accident were the inadequate installation of the idler gear shaft setscrew, and the lack of a safety wire on the three-quarter inch hex head (oil) plug in front of the idler gear shaft. Additional factors associated with the accident were the lack of suitable terrain for a forced landing, and ocean water.
Event Information
| Type of Event | Accident |
| Event Date | 8/15/2004 |
| Event Day of the Week | Sunday |
| Time of Event | 1323 |
| Event Time Zone | -- |
| Event City | Seward |
| Event State | ALASKA |
| Event Country | -- |
| Zipcode of the event site | 99644 |
| Event Date Year | 2004 |
| Event Date Month | 8 |
| MidAir Collision Indicator | -- |
| On Ground Collision occurred ? | -- |
| Event Location Latitude | 600700N |
| Event Location Longitude | 1492513W |
| Event Location Airport | Seward |
| Event Location Nearest Airport ID | SWD |
| Indicates whether the acc/inc occurred off or on an airport | Off Airport/Airstrip |
| Distance from airport in statute miles | 1 |
| Degrees magnetic from airport | -- |
| Airport Elevation | 22 |
| Weather Briefing Completeness | -- |
| Investigator's weather source | Pilot |
| Time of the weather observation | |
| Direction of event from weather observation facility (degrees) | -- |
| Weather Observation Facility ID | -- |
| Elevation of weather observation facility | -- |
| Distance of event from weather observation facility (units?) | -- |
| Time Zone of the weather observation | -- |
| Lighting Conditions | Day |
| Lowest Ceiling Height | -- |
| Lowest Non-Ceiling Height | -- |
| Sky/Lowest/Cloud Conditions | Clear |
| Sky Condition for Lowest Ceiling | -- |
| Visibility Runway Visual Range (Feet) | -- |
| Visibility Runway Visual Value (Statute Miles) | -- |
| Visibility (Statute Miles) | 50 |
| Air Temperature at event time (in degrees celsius) | 24 |
| Dew Point at event time (in degress fahrenheit) | -- |
| Wind Direction (degrees magnetic) | -- |
| Variable Wind Indicator | -- |
| Wind Speed (knots) | -- |
| Wind Velocity Indicator | Calm |
| Wind Gust Indicator | Unknown |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | -- |
| 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 | 2 |
| Injury Total Minor | 1 |
| Injury Total None | -- |
| Injury Total Serious | -- |
| Injury Total All | 3 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 18545 |
| NTSB Notification Source | ANC ROC |
| NTSB Notification Date | Aug 15 2004 12:00AM |
| NTSB Notification Time | 1330 |
| Fiche Number and/or location -used to find docket information | DMS |
| Date of most recent change to record | Sep 13 2005 12:54PM |
| User who most recently changed record | NTSB\JOHB |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | Anchorage FSDO |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N6194M |
| NTSB Number | ANC04FA092 |
| Missing Aircraft Indicator | -- |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | Yes |
| Damage | Substantial |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Maule |
| Aircraft Model | M-5-235C |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | 7187C |
| Certified Max Gross Weight | 2350 |
| Aircraft Category | Airplane |
| Aircraft Registration Class | -- |
| 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 | Fixed |
| Aircraft, Type of Last Inspection | Annual |
| Date of Last Inspection | Aug 1 2003 12:00AM |
| Airframe hours since last inspection | 99.6 |
| Airframe Hours | 2042.6 |
| ELT Installed | Yes |
| ELT Activated | Yes |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | David A. Arend |
| Aircraft Owner Street Address | -- |
| Aircraft Owner City | Eagle River |
| Aircraft Owner State | AK |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 99577 |
| 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 | BCV |
| Departure City | Chugiak |
| Departure State | AK |
| Departure Country | USA |
| Departure Time | 1230 |
| Departure Time Zone | ADT |
| Destination Same as Local Flt | -- |
| Destination Airport Code | SWD |
| Destination City | Seward |
| Destination State | AK |
| Destination Country | USA |
| Specific Phase of Flight | Emergency landing |
| Report sent to ICAO? | No |
| Evacuation occurred | No |
| Date of most recent change to record | Jun 28 2005 7:58PM |
| User who most recently changed record | LABJ |
| Since inspection or accident | Time of Accident |
| Event Location Runway Number and Location | -- |
| Runway Length | -- |
| Runway Width | -- |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |