Aircraft Accident/Incident Report

Oceanside, California 92049
Monday, June 18, 2007 18:45 PDT

NTSB Narrative Summary Released at Completion of Accident

During the first flight after installation of an overhauled engine, overhauled propeller and overhauled propeller governor, the airplane's engine lost power, and the pilot made a forced landing on an interstate highway in a major metropolitan area. During the landing, the airplane's left wing struck a car. The pilot stated that he selected the highway as a landing area "as everything else was rooftops." Examination of the engine revealed an uncontained catastrophic failure of the number four connecting rod. There was significant heat distress at the number four connecting rod, and adjacent components consistent with lack of oil lubrication. The oil dipstick did not register any oil in the sump, and a significant oil film was on the firewall and belly. The propeller governor was found installed contrary to the engine manufacturer's Parts Catalog and Service Instructions. A single gasket was used to mount the governor instead of the required plate sandwiched between two gaskets. A clear and evident oil path was seen from the edge of the single gasket. The improper governor installation allowed engine oil to leak overboard, resulting in a loss of lubrication and failure of the number four connecting rod.

NTSB Probable Cause Narrative

The improper installation of the propeller governor (gasket) by maintenance personnel, which resulted in a oil exhaustion induced total loss of engine power. Contributing to the accident was the lack of suitable terrain for the forced landing.

Event Information

Type of Event Accident
Event Date 6/18/2007
Event Day of the Week Monday
Time of Event 1845
Event Time Zone Pacific Daylight Time
Event City Oceanside
Event State CALIFORNIA
Event Country --
Zipcode of the event site 92049
Event Date Year 2007
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 331055N
Event Location Longitude 1171816W
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 --
Degrees magnetic from airport --
Airport Elevation --
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 None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 18
Dew Point at event time (in degress fahrenheit) 15
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator Light and Variable
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.89
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries --
On Ground, Minor Injuries 1
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 1
Injury Total None 1
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 23591
NTSB Notification Source FAA ROC
NTSB Notification Date Jun 18 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record May 28 2008 12:03PM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office San Diego FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N2144Q
NTSB Number SEA07LA172
Missing Aircraft Indicator --
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 --
Aircraft Serial Number 177RG0544
Certified Max Gross Weight 2800
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 Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jun 1 2007 12:00AM
Airframe hours since last inspection 1
Airframe Hours 2084
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Global Business Resource Inc.
Aircraft Owner Street Address 2551 State St, Suite 226
Aircraft Owner City Carlsbad
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 92008
Operator is an individual? Yes
Operator Name Ramon Campbell
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Carlsbad
Operator State CA
Operator Country USA
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 CRQ
Departure City Carlsbad
Departure State CA
Departure Country USA
Departure Time 1735
Departure Time Zone PDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code CRQ
Destination City --
Destination State --
Destination Country --
Specific Phase of Flight Emergency landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 30 2008 3:01PM
User who most recently changed record STAM
Since inspection or accident Last Inspection
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --