Aircraft Accident/Incident Report

Hunting Island, South Carolina 29448
Wednesday, December 23, 2009 15:32 EST

NTSB Narrative Summary Released at Completion of Accident

While maneuvering as part of a formation flight, the pilot noticed that the electronic instruments were dimming and that the oil pressure gauge indicated zero. About 10 seconds later, the engine seized and the pilot performed a forced landing on a dirt road. The airplane incurred substantial damage during landing when it veered into a ditch. A postaccident examination of the engine revealed that the No.1 cylinder's connecting rod was protruding through the top of the engine case. Upon removal of the engine cowling, the brass B-nut was found separated from the oil cooler fitting. There was no apparent damage to the threads on the inside of the nut and no damage on the outside of the fitting. Oil was present in the oil sump and on the oil dipstick. The engine had a dry sump forced lubrication system. The oil pump extracts the oil from the oil tank via the oil cooler and forces it through the oil filter to the engine. According to notations found in the airplane's maintenance logbook, the engine's oil had been changed 1.6 flight hours prior to the accident. According to the owner, maintenance personnel did not touch the oil cooler or fittings during the oil change service. The engine manufacturer’s Service Instructions manual had a warning associated with servicing and purging of the oil system. The warning stated that maintenance personnel should carefully check all lubrication system connections, lines and clamps for leaks and security.

NTSB Probable Cause Narrative

Maintenance personnel's inadequate inspection of the oil system's fittings during a routine oil servicing, which resulted in oil starvation due to a loose and/or detached oil line B-nut fitting that led to the engine seizing while in flight.

Event Information

Type of Event Accident
Event Date 12/23/2009
Event Day of the Week Wednesday
Time of Event 1532
Event Time Zone Eastern Standard Time
Event City Hunting Island
Event State SOUTH CAROLINA
Event Country --
Zipcode of the event site 29448
Event Date Year 2009
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 320521N
Event Location Longitude 0805735W
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 Weather Observation Facility
Time of the weather observation 1553 Eastern Standard Time
Direction of event from weather observation facility (degrees) 281
Weather Observation Facility ID SAV
Elevation of weather observation facility 50
Distance of event from weather observation facility (units?) 12
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 21000
Lowest Non-Ceiling Height 21000
Sky/Lowest/Cloud Conditions Thin Overcast
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 12
Dew Point at event time (in degress fahrenheit) 3
Wind Direction (degrees magnetic) 80
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.2
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 2
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 28306
NTSB Notification Source FAA Southern Region C-ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jul 18 2011 7:38AM
User who most recently changed record rows
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N721FP
NTSB Number ERA10LA100
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 FPNA LLC
Aircraft Model A-22 Valor
Aircraft Series Identifier --
Aircraft Serial Number 263
Certified Max Gross Weight 1199
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 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Nov 4 2009 12:00AM
Airframe hours since last inspection 22
Airframe Hours 463
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type C91-A
Aircraft Owner Name FPNA LLC
Aircraft Owner Street Address --
Aircraft Owner City Palm Harbor
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 34682
Operator is an individual? No
Operator Name Costal Empire Flight Training Academy LLC
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Beufort
Operator State SC
Operator Country USA
Operator Zip code 29907
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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) Instructional
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code SAV
Departure City Savannah
Departure State GA
Departure Country USA
Departure Time 1510
Departure Time Zone EST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code SAV
Destination City Savannah
Destination State GA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 29 2011 9:56AM
User who most recently changed record kenj
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --