N/A Airport
Aircraft Accident/Incident Report

Tipton, Pennsylvania 16684
Friday, May 18, 2012 16:20 EDT

NTSB Narrative Summary Released at Completion of Accident

The pilot stated that, during cruise flight, he noticed that the engine rpm began fluctuating and that, about 20 seconds later, the rpm dropped. The pilot immediately looked at the oil pressure gauge and observed that it was “reading zero.” He then declared an emergency with air traffic control, and a controller informed him that the nearest airport was 15 miles south of his location. He brought the engine back to idle to keep it from seizing in case power would be needed later to avoid terrain, which was primarily mountain ridges with hills and narrow valleys, and set the propeller to low rpm. The pilot realized that he could not make it to the nearest airport and chose to land on a road in an industrial park. The landing was uneventful, but, during the landing roll, the airplane was substantially damaged when the left wing struck a standpipe and the airplane subsequently nosed over. Examination of the engine revealed that a 1/2-inch metal oil line had fractured at the rocker’s scavenge oil tube adjacent to the coupling sleeve and nut. Further examination revealed that the metal oil line had failed in fatigue in the manufactured bend adjacent to the coupling sleeve, that it was at least 34 years old, and that it had probably been reused many times. The oil tube assembly also displayed a distinctive bend and compression at the bead end and a slight bend at the nut end that were not specified on the manufacturer’s drawings and were consistent with the oil tube assembly being significantly bent to fit on the engine. The manufactured bends also displayed oval cross-sections not specified in the drawings. The oval cross-sections may have been produced by the original manufacturing process but were likely produced by bending at each reuse, which would have initiated bending fatigue. Cracks propagating from the fracture face at the centerline of the tube were also present. Hardness testing revealed that the tubing at the fractured bend was harder than a sample of tubing that had not been subjected to any bending and that it exceeded the specified maximum hardness. This testing indicated that the increased hardness of the tubing in the bend had been produced by the original manufacturing process and/or by subsequent work hardening (that is, the undesirable strengthening of a metal such as copper by plastic deformation).

NTSB Probable Cause Narrative

A fatigue failure of a copper oil line, which resulted in a partial loss of engine power due to oil starvation.

Event Information

Type of Event Accident
Event Date 5/18/2012
Event Day of the Week Friday
Time of Event 1620
Event Time Zone Eastern Daylight Time
Event City Tipton
Event State PENNSYLVANIA
Event Country --
Zipcode of the event site 16684
Event Date Year 2012
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 403750N
Event Location Longitude 0781801W
Event Location Airport N/A
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 1653 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 225
Weather Observation Facility ID AOO
Elevation of weather observation facility 1503
Distance of event from weather observation facility (units?) 8
Time Zone of the weather observation EDT
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) 23
Dew Point at event time (in degress fahrenheit) 5
Wind Direction (degrees magnetic) --
Variable Wind Indicator Variable
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.15
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 1
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 32639
NTSB Notification Source Pennsylvania Emergency Managem
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Apr 30 2014 3:10PM
User who most recently changed record kenj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9859A
NTSB Number ERA12LA343
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 CESSNA
Aircraft Model 195A
Aircraft Series Identifier --
Aircraft Serial Number 7552
Certified Max Gross Weight 3350
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 5
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Apr 18 2012 12:00AM
Airframe hours since last inspection 2
Airframe Hours 4525
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name HALEM MICHAEL A
Aircraft Owner Street Address --
Aircraft Owner City NEW YORK
Aircraft Owner State NY
Aircraft Owner Country USA
Aircraft Owner Zipcode 10023-5941
Operator is an individual? Yes
Operator Name HALEM MICHAEL A
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City NEW YORK
Operator State NY
Operator Country USA
Operator Zip code 10023-5941
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 3N6
Departure City Old Bridge
Departure State NJ
Departure Country USA
Departure Time 1500
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code PJC
Destination City Zelienople
Destination State PA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 30 2014 3:10PM
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 --