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Aviation safety reports, made easier to study

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NTSB Report

March 19, 1995 · Piper PA-28-181 · N4385M

Ann Arbor, MI

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
March 19, 1995
Injury Outcomes
1 injury (1 minor injury), 1 uninjured
Location
Ann Arbor, MI
Aircraft
Piper PA-28-181
Tail Number
N4385M
Operator
Ann Arbor Flyers
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
CHI95LA104

TEN MINUTES AFTER TAKEOFF THE OIL PRESSURE DROPPED TO ZERO AND THE PILOT ATTEMPTED TO RETURN TO THE AIRPORT. THE ENGINE BEGAN TO SEIZE, THE PILOT PULLED MIXTURE TO IDLE-CUTOFF, AND PERFORMED A FORCED LANDING IN A FIELD. THE NOSE WHEEL DUG INTO THE SOFT GROUND, AND THE AIRPLANE NOSED OVER. THE OIL DRAIN VALVE WAS FOUND IN THE OPEN POSITION, WITH FRESH OIL ON THE AIRPLANE. THE MECHANIC STATED HE HAD PLACED A PAPER PLUG IN THE DRAIN TO PREVENT DRIPS, AND FAILED TO CLOSE THE VALVE.

NTSB Probable Cause

the failure of the mechanic to close the drain valve after changing oil, resulting in complete loss of engine oil. A factor was the soft terrain, which resulted in the nose wheel digging in and the airplane nosing over.

Full Narrative

On March 19, 1995, at 1502 eastern standard time (EST), a Piper PA-28-181, N4385M, operated as a rental airplane by Ann Arbor Flyers, Incorporated, of Ann Arbor, Michigan, impacted in a level field two miles northwest of Ann Arbor Municipal Airport (ARB), and was substantially damaged. The private pilot was uninjured, and the passenger received minor injuries. No fire occurred. Visual meteorological conditions existed at the time of the accident, no flight plan was filed. The flight originated at 1445 EST, as a 14 CFR Part 91 local pleasure flight. The pilot reported that during her preflight, the engine was being recowled after a scheduled oil change. She reported that during her engine runup, all indications were normal, but during the initial climb, ten minutes after takeoff, oil pressure dropped to zero (0). During her precautionary return to ARB, the engine began to run rough, she selected an off airport field to land in, and secured the engine. During the forced landing in an uncultivated field, the nose wheel broke off and the airplane flipped over. The mechanic who had changed the oil stated "When draining was complete an external drain tube was removed without closing the valve. Then a paper plug was inserted in the valve to avoid drips inside the cowl from the 'closed' valve. This plug prevented what should have been obvious flow thru onto the floor at the time of refill." Post crash inspection revealed the engine oil quick drain in the open position, and the bottom of the airplane covered with engine oil.

Flight

Event TypeAccident
Event Time15:02 EST
Nearest Airport2nm NW
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftPiper PA-28-181
Tail NumberN4385M
Aircraft CategoryAir
DamageSubstantial
OperatorAnn Arbor Flyers
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O-360 · Reciprocating · 180
Seats4

People & Injuries

Injury Summary1 injury (1 minor injury), 1 uninjured
Fatal0
Serious0
Minor1
Uninjured1
Total2
Crew 1Age 32 · Third Class

Conditions

ConditionsVMC
LightDaylight
Wind170° @ 13 kt
Visibility10 sm
CeilingBroken clouds 6500 ft
Temperature / Dew Point54 / 36 C
Altimeter29.00 inHg
Observation Time19:58
Weather SourcePILO

Appendix: Source Data