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Aviation safety reports, made easier to study

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October 26, 1995 · Great Lakes 2T-1A-2 · N3808F

Chandler, AZ

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
October 26, 1995
Injury Outcomes
No injuries (1 uninjured)
Location
Chandler, AZ
Aircraft
Great Lakes 2T-1A-2
Tail Number
N3808F
Injuries
None
Aircraft Damage
Substantial
NTSB Number
LAX96LA023

THE PILOT ELECTED TO MAKE AN OFF-AIRPORT LANDING DUE TO A ROUGH ENGINE, OIL ON THE WINDSHIELD, AND A RADIO REPORT THAT HIS AIRCRAFT WAS TRAILING SMOKE. DURING THE ROLLOUT ON A DIRT ROAD, THE AIRCRAFT STRUCK A DITCH AND NOSED OVER. EXAMINATION OF THE ENGINE REVEALED THAT AN INTAKE MANIFOLD SEAL WAS LEAKING AT THE ATTACHMENT TO THE #4 CYLINDER, AND THERE WAS A BURNED HOLE IN THE #4 PISTON. THE PROPELLER SHAFT SEAL HAD BEEN DISPLACED FORWARD ONTO THE ENGINE PROPELLER SHAFT, AND THE ENGINE OIL SUPPLY HAD BEEN VENTED OVERBOARD THROUGH THE ENGINE BREATHER AND AROUND THE PROPELLER SHAFT. THE ENGINE HAD BEEN OVERHAULED 11 HOURS PRIOR TO THE ACCIDENT.

NTSB Probable Cause

the improper installation of an intake manifold tube assembly during engine overhaul which permitted leakage into the induction system resulting in detonation and piston failure in the associated cylinder.

Full Narrative

On October 26, 1995, at 1610 hours mountain standard time, a Great Lakes 2T-1A-2, N3808F, nosed over while making a forced landing 4.5 miles southeast of Chandler Airport, Chandler, Arizona. The aircraft sustained substantial damage and the commercial pilot was not injured. The aircraft was operated by Chandler Air Service, Inc., and was rented by the pilot for a personal flight when the accident occurred. The local area flight originated from Chandler Airport at 1545. Visual meteorological conditions prevailed at the time and no flight plan had been filed. The pilot reported that the purpose of the flight was to practice an aerobatic sequence three or four times and return to Chandler. However, at completion of the first sequence he felt an abnormal vibration in the engine and terminated his practice. The engine rpm was 200 rpm low and could not be restored with the propeller control, and within a minute engine oil began to appear on the windshield. He turned toward Chandler when the pilot of a nearby aircraft radioed that he was trailing smoke. The pilot identified a suitable dirt road and decided to make a precautionary off-airport landing. During the landing rollout, the aircraft struck a ditch and nosed over. Examination of the aircraft revealed that the engine oil supply had vented overboard through the engine crankcase breather and the propeller shaft. There was engine oil on the exterior of the aircraft aft of the breather tube, and on the exterior of the engine aft of the propeller shaft. The propeller shaft seal was displaced from its normal position and was positioned onto the propeller shaft. The engine had been overhauled by the operator 11 hours prior to the accident. Disassembly of the engine by the operator following the accident revealed that the intake manifold tube flange and flange gasket (Lycoming part numbers 70485 and 71973) on the number four cylinder were leaking due to misalignment. A hole had burned through the number four piston. The hole was located in the perimeter of the piston around the rings and went through to the crankcase side of the piston in vicinity of the wrist pin.

Flight

Event TypeAccident
Event Time16:10 MST
Nearest Airport0nm
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftGreat Lakes 2T-1A-2
Tail NumberN3808F
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · AEIO-360-B1G6 · Reciprocating · 180
Seats2

People & Injuries

Injury SummaryNo injuries (1 uninjured)
Fatal0
Serious0
Minor0
Uninjured1
Total1
Crew 1Age 35 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind280° @ 4 kt
Visibility30 sm
CeilingNone
Temperature / Dew Point25 C
Altimeter29.00 inHg
Observation Time23:22
Weather SourceWFAC

Appendix: Source Data