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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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June 19, 1992 · Cessna 207 · N23CF

Quinhagak, AK

Overview

Report Status
Probable Cause
Event Type
Accident
Date
June 19, 1992
Injury Outcomes
No injuries (5 uninjured)
Location
Quinhagak, AK
Aircraft
Cessna 207
Tail Number
N23CF
Operator
Hageland Avn Services
Injuries
None
Aircraft Damage
Substantial
NTSB Number
ANC92LA095

JUST AFTER MAKING THE INITIAL TAKEOFF CLIMB POWER REDUCTION THE PILOT NOTICED THAT THE ENGINE OIL PRESSURE WAS INDICATING ZERO. BEFORE HE COULD LAND AT HIS DEPARTURE AIRPORT THE ENGINE SEIZED. AN OFF AIRPORT FORCED LANDING RESULTED IN SUBSTANTIAL DAMAGE TO THE AIRPLANE. THE ENGINE OIL FILTER ADAPTER HAD SEPARATED FROM THE OIL PUMP HOUSING, AND ALL ENGINE OIL WAS LOST. THE THREADS ON THE ADAPTER AND HOUSING WERE WORN AND DAMAGED. THE ADAPTER HAD LAST BEEN INSTALLED USING WATER PUMP PLIERS INSTEAD OF THE SPECIAL WRENCH AS PER THE CESSNA MAINTENANCE MANUAL.

NTSB Probable Cause

ENGINE FAILURE DUE TO TOTAL OIL LOSS. CONTRIBUTING TO THE ACCIDENT WERE THE SEPARATION OF THE OIL FILTER ADAPTER FROM THE OIL PUMP DUE TO IMPROPER MAINTENANCE PROCEDURES AND NON ADHERENCE TO RECOMMENDED DIRECTIVES BY COMPANY MAINTENANCE PERSONNEL, AND THE UNSUITABLE TERRAIN ON WHICH TO MAKE THE FORCED LANDING.

Full Narrative

JUST AFTER MAKING THE INITIAL TAKEOFF CLIMB POWER REDUCTION THE PILOT NOTICED THAT THE ENGINE OIL PRESSURE WAS INDICATING ZERO. BEFORE HE COULD LAND AT HIS DEPARTURE AIRPORT THE ENGINE SEIZED. AN OFF AIRPORT FORCED LANDING RESULTED IN SUBSTANTIAL DAMAGE TO THE AIRPLANE. THE ENGINE OIL FILTER ADAPTER HAD SEPARATED FROM THE OIL PUMP HOUSING, AND ALL ENGINE OIL WAS LOST. THE THREADS ON THE ADAPTER AND HOUSING WERE WORN AND DAMAGED. THE ADAPTER HAD LAST BEEN INSTALLED USING WATER PUMP PLIERS INSTEAD OF THE SPECIAL WRENCH AS PER THE CESSNA MAINTENANCE MANUAL.

Flight

Event TypeAccident
Event Time19:30 AKDT
Nearest AirportQuinhagak (1nm)
Runway22
Runway Length2600 ft
Runway Width50 ft
Flight Plan FiledCvfr
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna 207
Tail NumberN23CF
Aircraft CategoryAir
DamageSubstantial
OperatorHageland Avn Services
Operating RulePart 135
Engines1
Engine TypeReciprocating
Engine DetailsContinental · IO-520-F · Reciprocating · 300
Seats7

People & Injuries

Injury SummaryNo injuries (5 uninjured)
Fatal0
Serious0
Minor0
Uninjured5
Total5
Crew 1Age 47 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind150° @ 15 kt
Visibility30 sm
CeilingNone
Temperature / Dew Point55 / 0 C
Altimeter0
Weather SourcePILO

Appendix: Source Data