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Aviation safety reports, made easier to study

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NTSB Report

June 30, 2019 · Beech C23 · N24580

Ludlow, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
June 30, 2019
Injury Outcomes
No injuries (2 uninjured)
Location
Ludlow, CA
Aircraft
Beech C23 (1972)
Tail Number
N24580
Operator
Tiger Capital
Injuries
None
Aircraft Damage
Substantial
NTSB Number
WPR19LA187

The pilot and the passenger departed on a cross-country flight. While at cruise, the pilot noted a faint smell of burning paint, followed by the oil pressure drop to zero and eventually experienced a complete loss of engine power. The pilot performed an emergency landing during which the airplane sustained substantial damage. A postaccident examination revealed there was no oil remaining in the engine, the AN hose fitting on the oil cooler was loose, and there was evidence of an oil leak in the area of the loose fitting. No other pre-impact mechanical anomalies were detected that could have precluded normal operations. The engine had been overhauled about 4 operating hours prior to the accident. The accident is consistent with maintenance personnel failing to properly tighten the oil hose fitting, which resulted in a total loss of engine power.

NTSB Probable Cause

Maintenance personnel’s failure to properly tighten an oil line fitting, which resulted in a total loss of engine power.

Full Narrative

On June 30, 2019, about 1134 Pacific daylight time, a Beechcraft C23 airplane, N24580, was substantially damaged when it was involved in an accident near Ludlow, California. The pilot and the passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot stated no anomalies were found during the preflight and 1 quart (qt) of oil was added for a total of 7.5+ qts.The pilot further stated that he was at cruise flight at 6,000 ft above ground level when he noted a faint smell of burning paint. Within 10 seconds, he observed the oil pressure drop to zero and the engine RPM decay to about 2,100. A couple of seconds later, the engine lost all power. The pilot subsequently performed an emergency landing. Upon impact with the terrain, the three-landing gear separated, the engine cowling was forced aft, and the firewall suffered deformation at the mounting points. Evidence of oil loss was visible on the lower left side of the fuselage. No oil appeared on the dipstick, which was properly secured. The engine was recently overhauled and had accumulated about 4 hours of operating time since returning to service. The engine was examined by a certified mechanic with oversight by a Federal Aviation Administration inspector at Chino, CA. The examination revealed that the AN hose fitting on the oil cooler was loose, and oil residue was present in the area of the fitting. No other pre-impact mechanical anomalies were detected that could have precluded normal operation.

Flight

Event TypeAccident
Event Time11:34 PDT
Nearest Airport0nm
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBeech C23
Tail NumberN24580
Aircraft CategoryAir
DamageSubstantial
OperatorTiger Capital
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O&VO-360 SER · Reciprocating · 180
Seats4

People & Injuries

Injury SummaryNo injuries (2 uninjured)
Fatal0
Serious0
Minor0
Uninjured2
Total2
Crew 1Age 55 · First Class · None
Crew 2None

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility10 sm
CeilingNone
Temperature / Dew Point10 C / 0 C
Altimeter30.00 inHg
Observation Time10:50
Weather SourcePILO

Appendix: Source Data