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NTSB Report

June 14, 2021 · Diamond DA20 C1 · N458MA

Matthews, VA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
June 14, 2021
Injury Outcomes
2 injuries (2 minor injuries)
Location
Matthews, VA
Aircraft
Diamond DA20 C1 (2005)
Tail Number
N458MA
Operator
American Aviation
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
ERA21LA250

Due to an active military operations area, the flight instructor and student pilot on a short cross-country instructional flight to an island were instructed by air traffic control to descend from 5,500 ft mean sea level (msl) to 2,500 ft msl. After the student pilot leveled the airplane at 2,500 ft msl, the engine shook violently and lost all power. The flight instructor took control of the airplane and realized that there was not enough altitude to glide to shore. The flight instructor then ditched the airplane near a fishing trawler where he and the student pilot were rescued. The wreckage was recovered about 2 weeks after the accident and examined at a recovery facility. Examination of the engine revealed that the oil sump drain plug was missing, and the Nos. 1 and 2 connecting rods were fractured in a manner consistent with oil starvation. Review of maintenance records revealed that the airplane’s most recent 100-hour inspection was completed 4 days and 9.3 operating hours before the accident. During an interview, the mechanic who performed the 100-hour inspection stated that he remembered draining the old oil, reinstalling the drain plug with a new gasket, torquing it per the maintenance manual, and securing it with safety wire. He did not remember anything abnormal or any interruptions during the work. Although the mechanic stated that he torqued and safety wired the drain plug, the findings of the investigation the accident suggest that the mechanic likely installed the plug finger-tight and forgot to secure it. Due to normal engine vibration, the plug unscrewed, and the engine oil drained out, which resulted in the total loss of engine power due to oil starvation.

NTSB Probable Cause

The mechanic’s failure to properly secure the oil sump drain plug during a 100-hour maintenance inspection, which resulted in a total loss of engine power due to oil starvation.

Full Narrative

On June 14, 2021, about 1230 eastern daylight time, a Diamond DA20-C1, N458MA, was substantially damaged when it was involved in an accident near Matthews, Virginia. The flight instructor and student pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The flight instructor reported that during preflight inspection, he added 1 quart of oil to the engine to bring the total quantity to 5 quarts. During a short cross-country flight to Tangier Island in the Chesapeake Bay, air traffic control instructed the flight to descend from 5,500 ft mean sea level (msl) to 2,500 ft msl, due to an active military operations area. After the student pilot leveled the airplane at 2,500 ft msl, the flight instructor noticed engine vibration and roughness that he initially corrected by advancing the throttle from 1,900 to 2,200 rpm; however, the engine subsequently shook “violently” followed by a total loss of engine power. The flight instructor took control of the airplane and realized that there was not enough altitude to glide to a shore. The flight instructor then ditched the airplane in the Chesapeake Bay near a fishing trawler where he and the student pilot were rescued. The wreckage was recovered about 2 weeks after the accident and examined at a recovery facility. Examination of the wreckage revealed that the right wing sustained substantial damage. Examination of the engine revealed that that oil sump drain plug was missing, and the Nos. 1 and 2 connecting rods were fractured in a manner consistent with oil starvation. Review of maintenance records revealed that the airplane’s most recent 100-hour inspection was completed 4 days and 9.3 operating hours before the accident. During an interview, the mechanic who performed the 100-hour inspection stated that he remembered draining the old oil, reinstalling the drain plug with a new gasket, torquing it per the maintenance manual, and securing it with safety wire. He did not remember anything abnormal or any interruptions during the work.

Flight

Event TypeAccident
Event Time12:30 EDT
Nearest Airport0nm
Flight Plan FiledVFR
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftDiamond DA20 C1
Tail NumberN458MA
Aircraft CategoryAir
DamageSubstantial
OperatorAmerican Aviation
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsContinental · IO-240-B · Reciprocating · 125
Seats2

People & Injuries

Injury Summary2 injuries (2 minor injuries)
Fatal0
Serious0
Minor2
Uninjured0
Total2
Crew 1Age 46 · Second Class · Minor
Crew 2Age 22 · None · Minor

Conditions

ConditionsVMC
LightDaylight
Wind260° @ 7 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point70 F
Altimeter29.85 inHg
Observation Time12:54
Weather SourceWFAC

Appendix: Source Data