Pilot Debrief

BEECH K35 near Hammond, LA — 2021-10-28

Final reportCEN22LA037
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Date
2021-10-28
Location
Hammond, LA, USA
Airport
HDC
Aircraft
BEECH K35
Registration
N899RW
Category
Airplane
Highest injury
None
Fatalities
0
Phase of flight
Descent

Probable cause

A complete loss of engine power due to oil starvation as a result of the oil filter safety wire fracturing and the oil filter becoming loose in flight for a reason that could not be determined given the evidence available during the investigation.

NTSB narrative

The pilot reported that while on approach to the airport, smoke filled the cockpit and the oil pressure gauge indicated zero. Unable to make the runway, the pilot declared an emergency and turned toward a nearby interstate. During descent, the engine lost total power. The airplane touched down between traffic, and as the airplane slowed, the right wing struck a truck. The airplane swerved off the pavement and it came to rest nose down in the median. During an on-scene examination, oil was observed along the bottom and right side of the airplane. The engine cowling was removed, and oil was noted inside the cowling and on the engine components near the oil filter. The oil filter safety wire was fractured and separated allowing the oil filter to rotate freely when turned by hand. The pilot who was not a licensed mechanic performed his own oil and oil filter changes on this airplane. When asked about safety wire and how to apply it, he said he was unaware of specific safety wire guidance, he “just installed it.” It was evident that the loss of engine power resulted due to oil starvation as a result of the loose oil filter. Given the available evidence it it could not be determined why the oil filter safety wire fractured or if it was properly installed.

Analysis

Primary failure mode
Mechanical failure
First missed decision gate
Pilot could have sought assistance for maintenance guidance before performing oil change.

NTSB coding

Evidence available

  • Photos
  • 4 docket documents
View NTSB final reportView NTSB docket

Docket documents4

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