37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 335505 |
Time | |
Date | 199605 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : 0s8 |
State Reference | WA |
Altitude | msl bound lower : 3000 msl bound upper : 3000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : lga |
Operator | general aviation : instructional |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise other other |
Flight Plan | VFR |
Person 1 | |
Affiliation | Other |
Function | instruction : instructor |
Qualification | pilot : cfi |
Experience | flight time last 90 days : 80 flight time total : 440 flight time type : 350 |
ASRS Report | 335505 |
Person 2 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : student |
Events | |
Anomaly | aircraft equipment problem : critical other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | other |
Consequence | other |
Supplementary | |
Air Traffic Incident | other |
Narrative:
An airplane was scheduled for a flight at XX30. At XY00 when we went to preflight the plane we found it in the maintenance hangar with the cowling off. A mechanic #2 working on another plane said mechanic #1 had left part way through an oil change 45 mins prior. Mechanic #2 stated he did not want to finish the job because he did not want to assume what mechanic #1 had or hadn't done. The owner however, stated it was an oil change and mechanic #2 should just finish it. Mechanic #2 finished it after receiving a message from #1 that it was just an oil change, and then performed a run-up to check for oil leaks. After this he said the plane was ready to go. My student and I departed on our cross country flight after an uneventful run-up. Approximately 5 mins into the flight while the student was opening the flight plan, I noticed oil on the windshield and the cowling. I immediately canceled the flight plan and notified the FSS we were returning to the departure airport for a precautionary landing due to a major oil leak. At this time the engine still had oil pressure. I called the departure airport and stated we were returning to the airport for a precautionary landing because of an oil leak. I then looked at the oil pressure again and it was at zero. I made another call to the departure airport and stated that we had lost oil pressure and would be landing at port orchard which is a private closed airport. After maneuvering to avoid debris and potholes on the runway during and after touchdowns, I shut the aircraft down. It was then discovered that a line to the oil cooler had not been properly tightened and all of the engine oil had leaked out. I feel the lack of proper communication between mechanics and lack of checking the tightness of all oil-related fittings is what caused this occurrence. Another contributing factor was the insistence by the owner that mechanic #2 finish the job even though he did not want to.
Original NASA ASRS Text
Title: INSTRUCTOR PLT RPT REGARDING EMER LNDG DUE TO OIL LINE NOT CONNECTED PROPERLY.
Narrative: AN AIRPLANE WAS SCHEDULED FOR A FLT AT XX30. AT XY00 WHEN WE WENT TO PREFLT THE PLANE WE FOUND IT IN THE MAINT HANGAR WITH THE COWLING OFF. A MECH #2 WORKING ON ANOTHER PLANE SAID MECH #1 HAD LEFT PART WAY THROUGH AN OIL CHANGE 45 MINS PRIOR. MECH #2 STATED HE DID NOT WANT TO FINISH THE JOB BECAUSE HE DID NOT WANT TO ASSUME WHAT MECH #1 HAD OR HADN'T DONE. THE OWNER HOWEVER, STATED IT WAS AN OIL CHANGE AND MECH #2 SHOULD JUST FINISH IT. MECH #2 FINISHED IT AFTER RECEIVING A MESSAGE FROM #1 THAT IT WAS JUST AN OIL CHANGE, AND THEN PERFORMED A RUN-UP TO CHK FOR OIL LEAKS. AFTER THIS HE SAID THE PLANE WAS READY TO GO. MY STUDENT AND I DEPARTED ON OUR XCOUNTRY FLT AFTER AN UNEVENTFUL RUN-UP. APPROX 5 MINS INTO THE FLT WHILE THE STUDENT WAS OPENING THE FLT PLAN, I NOTICED OIL ON THE WINDSHIELD AND THE COWLING. I IMMEDIATELY CANCELED THE FLT PLAN AND NOTIFIED THE FSS WE WERE RETURNING TO THE DEP ARPT FOR A PRECAUTIONARY LNDG DUE TO A MAJOR OIL LEAK. AT THIS TIME THE ENG STILL HAD OIL PRESSURE. I CALLED THE DEP ARPT AND STATED WE WERE RETURNING TO THE ARPT FOR A PRECAUTIONARY LNDG BECAUSE OF AN OIL LEAK. I THEN LOOKED AT THE OIL PRESSURE AGAIN AND IT WAS AT ZERO. I MADE ANOTHER CALL TO THE DEP ARPT AND STATED THAT WE HAD LOST OIL PRESSURE AND WOULD BE LNDG AT PORT ORCHARD WHICH IS A PVT CLOSED ARPT. AFTER MANEUVERING TO AVOID DEBRIS AND POTHOLES ON THE RWY DURING AND AFTER TOUCHDOWNS, I SHUT THE ACFT DOWN. IT WAS THEN DISCOVERED THAT A LINE TO THE OIL COOLER HAD NOT BEEN PROPERLY TIGHTENED AND ALL OF THE ENG OIL HAD LEAKED OUT. I FEEL THE LACK OF PROPER COM BTWN MECHS AND LACK OF CHKING THE TIGHTNESS OF ALL OIL-RELATED FITTINGS IS WHAT CAUSED THIS OCCURRENCE. ANOTHER CONTRIBUTING FACTOR WAS THE INSISTENCE BY THE OWNER THAT MECH #2 FINISH THE JOB EVEN THOUGH HE DID NOT WANT TO.
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.