NTSB CAROL · Event
Event BFO94LA044
Registry · N100DF
FAA Aircraft Registry record.
Make / Model
VAN'S AIRCRAFT RV-4
Year of manufacture
2008
Engine
LYCOMING O-320-E2A (150 hp)
Seats / Engines
2 seats · 1 engine
Last airworthiness date
20080719
ADS-B equipped
Yes — Mode-S A00505
Registrant of record
FISHER CHARLTON DRU
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
IMPROPER ENGINE MAINTENANCE BY THE OPERATOR RESULTING IN OIL EXHAUSTION AND SUBSEQUENT INTERNAL ENGINE DAMAGE.
Factual narrative
On February 19, 1994, about 1421 hours eastern standard time, a Cessna 172, N100DF, operated by the Maine Flight Center, Pittsfield, Maine, nosed over during landing roll at the termination of a forced landing near East Newport, Maine. The airplane was substantially damaged. The forced landing was precipitated by a loss of engine power during cruise flight. The certificated private pilot and his two passengers were not injured. Visual meteorological conditions prevailed and a flight plan was not filed. The personal flight originated from Bangor, Maine, about 1400 hours, and was conducted under 14 CFR 91. The pilot stated that he departed from Pittsfield, Maine, earlier in the day on a cross country flight. One quart of oil was placed into the engine prior to departure. Later during the flight, after about 3.5 hours of flight time, the pilot diverted to Bangor, Maine, because of low oil pressure and high oil temperature indications. After arriving in Bangor, the pilot requested oil for the airplane and a mechanic to inspect it. Four quarts of oil were placed into the engine and no maintenance was performed. The pilot examined the ground and the underside of the airplane and found no visible leaks. The mechanic told the pilot that "...low oil was normal on 172s." Deciding to continue the flight, the pilot started the engine, ran it up and determined that engine operation was "normal." He then departed Bangor en route to Pittsfield. About three minutes after reaching a cruising altitude of 4,500 feet mean sea level (msl), the engine temperature again rose rapidly with a concurrent drop in oil pressure. About one minute later, the engine seized. The pilot performed a forced landing into a soft, muddy field. The airplane nosed over onto its back during landing rollout. An examination of the airplane by an FAA aviation safety inspector revealed substantial damage to both wings and the fuselage. A hole about one inch in diameter was found in the engine crankcase near the no. 4 cylinder. The no. 4 connecting rod was fractured. The engine was disassembled and inspected by the FAA inspector on March 1, 1994, at the airport in Pittsfield. A report of the inspection is attached. According to the report: ...it was noted that this engine had experienced extensive wear to the piston pin plugs; (some were egg shaped), one was broken, the piston pin boss holes were badly worn, two lobes on the camshaft were severely pitted and the crankshaft bearings were worn considerably. The oil pump gears were virtually impossible to rotate by hand (gear striking the housing, which did not appear to be accident related) and the housing had considerable wear. Most noteworthy, during the investigation, was that an unauthorized piece of sheet metal had been installed on the front of the right rear engine baffle to block the flow of cooling air to the engine oil cooler.... No explanation ...can be given as to why the oil temperature did not "peg" flying many hours with the oil cooler air flow blocked, especially on a 45-degree day. A review of the engine maintenance logbook revealed that the engine had logged a total of 3153.3 hours without ever receiving a major or top overhaul. The FAA inspector stated, "...cause of this engine failure ...was due to high engine time ...resulting in excessive wear of internal parts." THE FLIGHT HAD DEPARTED PITTSFIELD EARLIER IN THE DAY ON A CROSS-COUNTRY FLIGHT. AFTER ABOUT 3-1/2 HRS OF FLIGHT, THE PILOT DIVERTED TO BANGOR BECAUSE OF HIGH OIL TEMP AND LOW OIL PRESS INDICATIONS. FOUR QUARTS OF OIL WERE PUT IN THE ENGINE, AND NO MAINTENANCE WAS PERFORMED. NO OIL LEAKS WERE VISIBLE. SOON AFTER TAKEOFF THE ENGINE SEIZED. A FORCED LANDING WAS MADE IN A SOFT FIELD, AND THE AIRPLANE NOSED OVER. EXAMINATION OF THE ENGINE REVEALED THAT THE #4 CONNECTING ROD HAD FRACTURED. NO OIL WAS FOUND IN THE ENGINE, AND THE ENGINE COMPONENTS WERE SEVERELY WORN. EXAMINATION OF THE LOGBOOKS REVEALED THAT THE ENGINE HAD ACCUMULATED OVER 3,153 HRS OF OPERATING TIME, AND HAD NEVER BEEN OVERHAULED. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1994_BFO94LA044.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall, engine failure, maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- NASA NTRS 2019 · Conference Paper
Crash Testing and Simulation of a Cessna 172 Aircraft: Pitch Down Impact Onto Soft Soil
During the summer of 2015, NASA Langley Research Center conducted three full-scale crash tests of Cessna 172 (C-172) aircraft at the NASA Langley Landing and Impact Research (LandIR) Facility.
- NASA NTRS 2019 · Technical Memorandum (TM)
Simulating the Impact Response of Three Full-Scale Crash Tests of Cessna 172 Aircraft
During the summer of 2015, a series of three full-scale crash tests were performed at the Landing and Impact Research Facility located at NASA Langley Research Center of Cessna 172 aircraft.
- Embry-Riddle Scholarly Commons 2023 · Conference paper
The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- NASA NTRS 2026 · Conference Paper
Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Semantic Scholar 2025 · Article (Applied Sciences)
Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
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