CEN14CA106
2014-01-08 · Pagosa Springs, Colorado, United States · Minor · 1 aircraft · Status: Completed
Airport PSO
Aircraft involved
Probable cause & findings
The pilot's inadequate preflight inspection which led to a loss of oil pressure and partial loss of engine power on takeoff. Contributing to the accident was the pilot's failure to check the security of the oil filler cap prior to the flight.
Factual narrative
The private pilot and his two passengers departed on a local pleasure flight. Right after takeoff, engine oil covered the windscreen and the engine began to lose power. According to a video of the accident, the pilot made a tear-drop turn in an attempt to land on the opposite runway. The airplane lost altitude during the turn and the pilot overshot the runway. The pilot said that as he crossed over the runway, he reduced power to idle and tuned the master switch off. The airplane descended quickly and landed adjacent to the runway in packed snow. The airplane landed hard on the main landing gear and with the right wing low before it slid for about 300 feet resulting in substantial damage to the fuselage and right wing. The landing gear, right flap, left wing tip, and all three propeller blades were also damaged. Postaccident examination of the engine revealed the oil filler cap was not secured to the oil filler neck. The pilot said this was the first flight after the oil had been changed by a maintenance facility. He did not check the oil filler cap before the flight because it was not required per the Federal Aviation Administration (FAA) approved preflight inspection checklist. The private pilot and his two passengers departed on a local pleasure flight. Right after takeoff, engine oil covered the windscreen and the engine began to lose power. According to a video of the accident, the pilot made a tear-drop turn in an attempt to land on the opposite runway. The airplane lost altitude during the turn and the pilot overshot the runway. The pilot said that as he crossed over the runway, he reduced power to idle. As the pilot attempted to turn back toward the runway, he turned off the master switch. The airplane descended quickly and landed adjacent to the runway in packed snow. The airplane landed hard on the main landing gear and with the right wing low before it slid for about 300 feet resulting in substantial damage to the fuselage and right wing. The landing gear, right flap, left wing tip, and all three propeller blades were also damaged. Postaccident examination of the engine revealed the oil filler cap was not secured to the oil filler neck. The pilot said this was the first flight after the oil had been changed by a maintenance facility. He did not check the oil filler cap before the flight because it was not required per the Federal Aviation Administration (FAA) approved preflight inspection checklist. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Personnel issues-Task performance-Inspection-Preflight inspection-Pilot - C
- F Aircraft-Aircraft power plant-Eng oil sys (airframe furnish)-Oil storage (airframe furnish)-Inadequate inspection - F
Verbatim from NTSB's published report. Source file
NTSB_2014_CEN14CA106.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (maintenance). All research papers
- 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…
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- 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.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER) A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER) Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…