CEN19LA159
2019-05-30 · Cleburne, Texas, United States · None · 1 aircraft · Status: Completed
Current FAA registration · N2514F
- Make / Model
- LANCAIR LC41-550FG
- Year of manufacture
- 2005 · 14 years old at event
- Engine
- CONT MOTOR TSIO-550 SER (280 hp)
- Seats / Engines
- 4 seats · 1 engine
- Last airworthiness date
- 20050630
- ADS-B equipped
- Yes — Mode-S A25E1F
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
A total loss of engine power due to oil starvation as the result of the oil pressure switch failure due to a manufacturing defect.
Factual narrative
On May 30, 2019, about 1100 central daylight time, a Lancair LC41 airplane, N2514F, conducted a forced landing near the Cleburne Regional Airport (CPT), Cleburne, Texas. The pilot was not injured, and the airplane sustained substantial damage. The airplane was registered to and operated by Van Bortel Aircraft, Inc under the provisions of Title 14 Code of Federal Regulations Part 91 as a maintenance test flight. Visual meteorological conditions prevailed for the local flight at the time of the accident. The flight was conducted to break-in the engine's No. 5 cylinder, which had just been replaced. During the flight, the pilot noticed the oil pressure warning light illuminate, followed by a low oil temperature indication. The pilot attempted to divert to CPT; however, the engine experienced a loss of power and he conducted a forced landing. During the landing, the airplane collided with trees and came to rest upright and partly submerged in a small pond about one mile from CPT. Inspection of the airplane revealed substantial damage to the wings, and water submersion damage to the airplane. The airplane's Hobbs meter read 1,090.1 hours. The airplane was recovered to a secure facility for further examination. The examination was conducted by the NTSB Investigator-in-Charge, a representative from Van Bortel Aircraft, and technical representatives from the engine and airframe manufacturers. The examination noted the engine case had a hole above the No. 4 cylinder, and when the propeller was rotated by hand, the engine had limited rotation and internal binding was noted. A light, oil film was noted on the bottom of the airplane. The exam also found an oil pressure switch separated in two pieces. The threaded section remained to its mating joint; the other section rested on an exhaust tube and attached by its wire connector as seen in Figure 1. Figure 1: Oil Pressure Switch Photo Continental A visual inspection of the switch noted that the switch had separated at a manufacturing joint between the body and threaded section. The switch was removed and sent to Textron Aviation, Inc, Materials Laboratory for a detailed examination of the switch. Textron's examination noted the switch failed at the swaged joint between the threaded section and the base cap section of the switch. The examination was not able to determine how the joint failed, since there were no physical indications as to how the swaged joint failed. The pilot departed on a maintenance test flight in the airplane to break in an engine cylinder, which had just been replaced. During the flight, the pilot noticed an oil pressure warning light illuminate, followed by a low oil temperature indication. The pilot attempted to divert to a nearby airport; however, the engine experienced a total loss of power, and he conducted a forced landing, during which the wings sustained substantial damage. Examination of the airplane revealed a hole in the engine case above the No. 4 cylinder. Further examination revealed that the engine oil pressure switch had separated into two pieces . A detailed examination of the switch found that it had failed at a manufacturing swaged joint between its threaded section and cap piece. Therefore, it is likely that the swaging process was insufficient during manufacture. The broken switch allowed engine oil to escape the system, resulting in oil starvation and failure of the No. 4 cylinder. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Organizational issues-Development-Manufacture/production-(general)-Manufacturer - C
- C Aircraft-Aircraft power plant-Eng oil sys (airframe furnish)-Engine oil indicating system-Failure - C
- — Aircraft-Fluids/misc hardware-Fluids-Oil-Fluid level
- — Aircraft-Aircraft power plant-Eng oil sys (airframe furnish)-Pressure-Fatigue/wear/corrosion
Verbatim from NTSB's published report. Source file
NTSB_2019_CEN19LA159.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…