ERA10LA487
2010-09-19 · Dublin, Georgia, United States · Minor · 1 aircraft · Status: Completed
Current FAA registration · N2448T
- Make / Model
- NAVION NAVION G
- Year of manufacture
- 1962 · 48 years old at event
- Engine
- CONT MOTOR I0-470 SERIES (260 hp)
- Seats / Engines
- 5 seats · 1 engine
- Last airworthiness date
- 19720726
- ADS-B equipped
- Yes — Mode-S A2425D
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The pilot's failure to properly secure the oil drain plug after changing the engine oil, which resulted in oil starvation and an engine failure during cruise flight.
Factual narrative
On September 19, 2010, about 1325 eastern daylight time, a Navion G, N2448T, owned and operated by an airline transport pilot (ATP), was substantially damaged during a forced landing to a field, following a loss of engine power in cruise flight near Dublin, Georgia. The certificated ATP incurred minor injuries and the passenger was not injured. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and an instrument flight rules flight plan was filed for the planned flight to Cannon Creek Airpark (15FL), Lake City, Florida. The flight originated from Evansville Regional Airport (EVV), Evansville, Indiana. The pilot reported that the airplane was in cruise flight at 7,000 feet mean sea level, when the engine began to run rough and the oil pressure decreased. He informed air traffic control, and the controller provided a vector for the nearest suitable airport, W H "Bud" Barron Airport (DBN), Dublin, Georgia; however, the pilot was unable to fly the airplane to the airport. He subsequently performed a gear-up forced landing to a field, located about 6 miles southeast of DBN. During the landing, the airplane struck a ditch and came to rest upright, which resulted in substantial damage to the empennage. The pilot, age 78, held an ATP certificate with type ratings in multiple transport category airplanes. The pilot also held a mechanic certificate. His most recent Federal Aviation Administration (FAA) third-class medical certificate was issued on July 1, 2009. The pilot reported a total flight experience of 18,763 hours; of which, 720 hours were in the same make and model as the accident airplane. The airplane was equipped with a Teledyne Continental Motors IO-520-BA, 285-horsepower engine. The airplane's most recent annual inspection was completed on April 8, 2010. At that time, the engine had accumulated about 469 hours since major overhaul. The airplane had flown about 25 hours from the time of the most recent annual inspection, until the accident. The pilot further stated that sometime after the annual inspection in April, but before a recent trip to Pennsylvania, he changed the oil in the accident airplane. He could not remember what date he changed the oil, and he forgot to record the oil change in the aircraft logbooks. An FAA inspector noted that the No. 5 cylinder was cracked at the base. He also observed no oil on the dipstick, but significant amounts of oil on the engine cowling. When the engine was recovered from the field, an oil drain tube remained attached to the oil quick-release drain plug, and oil was leaking down the side of the oil drain tube. The engine subsequently underwent a teardown examination at the manufacturer's facility, under the supervision of an NTSB investigator. The examination revealed several cracks in the engine case at the No. 5 cylinder base. The case was pushed out, consistent with impact from a loose connecting rod. Disassembly of the engine revealed evidence of thermal distress on the crankshaft at the No. 4 and No. 5 connecting rods, and evidence of lack of lubrication. Less than 2 quarts of oil were recovered from the 12-quart-capacity engine. The No. 5 connecting rod was fractured at the crankshaft attachment points and the attachment fittings were loose in the oil pan. The airplane was in cruise flight at 7,000 feet mean sea level, when the engine began to run rough and the oil pressure decreased. The pilot was unable to fly the airplane to the nearest airport and performed a forced landing to a field. During the landing, the airplane struck a ditch and came to rest upright, which resulted in substantial damage to the empennage. An annual inspection was completed on the airplane about 5 months, or 25 flight hours, prior to the accident; however, the pilot had recently changed the engine oil himself. Initial examination of the engine revealed that the oil drain tube remained attached to the oil quick-release drain plug, and oil was leaking down the side of the oil drain tube likely as a result of the quick-release oil drain plug not being properly secured. A subsequent teardown examination of the engine revealed that the No. 5 connecting rod failed due to lack of lubrication. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Personnel issues-Task performance-Maintenance-Scheduled/routine maintenance-Pilot - C
- C Aircraft-Fluids/misc hardware-Fluids-Oil-Incorrect service/maintenance - C
Verbatim from NTSB's published report. Source file
NTSB_2010_ERA10LA487.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 (engine failure). All research papers
- arXiv 2022 · arXiv preprint Multi-level Adaptation for Automatic Landing with Engine Failure under Turbulent Weather
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Traditional probabilistic risk assessment approaches often require failure scenarios to be explicitly defined through event sequences that are then quantified as part of the integrated analysis.
- NASA NTRS 2019 · Conference Paper Rocket engine failure detection using system identification techiques
The theoretical foundation and application of two univariate failure detection algorithms to Space Shuttle Main Engine (SSME) test firing data is presented.
- NASA NTRS 2019 · Conference Paper Rocket engine failure detection using system identification techniques
The theoretical foundation and application of two univariate failure detection algorithms to Space Shuttle Main Engine (SSME) test firing data is presented.
- NASA NTRS 2019 · Technical Memorandum (TM) A simulator investigation of engine failure compensation for powered-lift STOL aircraft
A piloted simulator investigation of various engine failure compensation concepts for powered-lift STOL aircraft was carried out at the Ames Research Center.
- Semantic Scholar 2019 · Article (AIAA Scitech 2019 Forum) Impact of Engine Failure Constraints on the Initial Sizing of Hybrid-Electric GA Aircraft
Potential advantages of hybrid-electric aircraft are fuel savings, lower emissions, and reduced noise. Since these aircraft generally apply multiple power sources, they can also be designed to sustain…