NTSB CAROL · Event
Event LAX98LA131
Aircraft involved
Probable cause & findings
The failure of the oil pump drive shaft due to the installation of an incorrect oil pump crankshaft gear by maintenance personnel at the last overhaul.
Factual narrative
On March 18, 1998, at 1445 hours Pacific standard time, a Callair A-9, N7211V, lost engine power while towing a glider at the Thermal, California, airport. The aircraft collided with ground obstructions during the subsequent off-airport forced landing. The aircraft sustained substantial damage and the commercial pilot, the sole occupant, was not injured. The glider returned to the airport and landed with no damage. Visual meteorological conditions prevailed and no flight plan was filed. The flight originated from Thermal at 1440 as a glider tow operation. The pilot reported to a Federal Aviation Administration inspector from the Riverside Flight Standards District Office that he took off and climbed to 1,500 feet. He reported that the rate of climb seemed "sluggish" and he noticed that the tachometer was falling through 2,200 rpm, whereas it should have been at 2,400-2,500 rpm. The pilot further stated that the engine was still running smoothly with full power and mixture full rich. He then waved the glider off and initiated a 180-degree turn. The engine subsequently quit, with the tachometer reading 1,900 rpm. The pilot switched the fuel tanks from the left to right with no response from the engine. He landed in an open field, damaging the firewall and powerplant. The glider pilot on tow stated that after he was released, he noticed smoke trailing the aircraft on its descent. According to the pilot/operator report, the engine had 1,586 hours since overhaul at the time of the accident. The Safety Board conducted an examination of the engine on May 6, 1998. Initial examination revealed that the crankcase upper surface near the number three cylinder was cracked and displaced outward. No other external damage was observed. There was no evidence of fire damage. The number three and four cylinders were removed and examined. The connecting rods for those cylinders were found detached from their respective crankshaft journals. The crankshaft journals and respective connecting rods displayed signatures consistent with heat distress. The connecting rod bolts and nuts for the number three cylinder were found attached to the rod assembly. The number four cylinder connecting rod end pieces were recovered. One of the bolts was found intact in the remaining piece of rod cap and the remaining bolt was separated. The separated bolt displayed an appearance consistent with separation during heat distress. Extruded bearing material was found in the sump. The oil suction screen and full flow oil filter were removed and examined. There were no metal particles found in either of the filters. The oil cooler thermostatic by-pass valve (vernatherm) was removed and found intact. Metal contamination was limited to the confines of the oil sump. The accessory housing was removed to gain access to the oil pump assembly. Initial examination of the accessory gears revealed damage to the oil pump drive coupling at the crankshaft gear. The coupling displayed signatures consistent with heat distress. The oil pump drive at the oil pump would not rotate. The oil pump assembly was removed from the mounting pad and examined. Engine oil flowed freely from the oil pump assembly as it was removed from the mounting pad. The oil pump gears were lubricated and appeared undamaged. The oil pump housing and mounting pad were free of any rotational scoring and did not display evidence of oil starvation or metal contamination. The oil pump drive shaft was removed from the oil pump housing and did not display any signs of overheating or lubrication starvation where the shaft rotates inside the housing. The crankshaft gear was a Lycoming part number 13S19648 and is the part number for the Lycoming IO-540 series engines. The engine in the accident aircraft is a Lycoming O-540-B2B5, and the crankshaft gear part number for this engine is 13S19647. The aircraft lost power while towing a glider and made an emergency landing. Examination of the engine revealed that the crankcase upper surface near the number three cylinder was cracked and displaced outward. The oil pump drive coupling at the crankshaft gear displayed signatures consistent with heat distress. The oil pump drive at the oil pump would not rotate. The oil pump housing and mounting pad were free of any rotational scoring and did not display evidence of oil starvation or metal contamination. The crankshaft gear was a Lycoming part number 13S19648 and is the part number for the Lycoming IO-540 series engines. The engine in the accident aircraft is a Lycoming O-540-B2B5 and the crankshaft gear part number for this engine is 13S19647. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1998_LAX98LA131.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall, 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.
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- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
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- NASA NTRS 2026 · Conference Paper
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- Semantic Scholar 2025 · Article (Applied Sciences)
Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
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- 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…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
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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.
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