NYC01LA184
2001-07-23 · Fryeburg, Maine, United States · None · 1 aircraft · Status: Completed
Airport IZG
Aircraft involved
Probable cause & findings
A partial blockage of the air intake system, due to the pilot's failure to ensure the engine compartment was clear of paper towels after a maintenance inspection.
Factual narrative
On July 23, 2001, at 0933 eastern daylight time, a homebuilt Lancair IV-P, N488SD, was substantially damaged during a forced landing in Fryeburg, Maine. The certificated private pilot/builder and the passenger were not injured. Visual meteorological conditions prevailed, and a visual flight rules flight plan was filed for the personal flight conducted under 14 CFR Part 91. The pilot/builder reported that he had departed from Lewiston, Maine, and was en route to Buffalo, New York, with a final destination of Oshkosh, Wisconsin. About 10 minutes after departure, he was climbing through 8,000 feet for 14,500 feet, when the manifold pressure, which had been about 34 inches, dropped to about 15 inches. He checked his GPS for the closest airport, which was Fryeburg, about 12 nautical miles to the north. He turned toward the airport and set up a descent at 120 KIAS. He said that he did not declare an emergency at that time and thought he would be able to make the airport. As the airplane descended through 3,000 feet, the manifold pressure, which had been steadily decreasing, decreased to 4 inches. The pilot reported that at that point he retarded the propeller control to its maximum pitch position to reduce drag, and reduced his airspeed to about 100 KIAS. The pilot/builder positioned the airplane for a straight-in approach to runway 32. As the airplane neared the runway, he decided to hold the landing gear due to the lower-than-anticipated altitude of the airplane. When he did extend the landing gear, there was insufficient time to complete the extension, and the airplane touched down about 100 feet short of the runway with the landing gear only partially extended. The airplane then slid onto the runway and came to a stop. According to an inspector from the Federal Aviation Administration (FAA), the composite blades of the propeller were broken off, the bottom of the fuselage was scraped, and there was a fuel spill from where the right wing fuel tank was broken open. The remains of a paper towel were found in the turbocharger and intercoolers. The pilot reported that he had just completed his phase 1 flight time requirements after building the airplane, and had inspected it. During the inspection, several people, some of whom were not rated mechanics, assisted. The engine cowling had been removed, and paper towels were used as wipes on various parts of the engine and airplane. Several paper towels were reported to be lying loose on the ground at the completion of the inspection. In addition, the pilot/builder told the FAA inspector that a paper towel had inadvertently been left on the top of the engine. The FAA inspector also noted that there was a 5-inch by 10-inch opening in the back of the engine, which allowed unfiltered air into the air intake manifold. The accident flight was the first flight following the inspection. The pilot departed on a cross-country flight in an experimental airplane. While climbing through 8,000 ft, the engine lost manifold pressure, and the pilot was unable to restore climb power. He headed toward a nearby airport, and planned on a straight-in approach. Due to the low altitude of the airplane, he elected to hold the landing gear until he was close to the runway. When he extended the landing gear, there was insufficient time for full extension, and the airplane touched down about 100 feet short of the runway, with partial landing gear extension. Examination of the airplane revealed the remains of a paper towel in the turbocharger and intercooler. The pilot had completed his phase 1 flight time requirements and the accident flight was the first flight following an inspection in which the engine cowling had been removed. Paper towels were used as wipes on both the engine and airframe. The pilot was assisted by several persons, some of whom were not rated aviation mechanics. The pilot later reported that a paper towel had inadvertently been left on top of the engine. The airplane was powered by a converted automotive V-8 engine. The engine was equipped with an air filter. However, there was also a 5-inch by 10-inch opening on the back of the engine which allowed unfiltered air into the air intake manifold. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_2001_NYC01LA184.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
Search this event elsewhere
External sources are reported, not agency: signal that something happened, not fact about what happened.
- TallyAero Live Wire Aviation press
- NTSB CAROL Agency ↗
- NTSB Docket Agency ↗
- Aviation Safety Network Aviation press ↗
- Kathryn's Report Aviation press ↗
- Aviation Herald Aviation press ↗
- AVweb Aviation press ↗
- Pilots of America Community ↗
- Reddit /r/flying Community ↗
- FlightAware Aviation press ↗
- AOPA accident database Aviation press ↗
- Google News News ↗
- DuckDuckGo News ↗
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…