NYC91FA154
1991-06-18 · MILLINOCKET, Maine, United States · Fatal · 1 aircraft · Status: Completed
Airport MLT
N2155E has since been reassigned. It is now registered to a different aircraft (MOONEY M20R, built 1998), which was not involved in this event.
Aircraft involved
Probable cause & findings
FAILURE OF THE PILOT TO MAINTAIN ADEQUATE AIRSPEED, WHILE MANEUVERING FOR A PRECAUTIONARY LANDING ON A ROAD, WHICH RESULTED IN AN INADVERTENT STALL. FACTORS RELATED TO THE ACCIDENT WERE: THE PILOT'S IMPROPER REPLACEMENT OF AN OIL TEMPERATURE GAGE, AND A SUBSEQUENT OIL LEAK, WHICH RESULTED IN A LOSS OF OIL.
Factual narrative
THE PILOT INSTALLED AN INCORRECT OIL TEMPERATURE GAUGE. THE UNIT FIT INTO THE OIL SCREEN AND WAS SECURED BY PULLING THE CAPILLERY LINE TIGHT WITH TIE WRAPS. THE PILOT DEPARTED WITH HIS NEPHEW AND THE AIRPLANE WAS OBSERVED TRAILING SMOKE. LATER, IT WAS SEEN FLYING TOWARDS THE AIRPORT WITH NO SMOKE VISIBLE. THE AIRPLANE WAS THEN OBSERVED TO MAKE A SHARP LEFT TURN, ENTER A SPIN, THEN IMPACT IN A DITCH NEXT TO A ROAD. THERE WAS NO EVIDENCE OF AN ENGINE FAILURE; HOWEVER, ONLY ONE PINT OF OIL WAS FOUND IN THE ENGINE. OIL WAS FOUND ON THE UNDER BELLY OF THE AIRPLANE. ALSO, AN OIL TRAIL WAS FOUND THAT BEGAN AT THE AIRCRAFT TIEDOWN AREA & EXTENDED TO THE RUNWAY, WHERE A PUDDLE WAS FOUND IN THE AREA BELIEVED TO BE USED BY THE PILOT FOR ENGINE RUNUP. WITNESSES INDICATED THE PILOT PERFORMED HIS OWN MAINTENANCE ON HIS AIRPLANE. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1991_NYC91FA154.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 (stall, engine failure, maintenance). All research papers
- Embry-Riddle Scholarly Commons 2023 · Conference paper The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- 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…
- NASA NTRS 2026 · Conference Paper Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- 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.