WPR19LA129
2019-05-01 · Upland, California, United States · Serious · 1 aircraft · Status: Completed
Airport CCB
Current FAA registration · N156LZ
- Make / Model
- STORCH AIRCRAFT LLC FL-156C
- Year of manufacture
- 2009 · 10 years old at event
- Engine
- ROTAX 912ULS SERIES (100 hp)
- Seats / Engines
- 2 seats · 1 engine
- Last airworthiness date
- 20090716
- ADS-B equipped
- Yes — Mode-S A0E18B
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The pilot’s improper installation of the No. 3 cylinder valve cover, which resulted in an oil leak, oil starvation, and a subsequent total loss of engine power.
Factual narrative
On May 1, 2019, about 1001 Pacific daylight time, a special light sport Storch Aircraft LLC, N156LZ, was substantially damaged when it was involved in an accident near Upland, California. The pilot was seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, after takeoff, as the airplane climbed through about 300 ft, the engine lost oil pressure but continued to produce power. As the pilot maneuvered the airplane toward the departure airport, the engine suddenly stopped developing power. The airplane touched down in a field east of the airport and came to rest upright. A review of photographs provided by the Federal Aviation Administration (FAA) revealed substantial damage to the forward cabin and engine truss. An examination of the engine performed by the FAA revealed that the No. 3 cylinder valve cover was loose (see figure 1), with a gap about 1/4-inch between the cylinder and the cover; oil was found throughout the engine and the engine compartment. Oil was discovered outside the hangar where the pilot started the engine for the accident flight, and an oil trail led to the runup area he used, which also exhibited oil spray (see figure 2). Figure 1. Close-up view of No. 3 cylinder valve cover Figure 2. Oil residue discovered on taxiway in relation to pilot’s hangar and wreckage site A review of the airplane’s maintenance records revealed that the engine was removed on May 24, 2018, and reinstalled on August 31, 2018, by the pilot. No other maintenance on the engine was recorded in the logbooks. The pilot reported that before the last flight, he removed the valve covers to inspect the crankcase throughbolts and “thought” he retorqued all four valve cover screws. He re-examined the valve covers after the accident and confirmed that the No. 3 cylinder valve cover was loose. The Rotax Powertrain Maintenance Manual 72-00-00 pg. 93, instructs, “fit valve cover and tighten with allen screw M6x30 and washer to a tightening torque of 10 Nm (90 in. lbs).” The caution associated with the tightening of the allen screw at reinstallation stated: IF THIS SCREW IS LOOSE OR IF THE VALVE COVER IS LEAKING, THE OIL RETURN TO THE OIL TANK BY “BLOW-BY GAS” WILL NOT WORK PROPERLY AT ALL OR ONLY INSUFFICIENTLY. According to the engine manufacturer, the oil system relies on crankcase pressure to return oil back to the tank from the crankcase. The valve covers need to be sealed, as this crankcase pressure will escape from that location and oil will not return to the tank. If the No. 3 valve cover is loose during an engine start-up, the inadequate seal would result in a substantial oil leak, followed by an imminent engine failure due to oil starvation. Shortly after takeoff, the engine lost oil pressure and subsequently lost total power. The pilot maneuvered the airplane to return to the airport, but the airplane touched down in a field and came to rest upright. Postaccident examination of the engine revealed evidence of an oil leak. The leak likely came from the No. 3 cylinder, as the valve cover was loose, with a gap between the cylinder and the valve cover, which was likely the result of an improperly torqued allen screw. The improper torquing likely occurred during the pilot’s recent inspection of the crankcase throughbolts and re-installation of the engine’s four valve covers. Eventually, the No. 3 allen screw became loose during the engine run-up and continued to loosen during the taxi, takeoff, and climb phases of flight, which resulted in a loss of engine oil and a subsequent total loss of engine power due to oil starvation. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- — Personnel issues-Task performance-Maintenance-Installation-Pilot
- — Aircraft-Aircraft power plant-Engine (reciprocating)-Recip eng oil sys-Incorrect service/maintenance
- — Aircraft-Fluids/misc hardware-Fluids-Oil-Fluid level
Verbatim from NTSB's published report. Source file
NTSB_2019_WPR19LA129.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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