Inflight Fire Caused by Missing Snap Ring on Engine Replacement

Casualties unknown • Reno, NV, US

Following an engine replacement due to foreign object damage, a missing snap ring allowed oil to leak and ignite, causing an inflight fire that was extinguished upon landing gear deployment.

What happened

Shortly after takeoff, once the landing gear had been retracted, the pilot observed an over-temperature indication on the right engine. In response, power was reduced, which was followed by symptoms indicating a compressor stall. The pilot subsequently shut down the right engine and executed a 180-degree turn to return to the airport.

During this turn, smoke filled the cockpit with flames visible coming from the right engine area. The pilot discharged the right fire bottle, but the fire continued. When the landing gear was lowered, the fire extinguished itself.

The investigation

Examination of the aircraft revealed that the snap ring for the right engine oil temperature relief valve was missing. The relief valve itself was located on the floor of the engine nacelle. Records indicated that the right engine had been replaced approximately 1.8 hours prior to the flight due to foreign object damage (FOD).

Findings

The separation of the relief valve allowed engine oil to escape and accumulate in the wheel well, wing, and engine nacelle. This accumulated oil was ignited, feeding the inflight fire. The incident highlights the critical importance of proper installation of retaining hardware during engine maintenance.

Probable cause

The pilot's failure to properly install the snap ring for the right engine oil temperature relief valve during a recent engine replacement, which resulted in oil leakage and an inflight fire.

Frequently asked questions

What happened in the 1987-11-12 Beech E18S accident near Reno, NV?

Following an engine replacement due to foreign object damage, a missing snap ring allowed oil to leak and ignite, causing an inflight fire that was extinguished upon landing gear deployment.

What aircraft was involved and where did it happen?

The accident on 1987-11-12 involved a Beech E18S, registration N25SM, at Reno, NV.

What was the probable cause of the accident?

The pilot's failure to properly install the snap ring for the right engine oil temperature relief valve during a recent engine replacement, which resulted in oil leakage and an inflight fire.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001213X32634. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.

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