Casualties unknown

1994-01-18: Cessna 140 (N77190) — Cote, Gilles B. — Lopez, WA

Lopez, WA, US

On January 18, 1994, a Cessna 140 (registration N77190) operated by Cote, Gilles B. was involved in an aviation accident near Lopez, WA. Investigators recorded the probable cause as: The pilot's failure to fully tighten the oil temperature sensing bulb nut due to distraction from incorrect safety wiring of the oil screen nut, resulting in oil loss and engine failure. This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 1781061362Data APIEditorial standards

A pilot failed to fully tighten an oil temperature sensing bulb nut due to distraction from incorrect safety wiring, causing oil loss and engine failure. The aircraft ditched off Lopez Island.

Incident Overview

Following an oil change and oil screen inspection, the pilot reinstalled the oil screen and oil temperature sensing bulb. While securing the oil screen nut with safety wire, the pilot became distracted by incorrect safety wiring. This distraction led to the pilot failing to fully tighten the oil temperature sensing bulb nut.

Engine Failure and Ditching

On the first flight after the oil change, the oil temperature sensing bulb nut backed out of its attachment point, resulting in the complete loss of engine oil. The engine subsequently failed, and the pilot ditched the aircraft in the waters off Lopez Island.

Sequence of Events

The pilot had completed an oil change and checked the oil screen. During reassembly, the oil screen nut was installed but its safety wiring was done incorrectly. While focusing on this error, the pilot overlooked tightening the oil temperature sensing bulb nut properly. The inadequate tightening allowed the nut to loosen during flight, causing rapid oil loss and engine failure. The aircraft was then ditched in the water.

Investigation Findings

The investigation determined that the pilot's incorrect safety wiring of the oil screen nut created a distraction, which resulted in the failure to fully secure the oil temperature sensing bulb nut. This failure led to the loss of oil and subsequent engine failure.

Probable cause

The pilot's failure to fully tighten the oil temperature sensing bulb nut due to distraction from incorrect safety wiring of the oil screen nut, resulting in oil loss and engine failure.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001206X00679. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.