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Accidents · NTSB ANC17LA007 · Final report

Piper PA-18 accident near Bethel, Alaska, November 22, 2016

On November 22, 2016 at about 11:00 pm local time, a 1977 Piper PA-18, registered N83641, was substantially damaged in an accident during initial climb near Bethel, Alaska. It was an aerial observation flight under general aviation rules (Part 91). No one was hurt; 2 people were on board or involved. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The mechanic's failure to install a whistle slot in the engine breather tube, which resulted in a frozen tube, displacement of the crankshaft oil seal, a loss of oil, and smoke in the cockpit, which led to a forced landing.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
November 22, 2016 · about 11:00 pm local time
Place
Bethel, Alaska · map
Type
Accident
Injuries
No one was hurt; 2 people were on board or involved.
Weather
visual conditions (good weather)
Aircraft
Piper PA-18, built 1977 · all PA-18s on the register
Registration
N83641 · no longer on the register · serial 18-7709109
Damage
Substantial damage
Flight
Aerial observation flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The commercial pilot reported that, about 2 hours 40 minutes into the aerial observation flight, he landed on a remote gravel bar to take a break; he departed a few minutes later. During the climb, he noticed the oil pressure had redlined. To correct for the high oil pressure, he reduced the engine power while slowly climbing the airplane to about 1,000 ft above ground level and applied the carburetor heat. Shortly thereafter, smoke began filling the cockpit. The pilot indicated that, while maneuvering for an emergency landing to a frozen lake, the engine lost total power, and the pilot made a forced landing in an area of tundra-covered terrain, during which the airplane sustained substantial damage to the left wing.  A detailed examination of the propeller revealed torsional "S" twisting and minor chordwise scratching on both propeller blades, consistent with the engine producing power at the time of impact. An examination of the engine revealed a displaced crankshaft oil seal and an engine breather tube that was not insulated and lacked a whistle slot. The examination did not reveal evidence of any other engine  malfunctions or failures that would have precluded normal operation.   The mechanic who maintained the airplane stated that the engine breather tube had been replaced about 2 years before the accident during an engine conversion and that he must have forgotten to put the hole (whistle slot) in the tube at that time. The engine manufacturer's website indicates that a whistle slot is one method that is often used to prevent freeze-up of the crankcase breather. Thus, it is likely that the engine breather tube froze, which pressurized the crankcase and caused the crankshaft oil seal to be displaced, which resulted in a loss of oil, smoke in the cockpit, and the pilot's incorrect belief that the engine had lost total power, which led to his selection of a less-than-ideal landing surface for the forced landing.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Aircraft maintenance event during prior to flight
  2. Powerplant sys/comp malf/fail during initial climb defining event
  3. Fire/smoke (non-impact) during emergency descent
  4. Collision with terrain or object (not controlled flight into terrain) during emergency descent

The NTSB's findings

  • cause Aircraft › Aircraft power plant › Engine (reciprocating) › (general) › Incorrect service/maintenance
  • cause Personnel issues › Action/decision › Info processing/decision › Understanding/comprehension › Pilot
  • cause Personnel issues › Task performance › Maintenance › Replacement › Maintenance personnel
  • cause Aircraft › Aircraft power plant › Engine (reciprocating) › Recip eng front section › Malfunction

Pilot

  • Certificate: commercial pilot
  • Ratings: single-engine land; single-engine sea; instrument: airplane
  • Flight time: 5,170 hours in all; 1,400 in this make and model; 187 in the last 90 days; 49 in the last 30 days; 5,145 as pilot in command
  • Last flight review: April 18, 2016
  • Medical certificate: Class 2 (without waivers/limitations)
  • Seat: frt
  • Injury: no injuries

The aircraft

  • Airframe total time: 5,133.2 hours
  • Last inspection: 100-hour inspection, September 1, 2016
  • Maximum gross weight: 1,750 lb
  • Seats: 2
  • Landing gear: fixed
  • Engine: Lycoming O-360 SERIES (piston); 1,423 hours total
  • Operator: Brooks Flyers LLC

The flight

  • Departed from: Bethel AK
  • Destination: Bethel AK

Weather at the time

  • Light: daylight
  • Wind: from 020° at 10 knots
  • Visibility: 6 statute miles
  • Sky: a few clouds at 15,000 ft
  • Temperature: 0°F (-18°C), dew point -2°F (-19°C)
  • Altimeter: 29.40 inHg
  • Observation at 10:53 pm from PABE, 45 miles away

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

3 documents, released by the NTSB on April 1, 2019. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.