Under Pressure! (Part 2)

In Part 1 of this saga, our flying club’s newly installed O-360 lost oil pressure in flight with a student pilot at the controls. After a brief landing then an immediate a go-around (you read that right), and a fair amount of sweat and tears – but fortunately no blood – we found the engine had digested an errant paper towel, which was blocking the suction screen.

Crud in the pan

The hard part begins

Now that we knew the engine actually did suffer a loss of oil pressure (it wasn’t just the gauge) and the filter analysis showed that some damage had been done, our next step was to figure how to proceed.

We consulted as many experts as we could and received suggestions ranging from “just go fly it” to “pull a cylinder and look for damage” to “overhaul it” and everything in between. The jury was out, and we had to decide whose suggestion to follow.

Lycoming has a convenient Service Bulletin about what to do if you find metal in the oil filter, so we started there. Service Bulletin 480F suggested, based on the amount and size of metal in the oil filter, that we remove the oil pan and check for metal. That seemed like a good idea; not only were we still troubleshooting mechanical wear, but also, we didn’t know how much paper towel was still in the engine.

It took two solid days of work to remove, inspect, clean, and reinstall the oil sump, which still had paper towel in it. Once that was done, after finding no large pieces of metal in the sump and being sure there weren’t any leftover paper towels in the engine, we did a 30-minute ground run then drained the oil, and cut the filter to check for metal.

Intestinal fortitude

The oil analysis was unremarkable, but the oil filter report noted 10-15 non-ferrous metallic flakes per pleat with a few dozen larger pieces that had scrape marks on them. So – a little better than

Metal from the filter, magnified in analysis

before, but certainly not clean. But this was only a 30-minute ground run compared to the 20-some hour sample. Were the improvements from the shorter oil change, or an actual improvement? We didn’t know.

Now, I’ve been an analyst at Blackstone for over a decade. I’ve helped countless customers diagnose their own engine issues and told people to go fly it and check back. But there isn’t any amount of intestinal fortitude that prepares someone for the reality of experiencing a problem, diagnosing engine damage, doing what you can to fix it, and know that the next step is to go flying and see how it goes.

The two A&Ps on the field agreed that if we made it past the first 10 hours (if) without any oil pressure issues, then we should be fine. “But watch that oil pressure,” they cautioned.

Going up

We took all the precautions we could: we went up in pairs (so one person could watch the oil pressure), we selected calm days, affording us four runway options for an emergency landing, and we stayed within glide distance of the airport for 10 long hours.

I am glad to say that those first 10 hours were uneventful. Oil pressure remained strong, the engine ran great, and we had no issues. With each hour that passed, our confidence grew, so we eagerly sent another oil and filter sample for analysis, hoping for hard data to bolster our confidence.

The oil analysis was unremarkable, but the filter – not great. Approximately 30 variously sized non-ferrous flakes were present per pleat, along with one piece of steel.

Not what you want to see

This wasn’t what we were hoping for, but this oil run was 10 hours long as opposed to the previous 30-minute ground-run sample. There was bound to be more metal, right? Regardless, there was still more metal after 10 hours than there was in our previous 50-hour samples, so we weren’t in the clear yet.

Our solution? Do another 10-hour oil run for an apples-to-apples comparison. At this point, with 10 hours of uneventful flying under our belt, our confidence was starting to grow, so we ventured out a little from the airport environment. After 10 hours, we sent the oil and filter for analysis, fairly confident that this second sample would reveal the improvement that was bound to come.

Instead, we received the disheartening news that “the overall quantity and size of the non-ferrous flakes was similar to the previous filter.” Dang.

Hard discussions

We debated what to do next. Are we throwing money away on oil and filters when we might need an overhaul anyway? Do we keep wasting filters when the nationwide filter shortage might ground us anyway? Do we run 25 hours, despite not seeing an improvement in the metals?

We reconsidered an earlier suggestion to pull a cylinder and look for crank/bearing damage, but that might raise more questions than answers: what should a 1500-hour crank/bearing look like? How will we know if the damage is excessive without pulling all four cylinders and comparing? And at that point why not just overhaul?

Opinions varied among our club members. One thought we were overreacting and that a paper towel couldn’t cause engine damage. Others of us were more cautious, remembering how little metal our engine used to make in 50 hours. As a group, we exchanged some vibrant text conversations as we decided how to proceed.

With our concern about irreversible, ongoing damage, we opted to do another short 10-hour oil change to try and limit further damage and get another good comparison to gauge progress. I was afraid that if this sample didn’t come back cleaner, we’d start considering exploratory surgery and watch the summer tick by from the ground.

Baby steps

We knocked those 10 hours out in less than a week and had results early the following week. I jokingly told my coworker that I’d bribe him with beer if he gave us a good enough report that we wouldn’t have to ground the aircraft for the summer.

Still with the metal

As it turned out, no bribery was needed: the oil analysis came back clean and the filter report contained good news: less metal than before. Finally! Maybe everything was going to be okay. Granted, we’re not totally out of the woods yet – we’re still monitoring and we’re going to change the oil in 25 hours, but at least we’ve got data that suggests we’re past the worst of it. If the numbers are good in 25 hours, then we’ll try 50. That night of the improved report was the best night’s sleep I’d gotten in months.

Lessons learned

Hindsight is always 20/20, as they say, but looking back I think there are several lessons to be learned.

First, when you’re troubleshooting a problem, do your research and get as much data as you can. It honestly shocked me how many different opinions we received. At one point I called Lycoming. They called me back several days later, and after listening to my story the tech said we needed an overhaul.

I replied, “Well in the week I was waiting for you to get back to me, we did a 30-minute ground run, tested the oil and filter, and we’ve since flown a couple of uneventful hours, as per SB 480 and we’re planning on flying a total of 10 hours before retesting.”

He said, “Okay, that’s good. Do that and proceed as planned.”

In less than five minutes he went from telling me to overhaul to “go fly.” There’s a vast dichotomy there. I get that there’s a lot of liability in aviation, but that just makes it harder to make good, educated decisions. We did a lot of research, gathered data, and consulted with as many people as we could to make the best decision for us. Do your homework.

Second, remember that you have many tools in your toolbox for diagnosing problems. Our oil reports came back clean all along – it was the filter analysis that was showing metal. Oil analysis measures the microscopic particles in the oil; the filter/screen is where you’ll see visible metal. Always cut your filter open, and use oil analysis in conjunction with other tests (like borescope and compression checks). The more data you have, the better decision you can make.

Third, as we said last time – trust your gut. If your intuition tells you something is wrong, don’t ignore it. But the reverse is also true: after all those hours of flying the pattern with strong oil pressure, good RPMs, and normal oil temps, we had a strong feeling that our engine was going to be okay – we just had to wait a few oil changes for the data to support our intuition.

And last but certainly not least – keep the damn paper towels far away from your engine!

By |2024-09-18T14:21:50-04:002023|Aircraft, Articles|Comments Off on Under Pressure! (Part 2)

Under Pressure! (Part 1)

About a year ago I started a flying club at my local airport with three other pilots – that was a long and interesting process that I won’t go into here – but after a few months of trying to get the right people together then struggling to buy an airplane in a hot market, we were able to purchase a 1965 Cessna 172 F with the Air Planes 180hp Lycoming O-360-A4M upgrade, with about 1300 hours SMOH. The pre-buy inspection went well and I had the honor (with another member) of flying our new ship home to Illinois from Florida.

As a 12-year analyst at Blackstone Laboratories, of course I did an oil and filter analysis as part of the pre-buy inspection. With that data in hand and considering how active our new aircraft was, we decided to proceed with Lycoming-recommended 50-hour oil changes right off the bat.

The first few oil analysis reports were excellent, and the oil filters came back nice and clean. The first time we pulled the oil suction screen we found a small amount of fibrous material in it, but the previous owner confessed that they hadn’t ever pulled the screen, so we assumed the debris was probably years – if not decades – old. We didn’t worry too much about it. When the next screen came back clean, save for a mere spec of carbon, we forgot about the fibrous debris entirely and happily went about enjoying our new bird.

Lost oil pressure

That is… until March 29th, when one of our newer student pre-solo members texted that, 10 minutes after takeoff, the engine lost oil pressure. He and the instructor landed without incident and reported everything looked ok, hoping it was a bad gauge.

The questions from the other partners streamed in: where were you? How was the engine running? How was oil temperature? The student pilot clarified: they took off to the north, climbed to 5,000’ to work on maneuvers, and when they did the cruise checklist they noticed the low oil pressure. He reported returning to the airport immediately with no issue. The engine ran great the whole time, and oil temperature was fine. No apparent oil loss.

I was out having coffee with a friend at the time, but my heart sank and I couldn’t focus on anything else, so she and I ended up going to the airport, with an A&P friend on the phone to look for something obvious, like an oil leak at the oil pressure gauge or where the line comes through the firewall. I didn’t find anything, but I wasn’t too discouraged: I knew we had a lot of things to troubleshoot before suspecting engine damage, so I tried not to jump to any conclusions.

filter pleats with slimy debris embedded in t

Filter pleats with slimy debris embedded

Initial shock and investigation

The following day, our club maintenance director – under the watchful eye of our A&P – started working through the troubleshooting list. We quickly determined it wasn’t the gauge, and it wasn’t the line, so the easy, cheap fixes were off the table.

Now concern was starting to mount; the deeper we had to dig, the deeper our pockets were going to have to be. We’re a new club, already operating on a shoestring budget, so we didn’t have time or money for costly repairs. But we had a problem to solve.

The next step in our troubleshooting process was to start looking for a problem. We drained the oil, pulling an oil sample in the process, and we removed, cut, and inspected the oil filter. The only abnormalities were some clumpy, slimy looking lumps (see figure 1) and a giant piece of carbon (figure 2). The carbon was large enough to wonder if something similar had gotten stuck in the oil pressure relief valve, so we pulled the oil pressure relief valve off hoping for a big piece of carbon to be our easy culprit.

Much to my dismay, the oil pressure relief valve was totally clean.

Looking at the screen

Later that night, with the oil drained, the filter cut and the oil pressure relieve valve not the suspect, I pulled the oil suction screen. My heart sank. The screen was completely blocked by fibrous

Debris on the end of a fingertip

Debris on the end of a fingertip

material. It looked like the same stuff we found in our earlier oil change, only a whole lot more of it. The pickup screen was so caked full that I had to use a screwdriver to pry the debris out of the screen (figures 3a and 3b).

That’s when concern really started to set in: we actually did lose oil pressure, and there could be some serious damage here.

A few days later the oil analysis and official filter report came back: the oil report was unremarkable, but the oil filter report was disheartening. Our engine had gone from making “no appreciable metal” in 50-hour oil change intervals to making “non-ferrous metallic flakes at an approximate rate of 20 pieces per filter pleat” in a matter of 20 hours. Great. Now what?

Fact-finding

The filter report stirred up more questions than it did answers. The next step in the process was to figure out how much damage was done, what that fibrous material was, how it got there, how much remained, and, most importantly, what to do next?

The fibrous material turned out to be the easiest question to answer – it was a paper towel. When examined under a microscope, it had the very distinctive dimpled pattern you see on “quilted” paper towels (see figure 4). Once we identified the contaminant, the next step was figuring out how it got there.

Fluffy stuff that came out of the suction screen

Fluffy stuff that came out of the suction screen

Interestingly enough, the previous owners provided the answer in the photographs they shared with me during the pre-buy. A couple of photos showed the process of swapping the original O-300 with the O-360. In figure 5 you can see a couple of paper towels sticking out the back of the engine where the magnetos should be. I believe that some (or all) of that paper towel somehow ended up getting stuck in the engine – either someone turned the prop and the gears pulled it in, or some of it got wet with engine oil and broke off into the engine.

You did what?

There’s another interesting twist to this story: as we were trying to figure out how long the engine ran with no oil pressure, we looked at the flight track on FlightAware. As reported, the plane took off to the north, climbed to about 5,000’ turned around then did a 360’ turn, presumably to lose altitude. Then there’s a normal approach to landing and…a go-around.

Wait, what?

That’s right – a go-around. With no oil pressure measuring on the gauge. When we confronted the CFI about the flight track, he confirmed: the student pilot was flying, and he came in too high and too fast to salvage the landing, so a go-around was initiated. *face palm*

Why didn’t the CFI take control of that flight and land? Because he assumed it was a gauge problem. Oil temp was fine, the engine was running well, so he didn’t worry about it.

magnified quilted paper towel

Ground up paper towel under a microscope

The good news was that the CFI confirmed that oil pressure wasn’t lost entirely (as the student pilot had reported). It was only lost when at idle. If there was some power, there was some (albeit not much) oil pressure reading on the gauge. With that information, and knowing the engine hadn’t seized entirely, we were hopeful the engine damage was limited.

Moving forward

So, we’ve finally found the culprit, and now the long road to recovery begins. The main takeaway from this part of the story is, if you see anything unusual at all – anything – get on the ground as soon as possible. Don’t assume a low oil pressure reading is a bad gauge, and don’t fly when something might be wrong. Don’t dilly-dally, waiting for traffic to clear. Declare an emergency if you have to and diagnose with two feet firmly planted on terra firma.

Check back in the next newsletter as we discuss the confusing, gut-wrenching process of figuring out whether we could salvage the engine!

By |2024-09-18T14:22:01-04:002023|Aircraft, Articles|Comments Off on Under Pressure! (Part 1)
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