ANC16CA056

NTSB accident investigation · Brian Turner Northern Explorer · Chickaloon, AK · August 8, 2016

Accident · No injuriesData collectionFinal report
Date
August 7, 2016, 21:00 local (Aug 8, 2016, 05:00 UTC)
Place
Chickaloon, AK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N907BTBrian Turner Northern Explorer
Defining event
Approach-VFR go-around: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report January 18, 2017
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA Anchorage FSDO
FAA report
20160807023979A
Case key
93808

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

A partial loss of engine power due to carburetor icing, which resulted from the pilot’s failure to use carburetor heat.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Action: lack of actionPersonnel issues › Action/decision · PilotBrian Turner NORTHERN EXPLORER: 1 caseAll aircraft: 792 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentBrian Turner NORTHERN EXPLORER: 1 caseAll aircraft: 435 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that he was conducting a low reconnaissance in his tailwheel-equipped airplane of a potential grass landing site in remote mountainous terrain during the late evening hours. While conducting the low reconnaissance, he engaged the carburetor heat, descended over the landing site, disengaged the carburetor heat, applied full throttle, and then departed from the landing site. As the airplane departed from the landing site, he reported that the engine revolutions per minute (rpm) were "very low" due to carburetor ice. He stated that due to the loss of power the airplane was capable of level flight, but unable to climb. As the airplane approached rising terrain, he turned about 180 degrees, and landed in an area of thick vegetation about 20 miles per hour. During the landing sequence, the propeller and left wing impacted terrain. The airplane sustained substantial damage to both wings and the fuselage. The pilot further reported that the airplane did not have a carburetor temperature gauge installed. The pilot verified that there were no preimpact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. In the recommendation section of the National Transportation Safety Board Accident/Incident Reporting Form 6120.1, the pilot stated that the accident may have been avoided if he did not utilize the landing site at that time of the day. The Federal Aviation Administration has published Special Airworthiness Information Bulletin CE-09-35 Carburetor Icing Prevention (2009). This document discusses carburetor icing and states in part: Pilots should be aware that carburetor icing doesn't just occur in freezing conditions, it can occur at temperatures well above freezing temperatures when there is visible moisture or high humidity. Icing can occur in the carburetor at temperatures above freezing because vaporization of fuel, combined with the expansion of air as it flows through the carburetor, (Venturi Effect) causes sudden cooling, sometimes by a significant amount within a fraction of a second. Carburetor ice can be detected by a drop in rpm in fixed pitch propeller airplanes and a drop in manifold pressure in constant speed propeller airplanes. In both types, usually there will be a roughness in engine operation. The pilot should respond to carburetor icing by applying full carburetor heat immediately. The engine may run rough initially for a short time while ice melts.

Factual narrative

The pilot reported that he was conducting a low reconnaissance in his tailwheel-equipped airplane of a potential grass landing site in remote mountainous terrain during the late evening hours. While conducting the low reconnaissance, he engaged the carburetor heat, descended over the landing site, disengaged the carburetor heat, applied full throttle, and then departed from the landing site. As the airplane departed from the landing site, he reported that the engine revolutions per minute (rpm) were "very low" due to carburetor ice. He stated that due to the loss of power the airplane was capable of level flight, but unable to climb. As the airplane approached rising terrain, he turned about 180 degrees, and landed in an area of thick vegetation about 20 miles per hour. During the landing sequence, the propeller and left wing impacted terrain. The airplane sustained substantial damage to both wings and the fuselage. The pilot further reported that the airplane did not have a carburetor temperature gauge installed. The pilot verified that there were no preimpact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. In the recommendation section of the National Transportation Safety Board Accident/Incident Reporting Form 6120.1, the pilot stated that the accident may have been avoided if he did not utilize the landing site at that time of the day. The Federal Aviation Administration has published Special Airworthiness Information Bulletin CE-09-35 Carburetor Icing Prevention (2009). This document discusses carburetor icing and states in part: Pilots should be aware that carburetor icing doesn't just occur in freezing conditions, it can occur at temperatures well above freezing temperatures when there is visible moisture or high humidity. Icing can occur in the carburetor at temperatures above freezing because vaporization of fuel, combined with the expansion of air as it flows through the carburetor, (Venturi Effect) causes sudden cooling, sometimes by a significant amount within a fraction of a second. Carburetor ice can be detected by a drop in rpm in fixed pitch propeller airplanes and a drop in manifold pressure in constant speed propeller airplanes. In both types, usually there will be a roughness in engine operation. The pilot should respond to carburetor icing by applying full carburetor heat immediately. The engine may run rough initially for a short time while ice melts.

Aircraft

Registration
N907BT
Reported as
Brian Turner Northern Explorer
Category
Airplane, amateur-built
Serial number
072515
Built
2015
Airframe hours
205
Engine
Lycoming O-320-A2B, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
100 hour · June 8, 2016
Departed
7AK4 · Wasilla, AK
Destination
7AK4 · Wasilla, AK
Equipment
Satellite tracking device, Handheld GPS

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
27
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
November 11, 2014
Seat
Front
Restraint
3-point
Flight hours
600 total · 500 in this make and model · 600 as pilot in command · 150 in the last 90 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
10,000 ft overcast
Temperature
61 °F, dew point 57 °F
Altimeter
29.55 inHg
Observed at
PAAQ, 30 nm away

Docket · 3

The files NTSB released with the investigation on December 14, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N907BT · 1

Matched to the same aircraft by N-number and date.