ANC16LA047

NTSB accident investigation · Aeropro CZ A220 · McCarthy, AK · July 19, 2016

Accident · No injuriesLimited investigationFinal report
Date
July 19, 2016, 10:00 local (18:00 UTC)
Place
McCarthy, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N151JAeropro CZ A220
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report September 11, 2018
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA, Rotax Aircraft Engines
FAA report
20160719011259A
Case key
93647

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

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Probable cause

The pilot’s failure to maintain directional control during the takeoff roll, which resulted in a loss of control and impact with terrain. Contributing to the accident were engine power surges due to the bent carburetor throttle valve lever.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAeropro CZ A220: 4 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedAeropro CZ A220: 4 casesAll aircraft: 3,958 casesProbable cause
Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Damaged/degradedAeropro CZ A220: 1 caseAll aircraft: 195 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 private pilot reported that, during the takeoff roll in the experimental amateur-built light-sport airplane, the engine began surging. He was unable to compensate for the sudden increase in left turning tendency when the engine power increased, and subsequently experienced a loss of control. Video footage of the accident was consistent with the pilot's statement. Examination of the engine, which was equipped with a two-carburetor system, revealed that one carburetor throttle valve lever was bent inward and made contact with the carburetor chamber top. While manipulating the throttle control from inside the cockpit, the throttle valve lever was observed moving only slightly before contacting the carburetor chamber top, which restricted its movement. This resulted in the carburetor being at the idle position during the point of contact. The other carburetor was free of anomalies and operated as designed. During an engine test run with an exemplar engine of the same make and model, the carburetor throttle valve lever was modified to duplicate that found on accident engine. The engine was run at various power settings before applying full power. At full engine power, the carburetor throttle valve lever stuck against the chamber top and the engine ran rough and would not accelerate to maximum rpm. The carburetor throttle valve lever was then manually pushed forward past the point of contact on the carburetor chamber top, resulting in a burst of engine power immediately followed by smooth engine operation at maximum rpm.

Factual narrative

On July 19, 2016, about 1000 Alaska daylight time, a tail-wheel equipped, Aeropro CZ A220 airplane, N151J, sustained substantial damage following a loss of directional control during takeoff from an unimproved airstrip about 5 miles south of McCarthy, Alaska. The certificated private pilot was not injured. The airplane was registered to a private individual and operated by the pilot under the provisions of 14 Code of Federal Regulations (CFR) Part 91 as a personal cross-country flight. Visual meteorological conditions prevailed and a visual flight rules flight plan was filed. The flight was planned from the airstrip to the Wasilla Airport (IYS), Wasilla, Alaska. The pilot stated that while attempting to takeoff, shortly after raising the tail of the airplane, a partial power loss occurred. While attempting to maintain directional control, the power loss ceased, and full power returned. The pilot was unable to input the correct amount of rudder pressure quickly enough to compensate for the increase in left turning tendencies resulting in the airplane impacting surrounding terrain and sustaining substantial damage to the wings, tail and fuselage. A video of the attempted takeoff shows that during the takeoff sequence, as the tail lifts, sound changes consistent with engine surging can be heard. This occurs three times during the takeoff roll before directional control is lost. The video is located in the public docket for this accident. The aircraft was equipped with a Rotax 912 ULS engine with a dual carburetor system. The 1/3 carburetor was associated with cylinders 1 and 3, while the 2/4 carburetor was associated with cylinders 2 and 4. A postaccident examination revealed that the throttle valve lever on the 1/3 carburetor was bent inwards and made contact with the carburetor chamber top. The throttle control was actuated inside the cockpit several times, and would eventually push the throttle valve lever past the point of contact on the carburetor chamber top. The throttle valve lever would travel just off the idle stop prior to contacting carburetor chamber top, resulting in the 1/3 carburetor near the idle position during the point of contact, as shown in this photo. Figure 1: 1/3 carburetor contacting the chamber top The throttle valve lever on the 2/4 carburetor was in good condition and did not make contact with the carburetor chamber top. The throttle control was actuated inside the cockpit several times and it would reach its full travel from idle stop to the full throttle stop position. No anomalies were found with the 2/4 Carburetor. A postaccident engine test run was performed with the engine still mounted on the accident airplane's airframe. The engine was not run at full power due to impact damage sustained to the propeller, but it was operated at various idle power settings. The effects of the throttle valve lever on the 1/3 carburetor making contact with the carburetor chamber top was inconclusive during this test run. However,the run verified the engines ignition, fuel, oil and coolant systems were operating normally. The engine run revealed no mechanical anomalies that would have precluded normal operation. A second engine test took place in Vernon B.C, Canada on February 2nd under the direction of the NTSB. A different Rotax 912ULS engine was mounted on an engine test stand with a calibrated propeller. The 1/3 carburetor throttle valve lever was modified to duplicate the 1/3 carburetor throttle valve lever that was found on the accident engine. The 1/3 carburetor throttle valve lever was bent inward to make contact with the carburetor chamber top. The engine was run at various power settings prior to applying full power. The 1/3 carburetor throttle valve lever stuck against the chamber top, the engine ran rough and would not accelerate to maximum RPM. The 1/3 carburetor throttle valve lever was then manually pushed forward past the point of contact on the carburetor chamber top resulting in a burst of engine power, immediately followed by a smooth running engine at maximum RPM. This scenario was consistent with video evidence obtained by the NTSB during the investigation. The closest weather reporting facility is Valdez Airport, Valdez, Alaska, about 98 miles southwest of the accident sire. At 0956, a METAR was reporting in part: wind from 080° at 16 knots, gusting to 21 knots; sky condition, clear; visibility, 10 statute miles; temperature 77° F; dewpoint 48° F; barometric pressure 29.88 inches of mercury.

Aircraft

Registration
N151J
Reported as
Aeropro CZ A220
Category
Airplane
Serial number
37513
Built
2013
Airframe hours
179.1
Engine
Rotax 912ULS, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental light sport (Special)
Last inspection
Condition · March 22, 2016 · 13 hours before
Departed
15Z · McCarthy, AK
Destination
IYS · Wasilla, AK
Flight plan
VFR
Airport
15Z · Mccarthy
Equipment
Handheld GPS, Electronic primary flight display

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
67
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Sport pilot
Last flight review
September 23, 2015
Seat
Left
Restraint
4-point
Flight hours
558 total · 110 in this make and model · 433 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 16 knots, gusting 21
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 48 °F
Altimeter
29.87 inHg
Observed at
PAVD, 98 nm away

Docket · 3

The files NTSB released with the investigation on April 3, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.5 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.