ANC17LA008

NTSB accident investigation · Airborne Extreme SQ-12 · Palmer, AK · November 25, 2016

Accident · No injuriesLimited investigationFinal report
Date
November 25, 2016, 13:30 local (22:30 UTC)
Place
Palmer, AK
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N37PXAirborne Extreme SQ-12
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report September 10, 2018
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration, EFII Protek Performance
FAA report
20161125023009A
Case key
94447

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

The NTSB’s determination of the probable cause, and any contributing factors.

The fuel injector manufacturer's inappropriate guidance to use a 5-ampere circuit breaker in place of the required 10-ampere circuit breaker on the fuel injector circuit, which resulted in the circuit breaker opening, a loss of electrical power to the electronic fuel injectors, and a subsequent total loss of engine power.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

The private pilot reported that, while in level cruise flight, the engine experienced a total loss of power; he then made a forced landing to a remote gravel bar. During the forced landing, the airplane sustained substantial damage to the left lift strut and fuselage. Following the forced landing, the pilot noticed that the 5-ampere fuel injector circuit breaker had opened. A postaccident engine run at various idle power settings revealed no evidence of any preimpact mechanical anomalies with the airplane's engine or systems. The airplane was equipped with an EFII electronic fuel injection and ignition system. A postaccident examination of the system revealed that the fuel injectors had been separated from the ignition power circuit and installed on their own dedicated circuit. The circuit was protected with one 5-ampere circuit breaker, with each individual fuel injector requiring up to 1.25 ampere of electrical current. The EFII installation manual requires one 10-ampere circuit breaker for the ignition circuit, which includes power leads for the ignition coil packs and the electronic fuel injectors. The company that installed the EFII harness provided correspondence from a previous EFII electronic fuel injection and ignition installation, where EFII had recommended that a 5-ampere circuit breaker be used if the fuel injectors were placed on their own dedicated circuit. The installation company stated that this guidance was applied to the accident airplane's installation. Because the 5-ampere circuit breaker was installed, it is likely that the circuit breaker opened and resulted in a loss of electrical power to the electronic fuel injectors, which then resulted in a total loss of engine power.

Factual narrative

The factual narrative734 words

On November 25, 2016, about 1330 Alaska standard time, a tailwheel-equipped Airborne Extreme LLC SQ12 airplane, N37PX, sustained substantial damage during a forced landing, following a loss of engine power near Palmer, Alaska. The airplane was registered to Airborne Extreme LLC and operated by the pilot as a visual flight rules flight under the provisions of 14 Code of Federal Regulations Part 91 when the accident occurred. The certificated private pilot and two passengers were not injured. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight departed Jackfish Landing Airport (7AK4), Wasilla, Alaska at about 1250. During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on November 25, the pilot reported that the he had departed for an afternoon flight with two family members up the Knik Glacier. About 40 minutes after departure, while in level cruise flight the engine lost all power. He made a forced landing to a remote gravel bar. During the forced landing, the airplane sustained substantial damage to the left lift strut and fuselage. In the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1) submitted by the pilot, he indicated that following the forced landing he noticed that the 5-ampere fuel injector circuit breaker had popped. The airplane was equipped with a 4 cylinder, Titan 409 angle valve series engine, and an EFII electronic fuel injection and ignition system. On December 12, 2016 the engine, while still mounted on the accident airplane's airframe was operated under the direction of the NTSB IIC, along with the rest of the investigative team. The engine was not run at full power due to impact damage to the airframe and propeller sustained during the accident, but it was operated at various idle power settings while cycling through both engine control units (ECU) and fuel pumps. No anomalies were observed. Further investigation revealed that the fuel injectors had been separated from the ignition power circuit and installed on their own dedicated circuit which was protect with one 5-ampere circuit breaker. In addition, one 10-ampere circuit breaker supplied power to each individual ignition coil pack. A review of the EFII installation manual indicates that one 10-ampere circuit breaker is required for the ignition power circuit on 4 cylinder engines. The single 10-ampere circuit breaker supplies 12-volt power to the two ignition coil packs and all four electronic fuel injectors. In addition, all wiring harnesses shipped by EFII have power wires bundled with a heat shrink label on them with the appropriate breaker requirement. According to EFII, the most electrical current required by each individual fuel injector is about 1.25-ampere, with the potential for a 75% duty cycle. In an email provided to the NTSB IIC, Aerotronics, Inc. stated that prior to working on the accident airplane, they installed an EFII electronic fuel injection andignition system on another airplane. That airplane owner had requested that the fuel injectors be separated from the ignition harness. The owner had contacted EFII and requested guidance on what size breaker would be appropriate for a dedicated fuel injector circuit. EFII responded in an email "If there is going to be a separate breaker for the injector power, I would make it 5A." (A copy of this email, along with comments from EFII regarding the provided guidance is available in the public docket for this accident.) Aerotronics also stated that they followed that guidance provided by EFII on both the previous installation and on the accident airplane installation. The closest weather reporting facility was Palmer Municipal Airport, Palmer, Alaska, about 30 miles northwest of the accident site. At 1353, an Aviation Routine Weather Report (METAR) from Palmer Airport was reporting, in part: wind from 120 degrees at 3 knots; visibility, 10 statute miles; clouds and sky condition, few clouds at 7,000 feet, scattered clouds at 12,000 feet; temperature, 10 degrees F; dew point 9 degrees F; altimeter, 29.21 inHG. ADDITIONAL INFORMATION Following this accident, EFII began evaluating injector power setups with integral 7.5 ampere fusible links on each injector feed, in addition, to the 10-ampere required circuit breaker. This design would not only protect the ignition circuit, but would provide additional protection for each individual fuel injector. Additionally, this design would reduce the possibility of an electrical short on one fuel injector resulting in an open circuit, and a loss of power to all fuel injectors, and a subsequent total loss of engine power.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N37PX
Reported as
Airborne Extreme SQ-12 (NO SERIES)
Category
Airplane, amateur-built
Serial number
SQ12-002
Built
2016
Airframe hours
162.3
Engine
Titan IOX-409-K7JBN, 220 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · February 13, 2016 · 162 hours before
Departed
7AK4 · Wasilla, AK
Destination
7AK4 · Wasilla, AK
Equipment
Electronic multifunction display, 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
37
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Front
Restraint
3-point
Flight hours
1,275 total · 1,275 in this make and model · 1,271 as pilot in command · 139 in the last 90 days · 42 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 3 knots
Visibility
10 statute miles
Lowest ceiling
20,000 ft overcast
Temperature
10 °F, dew point 9 °F
Altimeter
29.20 inHg
Observed at
PAAQ, 30 nm away

Docket · 7

The files NTSB released with the investigation on June 19, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.3 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.