ANC18LA010

NTSB accident investigation · Rockwell International 112A · Clearwater, FL · November 19, 2017

Accident · No injuriesLimited investigationFinal report
Date
November 19, 2017, 10:30 local (15:30 UTC)
Place
Clearwater, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N1401JRockwell International 112A
Defining event
Approach: Fuel related
Weather
Visual (VMC) · Day
Status
Completed · report May 28, 2020
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA
FAA report
20171119019419A
Case key
96356

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

A total loss of engine power for reasons that could not be determined based on the available information.

Findings · 2

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.

Not determinedNot determined › Not determined · Unknown/Not determinedRockwell International 112A: 2 casesAll aircraft: 2,247 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeRockwell International 112A: 2 casesAll aircraft: 933 cases

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

According to the pilot, before departing on the personal flight, he added about 30 gallons of fuel to the airplane, which filled the left fuel tank completely and the right tank to about 7/8 full. He flew for about 20 minutes with the fuel selector on the left tank position. While preparing for landing, the pilot accomplished the before landing checklist, which included increasing the mixture to full rich, turning on the auxiliary fuel pump, and switching the fuel selector from the left tank position to the both position. He then reduced the throttle to slow the airplane and felt "slight resistance" on the throttle lever. About 10 seconds after switching the fuel selector, the airplane began to lose airspeed faster than anticipated. When he looked at the fuel flow indicator, the pilot saw it slowly transition from 8 gallons per hour to zero, and the engine subsequently lost all power. He moved the fuel selector back to the left fuel tank position, but the engine would not restart. During the forced landing, the airplane impacted a tree in the median of a 4-lane street before impacting and coming to rest in a stand of trees adjacent to the roadway. Postaccident testing of the engine and fuel injection servo revealed no preimpact mechanical malfunctions or failures that would have precluded normal operation. Although some debris was noted during the examination of the fuel injection servo, it was likely not enough to cause the engine to lose total power. Thus, the reason for the total loss of engine power could not be determined.

Factual narrative

On November 19, 2017, about 1030 eastern standard time, a Rockwell International 112 airplane, N1401J, impacted trees during a forced landing on a city street about one mile northeast of Clearwater Air Park (KCLW), St. Petersburg, Florida, following a total loss of engine power. The private pilot and sole passenger sustained no injuries and the airplane was substantially damaged. The flight was being operated as a 14 Code of Federal Regulations (CFR) Part 91 visual flight rules personal flight. Visual meteorological conditions prevailed and no flight plan was filed. The flight departed Zephyrhills Airport (KZPH), Zephyrhills, Florida about 1008 for the roughly 35 nautical mile flight to KCLW. According to the pilot, prior to departing KZPH, he added about 30 gallons of fuel to the airplane, which filled the left fuel tank completely and the right tank was about 7/8 full. He performed a walk-around inspection, but did not sump the fuel system for contaminants prior to departure. The roughly 20-minute flight was conducted with the fuel selector on the left tank. When descending through 1,200 ft msl, the pilot conducted the before landing checklist, which included increasing the mixture to full rich, turning on the auxiliary fuel pump and switching the fuel selector to the "BOTH" position. He then reduced the throttle to slow the aircraft and felt "slight resistance" on the throttle lever. About 10 seconds after switching the fuel selector, he began to lose airspeed faster than anticipated. When he looked at the fuel flow indicator, he saw it slowly transition from 8 gallons per hour to zero and the engine subsequently lost all power. He placed the fuel selector back to the left fuel tank, but the engine would not restart. During the forced landing, the airplane impacted a tree in the median of a 4-lane street prior to impacting and coming to rest in a stand of trees adjacent to the roadway. Video footage captured the airplane as it approached the roadway as well as the final impact. The initial impact with the tree in the median was not captured. The video depicts the airplane in a controlled, level descent. Due to the quality of the video, propeller rotation could not be determined. The engine was examined on December 6, 2017 at the facilities of Florida Air Recovery, Jacksonville, FL under the auspices of the National Transportation Safety Board, (NTSB). The engine remained attached to the airframe by the engine mount. The engine had sustained impact damage to the underside. The exhaust system had been displaced up and aft. The fuel injection servo sustained impact damage to the underside, which resulted in a cracked and displaced mounting flange. In addition, the throttle linkage was damaged and displaced. The engine was prepped to be test run, which included replacing the propeller, and attempting to seal the induction leaks created by the cracked and displaced fuel injection servo with metal tape. In addition, the throttle linkage was securedwith tie wraps and the damaged exhaust pipe tip was removed. Fuel was introduced upstream of the engine driven fuel pump but downstream of the electric driven fuel pump. A fuel can with 100LL Avgas was placed below the engine and the engine was primed with a separate auxiliary electric driven fuel pump. The engine was not run at full power due to impact damage to the airframe and engine, but it was operated at various idle power settings while cycling through both magnetos. At about 1600 rpm, a drop of about 50 rpm was noted for the left and right magnetos. On May 9, 2018, a representative of the NTSB traveled to AVStar Fuel Systems, Inc. to witness operational testing of the fuel injection servo. The fuel inlet strainer was removed and when tapped on white paper some debris was noted (figure 1). Some debris was also noted inside the strainer. Oil/dirt was noted on the exterior of the fuel servo. The mixture screw assembly was centered. Fuel Servo Debris The fuel servo was placed on the test bench as received. The throttle valve was set at 0.007 inch (production units are set to 0.006 inch). The fuel servo was subjected to bench testing at calibration and service limits consisting of 4 Test Points. The fuel servo was flowed onto white paper; no contaminants or water was noted during the first fluid coming from the unit. During testing at Test Point 1, the regulator was "hanging up" at 80 pounds-per-hour (PPH), when it should have been between 22.0 and 28.0 PPH. This was likely due to air trapped inside the fuel servo. The fuel servo was then manipulated on the test bench in an effort to remove trapped air. The fuel servo was then subjected to Test Point 4, and flowed within limits. Additionally, the travel and hysteresis checks were satisfactory. The unit was then subjected to Test Point 1 and tested satisfactory. At Test Point 2 which is the idle cutoff check, 2 drops were noted in 1 minute (maximum leakage is 5 CC's in 1 minute. At Test Points 3 and 4, the unit flowed within limits and the pressure sensitivity checks at each of those test points were satisfactory. The idle fuel flow with the throttle valve where found (0.007 inch) flowed 11.0 PPH. The throttle valve was adjusted to 0.006 inch and the fuel flow was 6.5 PPH (the idle fuel flow specification is 6.0 to 7.0 PPH). The pressure sensitivity test at idle fuel flow was satisfactory. Disassembly examination of the fuel servo revealed the regulator self-locking nut was in-place. When attempting to remove only the regulator cover, the air diaphragm, center body, fuel diaphragm and regulator cover separated from the fuel servo body. The air diaphragm and air side of the regulator were clean. A slight amount of fine residue (dust) was noted on the fuel diaphragm, but that did not affect the operation of the fuel servo. Slight contamination was noted on the fuel side of the center body, and also in the servo body regulator section. The fuel diaphragm stem was intact. The passages of the airventuri were clean but slight oily residue was noted on areas of the exterior surface. The closest official weather observation station is St. Petersburg Airport (KPIE), St. Petersburg, Florida, which is located about 6 miles southeast of the accident site. At 0953, a METAR was reporting, in part, wind 230° at 11 knots; visibility 10 statute miles; clouds and ceiling clear; temperature 79° F; dew point 64° F; altimeter 29.95 inches of Mercury.

Aircraft

Registration
N1401J
Reported as
Rockwell International 112A
Category
Airplane
Serial number
401
Built
1975
Airframe hours
2,176
Engine
Lycoming IO360 SER, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 4, 2017 · 30 hours before
Departed
ZPH · Zephyrhills, FL
Destination
CLW · Clearwater, FL
Airport
CLW · Clearwater Air Park, runway 16, 4,108 × 75 ft, asphalt
Equipment
Auto-pilot, Electronic multifunction display, Stall warning system

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
61
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
November 15, 2017
Seat
Left
Flight hours
450 total · 245 in this make and model · 450 as pilot in command · 25 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 64 °F
Altimeter
29.95 inHg
Observed at
KPIE, 6 nm away

Docket · 3

The files NTSB released with the investigation on December 16, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 938 KB 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.