- Date
- December 4, 2023, 12:50 local (22:50 UTC)
- Place
- Kapolei, HI · Dirt field
- Injuries
- 1 serious, 1 minor
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N691YWDiamond Aircraft Ind DA 40
- Defining event
- Enroute: Loss of engine power (partial)
- Weather
- Visual (VMC) · Day
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 3
- NTSB office
- Alaska Regional Office
- Parties
- FAA
- FAA report
- 20231204020659A
- Case key
- 193475
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 lose baffling from the muffler, which resulted in an obstruction of the exhaust system.
Findings · 1
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.
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
While enroute the pilot moved the throttle control lever forward and heard a “pop” sound come from the engine, followed by a rumbling noise and an airplane vibration. The pilot pulled the throttle back to its original position in an attempt to stop the rumbling and vibrations and turned the airplane back toward the runway for an emergency landing. Engine power was not restored, and the airplane began to lose altitude, so the pilot performed a forced landing, which resulted in substantial damage to the fuselage and both wings. Postaccident examination revealed that baffling from the exhaust muffler had broken loose, blocking about 3/4 of the opening. The blocked exhaust reduced the volumetric efficiency of the engine cylinders, resulting in the partial loss of engine power.
Factual narrative
On December 04, 2023, about 1250 Hawaii-Aleutian standard time, a Diamond DA-40 airplane, N691YW, sustained substantial damage when it was involved in an accident in Kapolei, Hawaii. The pilot sustained minor injuries, and the designated pilot examiner sustained serious injuries. The airplane was operated by the pilot as a Title 14 Code of Federal Regulations Part 91 flight test. The pilot reported that an engine run-up inspection was completed without any issues of concern before departure. They departed from Danial K Inouye International Airport (PHNL) Honolulu, Hawaii, about 1235. After departure they leveled off at 1,500 ft mean sea level and proceeded to the practice area to conduct an evaluation for an airplane instrument rating. The pilot configured the airplane for the first maneuver. When he moved the throttle control lever forward, they heard a “pop” sound come from the engine, followed by a rumbling noise and an airplane vibration. The pilot pulled the throttle back to its original position in an attempt to stop the rumbling and vibrations and turned the airplane back toward runway 11 at Kalaeloa Airport (PHJR), Kapolei, Hawaii, for an emergency landing. They scanned the ignition, control levers, fuel selector, and multi-function display. The pilot confirmed that the mixture control lever was full forward, the propeller control lever was full forward, and the throttle control lever was about 3/4 full forward. The ignition was positioned on "BOTH", the fuel selector knob was positioned directly over the right tank, and the multi-function display showed no discrepancies in engine instrument readings that would indicate a need for immediate corrective action. The airplane started a descent without any manual pitch adjustments. They increased the throttle lever to the full forward position, but this did not provide any additional thrust from the engine. They declared an emergency; the designated pilot examiner took the flight controls, and they began to look for a suitable area for a forced landing. They performed a forced landing to a flat area of land that was covered with dirt. After initial touchdown, the airplane continued to roll straight down the dirt path until it impacted a dirt hill, resulting in substantial damage to the fuselage and both wings. A postaccident examination conducted by a Federal Aviation Administration inspector and a certified airframe and powerplant mechanic revealed no internal failure of the engine. The fuel injection servo control was in the full throttle position and the mixture control was in the full rich position; neither cable could be moved in the cockpit due to impact damage. The fuel injection servo was removed for inspection, and it revealed that the throttle/butterfly did not move and was in the full-throttle position. The valve covers and lower sparkplugs were removed; no anomalies were noted. No obstructions were observed in the fuel system. The air filter was removed with no obstructionobserved. Internal baffling in the exhaust muffler had broken loose and had blocked about 3/4 of the opening. The last 100-hour inspection was completed on November 15, 2023, with the engine total time of 2,290.5 hours
Aircraft
- Registration
- N691YW
- Reported as
- Diamond Aircraft Ind DA 40
- Category
- Airplane
- Serial number
- 40.690
- Built
- 2006
- Airframe hours
- 9,015.1
- Engine
- Lycoming IO-360-M1A+, 180 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Flight test · Part 91
- Registered owner
- George'S Aviation Services Inc
- Airworthiness certificate
- Standard, Normal
- Last inspection
- 100 hour · November 15, 2023
- Departed
- PHNL · Honolulu, HI
- Destination
- PHJR · Kapolei, HI
- Airport
- PHJR · Kalaeloa (John Rodgers Field)
- Equipment
- Electronic multifunction display, Electronic primary flight display, Stall warning system, ADS-B, Auto-pilot, Electronic flight bag or handheld device
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 · 2
As NTSB recorded them. NTSB leaves out names.
- Role
- Pilot
- Age
- 25
- Injuries
- Minor
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Medical
- Class 3, With waivers/limitations
- Last flight review
- September 23, 2022
- Seat
- Left
- Restraint
- 3-point
- Flight hours
- 141 total · 72 in this make and model · 84 as pilot in command · 30 in the last 90 days · 1 in the last 30 days · 0 in the last 24 hours
- Role
- Other flight crew
- Age
- 77
- Injuries
- Serious
- Certificates
- Airline transport, Flight engineer
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 2, With waivers/limitations
- Last flight review
- November 9, 2023
- Seat
- Right
- Restraint
- 3-point
- Flight hours
- 16,800 total · 150 in this make and model · 15,000 as pilot in command · 35 in the last 90 days · 35 in the last 30 days
Weather
- Conditions
- Visual (VMC) · Day
- Temperature
- 81 °F, dew point 66 °F
- Altimeter
- 30.05 inHg
- Observed at
- HJR, 2 nm away
- METAR
- METAR PHJR 042153Z 05007G15KT 10SM BKN037 BKN048 27/19 A3005 RMK AO2 SLP181 T02720189
Docket · 6
The files NTSB released with the investigation on April 2, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.2 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.