CEN10LA498

NTSB accident investigation · Freeman Super Koala · Traverse City, MI · August 24, 2010

Accident · Minor injuriesLimited investigationFinal report
Date
August 24, 2010, 11:10 local (15:10 UTC)
Place
Traverse City, MI
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N220FFFreeman Super Koala
Defining event
Enroute: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report May 11, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
Austrian Federal Office of Transport, Rotech Flight Safety Ltd., Federal Aviation Administration
FAA report
20100824044739A
Case key
77089

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 loss of engine power due to the improper torquing of the number one cylinder's spark plug as a result of inadequate maintenance.

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.

Ignition system: spark plugs/ignitersAircraft › Aircraft power plant · Incorrect service/maintenanceFreeman Lloyd C SUPER KOALA: 1 caseAll aircraft: 38 casesProbable cause
Terrain: sloped/uneven terrainEnvironmental issues › Physical environment · Contributed to outcomeFreeman Lloyd C SUPER KOALA: 1 caseAll aircraft: 270 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

The pilot reported a loss of engine power during cruise flight. He elected to land in the only open space available, which was comprised of rising terrain. During the approach to the field, the left wing dropped and the airplane turned to the left before impact. A postaccident examination of the number one cylinder exhaust port revealed an accumulation of carbon. The number one cylinder’s spark plug could be loosened by hand in indication that it was not properly secured prior to impact; removal of that plug revealed that it exhibited a fouled appearance. The engine's maintenance manual indicated that the spark plugs are to be tightened on a cold engine to 240-inch pounds of torque. The airplane’s airworthiness was maintained by the owner/pilot under a conditional maintenance program.

Factual narrative

On August 24, 2010, about 1110 eastern daylight time, an experimental amateur-built Freeman Super Koala airplane, N220FF, owned and piloted by a commercial pilot, was substantially damaged when it impacted terrain during a forced landing following a loss of engine power during cruise flight near Traverse City, Michigan. Visual meteorological conditions prevailed at the time of the accident. The personal flight was being conducted under the provisions of Title 14 Code of Federal Regulations Part 91 without a flight plan. The pilot sustained minor injuries. The local flight originated from the Cherry Capital Airport, near Traverse City, Michigan, about 1050. The pilot reported that during the climb he reduced power to 6,000 rpm about three to four minutes after takeoff. The pilot switched the fuel tank selector from the main tank to the auxiliary tank. The engine’s rpms subsequently dropped from 6,000 to 2,000 rpm. He switched the fuel tank selector back to the main tank and the engine’s rpms did not increase. He applied the choke and no increase in engine rpms was observed. According to the pilot, he attempted to execute a forced landing to the “only open space available.” The area which the pilot picked to perform the forced landing had rising terrain. He said that the left wing dropped and the airplane turned about 55 degrees to the left before impact. The pilot stated that the airplane Hobbs meter accumulated 0.4 hour since the start of the flight. According to the pilot, the airplane had accumulated 49.5 hours of total airframe time at the time of the accident. The airplane’s airworthiness was maintained by the owner/pilot under a conditional maintenance program and the last conditional inspection was performed on February 18, 2010. The airplane was powered by a two cylinder, two-stroke, 50-horsepower Rotax 503 UL engine with serial number 360-5697. The engine was sold to the airplane's kit manufacturer in March of 1986 and according to the pilot, it had not been overhauled. A Federal Aviation Administration inspector examined the wreckage. Engine control continuity was established. The engine’s fuel filters were clean. The number one cylinder exhaust port exhibited an accumulation of carbon. The number one cylinder’s spark plug could be loosened by hand and it exhibited a fouled appearance when it was removed. The engine’s maintenance manual included an itemized maintenance plan that listed a "general overhaul of the engine" as planned and necessary maintenance. A supplemental note indicated that the overhaul is to be carried out every 5 years or every 300 hours, whichever comes first. The maintenance manual further indicated that the spark plugs are to be tightened on a cold engine to 240-inch pounds of torque.

Aircraft

Registration
N220FF
Reported as
Freeman Super Koala
Category
Airplane, amateur-built
Serial number
020
Airframe hours
50
Engine
Rotax 503 UL, 50 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · February 18, 2010
Departed
TVC · Traverse City, MI
Destination
TVC · Traverse City, MI
Airport
TVC · Cherry Capital Airport

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
74
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
September 4, 2009
Seat
Left
Flight hours
1,872 total · 50 in this make and model · 1,789 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 4 knots
Visibility
10 statute miles
Lowest ceiling
3,600 ft broken
Temperature
72 °F, dew point 63 °F
Altimeter
30.04 inHg
Observed at
TVC, 5 nm away

Docket · 1

The files NTSB released with the investigation on November 17, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.1 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 N220FF · 1

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