CEN11LA374

NTSB accident investigation · Malkin Roy K Searey · Minneapolis, MN · June 4, 2011

Accident · Serious injuriesLimited investigationFinal report
Date
June 4, 2011, 18:37 local (23:37 UTC)
Place
Minneapolis, MN
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N242RMMalkin Roy K Searey
Defining event
Initial climb: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report December 27, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Admininstration
FAA report
20110604012039A
Case key
79310

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 adequate airspeed during takeoff, which resulted in an inadvertent stall. Contributing to the accident was the degraded engine performance due to the improper servicing and maintenance of the fuel system.

Findings · 5

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.

Fuel systemAircraft › Aircraft systems · Damaged/degradedMalkin Roy K SEAREY: 1 caseAll aircraft: 181 cases
Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionMalkin Roy K SEAREY: 1 caseAll aircraft: 1,695 cases
Fluids: fuelAircraft › Fluids/misc hardware · Not serviced/maintainedMalkin Roy K SEAREY: 1 caseAll aircraft: 1,695 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedMalkin Roy K SEAREY: 1 caseAll aircraft: 1,681 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

According to an air traffic controller, shortly after takeoff, approximately 50 to 100 feet above ground level, the pilot contacted the tower controller and stated "...we're gonna," and the transmission ended. The tower controller said that when the airplane reached the departure end of the runway, the airplane entered a left bank and impacted terrain. The airplane came to rest inverted, adjacent to the runway. A postaccident examination of the airplane revealed that the engine's fuel system contained brownish fluid, consistent with old and dirty automotive fuel. The pilot stated that he did not service the airplane with fuel prior to takeoff and that the airplane hadn’t been flown in at least 6 months. A postaccident examination revealed that the fuel system hoses were cracked and degraded, and one fuel line was improperly modified. Further, a conditional inspection of the airplane had not been completed in the previous 3 years. The engine was test run postaccident with fresh automotive fuel, and it ran normally for about 5 minutes at various power settings. Based on the tower controller's description of the accident sequence, it is likely the airplane entered an aerodynamic stall shortly after takeoff. It is also likely that the improper servicing and maintenance of the fuel system could have contributed to degraded engine performance.

Factual narrative

On June 4, 2011, at 1837 central daylight time, a Malkin SeaRey experimental amateur-built airplane, N242RM, sustained substantial damage when it impacted terrain shortly after takeoff from Crystal Airport (MIC), Minneapolis, Minnesota. The commercial pilot and passenger sustained serious injuries. The airplane was registered to and operated by the pilot. Visual meteorological conditions prevailed, and a flight plan was not filed for the 14 Code of Federal Regulations Part 91 personal flight. The local flight was originating at the time of the accident. According to air traffic control communications and witness information, at 1833, the pilot contacted the MIC air traffic control tower (ATCT) for taxi clearance to runway 32R for takeoff. The pilot stated his intentions were to remain in the traffic pattern and perform some touch and go's, then possibly depart the MIC area to the west. Shortly after takeoff, approximately 50 to 100 feet above ground level, the pilot contacted the ATCT and stated, "...we're gonna" and the transmission ended. The MIC local controller observed the airplane not producing the normal amount of lift, and when the airplane reached the departure end of runway 32R, the airplane entered a left bank and impacted terrain. The airplane came to rest inverted adjacent to the runway. During a telephone conversation with the pilot, he reported that he had very little recollection of the events prior to and during the accident flight. The pilot did not fuel the airplane prior to the flight, and he estimated the fuel tank contained approximately 6 gallons of fuel. The accident flight was the pilot and airplane's first flight in the calendar year 2011. The pilot stated he typically obtained fuel from a local automotive gas station near MIC. A review of the aircraft logbooks showed the most recent conditional inspection was completed on May 3, 2008, at a total time of 93.8 hours. The pilot confirmed this was the most recent conditional inspection. On June 21, 2011, a postaccident examination of the airframe and engine was conducted by the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), two Federal Aviation Administration inspectors, and a representative from engine manufacturer. The forward fuselage was crushed and fragmented. The outboard two-thirds of the left wing was crushed upward and aft. The outboard one-third of the right wing was crushed downward and aft. The flap handle was found in the first detent position. Flight control continuity was established from the cockpit controls to the flight control surfaces. Approximately 40 pounds of lead weight ballast were found within the wreckage, which the pilot reported he typically used when he flew the airplane solo. The Rotax 912ULS-2 engine remained attached to the airframe, and the three blade composite propeller remained attached to the engine. One of the blades was fractured at mid-span and the other two blades remained intact. The propeller wasrotated by hand and thumb compression and suction was noted on all four cylinders. Both carburetor bowls were removed and a brownish fluid was noted in each bowl. The fluid was tested with a water finding paste and the test results were negative for water content. The float bowl gaskets were made of original cork material. Replacement gaskets supplied by the manufacturer were a paper type material, and the gaskets are recommended by the manufacturer to be changed during a conditional or 100-hour inspection. Both carburetor slides were manipulated by hand and were free to move. Both carburetor air inlet filter elements displayed a brownish color rather than their normal pink color. The engine was not equipped with carburetor heat system. The mechanical pump inlet fuel hose was found to have the last 5 inches reduced from a 5/16 inch inner diameter hose to a 1/4 inch inner diameter hose. The manufacturer required a uniform 5/16 inch fuel hose. The reduced hose section was found crazed and cracked in multiple locations. The fuel pump was removed and a small amount of brownish fluid was noted within the pump, consistent with the carburetor float bowl fluid. The engine coolant expansion cap rubber seal was dislodged and found folded over. Fresh auto fuel was added to the carburetor bowls, a slave fuel tank was connected to the fuel inlet line, and an engine start was attempted. Prior to the engine test run, the propeller blades were cut near the blade root for safety precautions. The engine was test run at various power settings for approximately 5 minutes with no anomalies noted. The cockpit engine controls were used to control the engine power settings during the engine test run. The pilot did not submit a completed Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1) as requested by the NTSB IIC.

Aircraft

Registration
N242RM
Reported as
Malkin Roy K Searey
Category
Airplane, amateur-built
Serial number
1MK369C
Airframe hours
94
Engine
Rotax 912ULS-2, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Malkin Roy K
Registered owner
Malkin Roy K
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · May 3, 2008
Departed
MIC · Minneapolis, MN
Destination
MIC · Minneapolis, MN
Airport
MIC · Crystal Airport, runway 32R, 3,263 × 75 ft, asphalt

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
65
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3
Last flight review
December 2, 2010
Seat
Left
Flight hours
3,800 total · 100 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 13 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 48 °F
Altimeter
30.10 inHg
Observed at
MIC

Docket · 13

The files NTSB released with the investigation on November 14, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.4 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.