CEN11LA429

NTSB accident investigation · Keesler W8 Tailwind · Oshkosh, WI · June 29, 2011

Accident · Minor injuriesLimited investigationFinal report
Date
June 29, 2011, 10:03 local (15:03 UTC)
Place
Oshkosh, WI
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N56PKKeesler W8 Tailwind
Defining event
Initial climb: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report February 23, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration - Milwaukee FSDO
FAA report
20110629011639A
Case key
80940

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 loss of engine power during initial climb for undetermined reasons.

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.

Terrain: rough terrainEnvironmental issues › Physical environment · Contributed to outcomeKeesler Patrick E W8 TAILWIND: 1 caseAll aircraft: 442 cases
Engine (reciprocating)Aircraft › Aircraft power plant · Not specifiedKeesler Patrick E W8 TAILWIND: 1 caseAll aircraft: 497 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

The accident occurred during the initial flight testing of the experimental amateur-built airplane. The pilot reported that, during the initial climb, at an altitude of about 200 feet above the ground, the engine began to lose power. He notified the tower air traffic controller of his engine emergency and began a turn to remain clear of nearby buildings. The airplane encountered a ditch during the forced landing and the forward fuselage and firewall were substantially damaged. The airframe had accumulated 4 hours since it was issued an airworthiness certificate and the engine had accumulated 5.7 hours since its last major overhaul. The pilot/builder replaced the carburetor, spark plugs, and a cylinder since the last engine overhaul. A postaccident examination of the engine revealed that both spark plugs for the No. 4 cylinder were loosely installed into the cylinder head. The upper spark plug for the No. 4 cylinder was not seated on its cylinder gasket. Several spark plugs were removed and exhibited features consistent with the engine operating at a rich carburetor mixture setting. Although a carburetor-icing probability chart indicated that there was a serious potential for carburetor ice accumulation while operating at a reduced engine power setting, the postaccident investigation could not determine if carburetor ice contributed to the loss of engine power. The postaccident investigation was unable to determine the reason for the loss of engine power, which could have been a result of the incorrectly installed spark plugs on the No. 4 cylinder, an excessively rich carburetor mixture setting, an accumulation of carburetor ice before takeoff, or any combination of the aforementioned issues.

Factual narrative

On June 29, 2011, at 1003 central daylight time, an experimental amateur-built Keesler W8 Tailwind airplane, N56PK, was substantially damaged during a forced landing at Wittman Regional Airport (KOSH), Oshkosh, Wisconsin. The pilot sustained minor injuries. The airplane was registered to and operated by the private pilot under the provisions of 14 Code of Federal Regulations Part 91. Day visual meteorological conditions prevailed for the flight, which was operated without a flight plan. The local flight was originating at the time of the accident. The pilot reported that the accident flight was the first flight in the accident airplane in over 6 months, during which time he had been modifying the airplane. The purpose of the flight was to orbit the airport while he evaluated the various airframe and engine systems. The pilot stated that during initial climb from runway 9, at an altitude of about 200 feet above the ground, the engine began to lose power. He notified the control tower of his engine emergency and began a turn to the south to remain clear of nearby buildings. The airplane landed in a grassy area to the south of runway 9, boarded by taxiways Juliet and Kilo. The forward fuselage and firewall were substantially damaged when the airplane encountered a ditch, collapsing the main landing gear. According to available documentation, the airplane was issued its airworthiness certificate on May 19, 2010, and had completed 4.0 hours of its required 40 hour phase I flight testing when the accident occurred. A conditional inspection was completed on June 27, 2011, at 3.9 hours total airframe time. The last recorded flight was completed on November 10, 2010. The engine, a Continental Motors model C-90-12F, had accumulated 5.7 hours since its last major overhaul, which was completed on January 2, 2009. The carburetor and spark plugs were replaced by the pilot/builder on September 7, 2010. The No. 2 cylinder was replaced by the pilot/builder on October 18, 2010. The last recorded engine maintenance was an oil change that was completed on June 1, 2011. A postaccident engine examination revealed that both spark plugs for the No. 4 cylinder were loosely installed into the cylinder head. The upper plug for the No. 4 cylinder was not seated on its cylinder gasket. Several spark plugs were removed and exhibited features consistent with the engine operating at a rich carburetor mixture setting. Both magnetos provided spark when rotated. Mechanical continuity was confirmed from the cockpit engine controls to their respective engine components. The carburetor heat control was in the off position. The carburetor bowl contained fuel with no evidence of water contamination. At 1011, the airport's automated surface observing system reported the following weather conditions: wind 180 degrees at 3 knots; visibility 10 miles; clear skies; temperature 21 degrees Celsius; dew point 13 degrees Celsius; altimeter setting 30.15 inches of mercury. The carburetor icingprobability chart included in Federal Aviation Administration Special Airworthiness Information Bulletin No. CE-09-35, Carburetor Icing Prevention, indicated that there was a potential for serious carburetor icing while operating at glide power.

Aircraft

Registration
N56PK
Reported as
Keesler W8 Tailwind
Category
Airplane, amateur-built
Serial number
1953
Airframe hours
4
Engine
Continental Motors C-90-12F, 90 horsepower, reciprocating
Damage
Substantial damage
Flight
Flight test · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · June 27, 2011
Departed
KOSH · Oshkosh, WI
Destination
KOSH · Oshkosh, WI
Airport
KOSH · Wittman Regional Airport, runway 09, 6,178 × 150 ft, concrete

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
58
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
May 25, 2010
Seat
Left
Flight hours
283 total · 4 in this make and model · 213 as pilot in command · 0 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 55 °F
Altimeter
30.14 inHg
Observed at
KOSH

Docket · 9

The files NTSB released with the investigation on December 27, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.2 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.