# NTSB CEN13LA063: Redd Tom Quicksilver GT 400, N4031Q, Oak Grove, LA, November 19, 2012 - Type: NTSB accident investigation - Classification: Accident · Fatal · Limited investigation · Final report - Date: November 19, 2012, 08:30 local (14:30 UTC) - Place: Oak Grove, LA - Coordinates: 32.508888, -92.843887 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=32.5089&lon=-92.8439&mi=10 - Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping) - Defining event: [Approach: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report January 13, 2014 - Report: Approved by Office Director - NTSB office: Central Region - Parties: FAA FSDO - NTSB case key (mKey): 85626 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN13LA063 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/85626/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=85626 - Page: https://openairdocs.org/ntsb/CEN13LA063 ## Probable cause The total loss of engine power, the specific cause of which could not be identified during the postaccident examination, and the airplane’s subsequent impact with trees. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Engine (reciprocating)](https://openairdocs.org/ntsb-findings/01058500): Aircraft › Aircraft power plant · Failure (probable cause); cases with it: [Redd Tom QUICKSILVER GT 400, 1 case](https://openairdocs.org/ntsb-findings/01058500/cases.md?model=056106U), [All aircraft, 497 cases](https://openairdocs.org/ntsb-findings/01058500/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Approach: Powerplant sys/comp malf/fail](https://openairdocs.org/ntsb-events/340); cases with it: [Redd Tom QUICKSILVER GT 400, 1 case](https://openairdocs.org/ntsb-events/340/sequence.md?model=056106U), [All aircraft, 820 cases](https://openairdocs.org/ntsb-events/340/sequence.md) - [Approach: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) (defining event); cases with it: [Redd Tom QUICKSILVER GT 400, 1 case](https://openairdocs.org/ntsb-events/341/sequence.md?model=056106U), [All aircraft, 3,820 cases](https://openairdocs.org/ntsb-events/341/sequence.md) - [Emergency descent: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Redd Tom QUICKSILVER GT 400, 1 case](https://openairdocs.org/ntsb-events/470/sequence.md?model=056106U), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis The pilot had recently purchased the light-sport airplane and was on his first flight in the airplane. A witness reported seeing the airplane disappear from sight; the engine sound stopped, and immediately heard a crash. Examination revealed that the airplane collided with a tree, before impacting the ground in a nose down, left wing low attitude. Additionally, the examination revealed the airplane was equipped with a ballistic parachute system; however, the safety pin was found still installed in the parachute's firing handle. The airplane was equipped with an electric fuel pump installed in series with the engine's fuel pump. The engine manufacturer's manual states the following: "If the fuel tank is considerably lower than the engine, an electric pump should be used; this pump is to be connected in parallel as in case of series-connection the fuel pressure would be excessive." The fuel pump installed on the engine was identified as one typically used on two stroke engines. The engine technician noted that this style pump does not have the bleed holes in it, and without these bleed holes, this style pump may hydro lock. The in-line fuel filter installed was a paper type filter and appeared dirty with contaminates in it. Additionally, the installation manual states the following: "A suitable fuel filter of 0.15 mm mesh size must be fitted between pump and carburetor. Do not use paper filters." Although, the examination noted these abnormalities, a specific reason for the loss of engine power was not identified; however, it is likely that one or more of these abnormalities resulted in the engine's loss of power. ## Factual narrative HISTORY OF FLIGHT On November 19, 2012, about 0830 central standard time, an experimental, light sport Quicksilver GT400 airplane, N4031Q, impacted terrain near Oak Grove, Louisiana. The private rated pilot, sole occupant, was fatally injured and the airplane sustained substantial damage. The airplane was registered to and operated by a private individual under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Day visual meteorological conditions prevailed for the flight, which operated without a flight plan. According to family members, the pilot recently purchased the airplane and this was the pilot's first flight in the airplane. He departed about one hour before the accident and planned to fly locally. An individual, who lived near the airport, reported seeing the accident airplane headed north toward the runway. Once the witness lost sight of the airplane, he heard its engine stop flowed by a "crunch" sound. PERSONNEL INFORMATION The pilot held a private pilot certificate for airplane single engine-land. The pilot's logbook was not recovered; however, the pilot reported a total of 1,006 hours on this application for third-class Federal Aviation Administration (FAA) medical on October 31, 2005. A review of the pilot's medical records revealed that the pilot's application for a medical certificate was denied, due to coronary disease and medications. AIRCRAFT INFORMATION The accident airplane was a Quicksilver GT400, which was a kit built airplane and constructed from aluminum tubing, fiberglass, and covered with a polyester fabric. The airplane was configured with a single-seat and with fixed tricycle landing gear. The airplane was certified in the Experimental – Amateur Built category, and was originally equipped with a Rotax model 447 engine. At the time of the accident, the airplane was equipped with a Rotax 503 engine, and according to the previous owner had accrued a total of 69 total hours. METEOROLOGICAL INFORMATION At 0835, the automated weather station at the Arcadia-Bienville Parish Airport, Arcadia, Louisiana (5F0), located about 10 miles northwest of Oak Grove, Louisiana, reported wind calm, temperature 50 degrees Fahrenheit (F), dew point 42 degrees Fahrenheit, (F), visibility 10 miles, a clear sky, and an altimeter pressure setting 30.34 inches of mercury. COMMUNICATIONS & RADAR INFORMATION The pilot was not in contact with air traffic control/radar service and no distress call from the pilot was reported. WRECKAGE AND IMPACT INFORMATION An inspector from the Federal Aviation Administration (FAA) examined the airplane wreckage on site. The inspector reported that the airplane was equipped with a ballistic safety parachute; however, the safety pin was found still installed in the parachute's firing handle with the "remove before flight" tag still attached to the pin. Additionally, the main battery power switch was in the off position. A tree located at the aft side of the airplane showed one limb hadbroken off; the limb was on the edge of a tree line. There was no impact damage to trees in the midst of the tree line. The damage to the tree limb is consistent with a near vertical descent of the airplane. Damage to the airplane and ground scars were also consistent with a left wing ground impact, a roll to the left, and finally coming to rest with the fuselage on its left side. The airplane's tail section was at an approximate 35 degree angle from the fuselage. The fuel tank was found to be about half full of fuel. Only residual fuel were found in the fuel lines and the carburetor float bowls. Additionally, there was no fuel in the in-line fuel filter; the filter appeared to be dirty with unidentified contaminates in it. The transparent fuel lines appeared to be in a degraded condition. An on-site examination of the engine did not identify any operational problems; however, the ignition switch would produce a shock to an individual, whenever the switch was turned to the "start" position. The switch was removed from the airplane and shipped to the NTSB Materials Laboratory in Washington, D.C. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy was conducted on the pilot on November 19, 2012, by the West Carroll Parrish Coroner's Office, Louisiana. The cause of death was determined to be from multiple injuries. The FAA Toxicology Accident Research Library, Oklahoma City, Oklahoma, conducted toxicological testing on the pilot. The results were negative for carbon monoxide, cyanide, and ethanol. Diphenhydramine and Stalol were detected in muscle and blood. Diphenhydramine is a sedating antihistamine and sleep aid available over the counter in drugs marketed under the trade names Benadryl and Unisom. According to the FDA, Sotalol is a prescription antiarrhythmic beta blocker with both Class II and III antiarrhythmic properties. It is used treat atrial fibrillation and ventricular arrhythmias but carries a warning that it may also cause life threatening ventricular arrhythmias. TEST AND RESEARCH The ignition switch installed in the airplane was an ACS Model No A-510-2. The switch was the subject of a 1993 Airworthiness Directive (AD) that required the switch to be periodically inspected to determine wear, corrosion, and to lubricate the switch. The switch is to be lubricated with Mobil grease 33. Examination of the switch prior to disassembly, produced indications of electrical continuity from the key through the rest of the switch, when the key was turned. The switch was dissembled, and a sample of the grease inside was identified as a graphite thickened lubricant. Further examination of the airplane revealed that airplane was equipped with an automotive fuel pump installed outside of the fuel tank, and the fuel filter was installed on the outflow side of the pump. A Mr. Gasket fuel pump model 42s was installed in series with the engine's fuel pump. The Rotax 503 manual states the following: "If the fuel tank is considerably lower than the engine, anelectric pump should be used; this pump is to be connected in parallel as in case of series-connection the fuel pressure would be excessive." The fuel pump installed on the engine was identified as a Mikuni pump, typically used on two stroke engines for snowmobiles and ATV's. The Rotax technician noted that, this style pump does not have the bleed holes drilled in it the way the pumps from Rotax do; without these bleed holes this style pump may hydro lock. The in-line fuel filter installed was a paper type filter. Additionally, the Rotax 503 installation manual states the following, "A suitable fuel filter of 0.15 mm mesh size must be fitted between pump and carburetor. Do not use paper filters." The sparkplugs appeared to be in new condition and were gapped at 0.030; the recommended gap is 018-.023 of an inch. A post-crash engine run was conducted; the engine started and was able to produce power. ## Aircraft - Registration: [N4031Q](https://openairdocs.org/deregistered/N4031Q-2013-08-28), registration cancelled 2013-08-28, S/N 1444 (OpenAirDocs) - Reported make and model: REDD TOM QUICKSILVER GT 400 - Registry model: [Redd Tom QUICKSILVER GT 400](https://openairdocs.org/model/redd-tom-quicksilver-gt-400) (registry code 056106U) (OpenAirDocs) - Category: Airplane, amateur-built - Serial number: 1444 - Engines: Rotax 503 reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: Randy Capers - Registered owner: Jerry Swafford - Airworthiness certificate: Special, Experimental (Special) - Departed: Oak Grove, LA - Destination: Oak Grove, LA - Flight plan: Unknown ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 68; injuries: serious; private; airplane ratings: single-engine land; seat: single; toxicology performed; flight hours: 1,500 total ## Weather - Conditions: Visual (VMC), Day - Wind: calm - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 50 °F, dew point 43 °F - Altimeter: 30.34 inHg - Observed at: KBQP, 25 nm away ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20121119025829A](https://openairdocs.org/incident/20121119025829A), Nov 19, 2012: Redd Tom QUICKSILVER GT 400, Oak Grove, LA, Substantial damage, 1 fatal. At approximately 08:30 local time N4031Q lost power to the engine, struck a tree, and crashed. There was one witness who said he saw the aircraft flying in a… ## Docket (6 files) The files NTSB released with the investigation on November 19, 2013, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=85626. 3.6 MB in all. - Materials Laboratory 15 - Factual Report 13-042 Ignition switch (item 1, .PDF, 2 photos, 261 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40395045&FileExtension=.PDF&FileName=Materials%20Laboratory%2015%20-%20Factual%20Report%2013-042%20Ignition%20switch-Master.PDF - Reports from Federal Agencies (item 2, .PDF, 18 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40399295&FileExtension=.PDF&FileName=Reports%20from%20Federal%20Agencies-Master.PDF - Toxicological Report (item 3, .PDF, 113 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40399293&FileExtension=.PDF&FileName=Toxicological%20Report-Master.PDF - Weather Reports and Records (item 4, .PDF, 16 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40399301&FileExtension=.PDF&FileName=Weather%20Reports%20and%20Records-Master.PDF - Medical Factual (item 5, .PDF, 166 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40399397&FileExtension=.PDF&FileName=Medical%20Factual-Master.PDF - Photo: Accident airplane (Sheriff photo) (item 6, .PDF, 3.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40401758&FileExtension=.PDF&FileName=Photo%3A%20%20Accident%20airplane%20%20%20%20%20%20(Sheriff%20photo)-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.