CEN13LA291

NTSB accident investigation · Diamond Aircraft Ind DA 20-C1 · Englewood, CO · May 22, 2013

Accident · Minor injuriesLimited investigationFinal report
Date
May 22, 2013, 17:30 local (23:30 UTC)
Place
Englewood, CO
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N571MADiamond Aircraft Ind DA 20-C1
Defining event
Approach-VFR pattern final: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report February 10, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20130522007589A
Case key
86971

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 in-flight separation of the engine throttle lever and throttle cable due to maintenance personnel not applying sufficient torque to the self-locking nut or improperly reusing a degraded self-locking nut.

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.

Engine controls: power leverAircraft › Aircraft power plant · Incorrect service/maintenanceDiamond Aircraft Ind DA20-C1: 1 caseAll aircraft: 95 casesProbable cause
Info processing/decision: understanding/comprehensionPersonnel issues › Action/decision · Maintenance personnelDiamond Aircraft Ind DA20-C1: 1 caseAll aircraft: 70 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelDiamond Aircraft Ind DA20-C1: 1 caseAll aircraft: 371 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

While on final approach during an instructional flight, the engine became unresponsive to throttle movements. The flight instructor took control of the airplane from the student pilot and made a forced landing, during which the airplane rolled onto soft ground and nosed over to an inverted position. Engine examination revealed that the engine throttle lever and throttle cable had become disconnected and that the bolt connecting these two components was located at the bottom of the engine cowling. A self-locking nut, which normally secures this bolt, was missing and not located. Therefore, it is likely that maintenance personnel did not apply sufficient torque to the nut or improperly reused a degraded self-locking nut, which resulted in the eventual loosening of the nut and the in-flight separation of the engine throttle lever and throttle cable.

Factual narrative

On May 22, 2013, about 1730 mountain daylight time, a Diamond DA-20-C1 airplane, N571MA, was substantially damaged during a forced landing at Centennial Airport (KAPA), Englewood, Colorado. The flight instructor and student pilot received minor injuries. The airplane was registered to 5280 Flying Club LLC and operated under the provisions of 14 Code of Federal Regulations Part 91 as an instructional flight. Day visual meteorological conditions prevailed for the local flight, and no flight plan had been filed. The flight instructor stated that the student pilot was flying a visual approach to a full stop landing at KAPA. While on final approach, the engine became unresponsive to throttle movement. The flight instructor took control of the airplane and attempted to restart the engine. With no increase in engine power, a forced landing was made and the airplane touched down just short of the runway threshold. After touchdown, the airplane rolled onto soft terrain and nosed over to an inverted position. During the engine examination, Federal Aviation Administration (FAA) personnel discovered that the engine throttle lever and throttle cable were disconnected. The bolt normally connecting these two components was located at the bottom of the engine cowling. A self-locking nut (Diamond part number MS21042-3), which normally secures this bolt, was missing and not located. No other anomalies were noticed with the engine. FAA review of airplane records indicated that the engine was removed and re-installed on March 15, 2013 to facilitate the repair of a loose crankcase stud. The airplane flew 100.1 hours after engine re-installation until the accident.

Aircraft

Registration
N571MA
Reported as
Diamond Aircraft Ind DA 20-C1
Category
Airplane
Serial number
C0271
Airframe hours
3,360
Engine
Cont Motor IO-240-B, 125 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
5280 Flying Club LLC
Registered owner
5280 Flying Club LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 10, 2013
Departed
KAPA · Englewood, CO
Destination
KAPA · Englewood, CO
Airport
KAPA · Centennial Airport, runway 17R, 7,000 × 77 ft, asphalt
Equipment
Stall warning system

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
Flight instructor
Age
30
Injuries
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
October 9, 2012
Seat
Right
Restraint
3-point
Flight hours
475 total · 26 in this make and model · 395 as pilot in command · 146 in the last 90 days · 90 in the last 30 days · 4 in the last 24 hours
Role
Student pilot
Age
21
Injuries
Minor
Certificate
Student
Restraint
3-point
Flight hours
14 total · 12 in this make and model · 0 as pilot in command · 14 in the last 90 days · 14 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 34 °F
Altimeter
29.92 inHg
Observed at
KAPA, 1 nm away

Docket · 4

The files NTSB released with the investigation on December 10, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.2 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.