CEN13LA305

NTSB accident investigation · Stinson 108-3 · Beaumont, TX · May 23, 2013

Accident · Minor injuriesLimited investigationFinal report
Date
May 23, 2013, 12:00 local (17:00 UTC)
Place
Beaumont, TX
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N121CMStinson 108-3
Defining event
Enroute-climb to cruise: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report February 10, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA-Houston FSDO
FAA report
20130523008509A
Case key
87017

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 lack of a forward clamp on the carburetor heat box rubber boot, which allowed the boot to be ingested into the inlet of the carburetor heat box, restricting the airflow and leading to a subsequent partial loss of engine power.

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.

Power plant: air intakeAircraft › Aircraft power plant · Damaged/degradedStinson 108-3: 1 caseAll aircraft: 50 casesProbable cause
Power plant: air intakeAircraft › Aircraft power plant · Incorrect service/maintenanceStinson 108-3: 1 caseAll aircraft: 50 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelStinson 108-3: 3 casesAll 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

The pilot reported that the airplane's engine lost partial power shortly after takeoff. The airplane was unable to maintain altitude, so he executed a forced landing to a field, and the airplane nosed over. Postaccident examination revealed that the rubber boot between the carburetor heat box and cowl was missing its forward clamp, which was not found in the wreckage The clamp was likely missing because an improper clamp was used or a clamp was not installed properly, which allowed the boot to come loose and to be ingested into the inlet of the carburetor heat box, restricting the airflow and resulting in a rich fuel mixture and the subsequent partial loss of engine power. No other anomalies were found with the engine or its systems.

Factual narrative

On May 23, 2013, about 1200 central daylight time, a Stinson 108-3, N121CM, sustained substantial damage when it nosed over during a forced landing following a loss of engine power near Beaumont, Texas. The pilot received minor injuries. The airplane sustained damage to the vertical tail surfaces, wings, wing struts, and fuselage. The aircraft was registered to and operated by Aircapital Nevada, Inc., under the provisions of 14 Code of Federal Regulations Part 91 as a business flight. Visual meteorological conditions prevailed for the flight, which was not operated on a flight plan. The flight was originating from the Beaumont Municipal Airport, Beaumont, Texas, and was bound for College Station, Texas.The pilot reported that he had performed a pre-takeoff run-up and all engine indications were normal. He proceeded to take off and made two 90-degree turns prior to the loss of engine power. The pilot said that the engine was still producing some power, but he was not able to maintain altitude. He attempted to land in a field and the airplane nosed over. Examination of the engine confirmed compression on all cylinders, valve system continuity, and magneto operation. The carburetor appeared new and the fuel strainer was clean with no debris. The fuel within the gascolator did not appear to have any water or sediment. The upper spark plugs were of three different electrode configurations. All of the plugs exhibited a wet-black appearance. The rubber boot that was located between the carburetor heat box and the cowl was very pliable and had cracks on the exterior surfaces. The rear of the boot was attached to the carburetor heat box with a clamp and sealant. The front of the boot did not have a clamp installed and one was not found in the wreckage. Discussions with a member of the International Stinson Club (ISC) revealed that the front of the boot between the carburetor heat box and the cowl should have had a 2-piece clamp installed. The ISC member said that without the clamp installed it is possible for the boot to be sucked into the inlet of the carburetor heat box thereby restricting airflow, resulting in a rich mixture and reduction of engine power.

Aircraft

Registration
N121CM
Reported as
Stinson 108-3
Category
Airplane
Serial number
108-4284
Engine
Franklin 6A4165 SERIES, 165 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Aircapital Nevada Inc
Registered owner
Aircapital Nevada Inc
Airworthiness certificate
Standard, Normal
Departed
BMT · Beaumont, TX
Destination
CLL · College Station, TX
Flight plan
Unknown
Airport
BMT · Beaumont Municipal 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
81
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 8 knots
Visibility
10 statute miles
Lowest ceiling
3,000 ft broken
Temperature
84 °F, dew point 73 °F
Altimeter
30.03 inHg
Observed at
BMT

Docket · 3

The files NTSB released with the investigation on December 9, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 888 KB 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.