CEN17LA238

NTSB accident investigation · Aeronca 7BCM · Mahnomen, MN · June 21, 2017

Accident · Serious injuriesLimited investigationFinal report
Date
June 20, 2017, 20:00 local (Jun 21, 2017, 01:00 UTC)
Place
Mahnomen, MN
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N2558EAeronca 7BCM
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report November 6, 2018
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Fargo FSDO
FAA report
20170620009419A
Case key
95405

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 abort the takeoff after recognizing a partial loss of engine power during the takeoff roll and his subsequent inability to maintain adequate airspeed during a turn to avoid power lines, which resulted in an aerodynamic stall. The reasons for the loss of engine power could not be determined because postaccident examination of the engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation.

Findings · 6

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.

Action: lack of actionPersonnel issues › Action/decision · PilotAeronca 7BCM: 1 caseAll aircraft: 792 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleAeronca 7BCM: 3 casesAll aircraft: 1,681 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAeronca 7BCM: 11 casesAll aircraft: 9,295 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedAeronca 7BCM: 2 casesAll aircraft: 2,247 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Not specifiedAeronca 7BCM: 1 caseAll aircraft: 435 cases

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 sport pilot reported that the initial takeoff roll was normal but that he then noted that the airplane was not gaining airspeed and that the engine was not developing full power; however, he decided to continue the takeoff. He stated that, once he was committed to the takeoff, there seemed to be an even "greater loss of power." The airplane only reached 150 ft, and he decided to turn right to avoid a highway and power lines. He initiated a 20° bank, and subsequently the airplane stalled and then impacted a bean field adjacent to the airport. Postaccident examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. Although weather conditions at the time of the accident were conducive to moderate icing at cruise power or serious carburetor icing at descent power, given the airplane was at takeoff power, it is unlikely that carburetor ice accumulated and caused the power loss. The pilot's decision to not abort the takeoff at the first sign of a loss of engine power resulted in a slow airspeed during the initial climb during a turn, which resulted in the aerodynamic stall.

Factual narrative

On June 20, 2017, about 2000 central daylight time, an Aeronca 7BCM airplane, N2558E, sustained substantial damage during initial climb from the Mahnomen County Airport (3N8), Mahnomen, Minnesota, when it impacted a bean field after a loss of control. The sport pilot was seriously injured. The airplane was owned and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed for the flight, which was not operated on a flight plan. The airplane was departing 3N8 on a local flight. The pilot reported that he had flown the airplane earlier in the day. About 1900, he returned to the airport with the intention of going on a short local flight. He preflighted the airplane, including fuel samples, and taxied to the run-up area where he performed the before take-off checklist items. He departed from runway 35 and the initial takeoff roll was normal. The pilot then noted the airplane was not gaining airspeed and the engine was not developing full power; but he decided to continue the takeoff. Once he was committed to the takeoff, there seemed to be an even "greater loss of power He stated that the airplane did not gain more than 150 ft of altitude. He stated, "The power seemed to still be fading and I was basically 'hanging on the prop' when I decided to initiate a very slight bank (20 degrees)" to avoid a highway and powerlines. He stated that the airplane stalled and impacted a bean field adjacent to the airport. Witnesses reported that the airplane appeared to be going slow and not climbing before the airplane banked to the right and impacted the ground in a nose down attitude. A Federal Aviation Administration inspector examined the airplane. He removed the valve covers and found a rusty valve springs. He stated that he was able to rotate the engine, and the crankshaft and drive train exhibited continuity. The magnetos turned and sparked. Fuel was found in the carburetor bowl. The spark plugs were normal in color and wear. The header fuel tank was ruptured. There was an auxiliary fuel tank in the left wing. The propeller exhibited minimal damage. He checked and confirmed flight control continuity. No preexisting anomalies to the engine and airframe were noted. In the NTSB accident report which the pilot completed, he provided two recommendations on how the accident could have been prevented: 1. "Aborting the takeoff at the first sign of any kind of performance issue…with enough runway to stop plane." 2. Keep the noise canceling headset turned off during takeoffs and landings. He stated, "Perhaps I would have reacted differently (aborted) if my ears told me the same thing as the controls and instruments referring to the increasing loss of power/thrust/lift." At 2015, the surface weather observation at 3N8 was: wind light and variable; visibility 10 miles; sky clear; temperature 20° C; dew point 8° C; altimeter 29.94 inches of mercury. According to the carburetoricing chart, weather conditions at the time of the accident were conducive to moderate icing at cruise power or serious carburetor icing at descent power.

Aircraft

Registration
N2558E
Reported as
Aeronca 7BCM
Category
Airplane
Serial number
7AC-6141
Built
1946
Engine
Continental C-86-12F, 85 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 18, 2016 · 3,730 hours before
Departed
3N8 · Mahnomen, MN
Destination
3N8 · Mahnomen, MN
Airport
3N8 · Mahnomen County Airport, runway 35, 3,400 × 75 ft, asphalt
Equipment
None

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
56
Injuries
Serious
Certificate
Sport Pilot
Airplane ratings
Single-engine land
Medical
Sport pilot
Seat
Front
Restraint
4-point
Flight hours
168 total · 168 in this make and model · 143 as pilot in command · 27 in the last 90 days · 12 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
68 °F, dew point 46 °F
Altimeter
29.94 inHg
Observed at
3N8

Docket · 5

The files NTSB released with the investigation on April 16, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.2 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.