CEN19LA060

NTSB accident investigation · Stinson 108 · Keshena, WI · January 19, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
January 19, 2019, 11:25 local (17:25 UTC)
Place
Keshena, WI
Injuries
1 serious, 3 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N97969Stinson 108
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA Milwaukee FSDO
FAA report
20190119000309A
Case key
98878

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

A total loss of engine power during cruise flight for undetermined reasons, which resulted in a forced landing and subsequent impact with trees.

Findings · 1

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.

Not determinedNot determined › Not determined · Unknown/Not determinedStinson 108-1: 1 caseAll aircraft: 2,247 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 was conducting a personal flight; while in cruise flight, the engine experienced a momentary and substantial loss of rpm. The pilot moved the mixture to the full-rich position, turned on the carburetor heat, and switched to the right fuel tank. The engine recovered power, and the pilot left the carburetor heat on for about 3 minutes and then slowly turned it off. About 2 minutes later, the engine lost all power. The pilot activated the starter, but it did not engage. The pilot chose to execute a forced landing on a road, during which the airplane impacted trees, bounced, and then came to rest inverted on a snow-covered embankment. Postaccident examination of the engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. The temperature and dewpoint at the time of the accident were not conducive for the formation of carburetor icing. The airplane had an adequate amount of fuel onboard at the time of the accident. Therefore, the reason for the loss of all engine power could not be determined.

Factual narrative

On January 19, 2019, about 1125 central standard time, a Stinson 108-1, N97969, sustained substantial damage when it was involved in an accident on the Menominee Indian Reservation near Keshena, Wisconsin. The private pilot sustained serious injuries and the three passengers sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that the purpose of the personal flight was to travel to Ford Airport (IMT), Iron Mountain, Michigan. The airplane had 26 gallons of fuel onboard prior to departure. While in cruise flight, the engine sustained a momentary and substantial loss of rpm. The pilot reported that cruise power settings was about 2,300 rpm and the rpm needle decreased down to about 1,500 rpm. The pilot applied the mixture to the full rich position, activated the carburetor heat, and switched to the right fuel tank. The engine recovered and the pilot left the carburetor heat on for about three minutes and then slowly turned it off. About two minutes after the carburetor heat was turned off, the engine ceased producing power. The pilot reported the propeller did not windmill after the loss of engine power. The pilot activated the starter and it did not engage. The pilot observed an asphalt road surrounded by trees on both sides where he decided to execute a forced landing. During the landing, the airplane impacted the trees and bounced on the road, coming to rest upside down on a snow-covered embankment. The occupants were able to egress without further incident. The airplane sustained substantial damage to the fuselage, both wings, and the empennage. A postaccident examination of the engine by the Federal Aviation Administration (FAA) found no preimpact mechanical malfunctions or failures that would have precluded normal operation. The temperature and dewpoint at the time of the accident were not conducive for the formation of carburetor icing per the carburetor icing probability graph from the FAA Special Airworthiness Information Bulletin CE-09-35 Carburetor Icing Prevention. Although requested, the pilot did not submit the National Transportation Safety Board Pilot/Operator Aircraft Accident/Incident Report Form 6120.1.

Aircraft

Registration
N97969
Reported as
Stinson 108 (1)
Category
Airplane
Serial number
108-969
Built
1946
Engine
Franklin 6A4-165, 165 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Departed
PCZ · Waupaca, WI
Destination
IMT · Iron Mountain Kingsford, MI
Equipment
Unknown

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
41
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 1, Without waivers/limitations
Last flight review
August 1, 2018
Seat
Left
Flight hours
3,465 total · 22 in this make and model · 35 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
16 °F, dew point 3 °F
Altimeter
30.26 inHg
Observed at
KEZS, 13 nm away

Docket · 5

The files NTSB released with the investigation on June 22, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.8 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.