CEN19LA229

NTSB accident investigation · Cessna 305A · Houston, MO · July 21, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 21, 2019, 09:20 local (14:20 UTC)
Place
Houston, MO
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N1831Cessna 305A
Defining event
Takeoff: Fuel related
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Continental Motors, Federal Aviation Administration; STL FSDO
FAA report
20190721006749A
Case key
99894

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

A total loss of engine power during initial climb due to carburetor icing, which resulted in a forced landing and impact with trees and terrain.

Findings · 2

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.

Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on operationCessna 305A: 2 casesAll aircraft: 435 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 private pilot was practicing full-stop takeoffs and landings in the airport traffic pattern. During the fourth takeoff, about 500 to 600 ft above the ground, the airplane's engine experienced a total loss of power. The pilot performed a forced landing and the airplane impacted trees and terrain, resulting in substantial damage to the left wing and fuselage. Postaccident examination, which included three engine test runs, failed to duplicate the power loss. Examination of the carburetor revealed no mechanical anomalies that would have precluded normal operation. Atmospheric conditions about the time of the accident were conducive to the development of serious carburetor icing at glide power. Given the absence of mechanical anomalies, it is likely that the loss of engine power was the result of carburetor ice accumulation while the engine was being operated at reduced power settings during the previous landings and ground operations.

Factual narrative

On July 21, 2019, at 0920 central daylight time, a Cessna 305A airplane, N1831, experienced a total loss of engine power during a departure climb from the Houston Memorial Airport (M48), Houston, Missouri. The pilot subsequently performed a forced landing to a field, during which the airplane impacted trees and terrain. The private pilot was uninjured and the airplane sustained substantial damage. The airplane was registered to and operated by the pilot under Title 14 Code of Federal Regulations Part 91 as a local personal flight that was not operating on a flight plan. Day visual meteorological conditions prevailed at time of the accident. A National Transportation Safety Board (NTSB) Accident/Incident Report Form 6120.1 was not received from the pilot. According to a Federal Aviation Administration (FAA) aviation safety inspector from the Saint Louis Flight Standards District Office, the pilot was practicing takeoffs and landings to a full stop on runway 34 at M48. During climbout on the fourth takeoff, about 500 – 600 ft above ground level and as he retracted the wing flaps, a complete loss of engine power occurred. The pilot verified the fuel selector was ON and applied carburetor heat with the throttle at a full power setting. The pilot moved the cockpit throttle control back and forth, but there was no effect on engine power. During the forced landing attempt, the pilot kept the wings level and aerodynamically stalled the airplane at treetop height to cushion the landing. The airplane sustained substantial damage to the left wing and fuselage. The airplane fuel system and the carburetor were modified through FAA supplemental type certificates SA281SW (installation of gravity flow fuel system, carburetor heater system, and fuel selector valve) and SE264SW (removal of the carburetor and installation of a Marvel-Schebler MA-4-5 carburetor) on July 18, 2019, at a tachometer time of 503.7 hours. Post-accident examination of the airplane revealed the tachometer at the accident site indicated 508.4 hours. The left fuel tank contained about 3 gallons of 100 low lead aviation fuel and was broken open due to impact forces. The right fuel tank contained about 10 gallons of 100 low lead aviation fuel. Both wing root fuel gauges had red ranges below approximately ¼ tank with the following marking: "NO TAKEOFF." The useable fuel capacity of the airplane, as placarded on the fuel selector valve, was 36 gallons. A fuel sample taken from the airplane center belly drain valve revealed no fuel contamination. The cockpit throttle, mixture, and carburetor heat controls were at approximate mid-range of travel position. The magneto switch was in the BOTH position. The fuel selector was in the OFF position. The wing flaps were extended to about half their travel. One propeller blade was straight, and the other propeller blade was bent rearwards about 30°, about 12 inches inboard from the propeller tip. A post-accident engine run of the engine was performed usingan external fuel supply plumbed through the right wing root. The engine started normally on the first attempt. While the engine warmed, engine oil pressure increased to the normal operating range. At an engine speed of about 1,000 rpm, magneto selections of LEFT and RIGHT produced corresponding reductions of engine speed of about 100 rpm. Carburetor heat was selected two times and, on both occasions, produced engine speed reductions of about 75 rpm. The cockpit throttle control was advanced using a maximum setting of 1,500 rpm due to propeller damage and associated engine vibration during the engine run. The cockpit fuel selector was positioned to OFF and the engine sputtered and stopped operating in about 30-45 seconds. The engine was started a second time, the primer was actuated, and there was no effect on engine operation. The cockpit mixture control was retarded to IDLE-CUTOFF, and the engine sputtered and began to cease operating, but regained operation when the mixture control was advanced from the IDLE-CUTOFF position. A second magneto check was performed resulting in reductions of engine speed of about 100 rpm. The mixture control was moved to IDLE-CUTOFF, and the engine was allowed to cease operation. The engine was started a third time, and engine power was increased to about 1,500 rpm. The electric fuel pump was turned ON and allowed to operate for several minutes, during which there was no effect on engine operation. The engine sputtered and ceased operation after exhausting the external fuel supply used for the engine run. Air was blown through all the fuel lines not used for the engine run and through the vent lines. There was no foreign blockage of air through those lines. After the engine run, the carburetor was removed for examination that was conducted under the supervision of the NTSB Investigator-in-Charge. The carburetor body had the following inscription: "Facet". The carburetor body had a red data plate with the following inscriptions: Model - "MA-4-5," Part Number – "10-3859-1," Serial Number – "4015585," and "FF V". All external and internal components were attached and secure. The installed float was non-metallic and blue in color. There was no fluid within the float. The float setting/gap was confirmed to be 13/64 inch, which was in accordance with the carburetor manufacturer's specifications. The float moved without binding and/or sticking. The throttle valve moved without binding/sticking. The fuel inlet screen did not contain debris. The carburetor bowl did not contain debris. The carburetor nozzle assembly was unobstructed and had the following inscription: "737," which was the part number for the nozzle assembly based upon the 1959 design drawing for the carburetor. The current nozzle part number was 47-735 and according to repair shop personnel, both part numbers were applicable. The carburetor pump discharge valve did not have a spring installed with the valve (spring loaded valve) in accordance with VolareCarburetors, LLC. Service Bulletin SB-8 Rev B. There were no mechanical anomalies that precluded normal operation of the carburetor. Recorded ambient temperature and dewpoint temperature about the time of the accident was conducive to serious carburetor icing at glide power.

Aircraft

Registration
N1831
Reported as
Cessna 305A
Category
Airplane
Serial number
22393
Built
1951
Airframe hours
8,297
Engine
Continental O-470-11, 213 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Pilot
Registered owner
Pilot
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · October 11, 2018 · 10 hours before
Departed
M48 · Houston, MO
Destination
M48 · Houston, MO
Airport
M48 · Houston Memorial Airport, runway 34, 3,500 × 60 ft, concrete
Equipment
Handheld GPS, 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
70
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Unknown, Unknown
Last flight review
March 31, 2019
Seat
Left
Flight hours
17 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 70 °F
Altimeter
29.98 inHg
Observed at
TBN, 24 nm away

Docket · 8

The files NTSB released with the investigation on October 9, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 31.7 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.

Other investigations on N1831 · 1

Matched to the same aircraft by N-number and date.