CEN20LA276

NTSB accident investigation · Rockwell S2R R1340 · Keokuk, IA · July 12, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 12, 2020, 11:10 local (16:10 UTC)
Place
Keokuk, IA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N3104SRockwell S2R R1340
Defining event
Approach: Fuel related
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20200712016229A
Case key
101583

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 improper installation of a fuel vent line during maintenance, which resulted in fuel starvation and a total loss of engine power.

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.

Maintenance: installationPersonnel issues › Task performance · Maintenance personnelAyres S2R-R1340: 1 caseAll aircraft: 371 casesProbable cause
Fuel systemAircraft › Aircraft systems · Incorrect service/maintenanceAyres S2R-R1340: 1 caseAll aircraft: 181 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 agricultural airplane was on final approach to a planned fuel stop during the cross-country flight when the accident occurred. About 3-4 miles from the airport, the engine temperature surged then decreased. The engine stopped running and the pilot decided to land in a field, resulting in substantial damage to the right wing. Examination of the airplane revealed a kinked rubber fuel vent line in the right wing. The line was creased across a structural beam, which restricted the air flow to the fuel tank. Just before the accident flight, the airplane was at a maintenance facility for repairs. During the repairs, the wings had been removed and replaced. The right wing’s fuel vent line was not installed properly. This most likely resulted in an air blockage and drop in fuel pressure as the fuel quantity was reduced during the 2.5-hour flight, resulting in the loss of engine power.

Factual narrative

On July 12, 2020, about 1110 central daylight time, a Rockwell Thrush S2R R1340, N3104S, was substantially damaged when it was involved in an accident near Keokuk, Iowa. The commercial pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 ferry flight. The agricultural airplane had just completed repairs at a certified repair facility. Part of the repairs included the removal and reinstallation of both wings. The intent of the flight was to ferry the airplane cross-country from the repair station to its home base in Vinton, Iowa. A planned fuel stop was at the Keokuk Municipal Airport (EOK), Keokuk, Iowa. According to the pilot, he had topped off the airplane with 197 gallons of fuel before departing the repair station. The pilot set up on a straight-in approach to at EOK and was flying about 1,500 -1,800 ft above ground level when the engine temperature surged then decreased. The engine stopped running and the pilot attempted restart procedures. The pilot determined that he was not going to make it to the airport so he decided to land the airplane in a field. During the landing, the airplane sustained substantial damage to the right wing. Examination of the airplane after the accident revealed that a rubber fuel vent line in the right wing was bent across a structural beam kinking the line in a manner that would restrict the airflow through the line. The creased fuel vent was not related to impact damage. The installation of the right wing's vent line was improper.

Aircraft

Registration
N3104S
Reported as
Rockwell S2R R1340 (No Series)
Category
Airplane
Serial number
R1340-025
Built
1990
Engine
Garrett TPE331-6, 650 horsepower, turbo prop
Damage
Substantial damage
Flight
Ferry · Part 91
Operator
Wayson Air
Registered owner
Wayson Air
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · July 11, 2020 · 7,157 hours before
Departed
M28 · Hayti, MO
Destination
VTI · Vinton, IA

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
21
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Center
Restraint
5-point
Flight hours
2,500 total · 300 in this make and model · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 63 °F
Altimeter
29.93 inHg
Observed at
EOK, 50 nm away

Docket · 3

The files NTSB released with the investigation on June 29, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.3 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 N3104S · 2

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