CEN21LA078

NTSB accident investigation · Vans RV4 · Sadler, TX · December 7, 2020

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
December 7, 2020, 15:28 local (21:28 UTC)
Place
Sadler, TX
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N423WHVans RV4
Defining event
Takeoff-rejected takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Australian Transport Safety Bureau, FAA NTX FSDO
FAA report
20201207022159A
Case key
102386

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 partial loss of engine power for reasons that could not be determined based on the available evidence.

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 determinedHall Wendell VANS RV-4: 1 caseAll aircraft: 2,247 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 pilot was practicing low approaches at a private grass airstrip and elected to land. He determined he would land too far down the runway and initiated a go-around. The engine initially responded, but the engine power then reduced to idle. He “pumped the throttle” two or three times, and the engine did not respond. He subsequently landed on the runway. The airplane overran the end of the runway and nosed over, which resulted in substantial damage to the rudder, elevator, and left wing. Postaccident engine runs were conducted with the engine attached to the airframe. The engine started and attempts were made to increase engine rpm. The engine would sputter and lose power momentarily each time the throttle was advanced. During one engine run, the engine stopped when the throttle was advanced. During the final engine run, the engine would not shut down normally using the throttle and mixture control, but it shut down when the ignition was turned off. The engine, airframe, and throttle body unit were examined, and no preimpact anomalies were noted. Functional testing of the throttle body unit could not be completed due to a lack of access to appropriate test equipment. The reason for the partial loss of engine power could not be determined based on the available evidence.

Factual narrative

On December 7, 2020, at 1528 central standard time, a Vans RV-4 airplane, N423WH, was substantially damaged when it was involved in an accident near Sadler, Texas. The pilot was seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot told investigators he had been practicing low approaches at a private grass airstrip and elected to land. He determined he would land too far down the runway and initiated a go-around. The engine initially responded, but the engine power then reduced to idle. He “pumped the throttle” two or three times, and the engine did not respond. He subsequently landed on the runway. The airplane overran the end of the runway and nosed over, which resulted in substantial damage to the rudder, elevator, and left wing. Postaccident engine runs were conducted with the engine attached to the airframe. The engine started on the third attempt and was allowed to idle for about 2.5 minutes. The engine remained at about 1,050 rpm during that time. Several attempts were subsequently made to increase engine rpm. The engine would sputter and lose power momentarily each time the throttle was advanced. During one engine run, the engine stopped following an attempt to advance the throttle. The engine started again on the fourth attempt. The sputtering and loss of power repeated during each attempt to advance the throttle above idle. The engine was allowed to idle and attempts to shut down the engine normally using the throttle and mixture controls were unsuccessful. The engine shut down when the ignition was turned off. The engine was equipped with a Rotech Mk.II 48-4/5 throttle body injector (TBI) unit. Examination revealed both the throttle and mixture controls were secured properly to the TBI unit. The TBI was removed from the engine and examined. No anomalies were noted during examination of the TBI that would have precluded normal operations. Functional testing of the TBI could not be completed due to a lack of access to appropriate test equipment.

Aircraft

Registration
N423WH
Reported as
Vans RV4
Category
Airplane, amateur-built
Serial number
3349
Built
1997
Airframe hours
1,231
Engine
Lycoming Penn Yan IO-360-EXP, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · January 22, 2019 · 16 hours before
Departed
KSWI · Sherman, TX
Destination
Same as departure
Airport
15TX · Flying J Airport, runway 18, 790 × 75 ft, grass/turf
Equipment
Electronic multifunction display, Auto-pilot, ADS-B, Electronic primary flight display

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
74
Injuries
Minor
Certificates
Airline transport, Flight instructor, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Last flight review
July 11, 2020
Seat
Front
Restraint
5-point
Flight hours
14,750 total · 2.9 in this make and model · 9,900 as pilot in command · 2.9 in the last 90 days · 2.9 in the last 30 days · 2.9 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 34 °F
Altimeter
29.51 inHg
Observed at
KGLE, 20 nm away
METAR
3:53 PM 63 °F 34 °F 34 % WNW 7 mph 0 mph 29.51 in 3:53 PM 63 °F 34 °F 34 % WNW 7 mph 0 mph 29.51 in 0.0 in Fair

Docket · 4

The files NTSB released with the investigation on July 13, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.3 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.