CEN21LA222

NTSB accident investigation · Flight Design Ctls · Racine, WI · May 18, 2021

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
May 17, 2021, 20:00 local (May 18, 2021, 01:00 UTC)
Place
Racine, WI
Injuries
1 minor
Damage
Destroyed
Phase of flight
Approach
Aircraft
N521CTFlight Design Ctls
Defining event
Approach: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration; MKE FSDO
FAA report
20210517009799A
Case key
103095

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 fatigue failure of the carburetor throttle control cable, which resulted in a partial loss of engine control.

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.

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

During a solo cross-country flight, the student pilot returned to the departure airport after the engine began to vibrate when power was reduced. She attempted three landings that were aborted due to excessive airspeed. During the fourth landing attempt, the airplane touched down fast and bounced several times on the runway. The student pilot aborted the landing and added full engine power to climb, but the airspeed decreased. The airplane collided with a tree and a building and was destroyed by impact forces. Postaccident examination of the airplane revealed that one of the two throttle control cables had separated from its carburetor at the control arm. The cable separation from the carburetor resulted in the carburetor’s spring-loaded throttle control moving to full throttle while the second carburetor would have been at a position selected by the cockpit throttle control. When the pilot reduced the cockpit throttle control for landing, the carburetor with the broken cable would have continued operating at maximum throttle regardless of the cockpit throttle control position, which likely resulted in the engine vibration and the excessive airspeed for landing. Metallurgical examination of the separated control cable revealed that a tightly focused clamping force on the carburetor cable attachment bolt resulted in fatigue failure of the cable.

Factual narrative

On May 17, 2021, about 2000 central daylight time, a Flight Design GMBH CLTS, N521CT, was involved in an accident near Racine, Wisconsin. The airplane was destroyed. The student pilot received minor injuries. The airplane was operated under Title 14 Code of Federal Regulations Part 91 as an instructional flight. The student pilot stated that she departed from Batten International Airport (RAC), Racine, Wisconsin, at 1741, enroute to Burlington Municipal Airport (BUU), Burlington, Wisconsin, for a solo cross-country flight. The flight to BUU was uneventful until the student pilot reduced engine power in the BUU airport traffic pattern and encountered a severe engine vibration. The student pilot returned to RAC and attempted three landings on runway 14 but initiated go-arounds due to excessive airspeed and the vibration that occurred when the engine throttle was reduced. The student pilot stated that during the fourth landing attempt, the airplane touched down with too much energy and bounced several times on runway 14. The student pilot aborted the landing and attempted a climb by adding full engine power, but the airspeed decreased. The student pilot then headed toward a field to land the airplane, but it hit trees, a powerline, and a house. The airplane came to rest inverted, and the pilot was able to egress from the airplane without further incident. The airplane was destroyed by impact forces that resulted in numerous fractures through the composite fuselage, damage to the wings, and damage to the empennage. Postaccident examination revealed that the throttle cable leading to the right carburetor was fractured and separated at the carburetor’s throttle control arm. The throttle cable leading to the left carburetor and a cable that interconnected the right carburetor throttle control arm to the left carburetor control arm were intact and secure. The carburetor’s throttle control arms were spring loaded to the full open throttle position if a cable failure occurred. The left carburetor control cable could be swiveled at its throttle control arm attachment. The right throttle control cable could not be swiveled on its throttle control arm attachment. The right carburetor throttle cable appeared to be crushed near the fracture, which was at the aft/cockpit side of the throttle control arm. Metallurgical examination of the separated portion of the control cable that remained attached to the throttle control arm clamping bolt revealed deformation to the cable consistent with the clamping location along the cable having been adjusted at some previous time. The act of clamping the control cable to the throttle lever imparts deformation and bending to the cable when it becomes squeezed between the bearing surfaces of the clamping bolt head and captive washer. Close examination of the bearing surfaces on both the clamping bolt head and the captive washer revealed that there were imprints of the cable’s wires depressed into the bearing surfaces. Theinterference between the control cable and the bearing surfaces of this fixation design resulted in a tightly focused clamping force on the cable where it entered and exited the cross-drilled hole of the clamping bolt resulting in deformation of the cable and its individual wires. This deformation of the wires reduced their diameter and created stress risers that were susceptible to the formation of fatigue cracks. Scanning electron microscopy of the fractured ends of the throttle control cable revealed fracture features exhibiting crack progression marks consistent with fatigue fractures.

Aircraft

Registration
N521CT
Reported as
Flight Design Ctls
Category
Airplane
Serial number
F-08-09-03
Built
2008
Engine
Rotax 912ULS, 100 hp, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Operator
Racine Sport Flyers
Registered owner
2825 Golf LLC
Airworthiness certificate
Standard, Normal
Departed
BUU · Burlington, WI
Destination
Same as departure
Flight plan
VFR
Airport
RAC · Batten Intl, runway 14/32, 4,422 × 100 ft, asphalt

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
50
Injuries
Minor
Certificate
Student
Medical
Class 3, With waivers/limitations
Last flight review
May 17, 2021
Seat
Left
Restraint
3-point
Flight hours
83 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
59 °F, dew point 52 °F
Altimeter
30.21 inHg
Observed at
KRAC, 1 nm away
METAR
KRAC 180053Z AUTO 10003KT 10SM CLR 15/11 A3021 RMK AO2 SLP229 T01500111

Docket · 5

The files NTSB released with the investigation on January 26, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 18.1 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.