CEN21LA273

NTSB accident investigation · Tony Dubeansky RV10 · Fort Worth, TX · June 16, 2021

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 16, 2021, 07:30 local (12:30 UTC)
Place
Fort Worth, TX
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N878TDTony Dubeansky RV10
Defining event
Maneuvering: 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
FAA FSDO
FAA report
20210616014859A
Case key
103279

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 partial loss of engine power due to a separated electronic ignition system connector. Contributing to the accident was the location of the ignition boxes, which provided limited access to the connectors for visual inspection.

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.

Ignition system: ignition system wiringAircraft › Aircraft power plant · InoperativeTony Dubeansky RV10: 1 caseAll aircraft: 16 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 reported that, during the initial climb following a touch-and-go landing, the engine backfired and lost partial power about 200 ft above ground level. The airplane descended and collided with a power line before impact with terrain and a tree, resulting in substantial damage. The airplane engine was equipped with an electronic ignition system and automotive-style sparkplugs. The ignition system was field-tested by passing a magnet over the flywheel ignition sensor; spark was observed only on one bank of the ignition system. The ignition leads and coil labels did not necessarily correspond to the associated cylinder, and the ignition firing order was not confirmed. The ignition control boxes were located behind the firewall, and the fuselage was cut open to allow access to the boxes. The output cable on ignition box #1 was found disconnected and the pin connectors were not fully secured. The boxes could only be accessed from under the instrument panel and by reaching above the rudder pedals. The accident is consistent with a partial loss of engine power due to the disconnection of the #1 ignition box, likely as a result of not being fully secured. It is likely that the location of the ignition boxes, which limited access and visual inspection of the connections, contributed to the accident.

Factual narrative

On June 16, 2021, about 0730 central daylight time, an experimental, amateur-built RV-10 airplane, N878TD, was substantially damaged when it was involved in an accident near Fort Worth, Texas. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot departed Hicks Airfield (T67), Fort Worth, Texas, about 0700 and headed northwest before returning to T67. The pilot reported that, during the initial climb following a touch-and-go landing, the engine backfired and lost power about 200 ft above ground level (agl). As the airplane descended, it collided with a power line before impact with terrain and a tree. The pilot added that the engine continued to run before the impact but did not develop enough power to maintain altitude. The airplane sustained damage to the landing gear, engine, and substantial damage to the fuselage during the accident. Examination of the airplane revealed that the engine was equipped with an electronic ignition system, (labeled as #1 and #2) and automotive-style sparkplugs. The sparkplugs and valve covers were removed from each cylinder and the engine rotated by hand. Continuity through the valve train to the accessory section was noted. The bottom set of sparkplugs appeared wet and black in color. (See Figure 1.) Figure 1: Bottom set of sparkplugs The ignition system was field tested by passing a magnet over the flywheel ignition sensor; spark was only observed on one bank of the ignition system. The ignition leads and coil labels did not necessarily correspond to the associated cylinder. The ignition firing order was not confirmed. The ignition control boxes were located behind the firewall, and the fuselage was cut open to allow access to the boxes. The output cable on ignition box #1 was found disconnected. (see Figure 2.) Figure 2: Output cable as found on ignition box #1 The pin connectors were fully secured. Additionally, as mounted, access to the boxes were limited and could only be done from under the instrument panel and by reaching above the rudder pedals.

Aircraft

Registration
N878TD
Reported as
Tony Dubeansky RV10
Category
Airplane, amateur-built
Serial number
40669
Airframe hours
23
Engine
Lycoming O-540-A1D5, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · January 12, 2021
Airport
T67 · Hicks Airfield, runway 14, 3,760 × 60 ft, asphalt
Equipment
Electronic multifunction display, Auto-pilot, ADS-B, Stall warning system, 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
67
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
September 15, 2020
Seat
Left
Flight hours
465 total · 23 in this make and model · 454 as pilot in command · 9 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Temperature
77 °F, dew point 70 °F
Altimeter
30.05 inHg
Observed at
KAFW, 5 nm away
METAR
KAFW 161253Z 00000KT 10SM FEW250 25/21 A3005 RMK AO2 SLP157 T02500211=

Docket · 4

The files NTSB released with the investigation on November 18, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.5 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.