CEN21LA351

NTSB accident investigation · Cozy Mark IV · Rushville, NE · August 2, 2021

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
August 2, 2021, 15:54 local (21:54 UTC)
Place
Rushville, NE · Open grass field
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N1361SCozy Mark IV
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA Lincoln FSDO, Lycoming Engines
FAA report
20210802018569A
Case key
103626

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 due to an obstruction of airflow to the engine as a result of the landing brake being deployed in flight.

Findings · 6

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: high temperatureEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentSligar Larry H COZY MK IV: 1 caseAll aircraft: 30 casesProbable cause
Indicating/recording systems: instrument panel Aircraft › Aircraft systems · Not installed/availableSligar Larry H COZY MK IV: 1 caseAll aircraft: 22 casesProbable cause
Engine (reciprocating)Aircraft › Aircraft power plant · FailureSligar Larry H COZY MK IV: 1 caseAll aircraft: 497 casesProbable cause
Engine (reciprocating)Aircraft › Aircraft power plant · Capability exceededSligar Larry H COZY MK IV: 1 caseAll aircraft: 497 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 after takeoff in the experimental airplane, he noticed that all four cylinder head temperatures (CHT) were higher than they should have been as indicated on the engine monitoring device. He noticed that the CHT never stabilized and never decreased in temperature after the takeoff. The pilot attempted to reduce the high CHT with the throttle and mixture and the CHT kept rising. The pilot decided to return to the departure airport. During the flight back to the airport, the CHT still kept rising, and the engine ceased producing power. The pilot maneuvered the airplane for a forced landing to an open grass field surrounded by rolling prairie and trees. During the forced landing, the nose wheel and the main landing gear collapsed, and the airplane came to rest on the fuselage. Postaccident examination of the landing brake actuator revealed that it likely failed due to compressive overload on the actuator while positioned in the fully extended position. The actuator extension tube was found positioned about midway between the extended and retracted positions The flanges on the nut were fractured in overstress consistent with a compression overload. The brush that is normally attached to the nut above the flange was found in the fully retracted position, indicating that after the nut flanges fractured, the extension tube likely moved to the fully retracted position, pushing the brush along with it. Based on the examination of the landing brake actuator, the landing brake was likely fully extended at the time of the accident. The extended landing brake would have blocked airflow to the engine, causing the engine to overheat and cease producing power. If a cockpit indication system for the landing brake had been installed, the pilot likely could have known the status of the landing brake during the flight and thus retract it. It is likely that the pilot either forgot to retract the landing brake after the previous landing or the pilot may have inadvertently activated it before the loss of engine power. Based on the available evidence it could not be determined exactly when the landing brake was deployed.

Factual narrative

On August 2, 2021, about 1554 mountain daylight time, a Cozy Mark IV airplane, N1361S, sustained substantial damage when it was involved in an accident near Rushville, Nebraska. The commercial pilot and passenger sustained serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that after takeoff in the experimental airplane, he noticed that all four CHT were higher than they should have been as indicated on the engine monitoring device. He noticed that the CHTs never stabilized and never decreased in temperature after the takeoff. The outside air temperature was 91° F, and the airplane was traveling about 130 kts after the takeoff. The pilot attempted to reduce the high CHTs with the throttle and mixture and the CHTs kept rising. The pilot decided to return to the departure airport. During the flight back to the airport, the CHTs still kept rising, and the engine ceased producing power. The pilot maneuvered the airplane for a forced landing to an open grass field surrounded by rolling prairie and trees. During the forced landing, the nose wheel and the main landing gear collapsed from impacting the field, and the airplane came to rest on the fuselage. The pilot and passenger were able to egress from the airplane without further incident. The airplane sustained substantial damage to the composite fuselage. The pilot reported the airplane was “about topped off” with fuel prior to the cross-country flight and there was 44 gallons of 100LL fuel onboard during the takeoff. The airframe was equipped with a parachute, which was not activated during the emergency sequence. Postaccident examination of the airplane established flight control continuity and airframe to engine control continuity. The landing brake, also called the airbrake (located on the bottom of the fuselage, forward of the engine) was examined. Power was turned on to test functionality from the cockpit switch. The landing brake would not fully extend. Full extension is about a 45°angle downwards away from the fuselage. Impact damage such as scraping was observed on the underside of the landing brake. The actuator extension tube had play in it when the landing brake door was moved by hand. The airplane, which was classified as experimental, was not equipped with a landing brake indicator system in the cockpit, nor was it required to be. Postaccident examination of the landing brake actuator at the National Transportation Safety Board Materials Laboratory found the extension tube was positioned about midway between the extended and retracted positions. The nut inside the actuator was found positioned against the lower mechanical stop in the fully extended position. The flanges on the nut were found fractured. No evidence of any preexisting damage or cracking was observed. The brush that is normally attached to the nut above the flange was found in the fully retracted position. Examination of the engine revealedinternal engine continuity and no signs of a fire. The plastic thrust buttons on the rocker shafts were found melted. An exemplar owner’s manual from a Cozy Mark IV discusses the landing brake and states in part: A drag device is used to allow a steeper approach and to provide more deceleration in the flare. This belly-mounted brake is deployed by an electric switch on the lower center instrument panel. It is normally extended on final approach after gear extension and left down until after landing. Maximum allowable speed with the airbrake down is 90 KIAS. The brake does not affect stability, canard stall speed, or canard stall characteristics, and has only a mild effect on pitch trim. The brake significantly interferes with the airflow passing into the engine cooling NACA duct and engine temperatures will likely exceed safe limits if the throttle is set above 1,500 RPM with the brake extended.

Aircraft

Registration
N1361S
Reported as
Cozy Mark IV (NO SERIES)
Category
Airplane, amateur-built
Serial number
0074
Built
1997
Airframe hours
854
Engine
Lycoming Engines O-360-EXP, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · March 1, 2021
Departed
GRN · Gordon, NE
Destination
LND · Lander, WY
Equipment
Airframe parachute, 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
63
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 26, 2020
Seat
Left
Restraint
4-point
Flight hours
788 total · 300 in this make and model · 727 as pilot in command · 20 in the last 90 days · 11 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
9 statute miles
Lowest ceiling
None
Temperature
95 °F, dew point 39 °F
Altimeter
30.08 inHg
Observed at
KIEN, 10 nm away
METAR
KIEN 022152Z AUTO VRB06KT 9SM CLR 35/04 A3008 RMK AO2 SLP151 T03500044 $

Docket · 11

The files NTSB released with the investigation on February 24, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 27.6 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.