CEN21LA390

NTSB accident investigation · Mantooth Thorp T-18 · San Antonio, TX · August 28, 2021

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
August 28, 2021, 15:37 local (20:37 UTC)
Place
San Antonio, TX
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N78DWMantooth Thorp T-18
Defining event
Initial climb: Unknown or undetermined
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA
FAA report
20210828015119A
Case key
103775

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 loss of engine power after takeoff for undetermined reasons.

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.

Engine (reciprocating)Aircraft › Aircraft power plant · InoperativeMantooth THORP T-18: 1 caseAll aircraft: 497 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on operationMantooth THORP T-18: 1 caseAll aircraft: 435 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 was planning a short cross-country flight with his passenger. Prior to takeoff, he fueled the airplane with 10-15 gallons of fuel and added one quart of oil to the engine. He performed an engine run-up that included checking the carburetor heat. The takeoff and initial climb were normal, but as he turned the airplane onto the downwind leg to depart the traffic pattern, the engine began running rough and lost total power. The pilot attempted to regain engine power by adjusting the engine mixture, but no change in engine performance was noted. Unable to maintain altitude, he performed a forced landing into trees. The airplane came to rest on its nose and sustained substantial damage. Postaccident examination of the engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. Weather conditions reported at the time of the accident were conducive for serious carburetor icing at glide power. However, the pilot applied the carburetor heat during the engine run-up before takeoff, which should have either melted any ice that may have accumulated on the ground or resulted in a rough running engine, which the pilot did not report. The application of carburetor heat during the run-up combined with the high-power setting during takeoff and initial climb reduced the likelihood of carburetor ice.

Factual narrative

On August 28, 2021, about 1537 central daylight time, an experimental amateur-built Thorp T-18 airplane, N78DW, sustained substantial damage when it was involved in an accident near San Antonio, Texas. The pilot and passenger sustained minor injuries. The airplane was being operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, he was planning a short cross-country flight with his passenger. Prior to takeoff, he fueled the airplane with 10 to15 gallons of fuel and added one quart of oil to the engine. He performed an engine run-up that included checking the carburetor heat and departed runway 17. The takeoff and initial climb were normal, but as he turned the airplane onto the downwind leg to depart the traffic pattern, the engine began running rough and lost total power. The pilot attempted to regain engine power by adjusting the engine mixture, but no change in engine performance was noted. Unable to maintain altitude, he performed a forced landing into trees. The airplane came to rest on its nose and sustained substantial damage to the forward fuselage and both wings. Postaccident examination by a Federal Aviation Administration (FAA) inspector revealed there was at least 2 gallons of fuel remaining in the single header-style fuel tank, which was punctured. Fuel was found in the carburetor bowl, and no contamination of the carburetor inlet screen was observed. The engine was rotated by hand through the propeller which produced compression/suction at each cylinder. All spark plugs were removed and exhibited normal wear signatures. The magnetos were removed for further examination. Examination of the left magneto revealed the internal components were damaged, and a weak spark was produced on two of the four towers when the magneto was rotated. The two other ignition towers were damaged. The right magneto would not rotate due to damage; the internal coil, capacitor, and points were undamaged, and no problems were noted. Examination of the engine revealed no evidence of preimpact mechanical anomalies that would have precluded normal engine operation. According to a carburetor ice probability chart, the atmospheric conditions at the time of the accident were conducive to serious icing at glide power. FAA Special Airworthiness Information Bulletin (CE-09-35) – Carburetor Icing Prevention, stated in part: …pilots should be aware that carburetor icing doesn't just occur in freezing conditions, it can occur at temperatures well above freezing temperatures when there is visible moisture or high humidity. Icing can occur in the carburetor at temperatures above freezing because vaporization of fuel, combined with the expansion of air as it flows through the carburetor, (Venturi Effect) causes sudden cooling, sometimes by a significant amount within a fraction of a second. Carburetor ice can be detected by a drop in rpm in fixed pitch propeller airplanes and a drop in manifold pressure in constant speedpropeller airplanes. In both types, usually there will be a roughness in engine operation.

Aircraft

Registration
N78DW
Reported as
Mantooth Thorp T-18
Category
Airplane, amateur-built
Serial number
844
Built
1980
Airframe hours
880
Engine
Lycoming O-290-G, 125 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · November 15, 2021
Destination
T82 · Fredricksburg, TX
Airport
5C1 · Boerne Stage Airport
Equipment
Unknown

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
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
December 1, 2020
Seat
Left
Restraint
4-point
Flight hours
8,000 total · 43 in this make and model · 5,000 as pilot in command · 103 in the last 90 days · 24 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 10 knots
Visibility
10 statute miles
Lowest ceiling
4,100 ft broken
Temperature
81 °F, dew point 73 °F
Altimeter
29.92 inHg
Observed at
KSAT, 9 nm away
METAR
KSAT 282051Z 29010KT 10SM -RA BKN041 BKN065 BKN250 27/23 A2992 RMK AO2 RAB11 SLP114 P0006 60006 T02670233 56020=

Docket · 5

The files NTSB released with the investigation on January 20, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.1 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.