CEN22LA123

NTSB accident investigation · Pitts S-1T · Spring, TX · February 17, 2022

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
February 17, 2022, 14:48 local (20:48 UTC)
Place
Spring, TX · Final Runway 35L
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N731FLPitts S-1T
Defining event
Initial climb: 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
Flight Standards District Office
FAA report
20220217002069A
Case key
104664

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 failure of maintenance personnel to properly connect the throttle cable, which led to the pilot’s inability to control engine power during the initial climb. Contributing to the accident was the pilot’s misjudgment of the headwind during the forced landing, which resulted in the airplane’s touchdown short of the runway and its impact with airport structures.

Findings · 5

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 controls: power leverAircraft › Aircraft power plant · Incorrect service/maintenancePitts S-1T: 1 caseAll aircraft: 95 casesProbable cause
Wind: high windEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionPitts S-1T: 1 caseAll aircraft: 112 cases
MaintenancePersonnel issues › Task performance · Maintenance personnelPitts S-1T: 1 caseAll aircraft: 143 casesProbable cause
Performance/control parameters: descent/approach/glide pathAircraft › Aircraft oper/perf/capability · Not attained/maintainedPitts S-1T: 1 caseAll aircraft: 809 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 climbout, the engine did not respond to his throttle movements. The pilot turned the airplane back toward the airport and entered the downwind leg. While on the base leg, the pilot turned off the engine ignition switch and performed a forced landing. Due to a higher-than-anticipated headwind, the pilot misjudged the flight profile, and the airplane touched down short of the runway and impacted instrument landing system structures, which damaged both wings, the fuselage, and the empennage. Postaccident examination revealed the throttle cable was disconnected from the throttle lever arm at the fuel injector/control. A loose washer was found at the bottom of the engine cowling, and the castellated nut and cotter pin required for proper installation of the throttle linkage were not located. During the last annual inspection, the throttle cable had been disconnected to perform maintenance actions. The linkage hardware was likely not secured properly after that maintenance was performed, which resulted in the separation and subsequently the engine did not to respond to the pilot’s inputs during initial climb.

Factual narrative

On February 17, 2022, about 1448 central standard time, a Pitt S-1T, N731FL, was substantially damaged when it was involved in an accident at David Wayne Hooks Memorial Airport (DWH), Spring, Texas. The pilot was seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that, after departure from DWH, he noticed that engine power was not responding to throttle movements. The pilot turned back toward DWH and entered a left downwind leg to runway 35L. During the base turn and after turning off the engine ignition switch, the pilot executed a forced landing. Due to a higher-than-anticipated headwind, the pilot misjudged the flight profile, and the airplane landed before reaching runway 35L. The airplane impacted instrument landing system structures, which substantially damaged both wings, the fuselage, and the empennage. Postaccident examination revealed that the throttle cable was disconnected from the throttle lever arm at the fuel injector/control, and a loose washer was found at the bottom of the engine cowling. Proper installation of the throttle lever included a bolt, two washers, a castellated nut, and a cotter pin. The bolt, castellated nut, and cotter pin were not located. During the airplane’s last annual inspection, the engine fuel nozzles, fuel injector, and flow divider were removed for overhaul and were then reinstalled. During this maintenance, the throttle cable would have been disconnected, and it should have been reconnected once the maintenance was completed. After the annual inspection, no maintenance actions were recorded or reported that would have required the throttle cable to be disconnected.

Aircraft

Registration
N731FL
Reported as
Pitts S-1T
Category
Airplane
Serial number
1061
Built
2007
Airframe hours
1,000
Engine
Lycoming AEIO-360-A1E, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 28, 2021 · 70 hours before
Departed
DWH · Houston, TX
Destination
DWH · Houston, TX
Airport
DWH · David Wayne Hooks Meml, runway 35L, 7,009 × 100 ft, asphalt
Equipment
ADS-B, Handheld GPS

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
Serious
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
May 6, 2021
Seat
Single
Restraint
5-point
Flight hours
3,328 total · 1,900 in this make and model · 3,257 as pilot in command · 18 in the last 90 days · 7 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 8 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 48 °F
Altimeter
29.90 inHg
Observed at
KDWH, 1 nm away
METAR
KDWH 171953Z 31008G15KT 10SM CLR 27/09 A2990 RMK AO2 SLP122 T02670089

Docket · 5

The files NTSB released with the investigation on June 14, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.9 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.