CEN22LA423

NTSB accident investigation · Luscombe 8 · Kingsbury, TX · September 10, 2022

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
September 10, 2022, 15:30 local (20:30 UTC)
Place
Kingsbury, TX · Field full of trees
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N25144Luscombe 8
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 San Antonio FSDO
FAA report
20220910015379A
Case key
105951

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 a failure of the ignition switch from carbon tracking, which resulted in a forced landing and a subsequent impact with trees.

Findings · 4

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: switchingAircraft › Aircraft power plant · Fatigue/wear/corrosionLuscombe 8A: 1 caseAll aircraft: 9 casesProbable cause
Engine (reciprocating)Aircraft › Aircraft power plant · FailureLuscombe 8A: 5 casesAll aircraft: 497 casesProbable cause
Ignition system: switchingAircraft › Aircraft power plant · FailureLuscombe 8A: 1 caseAll aircraft: 9 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeLuscombe 8A: 6 casesAll aircraft: 933 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 the airplane’s engine lost power at an altitude of about 400 ft agl after takeoff. He attempted to glide to an open field but landed in a wooded area after he realized the airplane would not reach the field. The pilot’s attempts to troubleshoot the power loss were unsuccessful. The airplane sustained substantial damage to the fuselage, both wings, and the empennage. Postaccident examination revealed carbon tracking inside the ignition switch that interfered with the proper operation of the ignition switch as evidenced by testing using a multimeter. Once the carbon tracking was cleaned, the ignition switch operated normally. It is likely that the carbon tracking present in the ignition switch resulted in a short, that caused both magnetos to stop functioning and ultimately the engine ceased producing power. Based on the available evidence, it could not be determined how long the carbon tracking had been present inside the ignition switch.

Factual narrative

On September 10, 2022, about 1530 central daylight time, a Luscombe 8A airplane, N25144, sustained substantial damage when it was involved in an accident near Kingsbury, Texas. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, who is also the mechanic, he had not flown the airplane “for some time.” The pilot performed the preflight inspection with no anomalies noted. The fuel tank was full of fuel, the fuel vent was checked, and he “sumped” the fuel tank. The pilot started the airplane, taxied to the north end of the runway, and performed the run-up procedure with no anomalies noted. As part of the run-up procedure, both magnetos, the carburetor heat, and the fuel system were all checked. The airplane took off from the runway and the pilot noticed the engine was “performing very well.” The airplane climbed to about 400 ft agl and the pilot initiated a left turn. About halfway through the turn, the engine sustained a total loss of engine power. The pilot reported there was “no cough” or “no sputter” and the engine “just died.” The pilot attempted to troubleshoot the loss of engine power to no avail. The pilot maneuvered the airplane for a forced landing to an open field. The pilot then realized the airplane would not make the open field and maneuvered the airplane for a wooded area. The airplane came to rest in trees. The pilot was able to egress from the airplane without further incident. The pilot reported that at the time of the loss of engine power the engine was operating at full power. The pilot assessed that perhaps a short occurred in the ignition switch, that resulted in the loss of engine power. The airplane sustained substantial damage to the fuselage, both wings, and the empennage. A postaccident examination revealed that the airplane was not equipped with a starter. The ground to the key-operated ignition switch (Bendix, part number 10-357290-1A) was found disconnected. The pilot surmised that he may have pulled off the ground lead when he removed the ignition switch from the panel. The p-leads for the left, right, and both positions were checked with a multimeter. The readings for the p-leads varied from open to closed, along with varied ohm, or resistance, readings. The ignition switch was then disassembled, and carbon tracking, a buildup of carbon that interfered with electrical continuity, was observed. A substantial amount of carbon tracking was found inside the ignition switch, particularly on the contacts. The contacts in the ignition switch were then cleaned and the ignition switch was reassembled. The p-leads were checked again with a multimeter, the varied ohm readings were no longer present, and the ignition switch appeared to function normally with the multimeter. There were no issues noted with the magnetos, the ignition harness, and the spark plugs. The magnetos are electrically independent, except at the ignitionswitch, and both magnetos produced spark when checked. The pilot reported that while the ignition switch was not originally installed by the manufacturer, but it had been in the airplane for over 40 years. He additionally reported that he had no previous issues with the ignition switch, the ignition switch was never overhauled, nor was he aware of an overhaul schedule for the ignition switch. According to the manufacturer, the maintenance requirements for the ignition switch are based on condition. The Federal Aviation Administration has published the Aviation Maintenance Technician Handbook – Powerplant Volume 1. This document defines carbon tracking for an ignition system and states in part: Flashover can lead to carbon tracking, which appears as a fine pencil-like line on the unit across which flashover occurs. The carbon trail results from the electric spark burning dirt particles that contain hydrocarbon materials. The water in the hydrocarbon material is evaporated during flashover, leaving carbon to form a conducting path for current. When moisture is no longer present, the spark continues to follow the carbon track to the ground.

Aircraft

Registration
N25144
Reported as
Luscombe 8 (A)
Category
Airplane
Serial number
1068
Built
1939
Airframe hours
2,221
Engine
Continental Motors A-65-8, 65 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 1, 2021
Departed
85TE · Kingsbury, TX
Equipment
None

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
Minor
Certificates
Flight engineer, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
BasicMed, Without waivers/limitations
Last flight review
November 11, 2021
Seat
Left
Restraint
Lap only
Flight hours
10,000 total · 400 in this make and model · 4,000 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 8 knots, gusting 16
Visibility
10 statute miles
Lowest ceiling
None
Temperature
95 °F, dew point 64 °F
Altimeter
29.90 inHg
Observed at
KBAZ, 13 nm away
METAR
KBAZ 101951Z 18008G16KT 10SM CLR 35/18 A2990 RMK AO2 SLP116 T03500183

Docket · 5

The files NTSB released with the investigation on June 28, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.0 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.