CEN23LA261

NTSB accident investigation · Quad City Challenger · Cedar Creek, MO · June 23, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 23, 2023, 10:00 local (15:00 UTC)
Place
Cedar Creek, MO
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
UNREGQuad City Challenger
Defining event
Maneuvering: 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, Rotech Motor Ltd
Case key
192453

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

A seizure of the power takeoff piston due to inadequate maintenance to the lubrication system, which resulted in a lack of oil lubrication and subsequent engine failure.

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.

Engine (reciprocating): recip eng oil sysAircraft › Aircraft power plant · Damaged/degradedAll aircraft: 130 casesProbable cause
Fluids: oilAircraft › Fluids/misc hardware · Not serviced/maintainedAll aircraft: 174 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · PilotAll aircraft: 792 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · PilotAll aircraft: 320 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

On the day before the accident, the pilot reported that he drained the fuel and replaced it with new fuel, replaced the fuel filter, and checked all fluid levels and lines; the airplane had not flown since October 2021. The pilot reported that on the day of the accident, he flew the airplane for about 20 minutes and then returned to pick up a passenger. On the second flight, the airplane’s engine lost power after flying about 10 minutes. During the forced landing, the airplane impacted trees and terrain which resulted in substantial damage to both wings and the fuselage. A postaccident examination of the airplane and engine were performed at the pilot’s residence. The examination of the engine revealed oil around the power take-off (PTO) piston and cylinder head. The PTO piston displayed signatures consistent with seizure. A piece of old, brittle oil injection line was discovered near the oil injection pump and the fuel, primer, and vent lines were also found in an aged and hardened state. Given the evidence, the PTO piston likely failed due to a lack of oil as a result of the poorly maintained lubrication system, which resulted in a loss of engine power. There were no maintenance records for the airplane and according to the pilot, the hoses had not been replaced since 2009. The engine manufacturer’s maintenance manual states that all lubrication system hoses must be replaced every 5 years.

Factual narrative

On June 23, 2023, at about 1000 central daylight time, an unregistered Quad City Challenger II airplane was substantially damaged when it was involved in an accident near Cedar Creek, Missouri. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot stated that the airplane had not been flown since October 2021. On the day before the accident, he drained the fuel and replaced it with new fuel, replaced the fuel filter, and checked all fluid levels and lines. On the day of the accident the pilot flew the airplane for about 20 minutes and then landed to pick up the passenger. After takeoff, he flew for about 10 minutes when the engine sputtered, and the engine performance degraded despite his advancing the throttle. The pilot executed a forced landing to a field, impacted trees, and substantially damaged the wings and fuselage. A postaccident examination of the airplane and engine were performed at the pilot’s residence. During the examination, it was noted that the exterior of the engine was covered in oil, particularly concentrated near the power take-off (PTO) piston and cylinder head. A blue oil coating was also evident on the side of the aircraft consistent with the color of the injected oil. The oil injection lines appeared to be in pristine, unused condition and were lacking securing clamps. However, a piece of old, brittle oil injection line was discovered near the oil injection pump, and the fuel, primer, and vent lines were also found in an aged and hardened state. The magneto piston, cylinder, and combustion chamber appeared to be in normal condition with no anomalies found. However, the PTO piston exhibited vertical scoring, and metal transfer marks were observed on the corresponding locations of the cylinder wall. The transfer of metal was indicative of a piston seizure. According to the pilot, when he purchased the airplane in 2008, there were no maintenance records available. In 2009, he installed new fuel lines and fuel pump, rebuilt the carburetor, replaced the spark plugs, safety wires, brake lines, wheel innertubes, checked cylinder compressions, drained old fuel, and replaced the trim tab. There was no maintenance performed after 2009 other than annual fuel filter replacement. According to the Rotax maintenance manual for the 582 UL engine, all hoses of the lubrication system must be replaced every 5 years.

Aircraft

Registration
UNREG
Reported as
Quad City Challenger (II)
Category
Airplane, amateur-built
Serial number
unknown
Built
1995
Airframe hours
700
Engine
Rotax 582, 65 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental light sport (Special)
Destination
Same as departure
Airport
PVT
Equipment
None

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
61
Injuries
None
Certificate
Sport Pilot
Airplane ratings
Single-engine land
Medical
Sport pilot
Last flight review
July 31, 2009
Seat
Left
Flight hours
230 total · 230 as pilot in command · 1 in the last 90 days · 1 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 66 °F
Altimeter
30.06 inHg
Observed at
KBBG, 10 nm away
METAR
KBBG 231445Z 00000KT 10SM CLR 25/19 A3006

Docket · 5

The files NTSB released with the investigation on May 9, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.9 MB in all.