CEN23LA322

NTSB accident investigation · Ercoupe 415-D · Waupun, WI · July 23, 2023

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
July 22, 2023, 19:40 local (Jul 23, 2023, 00:40 UTC)
Place
Waupun, WI
Injuries
1 serious, 1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N415JCErcoupe 415-D
Defining event
Enroute-cruise: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20230722013249A
Case key
192706

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 pilot’s decision to take off without correcting a misinstalled fuel cap, which resulted in a loss of engine power due to fuel starvation caused by improper venting of the fuel system.

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.

Fuel systemAircraft › Aircraft systems · Incorrect use/operationErcoupe 415-D: 1 caseAll aircraft: 181 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

During a cross-country flight, the engine rpm dropped and the engine lost power. The pilot attempted to restore engine power without success. The pilot established that the engine was likely starved of fuel and elected to perform a forced landing into a marsh. The airplane sustained substantial damage to the fuselage, empennage, and both wings. The pilot stated that they departed with about 28 gallons of fuel on board. After the airplane was fueled, the line technician placed the vented fuel cap on backwards. The pilot elected to continue the flight to the destination and address the misinstallation upon arrival. After the accident all of the fuel tanks were empty; however, law enforcement reported that an unknown quantity of fuel had leaked from the left fuel tank. A postaccident examination confirmed that the vented fuel cap was on backwards on the outboard fuel tank. An examination of the remaining fuel system and the engine revealed no mechanical anomalies that would have precluded normal operations. The lack of venting from the misinstalled fuel cap likely precluded fuel from flowing from that fuel tank, which resulted in a loss of engine power due to fuel starvation.

Factual narrative

On July 22, 2023, about 1940 central daylight time, an Ercoupe 415-D, N415JC, was substantially damaged when it was involved in an accident near Waupun, Wisconsin. The pilot sustained serious injuries, and the pilot-rated passenger sustained no injuries. The airplane was operated under the provisions of Title 14 Code of Federal Regulations Part 91 as a personal flight. According to the pilot and passenger, they had been en route for about two hours when the engine rpms decreased. The pilot immediately turned the carburetor heat on and cycled the engine throttle control. The engine would sputter and catch but the rpms would decrease again. The engine then lost total power. The passenger stated that the sight gauge on the center (header) fuel tank indicated that the tank was empty. The pilot stated that attempts to restart the engine were not successful and he determined that the engine was likely starved of fuel. The pilot performed a forced landing to a marsh. The airplane came to rest upright with substantial damage to the fuselage, both wings, and the empennage. The flight originated in Conroe, Texas, and was en route to Oshkosh, Wisconsin. The passenger stated that they stopped for fuel in Cedar Rapids, Iowa. He stated that during the fueling the center (header) tank was full with six gallons of fuel, both main fuel tanks were full with nine gallons of fuel each, and each auxiliary tank had two gallons of fuel added. They estimated that they had over four hours of fuel on board when they departed. This was the same fuel load they had used for their entire trip. The pilot stated that after fueling the airplane, the line technician placed the vented fuel cap on the outboard tank backwards. The pilot stated further that it would be about an hour of work to reposition the fuel cap without damaging the airplane, so he chose to address the issue after the airplane flew to and arrived at Oshkosh. According to law enforcement, both main fuel tanks were empty on scene; however, there was a strong smell of fuel in the marsh. The auxiliary fuel tanks were not checked on scene. The passenger and one first responder reported chemical burns on their feet and legs after they stood in the marsh adjacent to the airplane. The left main fuel tank was compromised and the gascolator was impact damaged. A postaccident examination of the engine revealed no mechanical anomalies that would have precluded normal operations. All of the fuel tanks were empty. An examination of the fuel system revealed that the fuel cap on the left auxiliary fuel tank was backwards with the vent facing the trailing edge of the wing.

Aircraft

Registration
N415JC
Reported as
Ercoupe 415-D
Category
Airplane
Serial number
3728
Built
1946
Airframe hours
2,378.12
Engine
Continental C85, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 15, 2022
Departed
KCID · Cedar Rapids, IA
Destination
KOSH · Oshkosh, WI
Equipment
ADS-B, Electronic flight bag or handheld device

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
76
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
BasicMed, Without waivers/limitations
Last flight review
October 29, 2021
Seat
Left
Restraint
4-point
Flight hours
1,395 total · 1,326 in this make and model · 28 in the last 90 days · 16 in the last 30 days · 7.4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 61 °F
Altimeter
29.83 inHg
Observed at
KFLD, 12 nm away
METAR
KFLD 230053Z AUTO 20008KT 10SM VCTS CLR 23/16 A2983 RMK AO2 LTG DSNT SW-N SLP096 T02280156

Docket · 4

The files NTSB released with the investigation on February 27, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 16.6 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.