CHI96LA007

NTSB accident investigation · Roisum Team MINI-MAX · Neenah, WI · October 11, 1995

Accident · Minor injuriesLimited investigationFinal report
Date
October 11, 1995, 18:25 local (23:25 UTC)
Place
Neenah, WI
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N42BXRoisum Team MINI-MAX
Weather
Visual (VMC) · Dusk
Status
Completed · report December 19, 1995
Report
Approved by Office Director
FAA report
19951011032929A
Case key
10130

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

Fuel starvation due to fuel filter blockage. Factors associated with the accident were the manufacturers design of the fuel filter and the builder/pilots decision to use an automotive type fuel filter.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfCruise
Fuel system,filter - blocked(total)Cause
Fuel system - inadequateOwner/pilot mechanicFactor
Aircraft/equipment inadequateManufacturerFactor
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - ditch

Analysis

The pilot reported he was cruising at 2000 feet when the aircraft experienced a total loss of engine power. The aircraft was substantially damaged during an off airport landing. An investigation found a fuel filter retaining nut on the automotive type fuel filter had rotated causing the fuel inlet holes to become blocked. The automotive type fuel filter was purchased by the aircraft owner from a homebuilt aircraft part supplier.

Factual narrative

On October 11, 1995, at 1825 central daylight time (cdt), a Roisum Team Mini-Max, N452BX, piloted by a private pilot, was substantially damaged after a forced landing on a road. The aircraft avoided hitting a semi trailer, but collided with a ditch. The pilot reported a total loss of engine power while on a cross country flight. Visual meteorological conditions prevailed at the time of the accident. The personal 14 CFR Part 91 flight was not operating on a flight plan. The pilot reported minor injuries. The flight departed Sturgeon Bay, Wisconsin, at 1650 cdt.

An on scene investigation was conducted by an FAA Principal Maintenance Inspector (PMI). The PMI found a fuel filter retaining nut on the automotive type fuel filter had rotated, causing its inlet holes to become blocked. The fuel filter was purchased by the builder/pilot from a homebuilt aircraft supplier. The PMI said that the fuel filter nut could have been safetied to prevent rotation. During a phone conversation with the builder/pilot he agreed with the PMI as to the cause of the total power loss.

The aircraft's fuel filter was also examined by the NTSB IIC. The IIC confirmed that the N452BX's fuel filter retaining nut could loosen causing complete blockage of the fuel inlet holes. A new fuel filter the same part number as the one on N452BX was obtained. The IIC found the new fuel filter's retaining nut was easily removed by hand. Investigation also revealed that complete blockage of the new fuel filter was not possible, due to the differences in shaft length between the accident aircraft's fuel filter and the new fuel filter. The reason for the differences in shaft length was not determined.

Aircraft

Registration
N42BX
Reported as
Roisum Team MINI-MAX
Category
Airplane, amateur-built
Serial number
177
Airframe hours
179
Engine
Rotax 503, 55 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
David R. Roisum
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · July 7, 1995 · 23 hours before
Departed
SUE · Sturgeon Bay, WI
Destination
79C · WI

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
40
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Front
Flight hours
391 total · 179 in this make and model · 324 as pilot in command · 25 in the last 90 days · 9 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
240° at 13 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 61 °F
Altimeter
29.00 inHg
Observed at
ATW, 7 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.