DCA13CA172

NTSB accident investigation · Nasa Ames Research Center Sierra · Beaufort Sea, AK · July 27, 2013

Accident · No injuriesData collectionFinal report
Date
July 26, 2013, 18:15 local (Jul 27, 2013, 02:15 UTC)
Place
Beaufort Sea, AK
Coordinates
71.4744, -149.6364
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
UNREGNasa Ames Research Center Sierra
Defining event
Maneuvering: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report September 1, 2015
Report
Approved by Office Director
NTSB office
Major Investigations Division
Parties
FAA Fairbanks FSDO
Case key
87634

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

continued operation into engine intake system icing conditions resulting in a loss of power; due to schedule pressure and an insufficient risk management process.

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 (reciprocating)Aircraft › Aircraft power plant · Damaged/degradedAll aircraft: 497 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentAll aircraft: 435 casesProbable cause
Safety programs: adequacy of safety programOrganizational issues › Support/oversight/monitoring · OperatorAll aircraft: 24 casesProbable cause
Design: equipment designOrganizational issues › Development · Not specifiedAll aircraft: 35 casesProbable cause
Scheduling: task scheduling/workloadOrganizational issues › Management · OperatorAll aircraft: 4 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 July 26, 2013, approximately 18:50 Alaska Daylight Time, a National Aeronautics and Space Administration (NASA) Sensor Integration Evaluation Remote Research Aircraft (SIERRA) single-engine fixed wing unmanned aircraft system (UAS) was substantially damaged following an engine power loss and uncontrolled descent into the Beaufort Sea, 65 nautical miles north of Oliktok Point, Alaska. The flight was conducted as a non-military public aircraft operation under the provisions of Title 49 of the United States Code (U.S.C.) Sections 40102 and 40125, and a Federal Aviation Administration (FAA) Certificate of Authorization (COA). There were no injuries. The UAS was on it's maiden science flight for the Marginal Ice Zone Observations and Processes Experiment (MIZOPEX) and lost engine power 4.5 hours into the 6 hour scheduled flight. The UAS was powered by a 26 horsepower Herbrandson Dyad 290B 2-cycle carbureted engine with a belt driven pusher fixed pitch propeller. The flight crew noted a loss of engine RPM and electrical bus voltage on the CloudCap Piccolo Autopilot (AP) system display that was part of the ground control system (GCS). The UAS was beyond the range of the hand held radio and under the control of the Piccolo AP, upon losing power the GCS operator was unable to issue any commands to the aircraft. Telemetry data revealed that for a period of about 60 minutes prior to the accident, RPM and altitude fluctuated, and throttle demand increased, indicating the possibility of engine intake icing. Weather conditions at the time of the accident were included relative humidity (RH) from 85% to 95%, at 4 degrees C. The nearest observation sites to the accident were Deadhorse (62 km) and Nuiqsut (52 km). Both of these stations reported temperatures ranging from 9 to 14 degrees Celsius during the flight time. The National Center for Atmospheric Research examined the weather conditions and concluded a high risk for carburetor ice existed. The MIZOPEX Project was under significant time and budget constraints due to a change in project plan from a larger UAS platform requiring payload bay changes within the original funding timeline. A full NASA Mishap Investigation Team report of this accident is available in the public docket for this case.

Factual narrative

On July 26, 2013, approximately 18:50 Alaska Daylight Time, a National Aeronautics and Space Administration (NASA) Sensor Integration Evaluation Remote Research Aircraft (SIERRA) single-engine fixed wing unmanned aircraft system (UAS) was substantially damaged following an engine power loss and uncontrolled descent into the Beaufort Sea, 65 nautical miles north of Oliktok Point, Alaska. The flight was conducted as a non-military public aircraft operation under the provisions of Title 49 of the United States Code (U.S.C.) Sections 40102 and 40125, and a Federal Aviation Administration (FAA) Certificate of Authorization (COA). There were no injuries. The UAS was on its maiden science flight for the Marginal Ice Zone Observations and Processes Experiment (MIZOPEX) and lost engine power 4.5 hours into the 6 hour scheduled flight. The UAS was powered by a 26 horsepower Herbrandson Dyad 290B 2-cycle carbureted engine with a belt driven pusher fixed pitch propeller. The flight crew noted a loss of engine RPM and electrical bus voltage on the CloudCap Piccolo Autopilot (AP) system display that was part of the ground control system (GCS). The UAS was beyond the range of the hand held radio and under the control of the Piccolo AP, upon losing power the GCS operator was unable to issue any commands to the aircraft. Telemetry data revealed that for a period of about 60 minutes prior to the accident, RPM and altitude fluctuated, and throttle demand increased, indicating the possibility of engine intake icing. Weather conditions at the time of the accident were included relative humidity (RH) from 85% to 95%, at 4 degrees C. The nearest observation sites to the accident were Deadhorse (62 km) and Nuiqsut (52 km). Both of these stations reported temperatures ranging from 9 to 14 degrees Celsius during the flight time. The National Center for Atmospheric Research examined the weather conditions and concluded a high risk for carburetor ice existed. The MIZOPEX Project was under significant time and budget constraints due to a change in project plan from a larger UAS platform requiring payload bay changes within the original funding timeline. A full NASA Mishap Investigation Team report of this accident is available in the public docket for this case.

Aircraft

Registration
UNREG
Reported as
Nasa Ames Research Center Sierra
Category
Airplane, unmanned
Serial number
1
Built
2013
Engine
Herbrandson Dyad 290B, reciprocating
Damage
Substantial damage
Flight
Aerial observation · Public use
Operator
NASA Ames Research Center
Registered owner
NASA Ames Research Center
Airworthiness certificate
Certificate of authorization or waiver (COA)
Departed
POLI · Oliktok Point, AK
Destination
POLI · Oliktok Point, AK
Flight plan
IFR
Equipment
Satellite tracking device

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2
Seat
None

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 4 knots
Visibility
10 statute miles
Lowest ceiling
4,000 ft overcast
Temperature
54 °F, dew point 45 °F
Altimeter
30.10 inHg
Observed at
PASC, 82 nm away

Docket · 3

The files NTSB released with the investigation on January 20, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.1 MB in all.