ERA09LA257

NTSB accident investigation · Maule M-5-180C · Moultrie, GA · April 22, 2009

Accident · No injuriesLimited investigationFinal report
Date
April 22, 2009, 13:00 local (17:00 UTC)
Place
Moultrie, GA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N66VJMaule M-5-180C
Defining event
Approach: Loss of engine power (total)
Weather
Day
Status
Completed · report October 21, 2010
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20090422007899A
Case key
73711

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 loss of engine power due to carburetor icing as a result of the maintenance technician's failure to detect and correct the condition of the carburetor heat duct.

Findings · 3

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.

AircraftAircraft › Aircraft power plant · FailureMaule M-5-180C: 1 caseAll aircraft: 151 cases
Inspection: scheduled/routine inspectionPersonnel issues › Task performance · Maintenance personnelMaule M-5-180C: 1 caseAll aircraft: 167 casesProbable cause
Power plantAircraft › Aircraft power plant · Damaged/degradedMaule M-5-180C: 1 caseAll aircraft: 198 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 airplane was flown from Texas to Georgia, with an intermediate fuel stop in Mississippi. After landing at an airport in Georgia, the pilot/owner realized that his destination was situated on a different airport, located about 6 miles away. The pilot stated that he departed for the other airport, and when the airplane was at an altitude of approximately 1,500 feet above mean sea level, and 2 miles from the second airport, the engine "quit running." Attempts to restart the engine were unsuccessful, and the pilot conducted a forced landing to a field, which resulted in substantial damage to the airplane. Post-accident examination revealed that the airplane had sufficient fuel, and was configured properly for flight. The engine was successfully started and run with no problems. A detailed examination of the engine compartment revealed that the carburetor heat duct, which consisted of a material typically referred to as "scat tubing," was split around most of its circumference. Maintenance records indicated that an annual inspection was completed 4 days prior to the accident. The records indicated that the duct was installed on the airplane at least 8 years prior to the accident, and may have been installed 19 years prior to the accident. A representative of a manufacturer of aircraft scat tubing stated that the company considered the material to have a "shelf life" of 20 years.

Factual narrative

HISTORY OF FLIGHT On April 22, 2009, about 1300 eastern daylight time, a Maule M-5-180C, N66VJ, was substantially damaged during a forced landing while on approach to Spence Airport (MUL), Moultrie, Georgia. The pilot/owner and the two passengers were not injured. The personal flight was operated under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the flight, and no flight plan was filed. The pilot stated that he departed from Hilltop Lakes Airport (OTE4), Hilltop Lakes, Texas, and made an intermediate fuel stop in Mississippi. He then flew to Moultrie Municipal Airport (MGR), Moultrie, Georgia, but realized that his intended destination, the Maule factory, was located at MUL. He departed MGR for MUL, which was 6 miles to the northeast. He stated that the fuel selector was set to the "BOTH" position for the flight between MGR and MUL. The pilot applied carburetor heat and switched the fuel boost pump on for the approach and descent into MUL. When the airplane was at an altitude of approximately 1,500 feet above mean sea level (msl) and 2 miles from the airport, the engine "quit running." The pilot looked at the fuel pressure gauge, and saw that it read "0 psig." He stated that the engine "started to run a couple of times," but he recognized that he would be unable to reach the runway, and executed a forced landing in an open field. Shortly after touchdown, the right main landing gear caught on an object or irregularity in the field, and caused the right wing to strike the ground. The left wing then struck the ground, and the airplane came to rest approximately 120 feet beyond its touchdown point. PERSONNEL INFORMATION FAA records indicated that the pilot held a private pilot certificate with a single-engine land rating. The pilot reported 1,014 total hours of flight experience, with 161 hours in the accident airplane make and model. His most recent flight review was accomplished in August 2008, and his most recent FAA third-class medical certificate was issued in July 2008. AIRCRAFT INFORMATION The airplane was manufactured in 1985, and first registered to the accident pilot in February 2008. The most recent annual inspection was completed four days before the accident, on April 18, 2009. As of the date of the accident, the airplane had accumulated 1,243 total hours in service. METEOROLOGICAL INFORMATION The MGR automated weather observation 20 minutes prior to the accident included winds from 270 degrees at 10 knots, with gusts to 14 knots, clear skies, 4 miles visibility in haze, temperature 23 degrees C, dew point 6 degrees C, and an altimeter setting of 30.14 inches of mercury. The MGR automated weather observation 20 minutes after the accident, included winds from 290 degrees at 5 knots, with gusts to 14 knots, and an altimeter setting of 30.13 inches of mercury. Overlay of the temperature and dew point values on a reference chart for carburetor icing potential revealed thatthe ambient conditions were in the region of the chart denoted as "serious icing at glide power." ADDITIONAL INFORMATION According to the Federal Aviation Administration (FAA) inspector who responded to the accident, the fuel selector was found in the "Both Tanks" position, and the carburetor heat control was found in the "ON" position. Approximately 40 gallons of fuel were obtained when the tanks were drained in preparation to remove the wings and transport the airplane to MUL. The FAA inspector, and a certificated mechanic with airframe and powerplant ratings, and an inspection authorization, examined the airplane after it was recovered to MUL. According to the mechanic, the fuel lines and gascolator were checked for obstructions and contamination, but none was found. The fuel that was drained from the carburetor was unremarkable. The mechanic then introduced fuel to the fuel system upstream of the fuel boost pump. The boost pump was activated, and fuel pressure was obtained "right away." The engine then started normally. The engine was run to a maximum of 2,000 rpm, with "no problem." The magnetos were checked at 2,000 rpm, and no problems were noted. The airplane was equipped with a flexible duct that was routed from an exhaust system shroud to the carburetor inlet air box, and which was intended to provide warm air to the carburetor when the carburetor heat control was activated. The duct was circular in cross section, approximately 4 inches in diameter, and consisted of silicone-impregnated cloth wrapped on a spiral wire for rigidity. The duct material was typically referred to as "scat hose" or "scat tubing." Examination of the duct revealed a split that extended approximately 3/4 of the way around the duct circumference, close to the point where the duct attached to the exhaust shroud. A review of maintenance records revealed only two entries which mentioned scat tubing. An entry dated September 1990 and that listed a "Hobbs" time of 306.5 hours, explicitly stated "changed carb heat hose." An entry dated October 2001, which listed a "recording tach time" of 922.7 and a "total time in service" of 1020.76, contained the text "installed new engine scat tubing as needed," but it could not be determined whether the carburetor heat duct was replaced at that time. A representative of a manufacturer of aircraft scat tubing stated that the company considered the material to have a "shelf life" of 20 years.

Aircraft

Registration
N66VJ
Reported as
Maule M-5-180C
Category
Airplane
Serial number
8077C
Airframe hours
1,243
Engine
Lycoming O-360-C1F, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 18, 2009 · 6 hours before
Departed
MGR · Moultrie, GA
Destination
MUL · Moultrie, GA
Airport
MUL · Spence Field

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
64
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
August 20, 2008
Seat
Left
Flight hours
1,014 total · 161 in this make and model · 1,014 as pilot in command · 25 in the last 90 days · 13 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Day
Wind
270° at 10 knots, gusting 14
Visibility
4 statute miles
Temperature
73 °F, dew point 43 °F
Altimeter
30.13 inHg
Observed at
MGR, 6 nm away

Docket · 8

The files NTSB released with the investigation on August 11, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.6 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.