ERA11LA416

NTSB accident investigation · Champion 7ECA · Hinesville, GA · July 23, 2011

Accident · Serious injuriesLimited investigationFinal report
Date
July 23, 2011, 07:52 local (11:52 UTC)
Place
Hinesville, GA
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N5191XChampion 7ECA
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report March 8, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20110723015979A
Case key
81198

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

The total loss of engine power due to the improper installation of the carburetor air filter by maintenance personnel, which resulted in the filter becoming dislodged and obstructing the carburetor. Contributing to the accident was the pilot did not maintain adequate airspeed during the forced landing, which resulted in an aerodynamic stall.

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.

Power plant: air intakeAircraft › Aircraft power plant · Incorrect service/maintenanceChampion 7ECA: 1 caseAll aircraft: 50 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · Maintenance personnelChampion 7ECA: 1 caseAll aircraft: 1,386 casesProbable cause
Fuel systemAircraft › Aircraft systems · Not specifiedChampion 7ECA: 1 caseAll aircraft: 181 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedChampion 7ECA: 5 casesAll aircraft: 1,681 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotChampion 7ECA: 19 casesAll aircraft: 9,295 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 pilot reported that the airplane had climbed to about 900 feet above ground level after takeoff when the engine experienced a total loss of engine power. The pilot initiated a turn back toward the airport. While on final approach, the airplane stalled and collided with a fence. A postaccident examination of the engine carburetor revealed that a large piece of foam from the air filter element was lodged in the venturi of the carburetor. A review of the airplane’s logbooks revealed that an air filter element was installed during the engine overhaul 31 hours before the accident. It is likely that the air filter was installed incorrectly, thus causing the air filter element to become dislodged and drawn into the carburetor venturi.

Factual narrative

On July 23, 2011, about 0752 eastern daylight time, a Champion 7ECA, N5191X, experienced a total loss of engine power after takeoff from the Midcoast Regional Airport (LHW), Hinesville, Georgia. The certificate private pilot sustained serious injuries and the passenger reported minor injuries. The airplane sustained substantial damage to the fuselage and wings. The airplane was registered to and operated by a private individual under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed and no flight plan was filed. The flight was originating at the time of the accident. The pilot reported the airplane had climbed to about 900 feet after takeoff when the engine experienced a total loss of engine power. He initiated a turn back towards the airport. During the approach to land, the airplane stalled and collided with an airport fence. Examination of the wreckage by a Federal Aviation Administration inspector revealed no anomalies with the airframe or flight controls. Examination of the carburetor revealed a large piece of foam from the air filter element was lodged in the carburetor venturi inlet. The FAA Inspector stated the air filter element had been installed improperly resulting in the foam element separating and being drawn into the carburetor inlet. Review of the airplane logbooks revealed an engine overhaul was completed 31 hours before the accident. According to the pilot, a Brackett Aero Filter air filter element was installed during the engine overhaul. Review of performance data for the Champion 7ECA revealed the airplane will stall at 44 knots.

Aircraft

Registration
N5191X
Reported as
Champion 7ECA
Category
Airplane
Serial number
692
Airframe hours
2,015
Engine
Lycoming O-235 SERIES, 115 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Manning Richard F Jr
Registered owner
Manning Richard F Jr
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 15, 2010 · 31 hours before
Departed
LHW · Hinesville, GA
Destination
LHW · Hinesville, GA
Airport
LHW · Midcoast Regional Airport

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
53
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
May 1, 2010
Seat
Front
Flight hours
2,100 total · 55 in this make and model · 10 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 73 °F
Altimeter
30.09 inHg
Observed at
LHW

Docket · 11

The files NTSB released with the investigation on January 5, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.6 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.