ERA12LA332

NTSB accident investigation · Stinson SR-7B · West Ossipee, NH · May 13, 2012

Accident · Serious injuriesLimited investigationFinal report
Date
May 13, 2012, 13:54 local (17:54 UTC)
Place
West Ossipee, NH
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N16122Stinson SR-7B
Defining event
Enroute-cruise: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report October 9, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA Portland FSDO
FAA report
20120513007429A
Case key
83617

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 pilot's inadequate application of carburetor heat which resulted in the formation of carburetor ice and a partial loss of engine power.

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.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotStinson SR-7B: 1 caseAll aircraft: 1,391 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentStinson SR-7B: 1 caseAll aircraft: 435 cases

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

According to the pilot, the airplane was in cruise flight at 1,500 feet above ground level when he noticed a decline in engine manifold pressure. The pilot pushed the carburetor heat in and pulled it back out after a short time with no power improvement. Unable to reach the airport, the pilot elected to perform a forced landing to a logging road. During the landing, the landing gear contacted stacked logs; the airplane flipped and impacted the ground inverted. Review of the carburetor icing chart for the reported temperature and dewpoint revealed the probability of icing at glide and cruise power. Examination of the airframe, flight controls, engine assembly, and accessories revealed no preaccident mechanical malfunctions or failures that would have precluded normal operation.

Factual narrative

On May 13, 2012, at 1354 eastern daylight time, a Stinson SR-7B, N16122, experienced a decrease in engine manifold pressure while returning to the departure airport. The pilot realized he could not make the airport and attempted to make a forced landing on a road next to a log yard. The landing gear collided with the top of a log pile and the airplane nosed over inverted, sustaining substantial damage.The private pilot sustained serious injuries. The airplane was registered to Starfire Aviation LLC and was operating as a Title 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed and no flight plan was filed. The flight originated from Windsock Village Airport (NH69), West Ossipee, New Hampshire, at 1338. The pilot stated he was at 1,500 feet above ground level (agl) when the manifold pressure started to decline. Attempts to trouble shoot the problem resulted in negative results. He checked the throttle to see if it was full forward. The pilot pushed the carburetor heat in and pulled it back out after a short time with negative results. The airplane continued to descend to 200 feet agl and he attempted to land to a road and collided with a log pile. Two witnesses observed the airplane in the vicinity of NH69. The airplane was about 60 feet just above the trees,in a rapid descent in the vicinity of Freedom Wood Yard. The witnesses stated the engine was not running and they knew the airplane was going to crash. They immediately pulled their car into the wood yard and got out to look for the airplane. There was no smoke or noise. They ran over a berm and observed the airplane upside down. They immediately called the emergency 911 operator and reported the accident. Law enforcement personnel arrived and they directed them to the crash site. The last annual inspection was conducted on August 12, 2011, and the airplane had flown 1 hour since the annual inspection. The total time on the airframe at the time of the inspection was 2, 293 hours. The airplane was recovered to local storage facility and examined. Examination of the airframe and flight controls revealed no preaccident mechanical malfunctions or failures that would have precluded normal operations. The fuel selector valve was in the on position. The main fuel caps were vented and there was evidence of fuel staining on the ground. The fuel tanks were not ruptured and 13 gallons of fuel was recovered. Fuel was present in the carburetor bowl and no contaminants were noted. The propeller was rotated by hand. Drive train continuity was confirmed. Both magnetos were checked and no anomalies were noted. No preaccident mechanical malfunctions or failures were noted that would have precluded normal operation of the engine assembly or accessories. The temperature at the time of the accident was 81 degrees Fahrenheit and the dewpoint temperature was 45 degrees Fahrenheit. According the carburetor icing chart the airplane would encounter icing at glide andcruise power. Review of Advisory Circular 91-51A EFFECT OF ICING ON AIRCRAFT CONTROL AND AIRPLANE DEICE AND ANTI-ICE SYSTEMS states in paragraph 5 DISCUSSION b. " There are two kinds of icing that are significant to aviation: structural icing and induction icing....c. Small aircraft engines commonly employ a carburetor fuel system or a pressure fuel injection system to supply fuel for combustion. Both types of induction systems hold the potential for icing which can cause engine failure. (1) The pilot should be aware that carburetor icing can occur at temperature between 13 degrees Celsius (C) (20 degrees Fahrenheit (F) and +21C (70F) when there is visible moisture or high humidity. This can occur in the carburetor because vaporization of fuel, combined with the expansion of air as it flows through the carburetor, causes sudden cooling, sometimes by a significant amount within a fraction of a second. Carburetor ice can be detected by a drop in rpm in fixed pitch propeller airplanes and a drop in manifold pressure in constant speed propeller airplanes. In both types, usually there will be a roughness in engine operation. Some engines are equipped with carburetor heat for use in both prevention and removal of ice."

Aircraft

Registration
N16122
Reported as
Stinson SR-7B
Category
Airplane
Serial number
9684
Airframe hours
2,293
Engine
Lycoming R680E 3B, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Starfire Aviation LLC
Registered owner
Starfire Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 12, 2011 · 1 hours before
Departed
NH69 · West Ossipee, NH
Destination
NH69 · West Ossipee, NH
Airport
NH69 · Windsock Village

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
71
Injuries
Serious
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
January 6, 2012
Seat
Left
Flight hours
2,950 total · 75 in this make and model · 2,950 as pilot in command · 20 in the last 90 days · 4 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 10 knots, gusting 14
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 45 °F
Altimeter
30.04 inHg
Observed at
IZG, 14 nm away

Docket · 12

The files NTSB released with the investigation on August 1, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.8 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.