ERA13LA397

NTSB accident investigation · Aeronca 65CA · Hardwick, VT · September 1, 2013

Accident · Serious injuriesLimited investigationFinal report
Date
September 1, 2013, 10:30 local (14:30 UTC)
Place
Hardwick, VT
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N31915Aeronca 65CA
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report March 17, 2015
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
Case key
87977

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 improper maintenance of the carburetor, which resulted in a total loss of engine power due to carburetor flooding.

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 fuel and control: fuel control/carburetorAircraft › Aircraft power plant · MalfunctionAeronca 65-CA: 1 caseAll aircraft: 195 casesProbable cause
Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Incorrect service/maintenanceAeronca 65-CA: 1 caseAll aircraft: 195 casesProbable cause
Maintenance: repairPersonnel issues › Task performance · Maintenance personnelAeronca 65-CA: 1 caseAll aircraft: 99 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeAeronca 65-CA: 2 casesAll aircraft: 933 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

The pilot reported that a preflight inspection and engine run-up revealed no anomalies. Shortly after the airplane lifted off the runway, the engine began "misfiring" and then experienced a total loss of power. The pilot maneuvered the airplane straight ahead, and it subsequently impacted a tree, which resulted in substantial damage to the forward fuselage, engine firewall, and left wing. Although the pilot and passenger were both seriously injured during the accident, both of their seat belts remained intact and firmly anchored to their respective seats; the belts' latching mechanisms operated normally. The engine sustained extensive impact damage, and the crankshaft could not be rotated by hand during postaccident examination. Several of the spark plugs were loose and could be removed by hand; it could not be determined whether the spark plugs had been improperly installed during the airplane's most recent inspection or sometime thereafter. In addition, the spark plugs exhibited black sooty deposits, which is indicative of the engine operating with an excessively rich fuel/air mixture. Examination of the carburetor revealed that the float needle would not seat properly and that the float level specified by the manufacturer could not be maintained; these conditions would be expected to result in an excessively rich fuel/air mixture at high engine power settings. Therefore, based on the evidence, it is likely that the engine was operating with an excessively rich fuel/air mixture, which resulted in the carburetor flooding and the subsequent loss of engine power. Although the engine maintenance logbooks documented that an overhauled carburetor had recently been installed on the airplane and that a subsequent test run was successfully performed, they did not document when or by whom the carburetor overhaul was performed.

Factual narrative

On September 1, 2013, approximately 1030 eastern daylight time, an Aeronca 65CA, N31915, was substantially damaged during a forced landing following a total loss of engine power after takeoff from a private airfield in Hardwick, Vermont. The certificated private pilot and passenger were seriously injured. Visual meteorological conditions prevailed, and no flight plan was filed for the flight. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. The pilot reported that a preflight inspection revealed no anomalies of the airplane. The airplane's fuel tank contained 6.5 gallons of fuel, and a fuel sample exhibited no contaminants. The pilot started the engine and observed no abnormal indications on the engine gauges. A subsequent engine run-up check also revealed no anomalies, and the pilot initiated the takeoff roll from the turf runway utilizing a short-field takeoff procedure. Shortly after the airplane lifted off the runway, the engine began "misfiring" and experienced a total loss of power. The pilot maneuvered the airplane straight ahead, and it subsequently impacted the base of a large tree, resulting in substantial damage to the forward fuselage, engine firewall, and left wing. The pilot held a private pilot certificate with a rating for airplane single-engine land. His most recent Federal Aviation Administration (FAA) third-class medical certificate was issued August 2, 2013. The pilot reported 92.5 total hours of flight experience, of which 46.8 hours were in the accident airplane make and model. The tailwheel-equipped airplane was manufactured in 1941, and was purchased by the pilot in September 2008. The airplane's most recent annual inspection was completed on May 6, 2013 at a total airframe time of 1533.56 hours and a total tachometer time of 215.36 hours. Review of maintenance logs showed that an overhauled carburetor, new mixture control cable, and new carburetor heat control cable were installed in the airplane on June 22, 2013, and a subsequent test run of the engine was performed with no anomalies noted. There was no documentation regarding when or by whom the carburetor overhaul was performed. At the time of the accident, the airplane had accumulated approximately 7.5 hours since its most recent annual inspection. The 1054 weather observation at Morrisville-Stowe State Airport (MVL), Morrisville, Vermont, located about 13 nautical miles west of the accident site, included variable wind at 3 knots, 10 statute miles visibility, clear skies, temperature 25 degrees, dew point 17 degrees, and an altimeter setting of 29.90 inches of mercury. Postaccident examination of the airplane by an FAA inspector revealed that the airplane impacted an approximate 3-foot diameter tree. An odor of fuel was present at the site. Continuity of the flight controls from the cockpit area to all control surfaces was confirmed. As a result of contact with the tree, the engine was significantly damaged, andthe crankshaft could not be rotated by hand. Visual inspection of the cylinders revealed no anomalies. Both magnetos were removed, and rotation of their respective input drives produced spark at all terminal leads. The spark plugs were removed and exhibited black sooty deposits. Several of the spark plugs were loose and able to be removed by hand. The carburetor filter was removed, and was absent of debris. The front/pilot seat assembly separated from the airframe during impact, but the pilot and passenger seatbelt webbing remained intact, and both belts remained attached to their respective seat anchor points. Each of the belts' latching mechanisms operated normally. The carburetor was removed from the engine, disassembled, and examined in detail. When vacuum was applied to the fuel inlet fitting, the float needle was observed to seat improperly, and the manufacturer's specified float level of 13/32" could not be maintained. Application of a ½ psi fuel pressure resulted in the carburetor bowl being filled, and the needle/float being unable to prevent an excessively rich mixture condition. The float was within the manufacturer's weight specification, and when immersed in water heated to 212 degrees F, revealed no evidence of leaks. The main jet, air bleed, and idle air tube orifices were absent of any obstructions and met the manufacturer's dimensional specifications. The airplane was subject to FAA Airworthiness Directive (AD) 47-30-08, which required modification of the seat belt anchorage to prevent failure during a crash landing. Review of FAA airworthiness records revealed an Application for Airworthiness Certificate dated September 13, 1948, stating that the airplane conformed to all applicable airworthiness directives, including AD 47-30-08. Review of maintenance logs also revealed an entry dated April 23, 2009 which stated, "[complied with] AD 47-30-08 by welding seat as per AD seat mod." Examination of the accident airplane revealed "L"-shaped gussets welded onto the corners of the fore and aft seat tube support structure in accordance with the modification described by the AD.

Aircraft

Registration
N31915
Reported as
Aeronca 65CA
Category
Airplane
Serial number
CA-11931
Built
1941
Airframe hours
1,534
Engine
Cont Motor A&C65 SERIES, 65 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Ring David M
Registered owner
Ring David M
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 6, 2013
Departed
NONE · Hardwick, VT
Destination
KMVL · Morrisville, VT
Airport
NONE · Private Strip

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
59
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
August 2, 2013
Seat
Left
Restraint
Lap only
Flight hours
92.5 total · 46.7 in this make and model · 92.5 as pilot in command · 15.5 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 63 °F
Altimeter
29.89 inHg
Observed at
MVL, 13 nm away

Docket · 15

The files NTSB released with the investigation on January 30, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 15.0 MB in all.