ERA17LA333

NTSB accident investigation · Buschmann/Vanzee Vari EZ · Ambler, PA · September 24, 2017

Accident · Serious injuriesLimited investigationFinal report
Date
September 24, 2017, 17:15 local (21:15 UTC)
Place
Ambler, PA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Prior to flight
Aircraft
N830SBuschmann/Vanzee Vari EZ
Defining event
Prior to flight: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed · report April 20, 2020
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Lycoming Engines, FAA/FSDO
FAA report
20170924019839A
Case key
96064

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

Water contamination of the fuel that was not detected during a preflight inspection, which resulted in a total loss of engine power.

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.

Fuel system: fuel storageAircraft › Aircraft systems · Damaged/degradedBuschmann/Vanzee VARI-EZ: 1 caseAll aircraft: 60 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionBuschmann/Vanzee VARI-EZ: 1 caseAll aircraft: 1,695 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotBuschmann/Vanzee VARI-EZ: 1 caseAll aircraft: 551 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 private pilot was conducting a personal flight in the experimental, amateur-built airplane. During the initial climb, the engine lost total power when the airplane was about 200 ft above ground level. The airplane descended and impacted trees beyond the departure threshold; the airplane was destroyed. A witness reported hearing the engine "sputter," and another witness reported that the engine sounded like it did not reach full rpm during takeoff. An engine examination revealed that the gascolator and carburetor contained water-contaminated fuel. The examination did not reveal any other preimpact mechanical malfunctions or anomalies that would have precluded normal operation. Due to his injuries, the pilot was unable to recall the events leading up to the accident. Although he indicated that he routinely completed thorough preflight inspections, he likely either did not sample the fuel or did not adequately eliminate water from the fuel before takeoff. Thus, it is likely that the loss of engine power was due to water contamination of the fuel.

Factual narrative

On September 24, 2017, about 1715 eastern daylight time, an experimental amateur-built Vari EZ, N830S, was destroyed when it impacted trees and terrain near Ambler, Pennsylvania. The private pilot sustained serious injuries. The airplane was registered to and operated by the pilot as a Title 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed at the time of the accident, and no flight plan was filed for the flight that departed Wings Field Airport (LOM), Blue Bell, Pennsylvania, just prior to the accident. According to a witness, during takeoff, the engine sounded like it did "not reach full rpm" and it took the entire 3,700-ft-long runway for the airplane to lift off the ground. Then, about 200 ft above ground level the engine "stopped." Another witness reported hearing the engine "sputter." The airplane was "wobbling," descended, and impacted trees prior to coming to rest near a house. Initial examination of the airplane by a Federal Aviation Administration inspector revealed that both fuel tanks were ruptured, and fuel was leaking from the wings. The canopy was separated from the fuselage and the forward section of the fuselage exhibited crush damage. The engine remained attached to the airframe and the propeller remained attached to the engine. According to FAA records, the airplane was manufactured in 1984 and registered the pilot in May 2017. It was equipped with a Lycoming O-235-C series, 100-horsepower engine that drove a Sensenich propeller. According to airplane maintenance logbooks, the most recent condition inspection was completed on April 1, 2017, at 691.0 total aircraft hours. The engine was removed from the airframe to facilitate further examination. The rocker box covers were removed, and rocker arm movement was noted on all cylinders when the propeller was rotated by hand. Compression and suction were noted on all cylinders. All spark plugs were removed and exhibited normal wear when compared to the Champion Check-A-Plug chart. The magneto was removed, operated, and spark was noted on all towers. Corrosion was noted throughout the engine. It was noted at the crankshaft end of the No. 2 connecting rod and all gears in the accessory section of the engine. The gascolator was removed and water was noted in the fuel. Also, debris was noted in the fuel that restricted the flow of fluid from the gascolator. The carburetor was removed and disassembled. Water was noted in the carburetor when tested with water finding paste. The left fuel tank fuel cap was impact separated and the tank was breached. The debris noted in the fuel was consistent with a substance that was dried on the interior of the left fuel tank. The right fuel tank contained fuel and tested negative for water. When water was poured over the right fuel tank cap while it was seated, then the cap was removed, the fuel in the right tank tested positive for water with water finding paste. According to the pilot, as a result ofhis injuries from the accident, he was unable to recall any of the events leading up to the accident. However, he stated that it was routine practice for him to complete a thorough preflight inspection and does not believe there would be a reason that a thorough preflight was not completed on the day of the accident. He also stated that the airplane was kept outside.

Aircraft

Registration
N830S
Reported as
Buschmann/Vanzee Vari EZ
Category
Airplane, amateur-built
Serial number
2069
Built
1984
Airframe hours
691
Engine
Lycoming O-235-C, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · April 1, 2017
Departed
LOM · Blue Bell, PA
Airport
LOM · Wings Field Airport, runway 06, 3,700 × 75 ft, asphalt
Equipment
Unknown

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
29
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 64 °F
Altimeter
30.04 inHg
Observed at
LOM, 3 nm away

Docket · 10

The files NTSB released with the investigation on November 4, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.3 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.