ERA18LA163

NTSB accident investigation · Vans RV4 · Butler, PA · June 7, 2018

Accident · Minor injuriesLimited investigationFinal report
Date
June 7, 2018, 11:00 local (15:00 UTC)
Place
Butler, PA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N7765XVans RV4
Defining event
Enroute-climb to cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report February 5, 2019
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/ FSDO
FAA report
20180607007249A
Case key
97431

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 improper decision to fly the airplane with a known engine problem and his improper modification of the engine control unit fuel delivery software, which led to the engine running too lean and resulted in a total loss of engine power during climb.

Findings · 7

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 plantAircraft › Aircraft power plant · Incorrect service/maintenanceAxelrad Michael R VANS AIRCRAFT RV-4: 1 caseAll aircraft: 198 casesProbable cause
Maintenance/inspectionsAircraft › Aircraft handling/service · Incorrect service/maintenanceAxelrad Michael R VANS AIRCRAFT RV-4: 1 caseAll aircraft: 103 casesProbable cause
Object/animal/substance: wireEnvironmental issues › Physical environment · Contributed to outcomeAxelrad Michael R VANS AIRCRAFT RV-4: 1 caseAll aircraft: 588 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

Shortly after takeoff on an extended crosswind leg about 800 ft mean sea level, the engine lost total power. The private pilot continued ahead and landed the airplane in a field. During the landing, the airplane impacted a wire fence and brush, which resulted in substantial damage to the fuselage and wings. During postaccident interviews, the pilot reported that this was the first flight after he had made maintenance repairs to the automobile-converted engine due to an engine failure 1 month before the accident. He stated that he installed an aftermarket engine control unit and modified the fuel delivery software, which resulted in the engine running too lean for flight and likely caused detonation and piston damage to occur. During the run-up before the accident flight, the pilot was aware that the engine was not producing power as it should. However, he decided to depart with a known engine problem, and his decision to do so led to the accident.

Factual narrative

On June 7, 2018 about 1100 eastern standard time, an experimental amateur-built Vans Aircraft RV-4, N7765X, was substantially damaged during a forced landing shortly after takeoff from Pittsburgh/Butler Regional Airport (BTP), Butler, Pennsylvania. The private pilot sustained minor injuries. The personal flight was operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and no flight plan was filed for the local flight. According to the pilot, after takeoff from runway 26 at BTP, while flying on an extended crosswind traffic pattern leg about 800 ft mean sea level, the engine lost total power. He subsequently continued ahead, maintained best glide speed, and landed in a field. During the landing, the airplane impacted a wire fence and brush. The fuselage and wings sustained substantial damage. The pilot further reported that that this was the first flight after maintenance repairs he had performed to the airplane's automobile-converted engine, due to a prior engine failure that occurred about one month earlier. During the repair, he replaced all four pistons on the engine. He also stated that he had installed an "aftermarket ECU [engine control unit]," and modified the fuel delivery software to lean the fuel to air mixture for improved engine starts. In discussing the engine failure that occurred during the accident flight, the pilot stated that the "cause of the engine failure was my entering a bad tune which caused the engine to run lean under high load. Detonation occurred and caused a piston to melt halting the engine." According to a Federal Aviation Administration inspector, the pilot reported that he had previously "burnt through a piston" with this engine during flight. The pilot also reported that during the run-up on the day of the accident, the engine was "not as strong" as it should had been, but he decided to fly anyway. The pilot held a private pilot certificate with a rating for airplane single-engine land. He also held a repairman experimental aircraft builder certificate, limited to inspection of the accident airplane. He reported total flight experience of 420 hours and 90 hours in the accident make and model airplane. His most recent Basic Medical requirements were completed in June 2017. His most recent flight review was in July 2017. The two-seat, low-wing, fixed landing gear, single-engine airplane was manufactured in 2015. It was equipped with an automobile converted, fuel-injected, General Motors Ecotec L61, 142-horsepower engine. The weather conditions reported at 1056 at BTP, included variable wind at 3 knots, visibility 10 statute miles, clear skies, temperature 17°C, and dew point 10°C.

Aircraft

Registration
N7765X
Reported as
Vans RV4 (UNDESIGNAT)
Category
Airplane, amateur-built
Serial number
3890
Built
2015
Airframe hours
90
Engine
General Motors ECOTEC L61, 142 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · October 25, 2017
Departed
BTP · Butler, PA
Destination
BTP · Butler, PA
Airport
BTP · Pittsburgh/Butler Rgnl, runway 26, 4,801 × 100 ft, asphalt
Equipment
Electronic flight bag or handheld device, Handheld GPS

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
73
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
BasicMed
Last flight review
July 15, 2017
Seat
Front
Restraint
4-point
Flight hours
420 total · 90 in this make and model · 420 as pilot in command · 1 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Lowest ceiling
None
Temperature
63 °F
Altimeter
30.12 inHg
Observed at
BTP, 2 nm away

Docket · 4

The files NTSB released with the investigation on October 16, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.6 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.