ERA19LA032

NTSB accident investigation · Titan T51 · Valkaria, FL · October 27, 2018

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
October 27, 2018, 13:15 local (17:15 UTC)
Place
Valkaria, FL
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N154DFTitan T51
Defining event
Initial climb: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20181027020979A
Case key
98567

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

The partial, then total, loss of engine power due to detonation and associated damage to several pistons as a result of an overly lean fuel-to-air ratio.

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.

Maintenance: modification/alterationPersonnel issues › Task performance · Owner/builderFowler David P TITAN T-51: 1 caseAll aircraft: 69 casesProbable cause
Engine fuel and control: fuel control electronicAircraft › Aircraft power plant · Incorrect service/maintenanceFowler David P TITAN T-51: 1 caseAll aircraft: 6 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 stated that, shortly after takeoff on a local test flight of the experimental, amateur-built airplane, the engine surged, with a corresponding fuel pressure fluctuation. Because the engine was developing partial power, he elected to return to the airport for landing, but while on the base leg of the airport traffic pattern, the engine lost total power. The airplane subsequently impacted a small retention pond and came to rest partially submerged in water. Postaccident examination of the engine revealed damage to the Nos. 2 and 5 cast aluminum pistons consistent with detonation. The fuel pumps and engine control unit were operationally tested with no discrepancies reported. Inspection of the cooling system components revealed no evidence of pre-impact failure or malfunction, and no evidence of warpage of the cylinder heads was observed. The owner reported continuing engine overheating problems that occurred at sustained “moderate” power settings, which he was unable to correct despite extensive troubleshooting efforts including re-routing of the coolant reservoir. Although he believed he was operating the engine with a rich fuel-to-air ratio, when compared to an identical airplane that was operating successfully, the accident engine was being operated in a lean fuel-to-air ratio at all power settings (500 to 5,000 in 250 rpm increments). This finding was consistent with the pilot’s report of overheating at sustained moderate power settings.

Factual narrative

On October 27, 2018, about 1315 eastern daylight time, an experimental, amateur-built Titan T-51 airplane, N154DF, was substantially damaged when it was involved in an accident near Valkaria, Florida. The commercial pilot sustained serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The airplane was equipped with a Simple Digital System (SDS) EM-5 engine control unit (ECU), an electronic ignition system that also regulated fuel delivery. Before the ground engine runs, the owner consulted for programming values of the ECU with a representative of the airplane designer, and a designated airworthiness representative (DAR) who owned a similar airplane. He added that the provided ECU programming values for both were close, but not exact, so he contacted the manufacturer of the ECU and obtained their values, which he adopted and adjusted for the use of automotive gasoline. He also indicated that, since setting up the system, he experienced a continuing engine overheating issue, which resulted in extensive inspection of the cooling system and relocation of the coolant reservoir, the latter of which worked satisfactorily to prevent overheating during ground run testing. The pilot reported the overheating issue first appeared at “moderate” power levels. The purpose of the accident flight was to verify that the engine operating temperatures and pressures were good. The pilot reported that he also planned to monitor the high-pressure fuel pump due to its recent replacement because of fuel pressure fluctuation during the previous flight. The airplane was fueled with ethanol free 90- or 100-octane racing fuel, and no contamination was noted. The pilot stated that the preflight inspection also included a check of the flight controls and engine fluid levels. After the engine was started, he taxied to runway 28 and performed a "high power" engine run-up, noting that the temperatures and pressures were normal. The pilot departed from runway 28 with the airplane's flaps retracted, 15 gallons of fuel, the fuel shutoff valve on, and one high pressure and the low-pressure fuel pumps on. Between about 300 ft and 500 ft, after retracting the landing gear, he noted the engine surge, and saw the fuel pressure fluctuating. The engine was developing partial power, and the pilot initiated a right turn to land on runway 14. When the turn was nearly completed while on a close right base leg for runway 14, the engine lost total power. About that time, he noticed a "puff" of white smoke from the engine's right exhaust stack. While in a slight right wing low, nose-up attitude, the airplane impacted a small retention pond and came to rest on the bank, partially submerged in the water. The pilot exited the airplane and was transported to a local hospital for treatment. Examination of the engine following recovery was performed by the airplane owner/builder with Federal Aviation Administration (FAA) oversight. The enginewas equipped with pistons that were marked with "RGL AO" and, according to the builder, were made of cast aluminum. All six pistons except the No. 1 showed signatures of overheating. The Nos. 2 and 5 pistons exhibited damage at the outer edge of the piston crown and on the sides; both pistons exhibited coarse scoring of the piston skirt. The damage to the No. 5 piston was greater than that of the No. 2 piston and extended past the ring lands. Impact damage was noted to the fuel delivery system. The fuel lines that were intact were examined and contained fuel; the fuel pumps were operationally tested, though no attempt was made to verify there were operating at the correct pressure or volume. The valve clearances were checked on all cylinders and all were within limits, except for the No. 1 cylinder. The ECU was sent to the manufacturer's facility in Canada, where no anomalies were found during examination. The owner reported there was no warpage of the cylinder heads, and no discrepancies with the cooling system components were reported. A review of high-quality photographs of the damaged pistons by NTSB Materials Laboratory personnel revealed that the damage was consistent with detonation. The owner of a similar airplane with the same engine reported having four separate piston damage events, one of which was during the airplane's first flight. In all four cases, the ECU programming values were based on data provided by the airplane designer. He contacted the manufacturer of the ECU and eventually they identified a fuel schedule that did not result in engine damage, and that owner subsequently accumulated about 200 trouble-free hours of engine operation. According to the data provided by the manufacturer of the ECU, the fuel values at all rpm points (500 to 5,000 in 250 rpm increments) for the accident airplane were less than the fuel values for the same type airplane with the same engine flying successfully. At 1,000, 2,000, 3,000, 4,000, and 5,000 rpm (full rated rpm), the fuel values for the accident airplane were about 24%, 21%, 20%, 11%, and about 6% less (leaner), respectively, than those of the similar airplane that was operating successfully.

Aircraft

Registration
N154DF
Reported as
Titan T51 (NO SERIES)
Category
Airplane, amateur-built
Serial number
M10SV6S0HK0154
Built
2015
Airframe hours
10
Engine
Honda J35 A6, 241 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · April 14, 2018
Departed
X59 · Valkaria, FL
Destination
X59 · Valkaria, FL
Airport
X59 · Valkaria Airport, runway 28, 4,000 × 75 ft, asphalt
Equipment
ADS-B, Angle of attack indicator, Auto-pilot, Electronic primary flight display

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
66
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
June 21, 2017
Seat
Front
Restraint
4-point
Flight hours
9,988 total · 4 in this make and model · 9,851 as pilot in command · 20 in the last 90 days · 7 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 11 knots
Visibility
10 statute miles
Lowest ceiling
3,600 ft broken
Temperature
81 °F, dew point 61 °F
Altimeter
29.90 inHg
Observed at
MLB, 9 nm away

Docket · 10

The files NTSB released with the investigation on July 27, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.5 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.