# NTSB ERA19LA065: Czech Sport Piper Sport, N145MM, Punta Gorda, FL, December 13, 2018 - Type: NTSB accident investigation - Classification: Accident · Minor injuries · Class 3 · Limited · Final report - Date: December 13, 2018, 14:00 local (19:00 UTC) - Place: Punta Gorda, FL - Coordinates: 26.925277, -82.001113 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=26.9253&lon=-82.0011&mi=10 - Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping) - Defining event: [Approach-VFR pattern final: Fuel related](https://openairdocs.org/ntsb-events/190) - Highest injury: Minor injuries - Injuries: 1 minor - Status: Completed - Report: Approved by Office Director - Investigation class: Class 3 - NTSB office: Eastern Region Aviation - Parties: FAA/FSDO - NTSB case key (mKey): 98769 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ERA19LA065 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/98769/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=98769 - Page: https://openairdocs.org/ntsb/ERA19LA065 ## Probable cause A total loss of engine power due to an interruption of fuel flow. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Fluids: fuel](https://openairdocs.org/ntsb-findings/01071010): Aircraft › Fluids/misc hardware · Unknown/Not determined (probable cause); cases with it: [Czech Sport PIPER SPORT, 2 cases](https://openairdocs.org/ntsb-findings/01071010/cases.md?model=0600073), [All aircraft, 1,695 cases](https://openairdocs.org/ntsb-findings/01071010/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Approach-VFR pattern final: Fuel related](https://openairdocs.org/ntsb-events/190) (defining event); cases with it: [Czech Sport PIPER SPORT, 2 cases](https://openairdocs.org/ntsb-events/190/sequence.md?model=0600073), [All aircraft, 361 cases](https://openairdocs.org/ntsb-events/190/sequence.md) - [Approach-VFR pattern final: Off-field or emergency landing](https://openairdocs.org/ntsb-events/440); cases with it: [Czech Sport PIPER SPORT, 4 cases](https://openairdocs.org/ntsb-events/440/sequence.md?model=0600073), [All aircraft, 3,365 cases](https://openairdocs.org/ntsb-events/440/sequence.md) - [Landing-landing roll: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Czech Sport PIPER SPORT, 8 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=0600073), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis While on an extended base leg of the airport traffic pattern, the pilot reduced engine power and turned on the electrical auxiliary fuel pump; the engine then lost all power. He attempted to restart the engine but was unsuccessful. The pilot executed a forced landing to a field. During landing, the airplane struck a fence and utility pole and sustained substantial damage to both wings. On-site examination of the airplane revealed that fuel was present in both fuel tanks after the accident. Postaccident examination of the airframe and test runs of the engine did not reveal any preimpact electrical or mechanical anomalies that would have precluded normal operation. During multiple engine test runs, the electric auxiliary fuel pump was cycled several times and operated normally. A review of the recorded data captured by an engine monitor revealed that, during the accident flight, the oil temperature, cylinder head temperature, and exhaust gas temperature were all within the operating limits specified by the manufacturer. The fuel pressure and fuel flow values during cruise were within the normal range. When the engine lost power, the data showed a temporary decrease in fuel pressure below the minimum pressure specified by the engine manufacturer and subsequent decrease in the fuel flow to 0 gallons per hour. After impact, the fuel pressure returned to the normal range. Because the engine operated satisfactorily after the accident both with and without the electric auxiliary fuel pump activated, it is unlikely that the engine lost power due to a fuel pump failure. During the accident flight, the recorded values for fuel flow were not abnormally high or erratic, and the cylinder head temperatures were below the maximum limit, so it was unlikely that air or vaporized fuel passed through the fuel flow sensor. An obstruction in the fuel system upstream of the fuel pressure sensor (or exhaustion of the fuel supply) could have resulted in a loss of fuel pressure. However, an obstruction was unlikely because there were no indications of an obstruction during the postaccident engine examination, and fuel was present in the fuel tanks during and after the accident flight, and therefore the engine should not have lost power due to fuel exhaustion. Given this information, it is likely that the loss of engine power was due to an interruption of fuel flow to the engine, though the reason for the interruption cold not be determined based on available information. ## Factual narrative On December 13, 2018, about 1400 eastern standard time, a Czech Sport Aircraft PiperSport, N145MM, was substantially damaged when it was involved in an accident near Punta Gorda, Florida. The sport pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, the accident occurred on the second flight of the day. He departed Punta Gorda Airport (PGD), Punta Gorda, Florida, about 1015 with 29 gallons of 100 low lead aviation fuel on board and flew about 40 minutes to Winter Haven’s Gilbert Airport (GIF), Winter Haven, Florida, uneventfully. He departed GIF about 1330 for the return flight to PGD. About 4 miles from PGD, at an altitude of 1,000 ft, the pilot was cleared to land on runway 15. According to the pilot, while on an extended base leg of the traffic pattern, he turned on the electric auxiliary fuel pump as prescribed in the descent checklist. As soon as he activated the switch, the engine lost all power. He switched fuel tanks and attempted to restart the engine but was unsuccessful. Unable to reach the airport and at an altitude too low to deploy the airframe parachute, he selected a small field for a forced landing and advised the PGD control tower of his intention to conduct an emergency landing. During landing, the airplane struck a fence and a utility pole. According to data logs downloaded from the airplane’s Dynon EMS-D120 engine data monitor and EFIS-D100 electronic flight information system, the engine’s fuel flow increased to its highest value of about 7 gallons per hour (GPH) during takeoff. After climbout, the cylinder head temperature remained below about 200°F for the duration of the flight. During cruise, the fuel flow was consistently between 5.5 and 6 GPH, and the fuel pressure values remained relatively constant (near 3.9 pounds per square inch [psi]) during the first portion of the cruise phase of flight. About halfway through the cruise phase, the fuel pressure decreased to about 2.9 psi, and then fluctuated between about 2.5 psi and 3.9 psi. Near the end of the flight, the engine power decreased from about 4,700 rpm to 1,300 rpm over 52 seconds. Immediately afterward, engine power decreased to 0 rpm over 7 seconds, where it remained until impact about 40 seconds later (at the time the engine lost power, the recorded values for fuel quantity were 8.3 gallons in the left tank and 13.1 gallons in the right tank). Just as the rpm began to decrease from 1,300, the fuel pressure decreased from about 3.3 psi to 1.1 psi. As the fuel pressure decreased, the fuel flow increased momentarily from 1.9 GPH to 2.8 GPH before decreasing to 0 GPH. After impact, the fuel pressure increased to about 2.75 psi, where it remained until the recorded data ended, about 10 seconds later (see figure). Figure - Selected data from engine monitor at end of flight. The airplane was equipped with an engine-driven mechanical fuel pump and an electric auxiliaryfuel pump. In August 2018, the manufacturer issued Safety Directive SA-SC-011, which amended the pilot’s operating handbook to indicate “The electrical fuel pump shall be ON during engine start, engine warm up, taxiing, take-off, climb, approach and landing.” Prior to this directive, the pilot’s operating handbook prescribed use of the electric auxiliary fuel pump only during engine start. A review of the engine data from the previous flight revealed that the fuel pressure values remained relatively constant (about 3.9 psi) for the duration of the cruise phase. During climbout on the second previous flight, the fuel pressure decreased from about 3.5 psi to 2.5 psi over about 30 seconds. During the cruise phase, the fuel pressure increased to about 3.5 psi and remained relatively constant for the remainder of the cruise phase. On-site examination of the wreckage by a Federal Aviation Administration inspector revealed that all major components of the airplane were present at the accident site. The right wing was substantially damaged outboard of the wing root, and a section outboard of the flap was completely separated. The left wing was substantially damaged aft of the spar and forward of the flap at the wing root, and along the entire chord outboard of the aileron. An unquantified amount of fuel was present in both the left and right fuel tanks. Postaccident examination of the engine revealed that there were no obstructions to the air intake or the exhaust. All ignition leads were secure and intact. The top spark plugs were removed and appeared “worn normal.” Thumb compression was observed on all cylinders. A borescope examination of each cylinder revealed no damage to the piston tops, cylinder walls or valves. An external fuel source was plumbed to supply fuel to the engine. The engine was started, a run-up was performed, and the engine operated normally up to full power. The electric auxiliary fuel pump was cycled on and off several times during the engine run. No anomalies were noted. The engine was shut down, restarted, and run two more times. According to the engine’s operating manual, the upper operating limit of the cylinder head temperature was 275°F, the minimum fuel pressure was 2.2 psi, and the minimum idle speed was 1,400 rpm. A review of the recorded data revealed that, during the accident flight, the oil temperature, cylinder head temperature, and exhaust gas temperature were all within the operating limits specified by the manufacturer. ## Aircraft - Registration: [N145MM](https://openairdocs.org/deregistered/N145MM-2020-08-02), registration cancelled 2020-08-02, S/N P1001063, built 2010 (OpenAirDocs) - Reported make and model: CZECH SPORT AIRCRAFT AS Piper Sport - Registry model: [Czech Sport PIPER SPORT](https://openairdocs.org/model/czech-sport-piper-sport) (registry code 0600073) (OpenAirDocs) - Registry engine: [Rotax 912ULS series](https://openairdocs.org/engine/rotax-912uls-series) (registry code 55572, 4 cycle) (OpenAirDocs) - Category: Airplane - Serial number: P1001063 - Year built: 2010 - Airframe hours: 552 - Engines: Bombardier Rotax 912ULS 100 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Airworthiness certificate: Special, Special light-sport (Special) - Last inspection: Condition, November 8, 2018, 8 hours before - Departed: GIF, Winter Haven, FL - Destination: Same as departure - Airport: PGD, Punta Gorda, runway 15, 5,680 × 150 ft, asphalt - Equipment: ADS-B, Airframe parachute, Auto-pilot, Electronic flight bag or handheld device, Electronic multifunction display, Electronic primary flight display, Onboard weather ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 76; injuries: minor; sport pilot, private; airplane ratings: single-engine land, multi-engine sea, multi-engine land; instrument ratings: airplane; medical: sport pilot, without waivers/limitations; last flight review January 31, 2017; seat: left; restraint: 3-point; flight hours: 2,500 total ## Weather - Conditions: Visual (VMC), Day - Wind: 150° at 15 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 79 °F, dew point 54 °F - Altimeter: 30.06 inHg - Observed at: PGD, 1 nm away ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20181213023499A](https://openairdocs.org/incident/20181213023499A), Dec 13, 2018: Czech Sport Aircraft As PIPER SPORT, Punta Gorda, FL, Substantial damage. On December 13, 2018, at approximately 1:18 pm local time N145MM crashed while trying to land in a residential area after having a loss of power, about 1 mile… ## Docket (12 files) The files NTSB released with the investigation on November 23, 2021, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=98769. 23.4 MB in all. - Pilot/operator aircraft accident report, NTSB form 6120.1 (item 1, PDF, 11 pages, 8.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12212746&FileExtension=pdf&FileName=01-01%20NTSB%20form%206120_ERA19LA065_print_Redacted-Rel.pdf - Memorandum for record - pilot's statement (item 2, PDF, 1 page, 211 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12213299&FileExtension=pdf&FileName=01-02%20MFR%20Pilot%20Statement_ERA19LA065-Rel.pdf - Memorandum for record - information from FAA inspector (item 3, PDF, 1 page, 198 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12213485&FileExtension=pdf&FileName=01-03%20MFR%20Information%20from%20FAA%20Inspector_ERA19LA065-Rel.pdf - Maintenance records (item 4, PDF, 5 pages, 7.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12215350&FileExtension=pdf&FileName=03-01%20Maintenace%20Log%20Excerpts_from_PIC_Redacted2-Rel.pdf - Excerpts from engine manufacturer's operating and maintenance manuals (item 5, PDF, 4 pages, 222 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12214271&FileExtension=pdf&FileName=03-02%20Excerpts%20from%20Engine%20Manufacturer%20Operating%20and%20Maintenance%20Manuals-Rel.pdf - Engine manufacturer safety alert (item 6, PDF, 3 pages, 118 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12212675&FileExtension=pdf&FileName=03-03%20CSA%20Safety%20Alert%20SA-SC-011%20(Fuel%20and%20fuel%20pump)-Rel.pdf - Photos (item 7, PDF, 3 pages, 3 photos, 487 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12212859&FileExtension=pdf&FileName=06-01-%20photo%20array_19LA065-Rel.pdf - Memorandum for record - engine examination (item 8, PDF, 1 page, 200 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12212482&FileExtension=pdf&FileName=06-02%20MFR%20Engine%20Exam_ERA19LA065-Rel.pdf - Dynon engine monitor and electronic flight instrument system - download factual report (item 9, PDF, 4 pages, 1.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12212695&FileExtension=pdf&FileName=08-01%20Dynon_Download_factual_report_ERA19LA065-Rel.pdf - Dynon engine monitor and electronic flight instrument system - charts of selected data (item 10, PDF, 21 pages, 2.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12212705&FileExtension=pdf&FileName=08-01B%20Dynon%20Download%20-%20Charts%20of%20Selected%20Data%20from%20Accident%20and%202%20Previous%20Flights_B-Rel.pdf - Dynon engine monitor and electronic flight instrument system - tabular data (item 11, XLSX, 3.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12212869&FileExtension=xlsx&FileName=08-01B%20Dynon%20Download%20-%20Tabular%20Data%20from%20Accident%20and%202%20Previous%20Flights-Rel.xlsx - Evidence control documents (item 12, PDF, 1 page, 107 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12212790&FileExtension=pdf&FileName=09-01%20Evidence-Control-Form_ERA19LA065_Redacted-Rel.pdf From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.