ERA19LA253

NTSB accident investigation · Velocity XL-5 · St. Cloud, FL · August 21, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
August 21, 2019, 08:52 local (12:52 UTC)
Place
St. Cloud, FL
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N735DVelocity XL-5
Defining event
Enroute: Electrical system malf/failure
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
CAT, FAA/FSDO
FAA report
20190821019349A
Case key
100115

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 failure to properly secure the airplane electrical system’s positive/negative leads to the 24v battery, which resulted in a total loss of electrical and engine power in flight.

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.

Safety programs: adequacy of safety programOrganizational issues › Support/oversight/monitoring · Emergency servicesStephen Cabiroy XL-RG-5: 1 caseAll aircraft: 24 cases
Maintenance: installationPersonnel issues › Task performance · Owner/builderStephen Cabiroy XL-RG-5: 1 caseAll aircraft: 371 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

Shortly after takeoff, when the airplane was at an altitude of 2,000 ft, the engine and electrical system failed simultaneously. The pilot was unable to restart the engine and made a forced landing to an open field, during which the airplane flipped over and sustained substantial damage to the airframe and wings. The airplane wreckage was not located until about 4 hours and 25 minutes after the accident. The airplane’s engine was equipped with a dual electronic ignition system that required electrical power to operate. The pilot, who was also the builder, had wired the airplane’s electrical system, which was routed through a 24v battery, including the dual electronic ignition system. Postaccident examination revealed that the lugs that connected the positive and negative leads of the airplane’s electrical system to the 24v battery were not crimped properly and that the leads had separated from their lugs, which resulted in the complete loss of electrical and engine power. The airplane’s 406-MHz emergency locator transmitter (ELT) triggered on impact, and a beacon alert was sent and was received by the Air Force Rescue Coordination Center (AFRCC). The AFRCC called the pilot’s cell phone twice shortly after the accident, but the phone had been displaced during the accident sequence, and the pilot was unable to retrieve it to answer. The pilot’s daughter did not receive a call from the AFRCC even though she was listed as an emergency contact on his ELT registration form. A review of AFRCC’s response to the accident revealed that the on-duty controller attempted to locate the beacon and initially determined that the airplane was most likely airborne with an active ELT and closed out the incident. However, after several hours had passed, the controller observed the beacon alerts becoming more concentrated and contacted law enforcement, who located the airplane within 45 minutes. The AFRCC reported that they handled 38 other incidents that day and that the controller was in his first phase of training. However, they indicated that they would use this incident as a training aid for similar cases in the future.

Factual narrative

On August 21, 2019, at 0852 eastern daylight time, an experimental, amateur-built Velocity XL-RG-5, N735D, was substantially damaged when it was involved in an accident in St. Cloud, Florida. The pilot and the passenger were seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot, who also built the airplane, reported that he conducted a preflight inspection and engine run-up with no anomalies noted before departing Kissimmee Gateway Airport (ISM), Kissimmee, Florida, about 0840, destined for Sebastian Municipal Airport, Sebastian, Florida. Shortly after takeoff, when the airplane was at an altitude of 2,000 ft, the engine and electrical system failed simultaneously. The pilot tried several times to restart the engine but to no avail. He feathered the propeller and made a forced landing to an open field. The airplane flipped over during landing, which resulted in substantial damage to the airframe and wings. The pilot and the passenger were both wearing their respective three-point shoulder harness/lap belts, but the inboard structural attachment for the pilot’s lap belt broke off during impact, and he was thrown into the back seat. When he went backward, he struck the passenger's seatback and broke it in a backward direction. The pilot and passenger had sustained serious injuries and did not exit the airplane until help arrived. The wreckage was located about 1317, about 4 hours and 25 minutes after the accident, by the Osceola County Sheriff’s Office. The Velocity XL was canard pusher design airplane that had a Continental six-cylinder IO-550-N engine installed. The engine was equipped with a dual electronic ignition system that required electrical power to operate. The engine was not otherwise equipped with an independently powered ignition system, such as a magneto. The electrical system, which the pilot stated he had wired, included a 24v battery and two alternators. The pilot said the electrical system was routed through the 24v battery, including the dual electronic ignition system. He said that since "everything shut off at the same time," the positive/negative lead on the 24v battery had to have been "pulled" somehow. Postaccident examination of the airplane revealed that the both the positive and negative lugs that connected the airplane’s electrical system to the 24v battery had separated from their respective wire leads. Additionally, examination of the lugs showed that they were not crimped properly. An engine run could not be performed due to damage to the electrical system; however, the engine was cranked manually using the starter. The spark plugs were removed, and thumb compression and valve train continuity were established to all cylinders. No mechanical deficiencies were observed with the engine that would have precluded normal operation. The airplane was equipped with a 406-MHz emergency locator transmitter (ELT), which was registered to the pilot. The impacttriggered the ELT, and an alert was sent and received by the Air Force Rescue Coordination Center (AFRCC) at 0852. According to the pilot, the AFRCC called his cell phone directly after the accident, at 0858, then called again a few minutes later and left a message. The pilot said his cell phone was under the airplane after the accident, so he was unable to access it to answer or return the call. The pilot assumed that the AFRCC would contact his daughter, who was listed as an emergency contact on his ELT registration form; however, his daughter was not called. She began making phone calls to locate the airplane after she did not hear that the pilot had landed at his destination. A review of the AFRCC’s response to this event revealed that the on-duty controller attempted to locate the source of the ELT beacon alert, which included calling the pilot, checking the ARFCC’s Incident History Database for any previous “non-distress” events (there was one recorded event in 2017), researching the airplane’s flight history, and contacting the departure airport for a ramp check. The controller learned that the airplane had departed ISM earlier that morning and that no flight plan was filed. The airplane’s ELT also continued to send beacon plots, but the plots were scattered over a wide area. Based on this information, the controller determined that the airplane was most likely airborne with an active ELT and closed out the incident. However, after several hours had passed, the controller observed the beacon alerts becoming more concentrated and contacted law enforcement, who located the airplane within 45 minutes. The AFRCC reported that they handled 38 other incidents that day and that the controller was in his first phase of training. They reported that they will use this incident as a training aid for similar cases in the future.

Aircraft

Registration
N735D
Reported as
Velocity XL-5
Category
Airplane, amateur-built
Serial number
3RX180
Built
2016
Airframe hours
300
Engine
Continental IO-550N, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · December 30, 2018
Departed
ISM · Kissimmee, FL
Destination
X26 · Sebastian, FL
Equipment
Electronic primary flight display, Electronic multifunction display, Auto-pilot, ADS-B

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
61
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
October 25, 2017
Seat
Left
Restraint
3-point
Flight hours
1,040 total · 310 in this make and model · 1,040 as pilot in command · 50 in the last 90 days · 20 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 4 knots
Visibility
10 statute miles
Temperature
82 °F, dew point 79 °F
Altimeter
30.12 inHg
Observed at
KISM, 5 nm away

Docket · 9

The files NTSB released with the investigation on December 9, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.3 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.