ERA20LA050

NTSB accident investigation · Zenith Zodiac CH-650 · Willow Springs, MO · December 8, 2019

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
December 8, 2019, 15:15 local (21:15 UTC)
Place
Willow Springs, MO
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N914ARZenith Zodiac CH-650
Defining event
Initial climb: Fuel starvation
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
20191208017069A
Case key
100670

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

Improper maintenance practices on the fuel system causing fuel starvation and a total loss of engine power.

Findings · 4

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.

Misc hardware: hoses and tubesAircraft › Fluids/misc hardware · Incorrect service/maintenanceHook Ronald G ZODIAC CH-650: 1 caseAll aircraft: 40 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelHook Ronald G ZODIAC CH-650: 1 caseAll aircraft: 320 casesProbable cause
Fuel system: fuel pumpsAircraft › Aircraft systems · Incorrect service/maintenanceHook Ronald G ZODIAC CH-650: 1 caseAll aircraft: 71 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelHook Ronald G ZODIAC CH-650: 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

According to the pilot of the experimental, amateur-built airplane, he was taking the airplane out for a test flight after making some adjustments to the propeller blade angles. During the initial climb, the engine lost power, restarted on its own and lost power again. The pilot turned back to the airport, but the airplane could not reach the runway and he conducted a forced landing off-field, which resulted in substantial damage to the airplane. Examination of the airplane by a certified mechanic revealed that the fuel pump was weak on pressure and the electric fuel pump was installed incorrectly between the engine driven pump and the carburetor. The fuel flow meter was installed using pipe fittings connected to flare fittings. All fittings were finger tight. These discrepancies were consistent with improper maintenance practices on the fuel system and likely resulted in a reduction in fuel flow during the initial climb after takeoff, and a loss of engine power due to fuel starvation.

Factual narrative

On December 8, 2019, about 1515 central standard time, an experimental, amateur-built Zenith Zodiac CH-650, N914AR, was substantially damaged when it was involved in an accident at Willow Springs, Missouri. The private pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, he adjusted the ground adjustable propeller and was going to test fly the airplane. During the initial climb, the engine lost total power. A few seconds later, the engine restarted on its own, but shortly lost total power again. He turned back to the runway but knew he would not make it and set up for an off-field landing. The pilot did not recall additional events leading up to the accident. Examination of the airplane by a Certified Airframe and Powerplant mechanic revealed that the fuel pump was weak on pressure and the diaphragm was leaking. The electric fuel pump was installed between the engine driven pump and the carburetor, causing low fuel pressure. The fuel flow meter was not installed correctly using the proper fittings. The fuel flow meter was installed using a pipe fitting connected to a flare fitting. All fittings were finger tight.

Aircraft

Registration
N914AR
Reported as
Zenith Zodiac CH-650 (No Series)
Category
Airplane, amateur-built
Serial number
65-7533
Built
2012
Airframe hours
8.6
Engine
Lycoming 290-D, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · June 28, 2017 · 9 hours before
Departed
1H5 · Willow Springs, MO
Destination
1H5 · Willow Springs, MO
Airport
1H5 · Willow Springs Memorial, runway 35, 3,502 × 60 ft, asphalt
Equipment
Electronic multifunction display, Auto-pilot, 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
78
Injuries
Minor
Certificates
Flight instructor, Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane, Helicopter
Medical
BasicMed
Last flight review
January 5, 2019
Seat
Left
Restraint
5-point
Flight hours
14,461 total · 8.6 in this make and model · 9,701 as pilot in command · 3.9 in the last 90 days · 3.9 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 8 knots
Visibility
10 statute miles
Lowest ceiling
700 ft overcast
Temperature
45 °F, dew point 41 °F
Altimeter
29.90 inHg
Observed at
KUNO, 7 nm away

Docket · 6

The files NTSB released with the investigation on August 15, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.6 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.

Other investigations on N914AR · 1

Matched to the same aircraft by N-number and date.