ERA20LA161

NTSB accident investigation · Keuthan Buccaneer II · Coden, AL · April 24, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
April 24, 2020, 10:45 local (15:45 UTC)
Place
Coden, AL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N43310Keuthan Buccaneer II
Defining event
Enroute-cruise: Fuel related
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
20200424005759A
Case key
101208

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

A total loss of engine power due to carburetor icing. Contributing to the accident was the lack of a carburetor heat system installed on the engine.

Findings · 2

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.

Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentKeuthan BUCCANEER II: 1 caseAll aircraft: 435 casesProbable cause
Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Not installed/availableKeuthan BUCCANEER II: 1 caseAll aircraft: 195 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 private pilot, who owned the airplane, was making a local personal flight from his private grass strip. During the first 1 hour 15-minute of flight, the engine performance was normal. Then, while about 800 ft above the ground (agl), the engine began to lose power and rpm started a slow continuous drop. The pilot moved the throttle to full power, but the engine continued to lose power. About 150 ft agl, the engine lost power completely and the pilot attempted to glide to a small island. About 25 ft agl, the right wing stalled and the airplane impacted power lines then terrain. Postaccident examination of the wreckage revealed no evidence of preimpact mechanical anomalies that would have prevented normal engine operation, and the engine was run successfully at various power settings. The weather conditions at the time of the accident were conducive to the formation of serious carburetor icing at glide (idle) engine power settings. The airplane was not equipped with carburetor heat, contrary to the engine’s installation manual, which stated "operation in climatic conditions, where carburetor icing is likely to occur, a heating system must be fitted."

Factual narrative

On April 24, 2020, about 1045 central daylight time, a Keuthan Aircraft Corp. Buccaneer II, N43310, was substantially damaged when it was involved in an accident near Coden, Alabama. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, he mixed automobile gas with oil and departed from his grass airstrip with full fuel tanks, which was about 10 gallons of fuel. He was flying in the local area over water at 800 ft when "the engine began to lose power, rpm started a slow continuous drop." He moved the throttle to full power, but the engine continued to lose rpms and airspeed. About 150 ft above ground level (agl), the "engine quit," and he attempted to glide to a small island. About 25 ft agl, the right wing stalled first, the airplane rolled right, and the nose dropped. The airplane impacted power lines, and then terrain. During the 1 hour 15-minute flight, he reported the engine performance was normal prior to the loss of power. A Federal Aviation Administration (FAA) inspector responded to the accident scene and noted that the fuel tank contained about 2 gallons of fuel. Fuel was also present in both carburetor bowls. The fuel and fuel filter were free of debris and contaminates. The engine's crankshaft was manually rotated by turning the propeller, and continuity of the crankshaft and compression of each cylinder was confirmed. A detailed examination of the engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. An engine run was performed, and the engine started immediately, accelerated smoothly, and ran continuously at all selected power settings without interruption. The airplane was not equipped with carburetor heat system. At 1040, the weather reported at Mobile Downtown Airport (BFM), about 16 miles from the accident site, included a temperature 24°C and dew point 14°C. The calculated relative humidity at this temperature and dewpoint was 53%. Review of the icing probability chart contained in Federal Aviation Administration (FAA) Special Airworthiness Information Bulletin CE-09-35 revealed that the weather conditions at the time of the accident were "conducive to serious icing at glide [idle] power." According to FAA Advisory Circular 20-113, "To prevent accidents due to induction system icing, the pilot should regularly use [carburetor] heat under conditions known to be conducive to atmospheric icing and be alert at all times for indications of icing in the fuel system." The circular recommended that when operating in conditions where the relative humidity is greater than 50%, "…apply carburetor heat briefly immediately before takeoff, particularly with float type carburetors, to remove any ice which may have been accumulated during taxi and runup." It also stated, "Remain alert for indications of induction system icing during takeoff and climb-out, especially when the relativehumidity is above 50 percent, or when visible moisture is present in the atmosphere." The pilot completed Pilot/Operator Aircraft Accident/Incident Report (NTSB form 6120.1/2) and reported no preimpact mechanical malfunctions or failures with the airplane that would have precluded normal operation. Furthermore, in the "Operator/Owner Safety Recommendation" section of the report he stated that "manual carburetor heat should be added to all 2 stroke engines." The Rotax 582 installation manual states, "operation in climatic conditions, where carburetor icing is likely to occur, a heating system must be fitted."

Aircraft

Registration
N43310
Reported as
Keuthan Buccaneer II
Category
Airplane
Serial number
B11R
Built
1994
Airframe hours
246
Engine
Rotax 582, 65 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental light sport (Special)
Last inspection
Condition · March 10, 2020
Departed
NONE · Foley, AL
Destination
NONE · Foley, AL
Equipment
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
None
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Medical
Sport pilot
Last flight review
November 26, 2019
Seat
Right
Flight hours
3,100 total · 3.2 in this make and model · 3.2 in the last 90 days · 3.2 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 57 °F
Altimeter
29.87 inHg
Observed at
BFM, 16 nm away

Docket · 9

The files NTSB released with the investigation on June 8, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 29.4 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.