ERA21LA127

NTSB accident investigation · Vans RV7 · Thonotosassa, FL · February 9, 2021

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
February 9, 2021, 14:53 local (19:53 UTC)
Place
Thonotosassa, FL
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N611EVans RV7
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
FAA report
20210209000709A
Case key
102615

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 pilot’s failure to apply adequate torque on the fuel pressure line aluminum adaptor fitting, which resulted in the loosening of the adapter, a loss of fuel flow, and a total loss of engine power. Contributing to the accident was the pilot’s choice of a soft aluminum automotive fitting, and the design, which required hand-tightening with a shortened, modified wrench that prevented a measured torque application.

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.

Fluids: fuelAircraft › Fluids/misc hardware · Related maintenance infoRv770816 RV7: 1 caseAll aircraft: 1,695 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Owner/builderRv770816 RV7: 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

During the previous flight, the experimental, amateur-built airplane lost total engine power, and the pilot, who was the builder of the airplane, completed a successful forced landing with no damage to the airplane. He found that the fuel pressure adapter “t”-fitting, used to attach the fuel pressure line, had disconnected from the fuel pump elbow fitting. The automotive adapter fitting was adopted during the airplane’s construction for fitment in a confined space and did not allow for measured torque application. The pilot reattached the fitting with a modified and shortened 5/8” spanner wrench for the 11/16” b-nut. The pilot departed the forced landing site and landed successfully at his destination. The accident flight was the airplane’s next flight. Minutes after takeoff, the airplane once again experienced a loss of fuel pressure and a total loss of engine power. During the subsequent forced landing, the pilot sustained minor injuries and the airplane was substantially damaged. Post-accident examination of the airplane revealed that the same fuel pump elbow fitting was disconnected from the adapter fitting. Examination of the adapter revealed that its material was soft relative to materials used in Air Force-Navy (AN) standard fittings. As a result, the shoulder on the adapter body could have been deformed under the pressure of the retaining ring even when applying minimum torque values suggested for AN standard fittings made of aluminum alloys specified in military specification. This deformation may have inhibited the proper frictional resistance in the threads to prevent the nut from backing off in service. Additionally, the body of the adapter fitting tended to rotate when applying torque to the nut. If the body was not properly secured while torque was applied to the nut during field repairs, the twisting of the adapter fitting body could have produced stresses in the attached hoses in the assembly that may have worked to rotate the adapter fitting and nut in the loosening direction during operation.

Factual narrative

On February 9, 2021, at 1453 eastern standard time, an experimental, amateur-built Vans RV7, N611E, was substantially damaged when it was involved in an accident near Thonotosassa, Florida. The private pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 test flight. The pilot, who was the builder of the airplane, was completing Phase 1 flight testing of the airplane. He stated that, two days before the accident, the airplane experienced a loss of fuel pressure and a total loss of engine power. He completed a successful forced landing uninjured, and during the subsequent inspection of the airplane, no damage was found. Examination of the engine revealed that the fuel pressure adapter “t”-fitting, used to attach the fuel pressure line, had disconnected from the fuel pump elbow fitting. According to the pilot, the adapter fitting was adopted during the airplane’s construction for fitment in a confined space. Reattachment of the fitting was accomplished with a modified and shortened 5/8” spanner wrench for the 11/16” b-nut. The pilot departed the forced landing site and landed successfully at his destination. Minutes after departing on the accident flight, the airplane once again experienced a loss of fuel pressure and a total loss of engine power. During the subsequent forced landing, the pilot sustained minor injuries and the airplane was substantially damaged. Post-accident examination of the airplane revealed that the same fuel pump elbow fitting was disconnected from the adapter fitting. The airplane’s airworthiness certificate was issued January 21, 2021. According to the pilot, the first loss of engine power occurred about 3.5 total aircraft hours. The second total power loss occurred about 4.1 total aircraft hours. A Federal Aviation Administration aviation safety inspector recovered the adapter fitting and performed some rudimentary, comparative, hand-tightened torque applications with the shortened, modified wrench, and a standard 11/16” spanner and recorded those tests. According to the pilot, the aluminum adapter fitting attached to the steel fuel pump elbow fitting was purchased at an automotive “speed shop.” In the pilot’s NTSB Form 6120.1 Pilot/Operator Accident Report Form, the pilot stated, “Fuel line 'T' fitting disconnected from engine fuel pump fitting elbow most likely due to improper torquing.” The fitting and associated parts were examined at the NTSB Materials Laboratory. Examination and research revealed material hardness below an Air Force Navy (AN) military specification for the aluminum adapter fitting. The manufacturer of this automotive fitting stated that there was no specified torque value, but that the fitting should be tightened to a “snug” condition. Multiple sources cited a 150 to 195-inch-pound torque value for the fitting or the “flats” method (1 to 1.5 flats past finger tight). When the flats method was attempted in the lab, two to three times the torquevalue specified was required to rotate one flat and, once the nut was removed, the shoulder of the adaptor body displayed damage. Further, the body of the adaptor fitting rotated when torque was applied to the nut. The movement of the adapter fitting created the potential for stresses in the fuel lines to apply force in the loosening direction.

Aircraft

Registration
N611E
Reported as
Vans RV7
Category
Airplane, amateur-built
Serial number
70816
Built
2021
Airframe hours
4.4
Engine
Titan IOX-370-J4B3T8, 185 hp, reciprocating
Damage
Substantial damage
Flight
Flight test · Part 91
Registered owner
Rv770816 LLC
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · January 21, 2021 · 4.4 hours before
Departed
KVDF · Tampa, FL
Destination
KZPH · Zephyr Hills, FL
Equipment
Electronic primary flight display, ADS-B, Electronic multifunction display, Auto-pilot, Electronic flight bag or handheld device

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
54
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
5-point
Flight hours
882 total · 20 in this make and model · 830 as pilot in command · 59 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 9 knots, gusting 14
Visibility
10 statute miles
Lowest ceiling
3,400 ft broken
Temperature
82 °F, dew point 68 °F
Altimeter
30.13 inHg
Observed at
KVDF

Docket · 11

The files NTSB released with the investigation on December 29, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 21.6 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.