ERA21LA356

NTSB accident investigation · Waco GXE · Burt, NY · September 13, 2021

Accident · No injuriesClass 3 · LimitedFinal report
Date
September 13, 2021, 14:05 local (18:05 UTC)
Place
Burt, NY
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N8564Waco GXE
Defining event
Takeoff: Powerplant sys/comp malf/fail
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
20210913018609A
Case key
103855

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 improper magneto timing, which resulted in the engine’s inability to produce full power during the takeoff.

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.

Ignition system: magneto/distributorAircraft › Aircraft power plant · Incorrect service/maintenanceWaco GXE: 1 caseAll aircraft: 101 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelWaco GXE: 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

The accident flight was the vintage biplane’s first since it had been restored 2 years prior. During takeoff, once the airplane was in ground effect, the pilot described that the airplane would not climb any further even though the engine was producing power. The pilot elected to land the airplane in a nearby field and during the landing, the airplane nosed over and came to rest inverted, which resulted in substantial damage to the wings and fuselage. A postaccident examination of the engine revealed that the magnetos were set to fire about 7° away from the proper position in order to obtain full engine power. Furthermore, a historical reference handbook for the vintage engine stated that the magnetos needed to have an external lever connected to a control in the cockpit to mechanically vary the magneto to engine timing while the engine was running. The magnetos installed on the accident airplane did not have these controls installed. Based on this information, it is likely the engine could not produce full power as a result of the incorrect magneto timing.

Factual narrative

On September 13, 2021, about 1405 eastern daylight time, a Waco GXE, N8564, was substantially damaged when it was involved in an accident near Burt, New York. The airline transport pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, the accident flight was the first flight since the airplane was restored a few years prior. The airplane’s most recent annual inspection was completed on the morning of the accident. During takeoff, the airplane departed the turf runway “normally,” and once it was in ground effect, it would not climb any further even though the “engine was producing power just fine.” The pilot elected to land the airplane in a nearby field to avoid trees in the flight path. During the landing, the airplane nosed over and came to rest inverted, which resulted in substantial damage to the wings and fuselage. According to the maintenance logs, in March 2013, the engine was reassembled and reinstalled on the airplane. The next maintenance entry, in June 2019, with 0 hours since major overhaul, indicated that the engine and propeller were inspected in accordance with a 100-hr inspection. A high-speed taxi test was performed and the engine and propeller were found to be in airworthy condition. The final entry of the engine log was dated September 9, 2021. It indicated that the engine had 38 hours SMOH, a 100-hr inspection was performed, and the engine was found to be in an airworthy condition. The airplane was equipped with a vintage Curtis Aeroplane Model OX-5 engine. The engine was designed to be equipped with a variable timing magneto that assisted with engine starting. A postaccident examination of the engine by a Federal Aviation Administration inspector revealed that the accident airplane’s magnetos were set to fire about 22° before top dead center (BTDC). The engine logbook indicated that the magnetos should be timed to 30° BTDC. To obtain a “full advanced” setting, the engine historical reference handbook stated that the magnetos needed to have an external lever connected to a control in the cockpit to mechanically vary the magneto to engine timing while the engine was running. In addition, the handbook stated that the magnetos should be timed to 28° BTDC. The magnetos installed on the accident airplane’s engine did not have external control levers and without the levers, the ignition could not be timed to 28°-30° BTDC.

Aircraft

Registration
N8564
Reported as
Waco GXE
Category
Airplane
Serial number
1927
Built
1929
Airframe hours
1,538
Engine
Milwaukee Parts Tank V502, 115 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 13, 2021 · 0 hours before
Airport
D80 · Olcott-Newfane, runway 09/27, 2,500 × 60 ft, grass/turf
Equipment
Unknown

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
42
Injuries
None
Certificates
Airline transport, Commercial, Flight instructor
Airplane ratings
Single-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
March 18, 2021
Seat
Rear
Restraint
4-point
Flight hours
12,771 total · 1 in this make and model · 9,361 as pilot in command · 48 in the last 90 days · 14 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 55 °F
Altimeter
30.09 inHg
Observed at
IAG, 15 nm away
METAR
KIAG 131753Z 31005KT 10SM CLR 22/13 A3009 RMK AO2 SLP187 T02220133 10222 20150 56019

Docket · 7

The files NTSB released with the investigation on July 26, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 204 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.