ERA21LA391

NTSB accident investigation · Boeing E75 · Nicholson, PA · September 30, 2021

Accident · No injuriesClass 3 · LimitedFinal report
Date
September 30, 2021, 13:30 local (17:30 UTC)
Place
Nicholson, PA · coords of Nicholson, PA via map. update with 6120 data or more info from FAA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1654MBoeing E75
Defining event
Enroute-cruise: Loss of engine power (total)
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
20210930020739A
Case key
104049

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 as a result of damaged internal carburetor mixture control components.

Findings · 1

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.

Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Damaged/degradedBoeing E75: 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 pilot reported that, while the airplane was at an altitude of 3,500 ft, the engine lost total power. He attempted to regain engine power by adjusting the throttle, mixture control, fuel valve controls, and carburetor heat; however, the engine would not restart. As the pilot set up an approach to a nearby airstrip, he determined that the airplane would not reach the runway and performed a forced landing into trees, resulting in substantial damage to the fuselage and wings. Postaccident examination of the engine revealed that the carburetor’s rotating mixture actuating rod was difficult to rotate, and binding occurred as the actuating rod was rotated by hand. Upon disassembly of the carburetor, the mixture control actuating rod and the metering needle, which is connected to the inner end of the rod, were found bent. No other damage to the carburetor was found. Because these components are largely or entirely internal to the carburetor, the bending of actuating rod and the metering needle was likely not a result of impact damage. The investigation was unable to determine how or when the carburetor components became bent. Although the bends in the actuating rod and metering needle would not have prevented the mixture control from operating, the bends would have changed how the mixture setting in the carburetor responded to the mixture control lever in the cockpit. If the cockpit control was moved toward the cutoff position, the metering needle might not have performed as expected and might have moved into the cutoff position before or after the cockpit control reached its expected cutoff position. Likewise, with the cockpit control in the normal full rich position, the metering needle might have been in a position that was either more or less than full rich. Therefore, the bent components likely resulted in a mixture setting that was not expected for any given cockpit mixture control setting. The investigation could not determine whether the mixture would have been too lean (less fuel) or too rich (more fuel), either of which could have resulted in the engine not producing power. Four of the cylinders’ spark plugs had black-colored deposits on their electrodes, consistent with a rich mixture condition. Two spark plugs had gray-colored deposits, consistent with a normal mixture condition. The remaining three spark plugs were oil soaked, masking their electrode color, but these spark plugs would generally be more consistent with a rich mixture condition rather than a lean condition.

Factual narrative

On September 30, 2021, about 1330 eastern daylight time, a Boeing E75, N1654M, was substantially damaged when it was involved in an accident near Nicholson, Pennsylvania. The pilot and pilot-rated passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, while the airplane was at an altitude of 3,500 ft, the engine suddenly lost total power. He adjusted the throttle, mixture control, fuel valve controls, and carburetor heat, but the engine would not restart. Shortly afterward, the pilot noticed a strong smell of fuel. He then flew the airplane toward a nearby private airstrip. While setting up an approach to the runway, the pilot determined that the airplane would not reach the airstrip and performed a forced landing into trees that bordered the airport property, which resulted in substantial damage to the fuselage and wings. Postaccident examination of the airplane found that the engine separated from the fuselage during the accident sequence and that fuel had been draining from the fuel line for “some time” after the accident occurred. A subsequent examination of the engine revealed that the carburetor’s rotating mixture actuating rod was difficult to rotate, and binding occurred as the actuating rod was rotated by hand. (The cockpit mixture control lever, through a linkage of push-pull tubes and control arms, rotates the mixture actuating rod.) The carburetor was then disassembled, and the actuating rod and the metering needle connected to the inner end of the rod were found bent, as shown in the figure below. (The metering needle attaches to an offset pin at the inner end of the actuating rod. As the rod rotates, the metering needle moves up or down [out of or into its seat] to control the amount of fuel that flows through the carburetor, setting the mixture.) Figure. - Mixture actuating rod and metering needle. The carburetor was otherwise undamaged. No impact marks, deformation, or other damage was found to the housing or bushings that surround the actuating rod and the seat for the metering needle. Other than the mixture actuating rod and the metering needle, no preimpact anomalies were found with the engine or the airframe fuel system components that would have precluded normal operation. The front spark plugs were removed from the cylinders. Two had gray-colored electrodes, four had black-colored electrodes, and three of the electrodes were oil soaked. A review of the maintenance records revealed no entries related to the carburetor or its controls during the preceding 4 years. During that time, the engine accumulated 81 hours total time.

Aircraft

Registration
N1654M
Reported as
Boeing E75
Category
Airplane
Serial number
75-8300
Built
1943
Airframe hours
8,175
Engine
Lycoming R680-13-E3B, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Aerobatic; Standard, Normal
Last inspection
Annual · November 10, 2020 · 13 hours before
Airport
PVT · Pvt
Equipment
None

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
28
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Rear
Flight hours
50 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 5 knots
Visibility
10 statute miles
Lowest ceiling
6,500 ft overcast
Temperature
61 °F, dew point 45 °F
Altimeter
30.13 inHg
Observed at
AVP, 18 nm away
METAR
METAR KAVP 301754Z 03005KT 10SM OVC065 16/07 A3013 RMK AO2 SLP200 T01610067 10172 20122 58005=

Docket · 6

The files NTSB released with the investigation on September 7, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 17.1 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.