GAA17CA557

NTSB accident investigation · Bellet James J Vans RV 8 · Orange, MA · September 26, 2017

Accident · Minor injuriesData collectionFinal report
Date
September 26, 2017, 12:50 local (16:50 UTC)
Place
Orange, MA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N184SJBellet James J Vans RV 8
Defining event
Approach-VFR pattern downwind: Loss of engine power (total)
Weather
Visual (VMC) · Dawn
Status
Completed · report December 15, 2017
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA/ FSDO
FAA report
20170926019899A
Case key
96094

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 remove the engine cowl plugs during preflight, which resulted in excessive engine cylinder head temperatures during climb and a total loss of engine power.

Findings · 5

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.

Action: lack of actionPersonnel issues › Action/decision · PilotBellet James J VANS RV-8: 1 caseAll aircraft: 792 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotBellet James J VANS RV-8: 1 caseAll aircraft: 551 casesProbable cause
Power plant: engine cowling systemAircraft › Aircraft power plant · Inadequate inspectionBellet James J VANS RV-8: 1 caseAll aircraft: 11 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 Federal Aviation Administration (FAA) aviation safety inspector reported that, during a telephone conversation, the pilot reported that, during the climb, he noticed the engine cylinder heat temperature gauge exceed 500°F. The pilot added that he immediately turned back to the departure airport, and while in the downwind for the landing runway, the engine lost power. The pilot further added that the airplane immediately lost altitude and cleared a tree line in the path to the runway but then impacted terrain hard in a base-to-final flightpath near the runway threshold. He added that, when he exited the airplane, he observed an engine cowl plug installed on the right side of the engine cowl and removed it. The right wing and fuselage sustained substantial damage. The FAA inspector reported that he traveled to the accident, and while on-site, he observed the left cowl plug melted onto the engine cylinders. He added that the right cowl plug was found on the ground near the airplane. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation. The pilot did not submit the National Transportation Safety Board Form 6120.1 Pilot/Operator Aircraft Accident/Incident Report.

Factual narrative

The Federal Aviation Administration (FAA) Aviation Safety Inspector reported that, during a telephone conversation, the pilot reported that during the climb he noticed the engine cylinder heat temperature gauge exceed 500° F. The pilot added that, he immediately turned back to the departure airport, and while in the downwind for the landing runway, the engine lost power. The pilot further added that, the airplane immediately lost altitude, cleared a tree line in the path to the runway, but impacted the terrain hard in a base to final flight path near the runway threshold. He added that when he exited the airplane, he observed an engine cowl plug installed on the right side of the engine cowl and removed it. The right wing and fuselage sustained substantial damage. The FAA inspector reported that he traveled to the accident, and while on-site, he observed the left cowl plug melted onto the engine cylinders. He added that the right cowl plug was found on the ground near the airplane. The pilot did not report that there were any preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation. The pilot failed to submit the NTSB Form 6120.1 Pilot/ Operator Aircraft Accident/ Incident Report.

Aircraft

Registration
N184SJ
Reported as
Bellet James J Vans RV 8 (UNDESIGNAT)
Category
Airplane, amateur-built
Serial number
81645
Built
2003
Engine
Lycoming IO-360, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Departed
ORE · Orange, MA
Flight plan
Unknown
Airport
ORE · Orange Muni, runway 32, 4,801 × 75 ft, asphalt
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
69
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left

Weather

Conditions
Visual (VMC) · Dawn
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 66 °F
Altimeter
30.03 inHg
Observed at
KORE

Docket · 3

The files NTSB released with the investigation on November 13, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 902 KB 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.