LAX03LA213

NTSB accident investigation · Mcanally Glasair JM-1 · Hollister, CA · June 27, 2003

Accident · Serious injuriesLimited investigationFinal report
Date
June 26, 2003, 19:24 local (Jun 27, 2003, 02:24 UTC)
Place
Hollister, CA
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N104JMMcanally Glasair JM-1
Weather
Visual (VMC) · Day
Status
Completed · report October 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration, Lycoming
FAA report
20030626016399A
Case key
57334

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

the pilot's failure to follow the checklist and apply the electric fuel pump prior to takeoff, which resulted in vapor lock.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine powerTakeoff - initial climb
Checklist - not followedPilot in commandCause
Weather condition - temperature,high
Fuel boost pump selector position - not setPilot in commandCause
Fuel system - vapor lockCause
Forced landingEmergency landing after takeoff
On ground/water collision with objectEmergency landing
Object - other

Analysis

The pilot had just departed the airport when the engine started to surge. Upon reducing power and leaning the mixture, the engine smoothed out and the pilot was able to turn the airplane back towards the airport. At 800 feet and parallel to runway 31, the engine quit. During the descent, the airplane clipped a tree and struck a piece of concrete before coming to rest inverted in a field. The pilot stated that the electric fuel boost pump, which was required for flight, was not turned on. A post accident inspection failed to reveal any discrepancies with the engine or the aircraft's fuel system. The pilot did not report any mechanical malfunction with the airplane. To prevent similar accident in the future, he recommended turning the electric fuel pump to the "ON" position, prior to departure. The pilot reported the ambient temperature to be 38 degrees Celsius. Item number 5 on the pretakeoff portion of the checklist notes to turn on the electric boost pump.

Factual narrative

On June 26, 2003, at 1924 Pacific daylight time, an experimental McAnally Glasair JM-1, N104JM, lost engine power during takeoff, collided with obstacles during a forced landing attempt, and came to rest inverted near Hollister Municipal Airport (307), Hollister, California. The owner was operating the airplane under the provisions of 14 CFR Part 91. The two occupants, both certificated pilots, sustained serious injuries; the airplane sustained substantial damage. The personal local flight departed Hollister Municipal Airport about 1920. Day visual meteorological conditions prevailed, and no flight plan had been filed. The primary wreckage was at 36 degrees 53.36 minutes north latitude and 121 degrees 24.36 minutes west longitude.

In a written statement, the owner/pilot reported that the airplane had just departed runway 24 when the engine started to surge. He then reduced power and leaned the mixture in an attempt to smooth it out. Following a turn back towards the airport, the airplane was parallel to runway 31 at 800 feet when the engine quit. Instead of trying to land on a busy road, the pilot chose instead to head for a stubble field. During the descent, the airplane clipped a tree, and then struck a piece of concrete before coming to rest inverted. The electric fuel boost pump, which according to the pilot was required for flight, was not turned on. The pilot did not report any mechanical malfunction with the airplane. To prevent similar accidents in the future, he recommended turning the electric fuel pump to the "ON" position, prior to departure. The pilot reported that the ambient temperature was 38 degrees Celsius.

The National Transportation Safety Board investigator-in-charge (IIC) and a representative from Textron Lycoming, a party to the investigation, examined the engine. They manually rotated the engine, and obtained thumb compression on all four cylinders in firing order. They observed normal lift action on each rocker assembly; the rocker housing contained oil. They removed the top spark plugs. The electrodes were circular and their coloration was consistent with normal operation according to the Champion Spark Plug Check-A-Plug chart AV-27. A borescope inspection revealed no mechanical deformation on the valves, cylinder walls, internal cylinder heads, or pistons.

The engine driven fuel pump's rubber diaphragm was unbroken and the diaphragm pump shaft gasket was in place. The plunger in the fuel distribution valve moved freely and investigators observed no contamination. The fuel selector valve was in the auxiliary position with the other positions labeled as off and main. Fuel lines went from each main and auxiliary tank to the fuel selector valve. A line then went from the fuel selector valve to the electric boost pump, to the gascolator, to the engine driven fuel pump, and finally to the fuel servo. The investigators were unable to test the experimental electric ignition system installed on the engine. They noted no other discrepancies with the engine.

The IIC contacted a representative from the New Glasair, LLC, regarding vapor lock situations in the Glasair airplane. The representative advised the IIC that the company recommends to the builder to provide cooling air to the fuel system components. Also, the builder should recognize the increased potential for vapor lock during higher ambient temperatures. On the newer model of airplanes, the company provides a circular cooling shroud for the mechanical fuel pump. The installation of a cooling shroud on older airplanes is optional.

The accident airplane had cooling shrouds installed for the engine driven fuel pump and the firewall mounted electric boost pump.

Item number 5 on the pretakeoff portion of the checklist notes to turn on the electric boost pump.

Aircraft

Registration
N104JM
Reported as
Mcanally Glasair JM-1
Category
Airplane, amateur-built
Serial number
001SH778
Airframe hours
285
Engine
Lycoming IO-360, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
William J Brin
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · April 16, 2003 · 8.5 hours before
Departed
K307 · Hollister, CA

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
79
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Expired
Last flight review
June 23, 1997
Seat
Left
Flight hours
4,651 total · 5 in this make and model · 4,651 as pilot in command · 3 in the last 90 days
Role
Co-pilot
Age
70
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
September 28, 2001
Seat
Right
Flight hours
1,060 total · 1 in this make and model · 1,060 as pilot in command · 5 in the last 90 days · 2 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 52 °F
Altimeter
29.89 inHg
Observed at
KSNS, 20 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.