LAX95LA325

NTSB accident investigation · Chambers C1C · Turlock, CA · September 4, 1995

Accident · FatalLimited investigationFinal report
Date
September 4, 1995, 13:13 local (20:13 UTC)
Place
Turlock, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N177GEChambers C1C
Weather
Visual (VMC) · Day
Status
Completed · report July 3, 1996
Report
Approved by Office Director
FAA report
19950904027569A
Case key
29210

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

a loss of engine power due to fuel system contamination and the pilot's failure to maintain an adequate airspeed while maneuvering for an emergency landing. Factors in the accident were: the inadequate procedures used to purge the fuel system of known contaminants during post maintenance testing, and the installation of newly designed wings which may have had aerodynamic qualities unfamiliar to the pilot.

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 power(total) - nonmechanicalTakeoff - initial climb
Fuel system - contaminationCause
Maintenance,service of aircraft/equipment - inadequateCompany maintenance personnelFactor
Forced landingEmergency landing after takeoff
Loss of control - in flightApproach - vfr pattern - final approach
Wing - otherFactor
Information unavailablePilot in commandFactor
Airspeed(vso) - not maintainedPilot in commandCause
Stall/spin - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled

Analysis

Maintenance had just been completed to both prepare the aircraft for the upcoming Reno Air Races and complete an annual inspection. During the process new wings of a different design were installed. On the morning of the accident a ground static run-up of the engine yielded poor performance due to fuel flow problems. Water was found in the carburetor float bowl. About 1 quart of fluid was drained from the fuel system to clear the contamination and a second check found no contamination. The engine was again subjected to a ground static run-up and found satisfactory. Prior to the final takeoff, the pilot performed two high-speed full power taxi tests. The pilot then initiated a takeoff and flew down to the runway departure end before a climb was started. About 100 feet agl in the takeoff initial climb, the engine quit, then went back to full power. The pilot then began a steep climb to gain pattern altitude and the engine began surging as the aircraft reached 700 feet agl. The engine problem continued throughout the rest of the aircraft's flight. The pilot was able to fly a downwind and base leg. After turning final, the pilot performed two slip maneuvers and an S-turn to lose altitude. During the turn, the bank angle reached 60 degrees, then suddenly increased to 90 degrees. The aircraft then stalled, snapped over inside onto it's back and spun to the ground. The carburetor and fuselage-mounted fuel tank were destroyed in the collision sequence. Control system integrity was established. No other discrepancies were noted during the examination of the wreckage.

Factual narrative

On September 4, 1995, at 1313 hours Pacific daylight time, a Chambers C1C homebuilt experimental racer, N177GE, collided with the ground following an in-flight loss of control while attempting an emergency landing at the Turlock, California, airport. The emergency landing was precipitated by a loss of power during the takeoff initial climb. The aircraft was owned and operated by One More Time Air Race Team, Inc., of Grand Prairie, Texas. Visual meteorological conditions prevailed at the time and no flight plan was filed. The aircraft was destroyed in the collision sequence and the certificated airline transport pilot, the sole occupant, sustained fatal injuries. The flight was originating at the time of the accident as a local area maintenance test flight.

An Federal Aviation Administration airworthiness inspector from the Fresno, California, Flight Standards District Office responded to the accident site and examined the wreckage and interviewed witnesses. He reported that the pilot was an airframe and powerplant mechanic, and was supervising the maintenance team which was preparing the aircraft for the upcoming Reno Air Races. An annual inspection was performed during the process in addition to the installation of new wings of a different design.

On the morning of the accident a ground static run-up of the engine was accomplished and the engine performed poorly due to fuel flow problems. The carburetor was examined and water was found in the float bowl. According to statements from the maintenance technicians, about 1 quart of water was drained from the fuel system to clear any remaining contamination. A second check of the system found no contamination. The statements reflect that the engine was again subjected to a ground static run-up and found satisfactory to the maintenance technicians and the pilot.

The purpose of the accident flight was a final maintenance test verification flight following completion of the maintenance activity. Prior to the final lift off, the pilot performed two high-speed full power taxi tests followed by external checks for leaks by the ground crew. The pilot then initiated a takeoff and flew down to the runway departure end before a climb was started. About 100 feet agl in the takeoff initial climb, the engine quit, then went back to full power. The pilot then began a steep climb to gain pattern altitude and the engine began surging as the aircraft reached 700 feet agl.

According to witness statements, after the aircraft turned crosswind, the engine would quit, then restart again and surge, which continued throughout the rest of the aircraft's flight. The pilot was able to fly a downwind and base leg. After turning final, the witnesses heard the engine sounds decrease and observed the aircraft begin to slip. The witnesses estimated the aircraft lost about 400 feet before the pilot exited the slip and re-established runway alignment. The aircraft still appeared high and the pilot entered a second slip, which continued to about 150 feet agl and 1/8 of a mile from the runway. The pilot then entered an S-turn maneuver, which reached a bank angle of 60 degrees, then suddenly increased to 90 degrees. The aircraft then stalled, snapped over inside onto it's back and spun to the ground.

The inspector reported that the carburetor and fuselage-mounted fuel tank were destroyed in the collision sequence. Control system integrity was established. No other discrepancies were noted during the examination of the wreckage.

An autopsy was performed on the pilot by the Stanislaus County Coroner with specimens retained for toxicological analysis by the FAA Civil Aeromedical Institute. The tests were negative for alcohol and all screened drugs.

Aircraft

Registration
N177GE
Reported as
Chambers C1C
Category
Airplane, amateur-built
Serial number
1
Airframe hours
227
Engine
Continental O-200A, 100 horsepower, reciprocating
Damage
Destroyed
Flight
Part 91
Registered owner
One More Time Air Race Team In
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · September 4, 1995 · 1 hours before
Departed
O15
Airport
O15 · Turlock Municipal, runway 30, 2,985 × 50 ft, asphalt

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
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Center
Toxicology
Performed
Flight hours
9,000 total · 35 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 8 knots
Visibility
35 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 46 °F
Altimeter
30.00 inHg
Observed at
MCE, 12 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.