MIA03LA080

NTSB accident investigation · Ditommasso-Keminski Great Lakes 2T-1A · Daytona Beach, FL · March 22, 2003

Accident · Serious injuriesLimited investigationFinal report
Date
March 22, 2003, 08:43 local (13:43 UTC)
Place
Daytona Beach, FL
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N1980ADitommasso-Keminski Great Lakes 2T-1A
Weather
Visual (VMC) · Day
Status
Completed · report April 28, 2004
Report
Approved by Office Director
Parties
FAA FSDO
FAA report
20030322007999A
Case key
56678

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 NTSB’s determination of the probable cause, and any contributing factors.

The pilot's improper preflight planning/decision to perform a second flight with known deficiencies in equipment, and his failure to maintain airspeed above the airplane's stall speed while maneuvering to reverse direction to land, after the engine subsequently ceased to operate, which resulted in a stall/mush, an inflight lost of control, an uncontrolled descent, and an impact with a ditch.

Analysis

The pilot stated that he did a thorough preflight, run up, the takeoff checklist and took off from runway 05 at Spruce Creek Airport. Approximately 300 to 400 feet off the end of the runway he said the engine started to surge, and after a few surges it ceased operating completely. The pilot said that in order to avoid houses and trees, he attempted a turn to runway 23. He said he performed pre-landing tasks, and during his attempt to land on runway 23, it became apparent that he was not going to make it, so he landed in the only available open area for runway 5, in a wings level attitude. The airplane flipped over on its back and stopped. The passenger stated that they were flying the airplane on a flight immediately preceding the accident flight, and when they first took off on that flight he knew something was wrong. He stated that he smelled "smoke from the engine, or some kind of burning smell", and that they then landed because something was wrong. He said the pilot then did nothing other than "reved the engine before taking off again." During the takeoff, the passenger said that they got to an altitude of about 100 feet over the treetops and the engine started to stop and start. He said they lost altitude slowly at first, and as the pilot tried to turn around and come back toward the runway, he only made it to a position perpendicular to the end of the runway, before they started loosing altitude drastically. He said they went down at an angle into the water ditch at the and of the runway. An FAA inspector who responded to the accident, conducted examinations of the airframe and engine. According to the inspector, no preaccident anomalies were evident, and cold compressions were low on cylinders, but consistent with those obtained from a Franklin engine. The inspector further stated that when the engine was first installed on the airframe, the accessories had been swapped from another engine on to the accident engine. The Bendix model PS-5C pressure carburetor was examined, under NTSB supervision, at an FAA certified repair facility. The manual mixture control had incurred damage, and dark deposits had been baked on to the throttle body, consistent with that of an engine having been operating very rich. A large amount of engine oil in the venturi area, and during teardown, an air passage on the air side of the outer valve was found to have oil present, consistent with there being anomalies internal to the engine.The filter was clean and residue/contamination was found under the screen.

Factual narrative

The factual narrative665 words

On March 22, 2003, about 0843 eastern standard time, a Ditommaso-Kaminshi Great Lakes 2T-1A experimental amateur built airplane, N1980A, registered to N1980A Inc., and operated by a private individual, as a Title 14 CFR Part 91 personal flight, crashed shortly after takeoff from Spruce Creek Airport, Daytona Beach, Florida. Visual meteorological conditions prevailed, and no flight plan was filed. The airline transport-rated pilot received serious injuries, and the passenger received minor injuries. The airplane incurred substantial damage. The flight was originating at the time of the accident.

The pilot stated that he did a thorough preflight, run up, the takeoff checklist and took off from runway 05 at Spruce Creek Airport. Approximately 300 to 400 feet off the end of the runway the engine started to surge, and after a few surges it ceased operating completely. The pilot said that in order to avoid houses and trees, he attempted a turn to runway 23. He said he performed pre-landing tasks, and during his attempt to land on runway 23, it became apparent that he was not going to make it, so he landed in the only available open area for runway 5, in a wings level attitude. The airplane flipped over on its back and stopped.

The passenger stated that they were flying the airplane on a flight immediately preceding the accident flight, and when they first took off on that flight he knew something was wrong. He stated that he smelled "smoke from the engine, or some kind of burning smell", and that they then landed because something was wrong. He said the pilot then did nothing other than "reved the engine before taking off again." During the takeoff, the passenger said that they got to an altitude of about 100 feet over the treetops and the engine started to stop and start. He said they lost altitude slowly at first, and as the pilot tried to turn around and come back toward the runway, he only made it to a position perpendicular to the end of the runway, before they started loosing altitude drastically. He said they went down at an angle into the water ditch at the and of the runway.

Witnesses stated that the airplane departed on runway 05,and just after takeoff its engine ceased operating momentarily, and then shortly after started to sputter, never regaining full power. They said the airplane was in a nose high attitude, just above tree top level, and then was seen to enter a left turn. Before completing 90 degrees of turn, the witnesses said the airplane was then observed in a right turn back toward the runway. The witnesses said that at a heading of about 45 degrees with respect to runway 23, the right wing dropped, and they observed the airplane descend and impact the ground at a steep angle, coming to rest after flipping over on its back.

An FAA inspector who responded to the accident, conducted examinations of the airframe and engine. The airplane was equipped with the Polish (PMA manufactured) 470 cubic inch displacement 6 cylinder Franklin engine. The engine had been installed in June 2002, and had accumulated 41 hours. According to the inspector, no preaccident anomalies were found, and cold compressions were low on cylinders, but consistent with a Franklin engine. The inspector further stated that when the engine was installed on the airframe, the accessories had been swapped from another engine on to the accident engine.

The Bendix model PS-5C pressure carburetor was examined under NTSB supervision at an FAA certified repair facility. The manual mixture control had incurred damage, and dark deposits were baked on to the throttle body, consistent with that of an engine running rich. There was a large amount of engine oil in the venturi area. The filter was clean and residue/contamination was found under the screen. During teardown, an air passage on the air side of the outer valve was found to have oil present, consistent with anomalies internal to the engine.

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) - mech failure/malfTakeoff - initial climb
Preflight planning/preparation - improperPilot in commandCause
Powerplant - surge
Operation with known deficiencies in equipment - performedPilot in commandCause
Forced landingManeuvering - turn to reverse direction
Loss of control - in flightManeuvering - turn to reverse direction
Airspeed(vs) - not maintainedPilot in commandCause
Stall/mush - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ditch

Aircraft

Registration
N1980A
Reported as
Ditommasso-Keminski Great Lakes 2T-1A
Category
Airplane, amateur-built
Airframe hours
350
Engine
Franklin 6A-350-C1R, 220 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
N1980A Inc
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · June 1, 2002 · 41 hours before
Departed
7FL9 · Daytona Beach, FL
Airport
7FL6 · Spruce Creek Airport, runway 05, 4,000 × 176 ft

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
Serious
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
January 4, 2002
Seat
Rear
Flight hours
25,000 total · 104 in this make and model · 20,000 as pilot in command · 18 in the last 90 days · 5 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 59 °F
Altimeter
30.03 inHg
Observed at
DAB, 7 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.