# NTSB MIA08LA142: J. E. Douglas Starduster 2, N27ED, Tappahannock, VA, July 15, 2008

- Type: NTSB accident investigation
- Classification: Accident · Serious injuries · Limited investigation · Final report
- Date: July 15, 2008, 15:45 local (19:45 UTC)
- Place: Tappahannock, VA
- Coordinates: 37.859443, -76.89389 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=37.8594&lon=-76.8939&mi=10
- Phase of flight: [Initial climb](https://openairdocs.org/ntsb-phases/350) (OpenAirDocs' grouping)
- Defining event: [Initial climb: Powerplant sys/comp malf/fail](https://openairdocs.org/ntsb-events/340)
- Highest injury: Serious injuries
- Injuries: 2 serious
- Status: Completed, report January 29, 2009
- Report: Approved by Office Director
- Parties: Richmond FAA/FSDO, Textron Lycoming
- NTSB case key (mKey): 68446
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=MIA08LA142
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/68446/pdf
- Page: https://openairdocs.org/ntsb/MIA08LA142

## Probable cause

Loss of engine power for undetermined reasons.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Not determined](https://openairdocs.org/ntsb-findings/05000000): Not determined › Not determined · Unknown/Not determined (probable cause); cases with it: [Starduster 2, 1 case](https://openairdocs.org/ntsb-findings/05000000/cases.md?model=86601M2), [All aircraft, 2,247 cases](https://openairdocs.org/ntsb-findings/05000000/cases.md)
- [Aircraft](https://openairdocs.org/ntsb-findings/01050000): Aircraft › Aircraft power plant · Not specified; cases with it: [Starduster 2, 1 case](https://openairdocs.org/ntsb-findings/01050000/cases.md?model=86601M2), [All aircraft, 151 cases](https://openairdocs.org/ntsb-findings/01050000/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Initial climb: Powerplant sys/comp malf/fail](https://openairdocs.org/ntsb-events/340) (defining event); cases with it: [Starduster 2, 1 case](https://openairdocs.org/ntsb-events/340/sequence.md?model=86601M2), [All aircraft, 820 cases](https://openairdocs.org/ntsb-events/340/sequence.md)
- [Emergency descent: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Starduster 2, 1 case](https://openairdocs.org/ntsb-events/470/sequence.md?model=86601M2), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md)

## Analysis

A witness observed the airplane during takeoff. The nose of the airplane was pitched up about 20-to-25 degrees and the airplane climbed to between 800 to 1,000 feet with full power. The climb angle increased to about 60-degrees and the engine was heard to go silent. The airplane was observed to initiate a wing-over maneuver in a nose down attitude, turned 90 degrees to the left, and disappeared from view below the tree line. The witness then heard the sound of the airplane colliding with trees and the ground. The pilot stated the airplane had 30 gallons of 100 low-lead fuel at take off. The fuel tank was ruptured and the smell of fuel was present at the accident site. Examination of the airframe flight controls and engine assembly revealed no anomalies.  Metallurgical examination of the fuel servo and induction air filter revealed they did not contribute to the loss of engine power.

## Factual narrative

On July 15, 2008, at 1545 eastern daylight time, an amateur built Starduster 2, N27ED, registered to a private owner and operated as a Title 14 Code of Regulations (CFR) Part 91 personal flight, collided with trees and the ground while maneuvering in the vicinity of Tappahannock, Virginia. Visual meteorological conditions prevailed and no flight plan was filed. The airplane received substantial damage. The airline transport pilot and one passenger received serious injuries. The flight originated from Tappahannock-Essex County Airport (XSA), Tappahannock, Virginia, on July 15, 2008 at 1543.

A witness stated he was inside a hanger at XSA, when he heard the accident airplane taxing to runway 10 for takeoff. The engine sounded strong and he went outside to watch the airplane depart. The witness observed the airplane about 200 yards beyond the end of the runway between 200 to 300 feet in what appeared to be a Vx climb (short field takeoff climb). The nose of the airplane was pitched up about 20 to 25 degrees. The airplane climbed to between 800 to 1,000 feet with full power and the climb angle increased to about 60 degrees. The engine was heard to go silent and the airplane drifted about 100 to 120 yards to the right of runway centerline. The airplane was observed to initiate a wing-over maneuver into a nearly nose down attitude, with the top of the airplane pointing back towards the airport. The engine was heard to sputter five or six times. The airplane came out of the dive, and was nearly level before it entered a 90-degree left roll. The airplane turned 90-degrees to the left towards the south and disappeared from view below the tree line. The airplane was then heard colliding with trees and the ground.

The pilot stated he had no recollection of the events after he completed the preflight inspection, and the airplane had no history of back firing or an induction fire. In addition, the pilot stated in the National Transportation Safety Board Pilot Operator Aircraft Accident Report that the airplane had 30 gallons of 100 low-lead fuel on board at takeoff.

The airplane wreckage was located in a wooded area about 2,500 feet from the approach end of runway 28, about 150 feet right of runway centerline. The airplane had collided with trees and the ground in a descending nose down attitude on a southerly heading and came to rest upright on a heading of 055 degrees.

The wood propeller hub remained attached to the propeller crankshaft flange, and the propeller spinner was crushed. Both propeller blades separated about 12 to 16 inches from the propeller hub and the starter drive gear was engaged with the starter ring gear. The engine assembly remained attached to the engine mounts and was displaced upward, aft and clockwise.

The aluminum fuel tank was ruptured. Emergency responders stated there was a smell of fuel at the accident site and the front seat passenger and emergency medical technician reported having skin irritations from fuel spillage.

The upper and lower wings were damaged and the flying wires were intact. The forward cockpit area was pushed aft into the rear cockpit. All flight control cables remained attached to their respective bell cranks. The empennage was intact. There was no evidence of a precrash mechanical failure or malfunction of the airframe or flight controls.

The airplane was recovered to the registered owner’s hanger and Federal Aviation Administration (FAA) inspectors examined the engine assembly on July 17, 2008.

The engine turned freely by hand and thumb compression was obtained on cylinders No. 1, No. 2, and No. 3. Thumb compression was obtained on cylinder No. 4 after the damaged aft pushrod was removed. All rocker covers were removed, valve train continuity was confirmed and oil was present on the valve spring assemblies. The starter drive was found engaged. The air filter element was removed an examined. The center portion of the aft surface of the foam air filter media exhibited darkened coloration and thickening of the filaments. There was no evidence of a post crash fire. The induction air box was crushed around the fuel injector servo. The fuel injection servo air impact tubes appeared to have (sand size) particles of the filter in their opening, and it was not determined if their openings were completely obstructed. The throttle control and mixture control were connected to the servo. The fuel injector servo was separated at the mounting flange. All ignition leads were intact with the exception of the No. 3 top spark plug, which was broken off. All spark plugs were removed and exhibited normal wear except for the No. 3 lower spark plug which was found oil soaked. Both magnetos produced spark when rotated by hand. The exhaust assembly and muffler were intact and damaged. The oil screen housing broke off at the flange and the oil screen was free of contamination. The oil dipstick housing was broken off. All cylinders were intact. About 2 ounces of fuel was present in the fuel gascolator, and the fuel screen was free of contamination. There was no evidence of water found in the gascolator. The fuel injector flow divider cover was removed and fuel was present. The fuel injector nozzles were removed and free of obstruction. The engine driven fuel pump was removed and produced pressure at the outlet port when actuated by hand.

The FAA and the engine manufacture reexamined the engine on August 5, 2008. The engine was raised and partially disassembled to facilitate the examination. The examination revealed no new anomalies. The Bendix fuel servo and induction air filter were shipped to the Safety Board Materials Laboratory for examination. The Safety Board metallurgist stated the fuel servo housing had been disassembled before it was received in the Materials laboratory. The servo was reopened. The fuel-metering valve and diaphragms were attached to the valve and were intact. No blockages were observed in the fuel flow passages. The air filter housing was removed from the fuel servo. Black deposits were observed on the impact tubes and on the throttle valve. The deposits did not fully obstruct the tube openings, extending across approximately 20 to 30 percent of the opening areas of the three tubes with interior deposits.

## Aircraft

- Registration: [N27ED](https://openairdocs.org/deregistered/N27ED-2012-09-20), registration cancelled 2012-09-20, S/N 707-727, built 1973 (OpenAirDocs)
- Reported make and model: J. E. Douglas Starduster 2
- Registry model: [Starduster 2](https://openairdocs.org/model/starduster-2) (registry code 86601M2) (OpenAirDocs)
- Registry engine: [Lycoming T0-360 series](https://openairdocs.org/engine/lycoming-t0-360-series) (registry code 41528, reciprocating) (OpenAirDocs)
- Category: Airplane, amateur-built
- Serial number: 707-727
- Airframe hours: 461
- Engines: LYCOMING IO-360-A1A reciprocating
- Damage: Substantial damage
- Flight: Personal, Part 91
- Registered owner: David S. Harvey
- Airworthiness certificate: Special, Experimental (Special)
- Last inspection: Condition, December 1, 2007, 8 hours before
- Departed: XSA, Tappahannock, VA
- Destination: XSA
- Airport: XSA, Tappahannock-Essex County

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 62; injuries: serious; private, commercial, airline transport; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 3, with waivers/limitations; last flight review July 1, 2007; seat: rear; flight hours: 3,090 total, 80 in this make and model, 2,740 as pilot in command, 6 in the last 90 days, 2 in the last 30 days

## Weather

- Conditions: Visual (VMC), Day
- Wind: 10° at 7 knots
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 88 °F, dew point 52 °F
- Altimeter: 30.05 inHg
- Observed at: XSA

## FAA reports on this event (1)

The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs).

- [Accident 20080715843979A](https://openairdocs.org/incident/20080715843979A), Jul 15, 2008: Amtr STARDUSTER2, Tappahannock, VA, Destroyed. (-23) A certificated pilot observed and reported the following: normal takeoff with a vx best angle of climbout. At approximately traffic pattern altitude,…

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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