NYC04LA041

NTSB accident investigation · Russell Cozy MK III · Holbrook, NY · December 2, 2003

Accident · Minor injuriesLimited investigationFinal report
Date
December 2, 2003, 08:30 local (13:30 UTC)
Place
Holbrook, NY
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N238CZRussell Cozy MK III
Weather
Visual (VMC) · Day
Status
Completed · report January 24, 2005
Report
Approved by Office Director
Parties
FAA/FSDO
FAA report
20031202036599A
Case key
58403

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 improper fuel management, which resulted in fuel starvation and subsequent loss of engine power.

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 powerApproach - vfr pattern - final approach
Fuel management - improperPilot in commandCause
Fluid,fuel - starvation
Forced landingEmergency landing
In flight collision with objectEmergency landing
Object - residence

Analysis

The pilot performed a preflight inspection on the airplane during which he determined there was about 15 gallons of fuel in both the right and left fuel tank. He selected the right tank for takeoff, flew for 24 miles, and then switched to the left fuel tank for the 36-mile return flight. When he was about 20 miles from the airport, the pilot began a descent and selected the right fuel tank again. At this time he believed that the right fuel tank had 15 gallons of fuel remaining, and the left tank had 12 gallons of fuel. While descending, the pilot turned on the fuel boost pump, noticed a slight engine vibration, followed by a loss of engine power. The pilot then performed a forced landing to a road, during which the airplane impacted two homes. Examination of the airplane by a Federal Aviation Administration inspector revealed approximately 15 gallons of fuel in the right tank, and 2 gallons of fuel in the left tank; however, both fuel tanks were compromised. The engine was test run on the airframe, using the original fuel system. The engine started without hesitation and ran continuously through a variety of power settings, with no abnormalities noted. The pilot reported that the airplane was last fueled about 2 months prior to the accident, which filled the tanks to their 52-gallon capacity. Since then, he flew one 25 minute flight, and performed about 80 minutes of ground runs prior to the accident flight. According to the Lycoming O-360 Operator's Manual, the fuel burn at 75 percent power was approximately 10.5 gallons per hour, and at 65 percent power was approximately 9 gallons per hour.

Factual narrative

On December 2, 2003, at 0830 eastern standard time, a homebuilt Cozy MK III, N238CZ, was substantially damaged when it impacted several residences during a forced landing, following a loss of power while on approach to the Long Island Mac Arthur Airport (ISP), Islip, New York. The certificated private pilot received minor injuries. Visual meteorological conditions prevailed and no flight plan had been filed for the personal local flight conducted under 14 CFR Part 91.

According to the pilot, he performed a preflight inspection on the airplane during which he determined there was about 15 gallons of fuel in both the right and left fuel tank. He sumped the tanks and determined there was no water or contamination. He selected the right tank for takeoff, and departed from ISP about 0730, flying east toward Montauk, New York. The pilot stated that as he flew over the Gabreski Airport (about 24 miles from ISP), he switched to the left fuel tank, and as he passed the Hampton Airport (39 miles from ISP), he decided to turn around and fly back to ISP. Approximately 20 miles from ISP, the pilot began a descent and selected the right fuel tank. At this time he believed that the right fuel tank had 15 gallons of fuel remaining, and the left tank had 12 gallons of fuel.

At an altitude of 1,500 feet, the pilot reduced the throttle and was cleared to land on runway 33L at ISP. Realizing the wind was from 290 degrees, he requested and was given clearance to land on runway 28. While still descending, the pilot turned on the fuel boost pump, noticed a slight engine vibration, and then turned the boost pump off. The pilot increased the throttle; however, he did not observe an increase in the engine RPMs. He increased the throttle further to the full forward position, and again noticed no reaction from the engine. The pilot then prepared for a forced landing to a road, during which he impacted two homes.

Examination of the airplane by a Federal Aviation Administration inspector revealed approximately 15 gallons of fuel in the right tank, and 2 gallons of fuel in the left tank; however, both fuel tanks were compromised. A sample of the fuel contained no water or contamination. The fuel selector was observed in the "off" position. The spark plugs were removed from the engine and the number 1 and number 3 plugs were coated in oil. The number 2 and number 4 plugs were light gray in color. An initial compression check revealed that the number 2 and number 4 cylinders had "strong" compression, and the number 1 and number 3 cylinders had "weaker" compression. Functional checks were performed on the fuel boost pump and the magnetos, and no abnormalities were noted.

The engine was test run on the airframe, using the original fuel system. The engine started without hesitation and ran continuously through a variety of power settings, for approximately 5-7 minutes. After completion of the test run, the propeller was rotated and a second compression check revealed all cylinders had "tight" compressions. Additionally, no external leaks of oil or fuel were observed during the run up.

The pilot reported that on September 20, 2003, he removed the number 3 cylinder due to a broken ring, and reinstalled the chrome cylinder with chrome rings. After performing a compression check and speaking with other pilots, he learned that chrome rings could not be installed with chrome cylinders. He then replaced the engine oil, cleaned the filters and screens, rewired the starter cables, and replaced the number 3 cylinder with a Mattituck serviceable cylinder and rings. He then conducted a high-speed taxi test and performed several touch-and-gos, noticing no abnormalities.

The pilot additionally reported that the airplane was last fueled on September 20, 2003, which filled the tanks to their 52-gallon capacity. Since then, he flew one flight on November 29, 2003, which was approximately 25 minutes in duration. He also performed about 80 minutes of ground runs prior to the accident flight. The pilot stated that the airplane's fuel burn rate was about 8 gallons per hour. He additionally stated that he had accumulated about 340 hours of total flight experience, 125 of which were in the accident airplane.

According to the Lycoming O-360 Operator's Manual, the fuel burn at 75 percent power was approximately 10.5 gallons per hour, and at 65 percent power was approximately 9 gallons per hour.

Aircraft

Registration
N238CZ
Reported as
Russell Cozy MK III
Category
Airplane, amateur-built
Serial number
505
Airframe hours
490
Engine
Lycoming O-360 A4K, 180 hp, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Richard Hughes
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · January 5, 2003 · 150 hours before
Departed
ISP · Islip, NY
Destination
ISP

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
38
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
350 total · 150 in this make and model · 350 as pilot in command · 11 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 16 knots, gusting 21
Visibility
10 statute miles
Lowest ceiling
None
Temperature
36 °F, dew point 14 °F
Altimeter
30.11 inHg
Observed at
ISP, 2 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.