# NTSB NYC08LA251: Holmes Arthur Orman Kitfox IV, N70694, Burkesville, KY, July 17, 2008 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: July 16, 2008, 19:15 local (Jul 17, 2008, 00:15 UTC) - Place: Burkesville, KY - Coordinates: 36.773887, -85.371948 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=36.7739&lon=-85.3719&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Defining event: [Enroute-cruise: Powerplant sys/comp malf/fail](https://openairdocs.org/ntsb-events/340) - Highest injury: No injuries - Injuries: 1 uninjured - Status: Completed, report November 9, 2009 - Report: Approved by Office Director - Parties: FAA/FSDO - NTSB case key (mKey): 68458 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=NYC08LA251 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/68458/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=68458 - Page: https://openairdocs.org/ntsb/NYC08LA251 ## Probable cause The total loss of engine power due to the installation of an engine oil filter that did not meet the engine manufacture's specifications. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Engine (reciprocating): recip eng cyl section](https://openairdocs.org/ntsb-findings/01058530): Aircraft › Aircraft power plant · Failure; cases with it: [Holmes Arthur Orman KITFOX IV, 1 case](https://openairdocs.org/ntsb-findings/01058530/cases.md?model=05623LR), [All aircraft, 373 cases](https://openairdocs.org/ntsb-findings/01058530/cases.md) - [Eng oil sys (airframe furnish): eng oil dist (airframe furn)](https://openairdocs.org/ntsb-findings/01057920): Aircraft › Aircraft power plant · Incorrect service/maintenance (probable cause); cases with it: [Holmes Arthur Orman KITFOX IV, 1 case](https://openairdocs.org/ntsb-findings/01057920/cases.md?model=05623LR), [All aircraft, 18 cases](https://openairdocs.org/ntsb-findings/01057920/cases.md) - [Maintenance: installation](https://openairdocs.org/ntsb-findings/02062035): Personnel issues › Task performance · Not specified (probable cause); cases with it: [Holmes Arthur Orman KITFOX IV, 1 case](https://openairdocs.org/ntsb-findings/02062035/cases.md?model=05623LR), [All aircraft, 371 cases](https://openairdocs.org/ntsb-findings/02062035/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Enroute-cruise: Powerplant sys/comp malf/fail](https://openairdocs.org/ntsb-events/340) (defining event); cases with it: [Holmes Arthur Orman KITFOX IV, 1 case](https://openairdocs.org/ntsb-events/340/sequence.md?model=05623LR), [All aircraft, 820 cases](https://openairdocs.org/ntsb-events/340/sequence.md) - [Enroute-cruise: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341); cases with it: [Holmes Arthur Orman KITFOX IV, 1 case](https://openairdocs.org/ntsb-events/341/sequence.md?model=05623LR), [All aircraft, 3,820 cases](https://openairdocs.org/ntsb-events/341/sequence.md) - [Landing: Off-field or emergency landing](https://openairdocs.org/ntsb-events/440); cases with it: [Holmes Arthur Orman KITFOX IV, 1 case](https://openairdocs.org/ntsb-events/440/sequence.md?model=05623LR), [All aircraft, 3,365 cases](https://openairdocs.org/ntsb-events/440/sequence.md) - [Landing: Hard landing](https://openairdocs.org/ntsb-events/092); cases with it: [Holmes Arthur Orman KITFOX IV, 1 case](https://openairdocs.org/ntsb-events/092/sequence.md?model=05623LR), [All aircraft, 2,102 cases](https://openairdocs.org/ntsb-events/092/sequence.md) - [Landing: Landing gear collapse](https://openairdocs.org/ntsb-events/094); cases with it: [Holmes Arthur Orman KITFOX IV, 1 case](https://openairdocs.org/ntsb-events/094/sequence.md?model=05623LR), [All aircraft, 1,787 cases](https://openairdocs.org/ntsb-events/094/sequence.md) ## Analysis The pilot reported that while the airplane was in cruise flight, he heard a "loud bang" and the "engine stopped." He then aligned the airplane with a road to perform an off-airport emergency landing. While on short final, he identified powerlines which required him to trade airspeed for altitude. After clearing the powerlines, the airplane touched down hard on the road causing substantial damage to the fuselage. An external examination of the non-certificated engine revealed a hole in the front of the engine case as well as a crack in the No. 2 cylinder. Oil was found in the oil reservoir, and was measurable on the engine oil dipstick; however, installed on the engine was an oil filter that did not meet the engine manufacture's specifications. It did not properly fit the engine oil filter mount, and lacked critical features needed to ensure normal engine operation such as a bypass valve, pressure release of the bypass valve, an anti-drain back valve, and the proper amount of filter matting. ## Factual narrative On July 16, 2008, about 1915 central daylight time, a Holmes Arthur Orman, Kitfox IV, N70694, was substantially damaged during a forced landing on a roadway near Burkesville, Kentucky. The certificated private pilot was not injured. Day visual meteorological conditions prevailed, and no flight plan was filed. The local personal flight departed from a private grass field near Burkesville, Kentucky. The flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. During an interview with the Federal Aviation Administration (FAA) inspector, the pilot stated that while in cruise flight he heard a "loud bang, the "engine stopped," forcing him to make an off airport emergency landing. After seeing a paved roadway, he elected to land there. While on the final leg of the approach, he noticed power lines suspended across the roadway, he changed his approach angle in order to clear the top of the suspended lines. Once over the lines he descended to the roadway, landed "firm," bounced, and "landed hard" again causing substantial damage to the landing gear and fuselage which where buckled and splayed at their attachment points. According to the Federal Aviation Administration, the pilot, age 51, held a private pilot certificate with ratings for single- and multi-engine land airplane. The pilot reported 500 hours of total flight experience, with 22 hours total flight experience in the accident airplane make and model. The airplane, which was issued a Special Airworthiness Certificate on July 31, 1993, was powered by a Rotax 912 engine. At the time of the accident the airplane's tachometer indicated 751 hours of operation, and the latest annual inspection was completed on July 10, 2007. The engine hours were the same as the aircraft hours. The wreckage was examined by a FAA inspector at the home of the pilot/owner. The inspector reported that there was a hole in the front of the engine case as well as a crack in the No 2 cylinder. Control continuity was confirmed on all control surfaces, oil was found in the oil reservoir, and was measurable on the engine oil dipstick. The 1956 recorded weather observation at Wayne County Airport (EKQ), Monticello, Kentucky, an airport about 30 nautical miles to the east of the accident location, included clear skies, calm winds, visibility10 miles, temperature 28 degrees C, dew point 14 degrees C, and an altimeter setting of 30.17 inches of mercury. The Rotax installation manual, Chapter 13.6, states that the longitudinal axis of the oil tank must be parallel to the longitudinal axis of the engine. The tolerated deviation of parallelism is 10 degrees. The oil tank must also be positioned vertically in such a way that the normal oil level is always between 0 and negative 15.7 inches with the crankshaft of the engine. The manual warns that higher locations of the oil tank might cause oil to trickle through clearances at bearings and into the crankcase during long periods of engine stoppage. If fitted too low, it might negatively affect the circulation of oil. According to excerpts from the Rotax Maintenance Manual, chapter 5.3 "Oil filter replacement and inspection of the filter insert gives a caution: to ensure correct functioning of the oil circuit and the forced flow lubrication, use genuine ROTAX oil filter only. Only these filters will ensure correct pressure in the by-pass valve." Photos taken of the accident airplane engine show a white filter that Rotax states "are a garden tractor filter." This type of filter lacks a bypass valve, the pressure release of the bypass valve, the anti-drain back valve, and the amount of filter matting. According to Rotax "the filter installed on this airplane did not fit the flange area of the pump." ## Aircraft - Registration: [N70694](https://openairdocs.org/deregistered/N70694-2013-10-29), registration cancelled 2013-10-29, S/N 1781, built 1993 (OpenAirDocs) - Reported make and model: Holmes Arthur Orman Kitfox IV - Registry model: [Holmes Arthur Orman KITFOX IV](https://openairdocs.org/model/holmes-arthur-orman-kitfox-iv) (registry code 05623LR) (OpenAirDocs) - Registry engine: [Bombardier ROTAX (ALL)](https://openairdocs.org/engine/bombardier-rotax-all) (registry code 09050, reciprocating) (OpenAirDocs) - Category: Airplane, amateur-built - Serial number: 1781 - Engines: Rotax 912 reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Airworthiness certificate: Special, Experimental light sport (Special) - Departed: NONE, Burkesville, KY - Destination: NONE ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 51; injuries: none; private; airplane ratings: single-engine land, multi-engine land; medical: class 3, with waivers/limitations; flight hours: 500 total, 22 in this make and model, 30 in the last 90 days ## Weather - Conditions: Visual (VMC), Dusk - Wind: calm - Visibility: 10 statute miles - Temperature: 82 °F, dew point 57 °F - Altimeter: 30.17 inHg - Observed at: EKQ, 29 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 (OpenAirDocs). - [Accident 20080716841159A](https://openairdocs.org/incident/20080716841159A), Jul 16, 2008: Amtr KITFOXIV, Burkesville, KY, Substantial damage. (-23) Catastrophic engine failure in flight. ## Docket (5 files) The files NTSB released with the investigation on September 15, 2009, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=68458. 5.4 MB in all. - Memorandum of Record - Pilot (item 1, .PDF, 28 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40315619&FileExtension=.PDF&FileName=Memorandum%20of%20Record%20-%20Pilot-Master.PDF - Memorandum of Record - FAA emails (item 2, .PDF, 28 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40315620&FileExtension=.PDF&FileName=Memorandum%20of%20Record%20-%20FAA%20emails-Master.PDF - Photo 1: Airplane damage (FAA photo) (item 3, .PDF, 1.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40315621&FileExtension=.PDF&FileName=Photo%201%3A%20Airplane%20damage%20(FAA%20photo)-Master.PDF - Photo 2: Hole in Crank Case (FAA photo) (item 4, .PDF, 1.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40315622&FileExtension=.PDF&FileName=Photo%202%3A%20Hole%20in%20Crank%20Case%20(FAA%20photo)-Master.PDF - Photo 3: Crack in Cylinder No. 2 (FAA Photo) (item 5, .PDF, 1.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40315623&FileExtension=.PDF&FileName=Photo%203%3A%20Crack%20in%20Cylinder%20No.%202%20(FAA%20Photo)-Master.PDF 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. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.