SEA94LA119

NTSB accident investigation · Hallstrom BD-5B · St. George, UT · May 17, 1994

Accident · FatalLimited investigationFinal report
Date
May 17, 1994, 09:55 local (15:55 UTC)
Place
St. George, UT
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N224FHHallstrom BD-5B
Weather
Visual (VMC) · Day
Status
Completed · report January 18, 1995
Report
Approved by Office Director
FAA report
19940517011169A
Case key
41925

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

Carburetor contamination and low output, and the pilot's improper decision to attempt to continue the approach. A factor was the pilot's lack of recent flight experience.

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) - nonmechanicalApproach - vfr pattern - downwind
Fuel system,carburetor - contaminationCause
Fuel system,carburetor - output lowCause
Forced landingEmergency landing
In flight collision with terrain/waterEmergency landing
In-flight planning/decision - improperPilot in commandCause
Lack of recent experiencePilot in commandFactor

Analysis

The pilot departed from rwy 16 on the experimental aircraft's first flight, and remained low and close in the pattern. The engine was heard running rough on downwind. While turning base the engine lost power, and the pilot attempted to continue his approach radioing '... I'm going to try to make it.' The airplane impacted upsloping terrain approx 1000 ft short of the runway. The pilot's flight log reflected a total of approx 2 hrs flight time in the preceding 4 yrs. Examination of the engine revealed that the left carburetor fuel/air mixture screw was misadjusted, and that the right carburetor slow idle jet was plugged with sand.

Factual narrative

On May 17, 1994, approximately 0955 hours mountain daylight time (mdt), a Hallstrom BD-5B homebuilt aircraft, N224FH, registered to and being flown by Floyd P. Hallstrom, a certificated commercial pilot, crashed on approach to runway 17 at the St. George Municipal Airport, St. George, Utah. The aircraft was destroyed during the ground impact and post crash fire, and the pilot was fatally injured. Visual meteorological conditions existed at the time, and no flight plan had been filed. The flight, which was personal in nature, was to have been conducted in accordance with 14CFR91, and originated from the St. George airport approximately 0950.

According to witnesses, and the absence of any logged flight time in the BD-5B aircraft within the pilot's flight log, the accident flight was the first flight for the aircraft.

Witnesses reported the aircraft departing on runway 16, turning downwind, and remaining low within the pattern. One witness reported that the engine was running rough on the downwind. All witnesses agreed hearing a loss/reduction of power during the base turn to runway 16.

One witness, who was monitoring the airport UNICOM frequency on a hand held transceiver, reported that "after he rolled out on final he made a call "BD5 I've lost power - I'm going to try to make it"."

The aircraft impacted rapidly rising terrain approximately 1000 feet south of the threshold of runway 16 and at an elevation below the runway (refer to photographs).

Personnel information

Pilot Hallstrom's fourth logbook was reviewed and a total flight time of 1166 hours was recorded as of May 3, 1994. The last completed page contained the following information:

Date: acft: tot: dual: remarks: 02-24-90 C170A 1.5 0.0 t/o & ldgs (3 @ sgu & 6 @ 1L8) 02-27-90 C170A 1.0 0.0 t/o & ldgs (1 @ sgu & 1 @ 1L8) 03-03-91 C170A 0.3 0.3 t/o & ldgs 02-17-94 PA-28 1.0 0.7 t/o & ldgs 05-03-94 AA-5 0.7 bfr & checkout Grumman AA5 aerowest arthur g. jones CFII MEL #1748219

Aircraft information

The aircraft's logbook was reviewed. The latest entry was logged on May 5, 1994. This and all previous entries consisted of engine runs and taxi tests, but no actual flight time.

The logbook entry for March 20, 1994, read "Eng (sic) cut out four of the six runs? Running very rich?"

On the last page of the aircraft log which contained entries, a piece of scrap paper was found paperclipped. The paper had a listing of ten items of which the tenth read "Reset carb jet needle to #1 position both carb. Carb. running very rich. 3-26-94." This item had been lined out.

Airport information

The St. George Municipal Airport is situated atop a bluff several hundred feet above the surrounding terrain and with steeply upsloping terrain at the approach ends of both runways.

Medical and pathological information

Post mortem examination was conducted by Edward A. Leis, M.D., on May 18, 1994, at the facilities of the Office of the Medical Examiner, 48 North Medical Drive, Salt Lake City, UT 84113. The cause of death was reported as "blunt force injuries."

Toxicological evaluation of samples from the pilot was completed by the FAA's Toxicology and Accident Research Laboratory and were negative with the exception of "salicylate detected in Urine" (refer to attached Toxicology report).

Tests and research

The BMW R90S engine and twin Dellorto carburetors were disassembled and examined under the control of FAA Inspector Brent A. Robinson, at Hatz's Custom Cycle, on May 18, 1994. The left carburetor air\fuel mixture screw was found to be turned out 1.5 turns, which, according to the owner of the cycle shop, was the expected bench test setting. However, the owner advised Inspector Robinson that at the elevation of the St. George airport, an adjustment of 2.5 turns would be normal. The right carburetor air\fuel mixture screw was found to be turned out 2.25 turns. However, the slow idle jet was observed to be plugged with sand (refer to Engine Teardown Report of Inspector Robinson).

Additional information

On site investigation was conducted by FAA Inspector Brent Robinson. The wreckage was released by Inspector Robinson to Richard Newcomb (refer to Inspector Statement). The aircraft logbook and pilot log #4 were returned via certified mail to Mrs. Hallstrom on October 26, 1994.

Aircraft

Registration
N224FH
Reported as
Hallstrom BD-5B
Category
Airplane, amateur-built
Serial number
2248
Engine
BMW R-R R90S, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Hallstrom, Floyd P.
Registered owner
Hallstrom, Floyd, P.
Airworthiness certificate
Special, Experimental (Special)
Airport
SGU · St. George Muni

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
73
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Front
Toxicology
Performed
Flight hours
1,166 total · 1,000 as pilot in command · 2 in the last 90 days · 1 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 25 °F
Altimeter
29.00 inHg
Observed at
SGU, 1 nm away

Docket · 9

The files NTSB released with the investigation on June 6, 1995, on NTSB’s docket system: statements, records, photos and specialists’ reports. 819 KB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.