SEA94LA204

NTSB accident investigation · Stinson 108-3 · Bend, OR · August 4, 1994

Accident · Minor injuriesLimited investigationFinal report
Date
August 4, 1994, 14:05 local (21:05 UTC)
Place
Bend, OR
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N6276MStinson 108-3
Weather
Visual (VMC) · Dawn
Status
Completed · report July 24, 1995
Report
Approved by Office Director
FAA report
19940804049069A
Case key
41993

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

Improper use of the carburetor heat by the pilot, which resulted in a loss of engine performance. A factor related to the accident was: rough terrain in the emergency landing area.

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(partial) - nonmechanicalGo-around (vfr)
Aircraft performance,climb capability - restricted
Carburetor heat - improper use ofPilot in commandCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding
Terrain condition - rough/unevenFactor

Analysis

The pilot made two approaches to the airport in an attempt to land. Both times, she made go-arounds. During the second go-around, the pilot did not shut off the carburetor heat. She noted a decrease in engine performance and that the airplane would not climb. She decided to perform a precautionary landing in a field. However, during the landing, the airplane encountered rough terrain and was substantially damaged after the landing gear collapsed. An examination of the engine did not reveal any evidence of preimpact mechanical malfunction. The carburetor heat valve was found in the open position.

Factual narrative

On August 4, 1994, about 1405 Pacific daylight time, a Stinson 108-3, N6276M, operated by the owner/pilot, was substantially damaged during a precautionary landing in Bend, Oregon. The private pilot, the sole occupant, received minor injuries. Visual meteorological conditions prevailed and a VFR flight plan was not filed. The personal flight departed from Sunriver, Oregon, and was conducted under 14 CFR 91.

According to the pilot during an interview one day after the accident, light and variable winds were reported by the unicom frequency after the pilot requested an airport advisory for landing at the Bend Municipal Airport. The pilot stated that she approached runway 34, touched down, bounced, and decided to execute a go-around. She entered downwind for runway 34 again, and then decided to land on runway 16 instead. She "...overshot the runway" during the approach and executed another go-around.

The pilot stated that she raised the flaps during the go-around, but could not remember cutting off the carburetor heat.

The pilot stated that the airplane was not climbing and the engine could not generate full power. In a written statement, she stated that she was "scared" at this time, so she performed a precautionary landing in a field. During the landing, the landing gear collapsed as the airplane rolled along rough terrain and was substantially damaged.

An examination of the engine (report attached) by an FAA aviation safety inspector from Hillsboro, Oregon, did not reveal any evidence of a pre-impact mechanical malfunction. The examination also revealed that the carburetor heat valve was found in the open position.

Aircraft

Registration
N6276M
Reported as
Stinson 108-3
Category
Airplane
Serial number
108-4206
Airframe hours
2,615
Engine
Franklin 6A4-165-B3, 165 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Love, Janet E.
Registered owner
Love, Janet E.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 1, 1993 · 33 hours before
Departed
S21 · Sunriver, OR
Airport
S07 · Bend Muni, runway 16, 5,005 × 75 ft, asphalt

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
54
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
368 total · 56 in this make and model · 265 as pilot in command · 28 in the last 90 days · 14 in the last 30 days

Weather

Conditions
Visual (VMC) · Dawn
Visibility
50 statute miles
Lowest ceiling
None
Temperature
84 °F

FAA reports on this event · 1

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

Other investigations on N6276M · 1

Matched to the same aircraft by N-number and date.