WPR09LA219

NTSB accident investigation · Ellumax Leasing Epic LT · Astoria, OR · April 24, 2009

Accident · No injuriesLimited investigationFinal report
Date
April 24, 2009, 16:45 local (23:45 UTC)
Place
Astoria, OR
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N653SBEllumax Leasing Epic LT
Defining event
Enroute-climb to cruise: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report November 9, 2009
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Portland FSDO
FAA report
20090424053829A
Case key
73749

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 partial loss of engine power during climb to cruise due to the failure of the engine's fuel control unit. Contributing to the accident was the incorrect machining of an internal component of the fuel control unit, and the failure of the assembling technician to correctly inspect the unit's assembly.

Findings · 5

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Engine (turbine/turboprop)Aircraft › Aircraft power plant · MalfunctionEllumax Leasing EPIC LT: 1 caseAll aircraft: 67 casesProbable cause
Maintenance: fabricationPersonnel issues › Task performance · OtherEllumax Leasing EPIC LT: 1 caseAll aircraft: 30 casesProbable cause
Inspection: post maintenance inspectionPersonnel issues › Task performance · Maintenance personnelEllumax Leasing EPIC LT: 1 caseAll aircraft: 57 casesProbable cause
Terrain: waterEnvironmental issues › Physical environment · Contributed to outcomeEllumax Leasing EPIC LT: 1 caseAll aircraft: 97 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

During a climb to en route cruise, the airplane's engine lost almost all power, and the pilot had to ditch in a river because he was unable to glide back to the departure airport. The power loss was due to a minimum fuel flow command from the fuel control unit as a result of the seizure of the fuel control flyweights. The seizure of the flyweights was due to their contamination with residue from a failed fuel control tachometer drive bearing. The bearing failed due to its preload spacer being machined incorrectly, and due to the failure of the assembling technician to detect the anomaly at the time the fuel control was assembled.

Factual narrative

On April 24, 2009, about 1645 Pacific daylight time, an Allumax Epic LT, N653SB, collided with the waters of the Columbia River during a forced landing near Astoria, Oregon. The commercial pilot and his passenger were not injured, but the airplane, which was owned and operated by the pilot, sustained substantial damage. The 14 Code of Federal Regulations Part 91 personal pleasure flight, which was en route to Boeing Field, Seattle, Washington, departed Astoria Regional Airport about eight minutes prior to the accident. The accident occurred in visual meteorological conditions. The pilot filed an Instrument Flight Rules flight plan, but it had not yet been activated at the time of the accident. According to the pilot, he was climbing to his en route cruise altitude when the airplane's Pratt & Whitney PT6-67A turbo-propeller engine suddenly stopped producing power. He therefore immediately turned back toward the airport he departed from, with the intention of making a power-off landing at that location. Immediately after turning back toward the airport, the pilot used the engine restart emergency checklist in an attempt to reestablish engine power, but was unsuccessful in that attempt. As he neared the airport, the pilot realized that he was not going to be able to stretch the glide far enough to reach the runway, so he elected to ditch the airplane in the Columbia River near the shoreline of downtown Astoria. During the ditching attempt, one of the airplane's horizontal stabilizers was partially torn from the airframe. A post-accident teardown of the engine and its accessories determined that the fuel governor flyweights for the Woodward 8063-063 fuel control seized in the overspeed position, resulting in a command to the fuel governor to produce a minimum fuel flow (power roll-back). Further investigation revealed that the overspeed flyweights became seized because they were contaminated with metal particles from the disintegration of the fuel control unit tachometer drive bearing. The bearing was determined to have failed due to the tachometer shaft preload spacer (part number 3256-098) being machined out of parallel at the time of its production, and the failure of the assembling technician to correctly measure/inspect the spacer/bearing assembly at the time the fuel control was assembled.

Aircraft

Registration
N653SB
Reported as
Ellumax Leasing Epic LT
Category
Airplane, amateur-built
Serial number
025
Airframe hours
72
Engine
Pratt & Whitney PT6-67A, 1,200 horsepower, turbo prop
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · December 10, 2008
Departed
KAST · Astoria Regiona, OR
Destination
KBFI · Boeing Field, WA
Flight plan
IFR

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
50
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
February 25, 2008
Seat
Left
Flight hours
1,550 total · 75 in this make and model · 1,460 as pilot in command · 75 in the last 90 days · 14 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
54 °F

Docket · 3

The files NTSB released with the investigation on September 15, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.0 MB 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.