WPR10LA111

NTSB accident investigation · Ercoupe 415-D · Napa, CA · January 14, 2010

Accident · No injuriesLimited investigationFinal report
Date
January 14, 2010, 14:41 local (22:41 UTC)
Place
Napa, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N2332HErcoupe 415-D
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report December 20, 2010
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Teledyne Continental Motors, Federal Aviation Administration
FAA report
20100114025969A
Case key
75269

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

A loss of engine power due to fuel starvation as a result of the unintentional movement of the fuel selector valve beyond its stops during takeoff initial climb resulting in restricted fuel flow.

Findings · 2

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.

Fuel system: fuel selector/shutoff valveAircraft › Aircraft systems · Unintentional use/operationErcoupe 415-D: 1 caseAll aircraft: 176 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementErcoupe 415-D: 2 casesAll aircraft: 1,695 casesProbable cause

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

Almost immediately after takeoff, at 100 feet above ground level (agl), the engine of the single engine airplane began to lose power, surged two times, then lost all power. The pilot landed in an open field off the end of the runway. During the landing the nose wheel sank into the soft ground, collapsed, and the airplane nosed into the ground. The pilot reported that both wing fuel tanks were full and the engine run up was normal. During the post accident airplane examination fuel was identified in both wing tanks, the fuselage header tank, and the main fuel valve was observed rotated to the 2 o’clock position. The valve was a two position valve; "off" when positioned to 9 o’clock, and "on" when positioned to 12 o’clock. Investigators observed that the valve had no positive stops and could be rotated past the 9 o’clock or 12 o’clock positions. The valve was located on the far left bottom side of the instrument panel, about knee level, which was not the standard location for the valve. During the post accident examination of the engine, investigators were able to run the engine up to 2,500 rpm, and noted that if the operator in the left seat moved his left knee to the left, it would push on the fuel valve, rotating it to the 2 o’clock position. With the fuel valve at the 2 o’clock position, fuel flow to the carburetor was reduced to a "trickle," and the engine slowly lost power.

Factual narrative

HISTORY OF FLIGHT On January 14, 2010, at 1441 Pacific standard time, a Ercoupe 415-D, N2332H, experienced a loss of engine power after takeoff and landed in a field off the end of runway 36R at Napa County Airport, Napa, California. The commercial pilot operated the airplane under the provisions of Title 14 Code of Federal Regulations, Part 91. The pilot was uninjured and the airplane was substantially damaged. Visual meteorological conditions prevailed, and a flight plan had not been filed. The pilot reported to the Safety Board investigator that both wing fuel tanks were full and the engine run up was normal. Almost immediately after takeoff, at 100 feet above ground level (agl), the engine began to lose power, surged two times, and then lost all power. The pilot landed in an open field off the end of the runway. During the landing the nose wheel sank into the soft ground and collapsed. PERSONNEL INFORMATION The pilot, age 23, held a commercial pilot certificate with ratings for airplane single engine land, airplane multi-engine land, and instrument airplane, issued April 30, 2008. He held a third-class medical certificate issued on May 16, 2008, with no limitations or waivers. The pilot reported that he had 410 hours of total time, and 13 hours in the Ercoupe. His most recent flight review was dated April 30, 2008. AIRCRAFT INFORMATION The two seat, low wing, fixed-gear airplane, serial number (S/N) 2957, was manufactured in 1946. It was powered by a Teledyne Continental Motors (TCM) O-200, 100-hp engine, and equipped with a McCauley fixed pitch propeller. Examination of the aircraft maintenance logbooks showed that the total airframe time was 1,608 hours, and that an overhauled O-200 TCM engine had been installed on August 1, 2009, per Supplemental Type Certificate (STC) SA2628WE requirements, with zero time on the engine. The STC specifies an electric fuel pump be installed, however, the airplane had retained the standard engine driven mechanical fuel pump installation. A new tachometer was installed with zero time indicated, and the hobbs meter indicated 1,608.83. The fuel selector valve was located on the bottom far left side of the instrument panel, about 2 inches from the left side of the interior of the cockpit fuselage. The airplane owner stated that he purchased the airplane with the fuel valve located in its current position. The Ercoupe Approved Airplane Flight Manual states that the main fuel valve should be located halfway between the brake handle (just below the throttle handle) and the left yoke control wheel directly behind the instrument panel. The fuel system consists of a nine gallon tank in each wing and a six gallon fuselage tank. The engine driven fuel pump moves gasoline from the wing tanks to the six gallon fuselage tank. Excess fuel drains from the fuselage tank overflow back to the wing tanks. Fuel is gravity fed from the fuselage tank to the engine, through the main fuel valve. The main fuel valve is a two positionvalve, on and off. WRECKAGE AND IMPACT INFORMATION The airplane was located about a 1/4 mile north of the departure end of runway 36 right, in a grass field, positioned nose down into the ground, with the tail oriented at a 30-degree up angle. The nose wheel had collapsed back into the underside of the airplane. Photographs of the cockpit show the main fuel valve in the 2 o’clock position. The fuel valve plate was labeled “fuel on” at the 12 o’clock position, and “fuel off” at the 9 o’clock position. The airplane was removed and taken to a facility in Pleasant Grove, California, for further examination. TESTS & RESEARCH On February 3, 2010, a Safety Board investigator and a technical representative from Teledyne Continental Motors examined the airplane. A visual examination revealed that the fuselage fuel tank (header tank) fuel indicator was at the bottom of the sight gauge. The tank contained about an inch of liquid, and the indicator wiggled when the airplane was shaken. The intake manifold fractured and separated above the carburetor mounting pad. The carburetor had blue staining around the carburetor bowl gasket and the inlet filter. The throttle, mixture, and carburetor heat controls moved freely from stop to stop. The carburetor accelerator pump squirted fluid with movement of the throttle. Investigators drained a blue fluid that smelled like aviation fuel from the gascolator, right wing sump, and left wing sump; additionally, the carburetor was reattached to the engine with a replacement manifold. The main fuel valve was located on the bottom left side of the instrument panel, the valve was positioned to the 4 o’clock position. On the first attempt after some cranking, the engine started and ran up to 1,200-1,300 rpm. The engine shut down on its own after about 1 minute. Investigators added 2 gallons of fuel to the header tank. The second attempt to start the engine had the same results. Investigators removed the fuel line from the shutoff valve to the carburetor. A limited amount of fuel flowed (trickled) through the line. Movement of the shutoff valve to the 12 o’clock position resulted in a steady stream of fuel. Either side of 12 o’clock resulted in restricted fuel flow (at the 9-10 o’clock and the 2-4 o’clock position) down to a dribble. It was noted that the valve had no positive stops in either the ‘off’ position or the ‘on’ position. Investigators performed another engine run with the shutoff valve in the 12 o’clock position. The engine was run up to 1,800 rpm and a magneto check was performed, with corresponding drops of 75 rpm for the left and right magneto. It was then run up to 2,500 rpm without difficulty; the rpm stabilized, and then followed throttle movement as investigators varied the rpm between 1,800-2,500. While the engine was operating at 2,500 rpm, the operator moved his left knee to the left, which moved the fuel shutoff lever to the 2 o’clock position. The engine ran about 1 minute and then the rpm dropped to1,700-1,800. The engine sputtered and backfired, and stayed at 1,700-1,800 for 15-20 seconds. The operator reduced the throttle to idle, and the engine smoothed out; shut down was unremarkable.

Aircraft

Registration
N2332H
Reported as
Ercoupe 415-D
Category
Airplane
Serial number
2957
Airframe hours
2,800
Engine
Cont Motor O-200, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Joshua Gray
Registered owner
Blackseth Kim Robert
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 1, 2009 · 39 hours before
Departed
KAPC · Napa, CA
Destination
KCPU · Calaveras Count, CA
Airport
KAPC · Napa County Airport, runway 36R, 2,510 × 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
23
Injuries
None
Certificates
Commercial, Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
April 30, 2008
Seat
Left
Flight hours
410 total · 13 in this make and model · 361 as pilot in command · 27 in the last 90 days · 13 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 48 °F
Altimeter
30.28 inHg
Observed at
KAPC, 1 nm away

Docket · 12

The files NTSB released with the investigation on September 21, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.2 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.