WPR10LA121

NTSB accident investigation · American Champion 8KCAB · Fallon, NV · January 27, 2010

Accident · No injuriesLimited investigationFinal report
Date
January 26, 2010, 16:30 local (Jan 27, 2010, 00:30 UTC)
Place
Fallon, NV
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N101BYAmerican Champion 8KCAB
Defining event
Landing-landing roll: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report May 3, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20100126004979A
Case key
75319

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

Interference between the front seat lap belt and the rear seat rudder/brake pedal assembly that prevented normal operation of the rudder/brake system, which resulted in the pilots’ inability to maintain directional control.

Findings · 3

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.

Flight control system: rudder control systemAircraft › Aircraft systems · Unintentional use/operationAmerican Champion 8KCAB: 1 caseAll aircraft: 93 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleAmerican Champion 8KCAB: 6 casesAll aircraft: 3,958 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

The certified flight instructor (CFI), seated in the front seat, reported that the airplane started to drift to the right during the landing roll. The student pilot, seated in the rear seat, applied left rudder to counteract the drift, but the airplane continued to the right. The CFI took control of the airplane and applied full left rudder and full power; however, the airplane continued to the right until the left main landing gear collapsed and the airplane nosed over. The airplane was equipped with dual lap belt aerobatic harnesses. Postaccident examination revealed that, when full left rudder was applied, the front seat pilot's upper lap belt caught on the rear seat right rudder/brake pedal assembly and activated the right brake. As a result of this finding, the manufacturer issued an Airplane Flight Manual Supplement (AFMS) that provided guidance for pilots to examine the front seat lap belts for proper tension and clearance from the rear seat rudder pedals during their prestart and preflight checks. In addition, the Federal Aviation Administration issued a Special Airworthiness Information Bulletin (SAIB CE-10-39) that addressed proper installation of the dual lap belt system and informed pilots of the issuance of the AFMS pertaining to the lap belts.

Factual narrative

On January 26, 2010, about 1630 Pacific standard time, an American Champion Aircraft 8KCAB, N101BY, departed runway 3 on landing and came to rest inverted at Fallon Municipal Airport (FLX), Fallon, Nevada. The airplane sustained structural damage to the collapsed left main landing gear and tail section of the airplane. The certified flight instructor (CFI) and the owner/pilot were not injured. The flight had departed FLX about 1530 for the local area flight, and no flight plan had been filed. According to the CFI, the flight was to familiarize the owner/pilot with a conventional landing-gear airplane. The owner was seated in the rear seat, and the CFI was seated in the front seat. The CFI demonstrated one landing prior to the flight departing the pattern for the local practice area in order to familiarize the pilot with the flight controls. They performed several turns, descents and climbs, and then returned to the airport for landing. The pilot performed two uneventful landings, and on the third landing just after touchdown, the CFI noted a moderate drift to the right. The CFI stated that the pilot had applied left rudder to counteract the drift, but the airplane continued to the right. At that point, the CFI took the flight controls and applied full left rudder and full power. The airplane continued to the right until the left main landing gear collapsed and the airplane nosed over. In the RECOMMENDATION section of the National Transportation Safety Board (NTSB) accident reporting form, the CFI reported that the front seat 5-point Hooker Aerobatic harness had a tendency to drape itself over the right rear cockpit rudder/brake pedal assembly. He stated that this could have caused the right brake to be inadvertently activated when full left rudder was applied. The airplane and seat belt mechanism were inspected by an airworthiness inspector from the Federal Aviation Administration (FAA). The FAA inspector confirmed the CFI's observation that with the application of full left rudder, the front pilot's seatbelt could catch on the right rudder/brake pedal assembly as it was moving aft due to left rudder input. This action inadvertently allowed the application of the right brake. The NTSB docket for this accident contains a video that demonstrates this interaction. The FAA inspector also examined the dual lap belt installation. According to the airplane manufacturer, American Champion, the only dual lap belt installation they use is the Hooker Aerobatic harness. That harness consisted of two lap belts sewn in parallel with one another on top of a large pad that is worn across the lap of the pilot. The FAA inspector reported that the two lap belts were connected to a single point, the outer lug on the floor. According to a drawing from American Champion, the dual lap belt should attach to two separate locations instead of just the outer floor lug. FAA inspectors from the Chicago Aircraft Certification Office visited both American Champion inRochester, Wisconsin, and Gauntlet Warbirds, in Aurora, Illinois, to review possible rudder interference by the lap belt installation on the 8KCAB model airplane. They found that the lap belts typically cleared the rudder pedals by less than 1 inch. Factors that affected the clearance included seat cushion padding, physical size of the pilot, centering of the belt cushion on the pilot, and tightness of the lap belt when secured. As a result of that review, an Airplane Flight Manual Supplement (AFMS) was issued by American Champion, and approved by the FAA. It called for both a pre start and pre flight check of the lap belts for proper tension and clearance from the aft seat rudder pedals. The FAA also issued a Special Airworthiness Information Bulletin (SAIB CE-10-39, dated July 23, 2010. The SAIB notified pilots of the AFMS issuance. It also recommended that airplanes equipped with the Hooker Aerobatic dual lap belts use floor mounted attach lugs. The upper or secondary lap belt should be moved from the outside of the outer attach lug to the inside of the outer attach lug per a service bulletin in order to provide additional clearance between the belt and pedal assembly.

Aircraft

Registration
N101BY
Reported as
American Champion 8KCAB
Category
Airplane
Serial number
949-2004
Airframe hours
440
Engine
Textron Lycoming AEIO-360-H1B, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Donald H. Sefton
Registered owner
Donald H. Sefton
Airworthiness certificate
Standard, Aerobatic; Standard, Normal
Last inspection
Annual · April 23, 2009 · 2 hours before
Departed
FLX · Fallon, NV
Destination
FLX · Fallon, NV
Airport
FLX · Fallon Municipal Airport, runway 03, 5,703 × 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
73
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 21, 2009
Seat
Front
Flight hours
9,138 total · 33 in this make and model · 8,111 as pilot in command · 27 in the last 90 days · 12 in the last 30 days
Role
Pilot
Age
57
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
June 14, 2009
Seat
Rear
Flight hours
791 total · 7 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 5 knots
Visibility
10 statute miles
Lowest ceiling
3,500 ft broken
Temperature
122 °F
Altimeter
29.95 inHg
Observed at
FLX

Docket · 2

The files NTSB released with the investigation on March 29, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.5 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.