WPR10LA483

NTSB accident investigation · Boam Rans S-6S · Roberts, ID · September 18, 2010

Accident · No injuriesLimited investigationFinal report
Date
September 18, 2010, 09:10 local (15:10 UTC)
Place
Roberts, ID
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N4427MBoam Rans S-6S
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report May 26, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Adminiatration FSDO
FAA report
20100918046359A
Case key
77521

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

A loss of engine power due to the detachment of the left carburetor from the engine inlet manifold. Contributing to the accident was the pilot's failure to address a known engine vibration.

Findings · 4

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 fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Inadequate inspectionBoam Larry RANS S-6S: 1 caseAll aircraft: 195 casesProbable cause
Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Damaged/degradedBoam Larry RANS S-6S: 1 caseAll aircraft: 195 casesProbable cause
Maintenance: modification/alterationPersonnel issues › Task performance · PilotBoam Larry RANS S-6S: 1 caseAll aircraft: 69 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 pilot, who was also the airplane's owner, reported that the engine of the experimental amateur-built airplane experienced a partial loss of power while turning onto the crosswind leg of the traffic pattern after the initial takeoff climb. The pilot initiated a return to the runway, during which time the engine lost all power. The pilot unsuccessfully attempted to restart the engine and subsequently performed an off-airport landing. The airplane's right main landing gear collapsed during the landing roll, resulting in substantial damage to the airframe. Examination of the engine revealed that the left carburetor was detached from the engine inlet manifold. The impact trajectory, coupled with a lack of witness marks indicating the carburetor had struck any part of the airplane, make it most likely that the carburetor detached in flight. The owner/pilot reported that he had experienced excessive engine vibration and "kickback" during prior startups. He had considered a number of remedial measures to rectify the problem, but had not performed any of these measures prior to the accident flight. He additionally reported that he could have reduced the likelihood of the carburetor separating by more thoroughly examining the tension of its mounting hardware.

Factual narrative

HISTORY OF FLIGHT On September 18, 2010, about 0910 mountain daylight time, an experimental amateur-built Boam, Rans S-6S, N4427M, experienced a loss of engine power during takeoff from a private dirt airstrip near Roberts, Idaho. The pilot/owner was operating the airplane under the provisions of Title 14 Code of Federal Regulations Part 91. The commercial pilot was not injured, and the airplane sustained substantial damage. The local flight departed Roberts about 0910, with a planned destination of Rigby-Jefferson County Airport, Rigby, Idaho. Visual meteorological conditions prevailed, and no flight plan had been filed. The pilot reported that while turning crosswind after the initial takeoff climb, the engine experienced a partial loss of power. He initiated a return to the runway during which time the engine lost all power. He unsuccessfully attempted to restart the engine, and elected to perform an off-airport landing. During the descent he maneuvered around trees and obstacles, and was subsequently unable to level the airplane for the landing flare. The right main landing gear collapsed during the landing roll, resulting in substantial damage to the lower firewall and both wings. A deputy from the local sheriff's department responded to the accident site and reported that the fuel tank contained about 10 gallons of fuel. The airplane was subsequently recovered for examination. TESTS AND RESEARCH The high-wing, experimental amateur-built airplane was equipped with a Rotax 912 ULS engine, serial number 5643038. The engine was equipped with a two-blade composite propeller, and an overload clutch, also known as a 'slipper clutch'. Maintenance records indicated that the owner performed a conditional inspection on July 13, 2010, at an engine tachometer time of 428.8 hours. The owner reported a total engine time of 444.9 hours at the time of the accident. The airplane was initially examined by an inspector from the Federal Aviation Administration (FAA), and subsequently examined by a mechanic under the auspices of the NTSB investigator-in-charge. Examination revealed that the engine controls, linkages, cables, and hoses appeared intact and free of damage. No fluid leaks were noted, oil remained within the oil sump canister, and the engine rotated freely by hand via the propeller. Examination of the left carburetor revealed that it had become detached from the inlet manifold flange. The flange remained attached to the inlet manifold, with the carburetor clamp still in place over the rubber flange. The carburetor was observed about 1/2 inch below its nominal mounting position. The carburetor location was adjacent to the firewall; however, no damage to the firewall was noted that would indicate it made contact with the carburetor during the accident sequence. The engine was equipped with a carburetor support system, consisting of a support spring and bracket as specified in the Rotax Technical Bulletin 912-10. The bulletin stated in part that thesupport is used to reduce stress on the carburetor flange, incurred due to, 'Increased vibrations, unfavorable engine suspension, too heavy intake filter or intake silencer, erratic idling of engine and bad carburetor synchronization.' The airplane owner reported that on prior engine startups he had encountered excessive initial vibration and kickback, and as such, was considering the installation of a Soft Start Module (SSM). The SSM, according to its manufacturer, reduces engine kickback during startup by adjusting the initial ignition timing. The manufacturer further stated that engine kickback is often the result of slow cranking speed or an inadequately adjusted slipper clutch. The slow cranking speed can be caused by reduced electrical power available to the starter motor due to either a weak battery, or excessive battery cable length. The owner stated that he could have prevented the loss of power by more thoroughly inspecting the carburetor mounting clamp tension, installing an SSM, and by inspecting and adjusting the slipper clutch.

Aircraft

Registration
N4427M
Reported as
Boam Rans S-6S
Category
Airplane, amateur-built
Serial number
08031518-S
Airframe hours
429
Engine
Rotax 912ULS, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · July 19, 2010 · 16 hours before
Departed
PVT · Roberts, ID
Destination
U56 · Rigby, ID
Airport
PVT · Tanner Airstrip, runway 20, 1,500 × 100 ft, grass/turf

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
78
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 3, With waivers/limitations
Last flight review
July 16, 2009
Seat
Left
Flight hours
2,473 total · 445 in this make and model · 2,473 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 43 °F
Altimeter
30.02 inHg
Observed at
IDE, 18 nm away

Docket · 7

The files NTSB released with the investigation on March 24, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.8 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.