WPR11LA289

NTSB accident investigation · Lemond FLY Fisher · West Glacier, MT · June 26, 2011

Accident · Serious injuriesLimited investigationFinal report
Date
June 26, 2011, 10:03 local (16:03 UTC)
Place
West Glacier, MT
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N397JLLemond FLY Fisher
Defining event
Initial climb: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed · report April 24, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20110626013739A
Case key
80899

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 total loss of engine power during takeoff due to water contamination in the fuel system. Contributing to the accident was the pilot’s inadequate preflight inspection of the airplane.

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionAll aircraft: 1,695 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotAll aircraft: 551 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

According to the pilot, during his preflight inspection, he drained fuel from all three fuel drains with no evidence of water noted. During the takeoff roll, the airplane was about halfway down the runway when he heard a small pop and looked at the engine rpm gauge. The pilot stated that he saw no indication of a loss of engine power and decided to continue the takeoff. As the airplane was over the departure end of the runway, the engine lost all power, and the pilot performed a forced landing to an adjacent field. During the landing, the airplane struck trees and came to rest on its right side. The pilot added that when the engine lost power, it was "like it [the engine] had a slug of water." Examination of the recovered engine revealed no mechanical anomalies that would have prevented normal operation. Examination of the airframe fuel filter revealed that a small amount of clear liquid was within the filter bowl. The liquid was tested and found to be water. It is likely that the unusual attitude in which the airplane was parked during the pilot's preflight inspection may have allowed water to be trapped within different areas of the fuel tank that would have prevented the water from gathering at the lowest point within the fuel tank.

Factual narrative

On June 26, 2011, about 1003 mountain daylight time, an amateur built experimental Lemond Fly Fisher, N397JL, sustained substantial damage during a forced landing after takeoff from the Ryan Field Airport (2MT1), West Glacier, Montana. The airplane was registered to and operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91. The private pilot and his one passenger sustained serious injuries. Visual meteorological conditions prevailed and no flight plan was filed for the personal flight. The cross-country flight was originating at the time of the accident with an intended destination of Omak, Washington. The pilot reported to a Federal Aviation Administration (FAA) inspector that during his pre-flight inspection of the airplane, all three fuel drains were drained, and approximately one-quarter cup of fuel was obtained from each drain port, with no evidence of water noted. The pilot told the FAA inspector that during the pre-flight, the airplane was parked in an unusual attitude and that water could have possibly been trapped in a different area of the fuel tank. The pilot further reported that after conducting a 10 to 12 minute engine warm-up, he conducted a magneto check, noting all operations were normal and initiated takeoff. As the airplane passed approximately midpoint along the runway, he heard a small pop and looked at the engine RPM gauge, and saw no indication of a loss of power. The pilot stated that as the airplane ascended through about 200 feet above ground level (agl) over the departure end of the runway, the engine quit running "like it [the engine] had a slug of water." The pilot initiated a forced landing to an adjacent field. Subsequently, the airplane struck trees and came to rest on its right side. Examination of the airplane by the FAA inspector revealed that it came to rest near the departure end of the runway. The right wing was bent upwards about 90 degrees, and the left wing was bent and buckled throughout. The wreckage was recovered to a secure location for further examination. On August 17, 2011, the engine was examined by the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) and representatives from the FAA at the facilities of Arlin's Aviation, Belgrade, Montana. Examination of the recovered Lycoming O-320-E2D engine, serial number L-36982-27A, revealed it had been separated from the airframe by the wreckage recovery company to facilitate wreckage transportation. All engine accessories remained attached to the engine. The exhaust exhibited impact damage. The top spark plugs and rocker arm covers were removed, and the engine crankshaft was rotated by hand using the propeller. Rotational continuity was established throughout the engine and valve train. Thumb compression was noted on all cylinders. The carburetor remained attached to its mount; however, it exhibited impact related damage. The float bowl, floats, needle valve, and finger screen were separated andnot located. The mixture and throttle control arms moved freely by hand from stop to stop. Examination of the engine revealed no mechanical anomalies that would have prevented normal operation. Examination of the airframe fuel filter revealed that a small amount of clear liquid was within the filter bowl. The liquid was tested using water finding paste with positive results of water. The electronic ignition system was removed from the airframe and engine for further testing. On November 17, 2011, the ignition system was examined at the facilities of Light Speed Engineering, Santa Paula, California, under the supervision of the IIC. The electronic ignition system and harness was functionally tested on a test bench with no anomalies noted.

Aircraft

Registration
N397JL
Reported as
Lemond FLY Fisher
Category
Airplane, amateur-built
Serial number
5742
Airframe hours
469
Engine
Lycoming O-320 SERIES, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Doug Sapp LLC
Registered owner
Doug Sapp LLC
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · March 1, 2011
Departed
2MT1 · West Glacier, MT
Destination
Omak, WA
Airport
2MT1 · Ryan Field Airport

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
64
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land, Single-engine sea
Medical
Class 3, Without waivers/limitations
Last flight review
August 18, 2010
Seat
Left
Flight hours
1,494 total · 623 in this make and model · 18 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 39 °F
Altimeter
29.96 inHg
Observed at
GPI, 229 nm away

Docket · 9

The files NTSB released with the investigation on March 21, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.4 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.