WPR12LA265

NTSB accident investigation · Roetman Ryland K JR Eagle · Rexburg, ID · June 16, 2012

Accident · Serious injuriesLimited investigationFinal report
Date
June 15, 2012, 19:40 local (Jun 16, 2012, 01:40 UTC)
Place
Rexburg, ID
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N106BDRoetman Ryland K JR Eagle
Defining event
Maneuvering-aerobatics: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report April 20, 2016
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20120615010799A
Case key
83990

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 oil pressure, which led to the subsequent uncommanded loss of thrust and decrease in the propeller rpm during a low-level aerobatic maneuver.

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.

Fluids: oilAircraft › Fluids/misc hardware · Not specifiedRoetman Ryland K JR EAGLE: 1 caseAll aircraft: 174 casesProbable cause
Propeller systemAircraft › Aircraft propeller/rotor · Not specifiedRoetman Ryland K JR EAGLE: 1 caseAll aircraft: 20 casesProbable cause
Propeller system: propeller governorAircraft › Aircraft propeller/rotor · Not specifiedRoetman Ryland K JR EAGLE: 1 caseAll aircraft: 16 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleRoetman Ryland K JR EAGLE: 1 caseAll aircraft: 1,310 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 airline transport pilot, who was also the owner/ builder of the experimental aerobatic airplane, was practicing aerobatic maneuvers for an upcoming airshow. An amateur video captured a portion of the flight and accident sequence. The video shows the airplane conducting several continuous right rolls at an approximate constant altitude and pitch attitude. During the accident sequence, the airplane continued to roll, but it began to descend while maintaining a relatively level pitch attitude. When the airplane was about 100 ft above the ground, it stopped rolling and then continued to descend in a significant right-wing-down attitude. Examinations of the wreckage did not reveal any preimpact mechanical deficiencies or failures that would have precluded continued flight; however, no detailed examinations of the wreckage or any components were conducted. The pilot reported that, while conducting the maneuver just before the accident, he "heard and felt" an uncommanded decrease in rpm, which he believed was caused by the decrease in engine oil pressure that occurs during aerobatics, and a subsequent uncommanded change in propeller blade pitch. Based on the available evidence, it is likely that, during the aerobatic maneuver, the airplane lost oil pressure, which resulted in a decrease in thrust and change in propeller blade pitch, and that the airplane had insufficient power and altitude for the pilot to recover from the maneuver. The pilot reported that he had installed an accumulator to prevent the decrease in engine oil pressure; it could not be determined why the accumulator did not function during the accident flight.

Factual narrative

Video Imagery Amateur video footage taken from the ground, with duration of about 18 seconds, captured a portion of the flight and accident sequence. The footage was publicly available on the YouTube website. The video shows the airplane conducting multiple continuous right rolls at an approximately constant altitude, followed by an apparent slowing and descent of the airplane, while still rolling. The airplane maintained a relatively constant pitch attitude during the roll maneuvers, as well as, during both the horizontal and descending segments of the flight. The rolling ceased when the airplane was approximately 100 feet above the ground; however, the airplane continued in its descent in a significant right wing down attitude. The ground impact was mostly obscured from view by terrain. The majority of the footage did not contain any ground or other fixed features, so no trajectory information was able to be derived from the video. Pilot-Provided Information In several post-accident conversations with investigation personnel, the pilot provided description information for the airplane, and his opinion as to the cause of the accident. The engine was equipped with a variable-pitch propeller that was controlled/actuated by a propeller governor, utilizing engine oil and engine oil pressure. Occasionally, during certain aerobatic maneuvers, the engine oil pressure would decrease due to the loads and/or attitudes of those maneuvers. That decrease in oil pressure during those maneuvers sometimes resulted in uncommanded (by the pilot) and undesired propeller blade pitch increases (blades moving towards coarse pitch or feather position). About 4 years prior to the accident, the pilot installed an accumulator in the governor supply side oil line, in order to reduce or eliminate those occasional oil pressure drops from adversely affecting propeller blade pitch. The pilot did not install any gauges to indicate the pre-charge pressure in the accumulator, or any warning lights to signal a loss of accumulator pre-charge. The pilot reported that the accumulator system had performed reliably since its installation. The pilot did not check the accumulator pre-charge pressure prior to any flight; in his experience, the system was sufficiently robust and reliable that the pre-charge was only checked during annual or other detailed inspections. While conducting the maneuver, just prior to the accident, the pilot "heard and felt" an uncommanded propeller rpm decrease. He concluded that the rpm loss was due to the expected decrease in engine oil pressure (from the maneuver), and the failure of the accumulator to provide sufficient oil pressure to prevent the propeller blades from increasing in pitch. The pilot also concluded that the accumulator failure was due to its loss of some or all of its pre-charge pressure. The pilot did not provide any basis for that assessment/conclusion. FAA records indicated that the biplane was built in 2003 by the pilot/owner. It wasequipped with a Lycoming IO-360 series engine, and a variable pitch 3-blade MT-9-190 composite propeller. It had an enclosed cockpit, and conventional-style landing gear. According to FAA information, RXE was equipped with a single paved runway, designated 17/35, that measured 4,204 feet by 75 feet. Airport elevation was 4,862 feet, and the airport was not equipped with an air traffic control tower. The airplane was equipped with a "Drift HD" recorder. The device was a portable, all-in-one recording unit utilizing a 170-degree lens, capable of recording high definition still and video images, and audio. The unit records to a removable micro SD card. The device was sent to the NTSB recorders laboratory in Washington, D.C., for readout. The SD card did not contain any data related to the accident flight. On June 15, 2012, about 1940 mountain daylight time, an experimental amateur-built Roetman Eagle, N106BD, was substantially damaged when it impacted terrain while conducting aerobatic maneuvers at the Rexburg-Madison County Airport (RXE), Rexburg, Idaho. The pilot/owner sustained serious injuries, and there were no ground injuries. The airplane was being operated under the provision of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the local area flight, and no flight plan had been filed. The flight originated at RXE, and the pilot was practicing for an upcoming airshow at that airport. The airplane was recovered for potential further examination. The RXE 1953 automated weather observation included wind from 180 degrees at 5 knots, visibility 10 miles, clear skies, temperature 22 degrees Celsius, dew point 1 degree Celsius, and an altimeter setting of 30.00 inches of mercury. Federal Aviation Administration (FAA) records indicated that the pilot held airline transport and flight instructor certificates, with multiple ratings, and a mechanic certificate with airframe and powerplant ratings. According to information provided by the pilot, he had approximately 14,223 total hours of flight experience, including approximately 1,500 hours in the accident airplane make and model. His most recent flight review was completed in January 2012, and his most recent FAA first-class medical certificate was issued in May 2012. The airplane impacted a relatively level grassy area interspersed with a few trees, and was adjacent to the airport. The ground scars extended for a distance of approximately 120 feet. The airplane came to rest upright. Both right wings sustained significant damage. Both main landing gear were collapsed, and all three blades of the wood/composite propeller were fracture-separated at or near the hub. The propeller hub remained attached to the engine, and the engine remained attached to its mounts. The engine mount and firewall were damaged and partially separated from the airplane. The aft fuselage and empennage were essentially intact, and the cockpit retained its integrity. There was no post impactfire. Separate examinations of the airplane by FAA and insurance company personnel did not reveal any pre-impact mechanical deficiencies or failures. The NTSB did not conduct any examinations of the wreckage or any components.

Aircraft

Registration
N106BD
Reported as
Roetman Ryland K JR Eagle
Category
Airplane, amateur-built
Serial number
BR001
Built
2003
Airframe hours
1,271
Engine
Lycoming IO-360 SER, 240 horsepower, reciprocating
Damage
Substantial damage
Flight
Air race/show · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
June 2, 2012
Departed
RXE · Rexburg, ID
Destination
RXE · Rexburg, ID
Airport
RXE · Rexburg-Madison County Airport

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
54
Injuries
Serious
Certificates
Flight instructor, Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
January 31, 2012
Seat
Single
Flight hours
14,223 total · 1,500 in this make and model · 12,181 as pilot in command · 115 in the last 90 days · 40 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 34 °F
Altimeter
30.10 inHg
Observed at
RXE

Docket · 7

The files NTSB released with the investigation on March 8, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.9 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.