WPR18LA125

NTSB accident investigation · Bellanca 7GCBC · Andover, NJ · April 23, 2018

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
April 23, 2018, 11:50 local (15:50 UTC)
Place
Andover, NJ
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N8737VBellanca 7GCBC
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration, Lycoming Engines
FAA report
20180423023979A
Case key
97115

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 partial loss of engine power for undetermined reasons.

Findings · 1

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.

Not determinedNot determined › Not determined · Unknown/Not determinedBellanca 7GCBC: 3 casesAll aircraft: 2,247 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 reported that, during the preflight inspection before the airplane’s first flight of the day, which was also its first flight in 6 months during which it remained outside, he sumped about 32 ounces of fuel from each wing, the gascolator, and the lower sump. During taxi to the fuel pumps to refuel, he smelled smoke, which he thought might have been due to a bird's nest, so he and the airport manager removed the top and bottom cowls and thoroughly inspected the area around all the cylinders and the bottom cowl area and found no nests He subsequently fueled the airplane and conducted an engine run-up, and all indications were normal and remained normal throughout the takeoff roll. However, after taking off and as the airplane was about 500 ft above ground level (agl), the pilot noticed the rpm decreasing. He applied carburetor heat, but the engine rpm continued decreasing, so he decided to turn left toward the airport and subsequently landed uneventfully. He then completed a walk-around inspection with no anomalies noted. The pilot then asked an airframe and powerplant mechanic to help him look for anything that might have caused the decrease of rpm. He and the mechanic inspected the engine and found no nest remnants in the induction airbox or associated ducting. The mechanic saw that the No. 3-cylinder exhaust manifold was hanging with no gasket, washers, or nuts present and that the intake cuff was found moderately deteriorated, incorrectly installed, and clamped to the airbox instead of the cowl. The mechanic examined the airbox and venturi, and found no obstructions, and he did not see anything that would have prevented fuel going to the carburetor. The mechanic noted that the main fuel supply line was fabricated out of unreinforced automotive fuel or coolant hose and that the line was pinched nearly closed due to a fitting misalignment. Subsequently, a standard aviation fuel hose and fitting were installed. The pilot then conducted a full-throttle engine run-up and a walk-around inspection with no anomalies noted. He checked the fuel level, and it showed over half a tank. The pilot proceeded to taxi the airplane to the end of the taxiway and conducted a full-throttle run-up for about 45 seconds and a walk-around inspection with no anomalies noted. After a normal takeoff and just after clearing the end of the runway and the beginning of a lake and as the airplane was about 300 ft agl, the pilot noticed the engine rpm decreasing “quickly.” Unable to reach the airport, the pilot chose to ditch the airplane in the lake. The pilot reported that, just before water impact, the engine “stopped producing any usable power.” The pilot egressed the airplane and was subsequently rescued by first responders. The airplane sank in 44 ft of water and was recovered about 24 hours later. Although postaccident examination of the airframe and engine revealed no evidence of any preaccident mechanical malfunctions or failures that would have precludednormal operation, it is possible that some evidence that could have helped determine the reason for the two loss of engine power events might have been lost due to its submersion in water for 24 hours and/or during the recovery process. Therefore, based on the available evidence, the investigation could not determine what led to the partial loss of engine power during either of the two flight’s takeoffs.

Factual narrative

On April 23, 2018, about 1150 eastern daylight time, a Bellanca 7GCBC airplane, N8737V, was substantially damaged when it was involved in an accident near Andover, New Jersey. The pilot was seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that, before departure and during the preflight inspection, he sumped about 32 ounces of fuel from each wing, the gascolator, and the lower sump. During taxi to the fuel pumps to refuel, he smelled smoke, which he thought might have been due to a bird's nest, so he and the airport manager removed the top and bottom cowls and thoroughly inspected the area around all the cylinders and the bottom cowl area and found no nests. He subsequently fueled the airplane with 13 gallons of fuel and conducted and engine run-up, and all indications were normal and remained normal throughout the takeoff roll. However, after taking off and as the airplane was about 500 ft above ground level (agl), the pilot noticed that the rpm was decreasing. He applied carburetor heat, but the rpm continued decreasing. When he repositioned the carburetor heat to cold, he saw that the rpm was still decreasing, so he decided to turn left toward the airport and subsequently landed uneventfully. He then completed a walk-around inspection with no anomalies noted. An airframe and powerplant mechanic, reported that he saw the airplane take off and that the engine sounded normal when the airplane passed him at midfield. He added that, shortly thereafter, he heard the power "tapering off." He added that the engine sounded normal during the landing roll. The airport manager reported that, after the pilot refueled the airplane, he saw him remove the engine cowl to look for a bird's nest, and that he did not find any. Shortly after the airplane took off from runway 03, he saw the pilot turn the airplane toward runway 21 and then land uneventfully. After the landing, the pilot asked the mechanic to help him look for anything that might have caused the loss of rpm. The mechanic reported that he found the intake cuff moderately deteriorated, installed incorrectly, and clamped to the airbox instead of the cowl. The mechanic provided the pilot with a new clamp but did not watch him install it. The mechanic noticed that the No. 3 exhaust manifold had “vibrated the nuts loose and it was hanging;” the remaining exhaust nuts were tight. Although he stated that they then replaced two gaskets, and the mechanic installed new nuts, washers, and lock washers, the mechanic reported that he just supplied the pilot with the parts and did not watch him install them. The mechanic examined the airbox and venturi, and found no obstructions, and he did not see anything that would have prevented fuel going to the carburetor. The mechanic observed a kink in the main fuel supply line, which he replaced. The mechanic reported the line was made out of an unreinforced automotive fuel or coolant hose.Subsequently, the pilot conducted a full-throttle engine run-up and a walk-around inspection with no anomalies noted. He checked the fuel level, and it showed over half a tank. The mechanic stated that, after the engine run-up, the pilot asked him if the items they found earlier could have contributed to other power loss-related events the engine had experienced in the past year and that he agreed that they could have been contributors. He added that, before further trouble shooting of the engine problem was performed, the pilot took off for the next flight. The pilot reported that he taxied the airplane to the end of the taxiway and conducted another full-throttle engine run-up for about 45 seconds with no anomalies noted. After a normal takeoff and just after clearing the end of the runway and the beginning of a lake and when the airplane was about 300 ft agl, the pilot noticed the rpm decreasing “quickly.” He immediately made a slight right turn toward a field as a possible emergency landing site, but due to the rapid decrease in rpm, he had to lower the airplane’s nose to keep it flying, which eliminated the field as a landing choice because the airplane would not be able to clear a tree line in its path. Subsequently, the pilot turned left toward the departure airport, but about a third of the way through the turn, the engine “stopped producing any usable power.” The pilot added that he “pulled the nose up as hard as…[he] possibly could right before impact" with the water. The pilot egressed the airplane and was subsequently rescued by first responders. The airplane sank in 44 ft of water and was recovered about 24 hours later. The mechanic reported that, although he did not see the accident sequence, he did hear the same power reduction about the same time after takeoff as it had occurred after the first takeoff. The airport manager said he saw the airplane take off the second time and then veer slightly right, at which point, the engine seemed to “sputter and stall” when the airplane was about 200 ft. The airplane then “broke left and descended at a sharp angle,” but the pilot leveled the airplane just before it impacted the lake. Review of the airplane’s maintenance records revealed that the engine’s most recent field overhaul occurred on May 1, 2015, at a tachometer time of about 3,081 hours. The most recent annual inspection occurred on May 4, 2017, at a tachometer time of about 3,419 hours. The pilot did not provide engine or airframe times from the last annual inspection to the time of the accident. Examination of the airframe and engine revealed no evidence of any preaccident mechanical malfunction or failures that would have precluded normal operation.

Aircraft

Registration
N8737V
Reported as
Bellanca 7GCBC (NO SERIES)
Category
Airplane
Serial number
848-75
Built
1975
Airframe hours
3,419
Engine
Lycoming O-320, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 4, 2017
Departed
12N · Andover, NJ
Destination
N89 · Ellenville, NY
Airport
12N · Aeroflex-Andover Airport, runway 03, 1,981 × 50 ft, asphalt
Equipment
None

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
49
Injuries
Serious
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
December 17, 2017
Seat
Front
Restraint
5-point
Flight hours
15,000 total · 1,000 in this make and model · 3,500 as pilot in command · 82 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 3 knots
Visibility
10 statute miles
Temperature
64 °F, dew point 27 °F
Altimeter
30.45 inHg
Observed at
12N, 5 nm away

Docket · 8

The files NTSB released with the investigation on March 10, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 16.8 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.