- Date
- July 16, 2019, 13:21 local (20:21 UTC)
- Place
- Aumsville, OR
- Injuries
- 1 serious
- Damage
- Destroyed
- Phase of flight
- Enroute
- Aircraft
- N365EMVans RV14
- Defining event
- Enroute-cruise: Fire/smoke (non-impact)
- Weather
- Visual (VMC) · Day
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 3
- NTSB office
- Western Pacific Region
- Parties
- FAA-FSSDO, Van's Aircraft
- FAA report
- 20190716016639A
- Case key
- 99859
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
An inflight fire that originated in the engine compartment for reasons that could not be determined based on available evidence.
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.
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 airplane was in cruise flight when all electrical instrumentation was suddenly lost, and the pilot started to smell burning wires. A few seconds later, the smoke began to fill the cockpit and fire started to enter the lower part of the cockpit by the left side rudder pedals. The pilot initiated an emergency descent and subsequently landed in a field. The pilot egressed the airplane and the fire continued to burn until first responders arrived. Postaccident examination of the airplane revealed extensive thermal damage to the engine and its surrounding area, which precluded identifying the exact origin of the fire. However, there was significantly more charring and fire damage to the left side of the engine compartment and engine mount powder coating. Based on the pilot’s statement and the charring of the engine mount powder coating, it is likely that the fire started on the left side of the engine compartment. A service bulletin issued by the airplane manufacturer identified a potential leaking of Kavlico pressure sensors that were installed in the aluminum manifold located on the upper left side of the airplane’s firewall. However, the accident airplane’s manifold and both sensors were destroyed by the postaccident fire. Although a sensor failure is a possible cause, there are many potential failure points in fuel and oil supply and pressure indication lines that could have resulted in the fire. Due to the extensive thermal damage, the origin of the fire could not be determined based on available evidence.
Factual narrative
On July 16, 2019, about 1321 Pacific daylight time, an experimental, amateur built Vans RV 14A airplane, N365EM, was destroyed in an accident near Aumsville, Oregon. The pilot sustained minor injuries. The airplane was operated under the provisions of Title 14 Code of Federal Regulations Part 91 as a personal flight. The pilot departed Aurora State Airport (UAO), Aurora, Oregon at 1235, with the intended destination to Corvallis Municipal Airport (CVO), Corvallis, Oregon. The pilot reported that about 1 hour into the flight, at a cruise altitude of 1,500 ft above ground level, he lost all electrical instrumentation and smelled burning wiring. He initiated an emergency descent a few seconds later when the smoke began to fill the cockpit and the fire started to enter the lower part of the cockpit by the left side rudder pedals. He conducted a forced landing to a field and evacuated the airplane that continued to burn until the first responders extinguished the fire. The pilot informed investigators that the day before the accident, he changed the oil and replaced the oil filter. When he removed the engine cowling, there was no indication of an oil leak. After the oil change, the pilot started the engine and ran it up to average temps (oil pressure was 75 pounds per square inch) and then shut it down. When he inspected for leaks, he did not locate any. The new oil filter was safety-wired. Postaccident examination of the airplane revealed extensive thermal damage, especially in the engine and cockpit area; charring of the engine mount powder coating indicated that the fire was more significant on the left side of the airplane. About 13 gallons of aviation fuel was present in the left tank and about 6 gallons was in the right tank. Due to extensive thermal damage to the engine and its surrounding area, it was not possible to determine the exact origin of the fire. On May 6, 2020, Van’s Aircraft released a service bulletin that warned about the potential leaking of Kavilco pressure sensors, whihc are commonly used in fuel, oil, and manifold pressure applications on all RV models. The exact cause (manufacturing, installation, fatigue etc.) of the Kavilco pressure sensors failures has not been determined. The accident airplane was equipped with an aluminum manifold located on the upper left side of the aircraft’s firewall, which was where both the oil and fuel pressure sensors were mounted. The manifold and both sensors were destroyed by the fire.
Aircraft
- Registration
- N365EM
- Reported as
- Vans RV14 (A)
- Category
- Airplane, amateur-built
- Serial number
- 140249
- Built
- 2018
- Airframe hours
- 220
- Engine
- Lycoming IO-390-EXP10, 210 horsepower, reciprocating
- Damage
- Destroyed
- Fire
- Both
- Flight
- Personal · Part 91
- Operator
- Mitchell Eugene W
- Airworthiness certificate
- Standard, Aerobatic
- Last inspection
- Annual · February 10, 2019
- Departed
- AUO · Aurora, OR
- Destination
- CVO · Corvallis, OR
- Equipment
- Auto-pilot, Data recorder, ADS-B, Stall warning system, Electronic multifunction display
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
- 73
- Injuries
- Minor
- Certificate
- Commercial
- Airplane ratings
- Single-engine land
- Instrument ratings
- Helicopter, Airplane
- Medical
- Class 3, Without waivers/limitations
- Last flight review
- November 11, 2017
- Seat
- Left
- Restraint
- 4-point
- Flight hours
- 2,203 total · 229 in this make and model · 1,923 as pilot in command · 40 in the last 90 days · 17 in the last 30 days · 1 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Visibility
- 10 statute miles
- Lowest ceiling
- 2,500 ft broken
- Observed at
- SLE, 8 nm away
Docket · 6
The files NTSB released with the investigation on February 15, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.2 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.