WPR20FA057

NTSB accident investigation · Thunder Mustang TM-1 · Santa Clarita, CA · January 4, 2020

Accident · FatalClass 3 · FieldFinal report
Date
January 4, 2020, 10:09 local (18:09 UTC)
Place
Santa Clarita, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N151WRThunder Mustang TM-1
Defining event
Enroute: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20200104003219A
Case key
100759

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

Engine detonation that resulted in material deformation of the crankcase and led to engine failure and restricted cockpit visibility.

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.

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 departed for flight in an amateur-built experimental airplane. A few minutes after takeoff, the pilot made a distress call to the airport tower controller stating a loss of engine power and a cockpit visibility issue. A witness observed the airplane maneuvering at a low altitude with smoke trailing from the airplane. Subsequently, the airplane struck a tree and impacted terrain in a grassy field located in the median of an interstate’s off-ramp, destroying the airplane. Postaccident examination of the engine revealed damage that was consistent with detonation. One cylinder had material deformation that had burnt through the crankcase. Other cylinders had varying degrees of material deformation on their piston faces and cylinder heads, and the piston faces, and cylinder heads were absent of any carbon buildup. During the forced landing, the hole in the crankcase would have leaked coolant and oil, creating smoke and limiting the visibility from the cockpit, which likely would have prevented the pilot from seeing and avoiding the tree. The specific reason for the detonation could not be determined.

Factual narrative

The FAA Handbook of Aeronautical Knowledge defines detonation as “an uncontrolled, explosive ignition of the fuel-air mixture within the cylinder’s combustion chamber. It causes excessive temperatures, which if not corrected, can lead to failure of the piston, cylinder, or valves.” The FAA Handbook also states: Detonation is characterized by high cylinder head temperatures and is most likely to occur when operating at high power settings. Common operational causes of detonation are: Use of a lower grade fuel than that specified by the aircraft manufacturer Operation of the engine with extremely high manifold pressures in conjunction with low rpm Operation of the engine at high power settings with an excessively lean mixture The low-wing airplane was powered by a Falconer V12 liquid cooled engine. The engine was equipped with a four-bladed, variable pitch propeller. The airframe and engine logbooks were not located during the investigation. On January 4, 2020, about 1009, Pacific standard time, an experimental amateur-built TM-1 Thunder Mustang airplane, N151WR, was destroyed when it was involved in an accident near Santa Clarita, California. The pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The airplane was cleared for takeoff and instructed to maintain at or below 2,500 ft mean sea level (msl) until north of the airport. On departure, the airplane was approved a frequency change. However, the airplane turned back towards the airport and the pilot re-established communication with the tower controller. The pilot reported that he “had smoke out of the right stack,” and then advised the controller that he was “going to have to put her down.” The controller asked for his position and the pilot responded, “over Newhall.” The pilot further reported that he could not see anything and that he lost power to his engine. The controller acknowledged and then the pilot stated that “I am going to have to put it down on,” when the transmission was cut off. A witness observed the airplane maneuvering at a low altitude with smoke trailing from the airplane just before impact. He stated the airplane appeared to be under control. The airplane struck a tall tree and subsequently came to rest in a grassy field located in the median of an interstate’s off-ramp cloverleaf roadway. The Department of Medical Examiner Office, Los Angeles, California, conducted the autopsy on the pilot. The medical examiner determined that the cause of death for the pilot was attributed to multiple blunt force injuries. The FAA's Forensic Sciences Research Laboratory, Oklahoma City, Oklahoma, performed toxicological testing on the pilot. The pilot’s results for the testing were negative except for positive results for Glucose and Tamsulosin. The pilot had Glucose in the vitreous and urine but had no reported history of diabetes mellitus. Tamsulosin is a prescription medication used to treat the symptoms of anenlarged prostate. Tamsulosin is in a class of medications called alpha blockers. This medication is generally acceptable for use by airmen. Examination of the accident site revealed that the airplane impacted level terrain in a median on a freeway exit ramp. The terrain consisted of grass and dirt. On the east side of the median several tall trees were present. Near the top of about a 60 ft tall tree, several branches were observed broken with fresh breaks. A section of the airplane was embedded in the tree. Additionally, parts of the propeller blades were located at the bottom of the tree. The right-wing tip and parts of the wing were also located near the initial impact with the tree. The airplane wreckage came to rest upright on about a 140º magnetic heading about 75 ft past the initial impact. All major components of the airplane were contained within the main wreckage site. Most of the wreckage debris, consisted of small fragments of the canopy and of the landing gear that had sheared off. There was a postimpact fire that thermally damaged the majority of the airplane and engine. Flight control continuity could not be verified due to thermal and impact damage. An examination of the airframe and engine was accomplished at a secure facility. All engine components and accessories were present and remained attached to the engine. The engine sustained thermal and impact damage. Damage was noted to the engine mount support tubes. The engine would not rotate. A borescope inspection of the cylinders revealed evidence that the 6 cylinders on the right side of the engine had normal operating conditions, however, several cylinders on the left side of the engine, cylinders Nos.1, 3, and 5 were nearly black in color. The intake manifold, valve cover, and intake plenum were removed from the engine. The exhaust valve push rod for the No. 5 cylinder was not secured and observed lying inside the engine. The left side head assembly was removed and revealed that the Nos. 1, 3, and 5 cylinder head attachment areas each had material deformation consistent with an internal combustion gas leak. The No. 1 cylinder had material deformation through a coolant passageway and the crankcase, and about a 1 cm wide by 3 ml deep hole was observed. Additionally, discoloration and material deformation near the hole was consistent with extreme hot combustion gasses. On the Nos. 3 and 5 cylinders, the hot combustion gasses had only penetrated into the coolant passageway and had not yet burnt through the crankcase. All the sparkplugs were removed, and the spark plug electrodes were dark in color and exhibited normal wear signatures when compared to the Champion Check-A-Plug comparison chart, with the exception of those for cylinders Nos. 1, 3, and 5, (left side), which were very black in color, oily, and carbon fouled. The No. 1, cylinder spark plug electrode was significantly darker in color that the others. The No. 3 and No. 5 cylinder’s spark plug electrodes were dark incolor but not as dark as the No. 1 cylinder. The engine was disassembled. The cylinders’ piston tops and cylinder heads were absent of any carbon build up and exhibited a sandblasted appearance consistent with detonation. Further, the cylinders exhibited damage consistent with detonation at the cylinder head and piston face edges. Traces of oil were present, and no coolant was observed in the engine. The fuel manifold was removed, and each fuel injector was examined. Except for the thermal damage no anomalies or obstructions to flow were noted. Postaccident examination of the airframe and engine revealed no additional preimpact mechanical anomalies or malfunctions that would have prevented normal operation.

Aircraft

Registration
N151WR
Reported as
Thunder Mustang TM-1
Category
Airplane, amateur-built
Serial number
24
Built
2001
Engine
Falconer V12 liquid cooled engine, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Departed
VNY · Van Nuys, CA
Destination
VNY · Van Nuys, CA
Equipment
Unknown

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
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Front
Toxicology
Performed
Flight hours
4,500 total

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 39 °F
Altimeter
30.36 inHg
Observed at
KVNY, 9 nm away

Docket · 9

The files NTSB released with the investigation on November 10, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.0 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.