WPR22LA138

NTSB accident investigation · Robinson Michael E Cozy Mark IV · Tucson, AZ · March 30, 2022

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
March 30, 2022, 13:30 local (20:30 UTC)
Place
Tucson, AZ · short of rwy 24L
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N294MVRobinson Michael E Cozy Mark IV
Defining event
Approach-VFR pattern final: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
FAA
FAA report
20220330004799A
Case key
104861

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

The total loss of engine power during an approach due to clogged fuel filters, which resulted from an epoxide sealant used in manufacture of the airplane deteriorating and clogging the fuel filter.

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.

Fuel system: fuel filter-strainerAircraft › Aircraft systems · Capability exceededRobinson Michael E COZY MARK IV: 1 caseAll aircraft: 52 casesProbable cause
Fuel system: fuel storageAircraft › Aircraft systems · Fatigue/wear/corrosionRobinson Michael E COZY MARK IV: 1 caseAll aircraft: 60 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

During a local flight, the pilot was maneuvering the amateur-built experimental airplane to final approach in the traffic pattern when the engine lost total power. The pilot noticed that the propeller was not windmilling and attempted to restart the engine but was unsuccessful. Subsequently, the airplane impacted trees about 1,000 ft short of the runway threshold and sustained substantial damage to both wings. Postaccident examination of the engine revealed no evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation. However, examination of the fuel system revealed a clogged fuel filter on the left fuel line and a partially clogged fuel filter on the right fuel line. The pilot stated that he had the left fuel tank selected at the time of the accident. Laboratory spectrum analysis determined the material clogging the fuel filters was consistent with an epoxide used in resins and sealants. Although the spectrum of the clogging material did not match that of an uncured sample of the sealant used during manufacture of the airplane, this was likely due to the cured state of the clogging material. The epoxide likely deteriorated, with the fragments becoming loose and clogging the fuel filters.

Factual narrative

On March 30, 2022, about 1330 mountain standard time, an experimental amateur-built Cozy Mark IV, airplane, N294MV, was substantially damaged when it was involved in an accident near Tucson, Arizona. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that during the base turn to final, while descending at idle power, he noticed that the alternator indicator light was flashing and that there were no indications of engine rpm or manifold pressure. He further reported that there was no roughness or abnormal noise associated with the loss of power. The pilot immediately switched fuel tanks, confirmed that the boost pump was on, and noticed that the propeller was not windmilling. He attempted to restart the engine but was unsuccessful. Subsequently, the airplane impacted trees about 1,000 ft short of the runway threshold and sustained substantial damage to both wings. Postaccident examination of the engine revealed no evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation. However, examination of the fuel system revealed a clogged fuel filter on the left fuel line from the left fuel tank to the engine. The fuel filter on the right fuel line also had contamination but was only partially clogged. The pilot stated that he had the left fuel tank selected at the time of the accident and normally selects it while flying in the traffic pattern. A sample of the material that clogged the fuel filter was sent to the National Transportation Safety Board Materials Laboratory for analysis along with samples of two types of foams and uncured sealant material used in building the airplane for comparison. Spectrum analysis of the clogging material determined that its spectrum was consistent with an epoxide. A spectral library search found matches to several epoxy resins and sealants. The material sample did not match any of the samples submitted for comparison including the uncured sealant sample. However, the clogging material was noted to have cured based on its appearance and the similarities to the spectral matches found in the library search.

Aircraft

Registration
N294MV
Reported as
Robinson Michael E Cozy Mark IV
Category
Airplane, amateur-built
Serial number
0394
Built
2016
Airframe hours
32
Engine
Lycoming IO-360-A1A, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · September 17, 2021
Departed
AVO · Marana, AZ
Destination
Same as departure
Airport
RYN · Ryan Field Airport, runway 24R, 4,900 × 75 ft, asphalt

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
80
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
BasicMed, Without waivers/limitations
Last flight review
April 4, 2020
Seat
Left
Restraint
3-point
Flight hours
1,539.6 total · 32 in this make and model · 1,539.6 as pilot in command · 13.2 in the last 90 days · 8.9 in the last 30 days · 2.4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 34 °F
Altimeter
29.97 inHg
Observed at
KRYN
METAR
KRYN 302034Z 28010KT 10SM CLR 22/01 A2997 RMK ACFT MSHP

Docket · 5

The files NTSB released with the investigation on January 31, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 20.9 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.

Other investigations on N294MV · 1

Matched to the same aircraft by N-number and date.