WPR22LA211

NTSB accident investigation · Rans S21 · Fairfield, UT · June 9, 2022

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
June 9, 2022, 10:45 local (16:45 UTC)
Place
Fairfield, UT
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N46JHRans S21
Defining event
Initial climb: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
FAA-SLC, Rotax-Rotech Flight Safety
FAA report
20220609010189A
Case key
105241

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 owner’s (pilot) failure to properly torque a fuel filter b-nut fitting, which likely introduced air into the fuel system and resulted in a loss of engine power. Contributing to the loss of power was a missing restricted bypass line and a header tank vent line, which would have allowed the venting of air from the fuel system.

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.

Fuel system: fuel distributionAircraft › Aircraft systems · Incorrect service/maintenanceJames L Harvey RANS DESIGNS S-21: 1 caseAll aircraft: 141 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelJames L Harvey RANS DESIGNS S-21: 1 caseAll aircraft: 371 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 was conducting a test flight following recent maintenance when, shortly after departing, the engine began to lose power. He performed a forced landing on airport property, during which the airplane landed hard and sustained substantial damage. Postaccident examination of the engine revealed that the fuel filter b-nut fitting was not properly torqued, which likely introduced air into the fuel system. Additionally, there was no restricted bypass line between the inlet (pressure side of the fuel pump module) and the return line and no vent line from the header tank, both of which would have allowed the venting of air from the fuel system. Based on this evidence, it is likely that the loose fuel filter b-nut allowed the air into the fuel system that could not be properly vented due to the lack of a restricted bypass line and vent line, which ultimately resulted in the loss of engine power.

Factual narrative

On June 9, 2022, about 1045 mountain daylight time, an experimental, amateur-built Rans Designs S-21 airplane, N46JH, was substantially damaged when it was involved in an accident near Fairfield, Utah. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot who also performed the maintenance on the airplane reported that the accident flight was a test flight following recent maintenance, during which a turbocharger air duct elbow, new fuel pumps, and fuel filters were installed. An engine run-up indicated that all systems, including fuel pressure, were normal. During the takeoff, about 150 ft above ground level, the engine lost power. The pilot maneuvered the airplane and landed hard on airport property during the forced landing. The left landing gear strut collapsed and the left elevator and forward fuselage sustained substantial damage. Postaccident examination of the airframe and engine revealed that there was no restricted bypass line between the inlet (pressure side of the fuel pump module) and the return line and no vent line from the header tank. The inlet b-nut fitting to the fuel filter assembly was finger loose. Fuel dripped from the fitting during the initial turns of the fitting. A 40-micron in-line low flow fuel filter was attached to the high-pressure side of the fuel system after the fuel pump. The filter was removed and disassembled. Small amounts of contaminants, consistent with the O-ring sealant, was noted in the filter cavity. Airflow was restricted when blown air was applied to the powdered sintered material filter. Borescope examination of the engine cylinders revealed damage consistent with detonation. No other damage or anomalies were noted during the borescope examination. Data downloaded from onboard avionics revealed a fuel flow that was not consistent with the fuel pressure during throttle movement. Per the Rotax Installation Manual, the purpose of the bypass line is to allow venting of the fuel system after a potential inclusion of air. A restricted bypass line may be installed between the inlet (pressure side of the fuel pump module) and the return line. In this bypass line, a restricted jet should be installed to achieve an ideal balance between short venting time and minimum fuel flow rate. The positioning and dimensioning of the jet are up to the aircraft manufacturer. If no bypass line is installed, the pressure release in the fuel lines is very slow. This should be noted accordingly in the manuals of the aircraft manufacturer (fuel lines are possibly under full operating pressure even after engine stop).

Aircraft

Registration
N46JH
Reported as
Rans S21
Category
Airplane, amateur-built
Serial number
02200084
Built
2021
Airframe hours
81
Engine
Rotax 915iS, 141 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Harvey James L
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Unknown · September 22, 2021 · 81 hours before
Destination
Same as departure
Airport
UT9 · West Desert Airpark, runway 17, 2,600 × 24 ft, asphalt
Equipment
Angle of attack indicator, ADS-B, Electronic flight bag or handheld device, Data recorder, Auto-pilot

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
75
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
December 22, 2021
Seat
Left
Flight hours
329 total · 73 in this make and model · 99 as pilot in command · 25 in the last 90 days · 3 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
20,000 ft broken
Temperature
73 °F, dew point 45 °F
Altimeter
30.08 inHg
Icing
Unknown
Turbulence
Unknown
Observed at
KPVU, 17 nm away
METAR
KPVU 091556Z VRB03KT 10SM BKN200 23/07 A3008 RMK AO2 SLP130 T02280067

Docket · 10

The files NTSB released with the investigation on April 25, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 70.5 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.