WPR22LA262

NTSB accident investigation · Maule M-5-235C · Three Forks, MT · July 20, 2022

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 20, 2022, 08:15 local (14:15 UTC)
Place
Three Forks, MT
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N6224MMaule M-5-235C
Defining event
Approach-VFR pattern downwind: 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
FAA
FAA report
20220720012829A
Case key
105536

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 loss of engine power due to degraded and incorrectly maintained ignition system components. Contributing to the accident was the pilot’s delay in turning the airplane towards the runway when the engine began to lose power.

Findings · 3

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.

Ignition system: magneto/distributorAircraft › Aircraft power plant · Incorrect service/maintenanceMaule M-5-235C: 1 caseAll aircraft: 101 casesProbable cause
Ignition system: ignition system wiringAircraft › Aircraft power plant · Incorrect service/maintenanceMaule M-5-235C: 1 caseAll aircraft: 16 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 the first flight after the installation of avionics, and an overhauled engine, the engine started to lose power in the traffic pattern. The pilot continued to fly straight in the downwind leg of the traffic pattern and attempted to troubleshoot the problem. Despite his actions, he was unable to regain engine power and subsequently pitched for best glide and made a 180° right turn to land on the runway. By this time, the airplane had traveled too far on the downwind leg, and the airplane landed short of the runway. Postaccident examination of the engine’s single-drive dual magneto revealed that the right magneto capacitor wire was attached utilizing an automotive terminal, however, the wire had separated from the crimped portion of the terminal. Additionally, the left magneto P-lead had areas of exposed wire, which grounded the left magneto and prevented its operation. The compounded anomalies, on both the left and right magnetos, would have resulted in a total loss of engine power.

Factual narrative

On July 20, 2022, about 0815 mountain daylight time, a Maule M-5-235C, N6224M, sustained substantial damage when it was involved in an accident in Three Forks, Montana. The commercial pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, who held a mechanic certificate with airframe and powerplant ratings with inspection authorization, the accident flight was the first flight following an engine and magneto overhaul, in addition to the installation of new avionics. He reported his completion of several engine test runs and multiple full-power, high-speed test runs. Confident of the engine’s performance, the pilot departed on the local flight and continued with engine break-in procedures. He conducted several flight maneuvers and the engine operated normally. With the intent to land, he was established in the right traffic downwind leg of the airport traffic pattern when he noticed that the engine rpm was winding down slowly. He attempted to troubleshoot the anomaly without success. He pitched for best glide with no flaps applied and made a right 180° turn for runway 03. However, the airplane’s sink rate was too high to land on the runway. The airplane touched down about 1,000 ft short of the runway threshold on an unplowed pasture and collided with a barbed wire fence. The airplane sustained substantial damage to its longerons near the wing’s attach points, the left-wing spar, and lift struts. The postaccident examination of the engine’s single-drive dual magneto revealed that the right magneto capacitor wire was attached utilizing an automotive-style terminal, that was bent 90°, rather than a right-angle flag terminal. Further examination revealed that the wire had separated within the crimped section of the terminal. The left magneto P-lead was deteriorated, and had an area of exposed wire that resulted in a ground fault when the P-lead was tested with a multimeter. The pilot reported that he could have avoided the accident if he had immediately turned toward the runway when the engine began losing power, rather than continuing the downwind leg while troubleshooting.

Aircraft

Registration
N6224M
Reported as
Maule M-5-235C
Category
Airplane
Serial number
7196C
Built
1978
Airframe hours
569.2
Engine
Lycoming O-540-J1A5D, 235 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
David A. Shapiro -Trustee
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 5, 2022 · 1 hours before
Destination
Same as departure
Airport
9S5 · Three Forks, runway 03, 5,099 × 60 ft, asphalt
Equipment
ADS-B, Electronic multifunction display, Electronic primary flight display, Stall warning system

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
71
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
March 31, 2021
Seat
Left
Restraint
3-point
Flight hours
6,210 total · 2,546 in this make and model · 5,938 as pilot in command · 7 in the last 90 days · 5 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
59 °F, dew point 43 °F
Altimeter
30.19 inHg
Observed at
KBZN, 18 nm away
METAR
KBZN 201356Z 07003KT 10SM CLR 15/06 A3019 RMK AO2 SLP184 T01500061

Docket · 6

The files NTSB released with the investigation on May 2, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 21.1 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 N6224M · 1

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