N1301H

Substantial
None

AERONCA 15ACS/N: 15AC-325

Accident Details

Date
Friday, June 6, 2014
NTSB Number
ANC14LA038
Location
Talkeetna, AK
Event ID
20140606X55628
Coordinates
62.517223, -150.945281
Aircraft Damage
Substantial
Highest Injury
None
Fatalities
0
Serious Injuries
0
Minor Injuries
0
Uninjured
1
Total Aboard
1

Probable Cause and Findings

Maintenance personnel’s failure to perform required fuel system tests to ensure that the airplane met its original type certification basis after modifying the fuel system and the Federal Aviation Administration’s improper approval of the fuel tank modification via the field approval process during which it did not ensure that the required fuel system tests were performed, which led to the pilot’s inability to determine the airplane’s actual amount of usable and unusable fuel and the subsequent loss of engine power due to fuel starvation.

Aircraft Information

Registration
Make
AERONCA
Serial Number
15AC-325
Engine Type
Reciprocating
Year Built
1949
Model / ICAO
15ACAB11
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1
Seats
4
FAA Model
15AC

Registered Owner (Current)

Name
FAIR DAVID E
Address
2019 SARATOGA AVE
City
ANCHORAGE
State / Zip Code
AK 99517-1309
Country
United States

Analysis

On June 5, 2014, about 2130 Alaska daylight time, a tundra tire-equipped Aeronca 15AC Sedan airplane, N1301H, sustained substantial damage during an emergency landing, following a partial loss of engine power, at the Dollar Creek Airstrip, near Talkeetna, Alaska. The airplane was being operated by the pilot as a visual flight rules (VFR) cross-country personal flight under the provisions of Title 14, CFR Part 91, when the accident occurred. The certificated private pilot was not injured. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight departed Lake Hood Airstrip, Anchorage, Alaska, about 2000, en route to Talkeetna, via Pika Glacier.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on June 6, the pilot stated that the purpose of the flight was to check on his son who was participating in a mountaineering class, and was camped on Pika Glacier. He said that he had exhausted the fuel out of the left fuel tank and was operating on the right fuel tank, with about 12 gallons remaining. After circling his son's camp twice at approximately 8,000 feet mean sea level (msl), he departed for Talkeetna when the engine lost all power. In an effort to restore engine power, he switched fuel tanks, applied carburetor heat, and pumped the throttle. The engine sputtered, followed by a total loss of engine power. He turned towards the nearest landing site; Dollar Creek airstrip, located approximately 15 miles southeast, at an elevation of about 800 feet, and was able to restore intermittent engine power by continuing to pump the throttle and rocking the wings. While performing an emergency landing to the Dollar Creek airstrip the engine sputtered, giving the airplane a short burst of power and he "overshot" the intended landing area. The airplane overran the departure end of the runway, and nosed over sustaining substantial damage to the rudder and left wing lift strut.

According to personnel who recovered the airplane from the accident site, the airplane came to rest inverted, and there did not appear to be any fuel on the ground or vegetation at the accident site. Approximately 8 gallons of aviation fuel was removed from the right fuel tank, and there was no fuel remaining in the left fuel tank.

A review of the airplane's maintenance records revealed that the fuel tanks had been modified in accordance with a Federal Aviation Administration (FAA) Form 337, (major repair and alteration) dated July 2, 1997. The FAA approved modification allowed the installation of two 24 gallon aluminum alloy fuel tanks that replaced the original bladder tanks. The FAA form 337, description of work accomplished, stated in part: "Installed 24 gallon aluminum alloy fuel tanks instead of original bladder tanks. Tanks manufactured in same manner as Monananis STC'd tank, except 55 inches long and made of thicker material, (.060), and baffle installed at center of tank. All other fuel system installation, plumbing etc., remains as original and fuel management procedures remain unaltered except for quantities."

A detailed review of the FAA form 337 revealed that during the approval process there were no fuel flow tests, usable/unusable fuel quantity calculations, placarding or flight manual supplements referenced in the description of work when the tanks were installed. A copy of the FAA form 337 is available in the public docket for this accident.

On July 2, 1997 a FAA safety inspector from the Anchorage Flight Standards District Office (FSDO) approved the fuel tank modification stating "The alteration herein complies with the applicable airworthiness requirements and is approved for the above described aircraft, subject to conformity inspection by a person authorized in FAR Part 43".

The Aeronca 15AC Sedan was certificated under Civil Air Regulations (CAR) Part 03, effective Dec 15, 1946.

FAA Order 8300.16, Major Repair and Alteration Data Approval, Chapter 5, Section 5-2 Approval of Major Alterations under the Civil Air Regulations (CAR) states in part: "For field-approved major alterations to aircraft, engines, and propellers certificated under the CAR, the maintenance information must meet the original certification basis."

CAR 03.4220 Fuel flow rate, states in part: "The ability of the fuel system to provide the required fuel flow rate and pressure shall be demonstrated when the airplane is in the attitude which represents the most adverse condition from the standpoint of fuel feed and quantity of unusable fuel in the tank."

CAR 03.4221 Determination of unusable fuel supply and fuel system operation on low fuel, states in part: "The unusable fuel supply for each tank shall be established as not less than the quantity at which the first evidence of malfunctioning occurs under the conditions specified below." It goes on to state that: "In all such cases, information regarding the conditions under which the full amount of usable fuel in the tank can safely be used shall be made available to the operating personnel by means of a suitable placard or instructions in the Airplane Flight Manual."

CAR 03.423 Fuel tanks, states in part: "The unusable capacity shall be considered to be the minimum quantity of fuel which will permit compliance with the provisions of 03.4221."

CAR 03.4252 Fuel Strainer, states in part: "A fuel strainer shall be provided between the tank outlet and the carburetor inlet." It goes on to state that: "The strainer shall be accessible for drainage and cleaning, and the strainer screen shall be removable."

On June 12, 2014 the NTSB IIC, another NTSB investigator, along with two FAA safety inspectors from the Anchorage FSDO examined the engine at Lake Hood Airstrip after the airplane had been recovered. No preaccident engine anomalies were noted.

The airplane's fuel supply system was examined for anomalies as well. The fuel vent system had been modified to an under wing vent, and the original fuel selector that consisted of options for selecting on and off only, had been modified to include options for selecting both, or left and right tanks individually. The fuel drain, located at the bottom of the gascolator had been replaced with a brass plug. About three ounces of fuel was recovered from the gascolator. The fuel was light blue in color and appeared dirty. The gascolator was contaminated with rust-like particulate matter; the fuel screen strainer was dirty but not blocked. No obstructions to the fuel supply system were noted from either fuel tank to the carburetor, and no obstruction of the fuel vent system was noted.

Examination of the airplane's wing fuel tanks on June 21, by the NTSB IIC, another NTSB investigator, and a representative of the airframe manufacturer revealed that the internal baffle on the left tank had half-moon lightening holes at the bottom of the fuel baffle. The right tanks internal baffle lightening holes started approximately 1 inch from the bottom of the tank, and the baffle fit tight against the bottom of the fuel tank. Each tank was placarded near the filler cap on the exterior of the wing "USABLE 24 GAL." The fuel selector inside the cockpit was placarded "36 GAL." No header tank was present in the fuel system, nor was one required.

An engineer from the FAA aircraft certification office (ACO) Anchorage, Alaska told the NTSB IIC that by measuring a supplemental type certificate approved (STC) metal tank, and extrapolating the measurements from the FAA form 337 he estimated the total fuel to be 22.5 gallons and the unusable fuel to be about four to five gallons per fuel tank.

The closest weather reporting facility is at the Talkeetna Airport, Talkeetna about 30 miles east of the accident site. About 23 minutes after the accident, at 2153, an aviation routine weather report (METAR) reported in part: wind from 210 degrees, at 5 knots, visibility, 10 statute miles; sky, clear; temperature, 59 degrees F; dew point 36, degrees F; altimeter, 30.04 inHg.

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ANC14LA038