Aviation Accident Summaries

Aviation Accident Summary CEN15FA315

Bristol, WI, USA

Aircraft #1

N9601

SANFORD ZENITH CH 601XL

Analysis

The pilot was flying his experimental, amateur-built airplane on a cross-country flight. GPS and radar data showed that, about an hour into the flight, the airplane turned left and then turned right. About 1 minute later, the airplane's groundspeed slowed to below its stall speed, and the airplane then entered a steep descent. Witnesses reported seeing the airplane "corkscrew" downward, and one witness reported that the propeller was "not spinning." Flight control continuity was confirmed, and witness marks on the propeller blades were consistent with the propeller not rotating at impact. A pilot who shared a hangar with the accident pilot reported that the accident pilot replaced the airplane's ignition system coils the day before the flight. Postaccident examination of the engine revealed that the coils were not engine-manufacturer replacement parts. During a postaccident test run, the engine would not start. During subsequent troubleshooting, the right distributor center coil tower socket was found separated; further examination revealed that it failed due to overload. The right ignition coil was then connected to the left distributor cap, and the engine operated normally during the subsequent test run. The broken right distributor cap was then replaced with a new cap, the right ignition coil was connected to the new cap, and the engine again operated normally during a subsequent test run. The left ignition coil did not produce any sparks during the test runs. No other anomalies were observed during the engine runs that would have prevented normal operation. The airplane likely experienced a loss of engine power due to the ignition issues, and the pilot failed to maintain adequate airspeed, which resulted in a subsequent stall and loss of airplane control.

Factual Information

HISTORY OF FLIGHTOn July 25, 2015, about 1117 central daylight time, a Sanford Zenith CH 601XL experimental amateur-built airplane, N9601, impacted terrain as it descended near the Binzel Airport (WI95), Bristol, Wisconsin. The private pilot and one passenger were fatally injured. The airplane sustained substantial damage. The airplane was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Day visual flight rules conditions prevailed for the flight, which did not operate on a flight plan. The flight originated from the Porter County Regional Airport (VPZ), near Valparaiso, Indiana, about 1017 and was destined for Oshkosh, Wisconsin. According to fueling records, the airplane was serviced with 16.7 gallons of aviation gasoline (avgas) at VPZ on July 25, 2015. According to GPS data, the accident airplane took off from VPZ about 1017. According to radar data from the Federal Aviation Administration (FAA), it appeared on radar about two miles northwest of Hobart Sky Ranch Airport, near Hobart, Indiana. Near the end of the flight, about 1115, the airplane turned left, and then about 1116, the airplane turned right. About 1117:20, the airplane's groundspeed began to slow and the airplane began to descend from 1,722 feet MSL to a last recorded GPS data point of 1,152 feet MSL. From 1117:20 until the end of the recording at 1117:32, the airplane's lateral position changed by about 600 feet. The data showed the airplane's groundspeed slowed to 45 knots and slower during the final recorded data points. A witness driving on a nearby highway said, "My sister and I were looking to the left at the scenery we were passing and saw a small white plane do two corkscrew-type twirls and dropped nose down behind the tree line out of sight. We think it occurred approximately 11:00 a.m. We did not see any explosion or hear any noise during the crash and thought it was a large model plane since it did not seem like the size of a small manned plane to us." Another witness who was working in the area reported that he saw a "bright shine" and then saw a small airplane. The airplane was "corkscrewing, going around, around, and around, maybe 10 times." He thought the airplane was not coming down to land. The witness said the propeller was "just sitting there, not spinning." He thought the event occurred about 1130, basing this on his completing the job he was working at the time. When the accident airplane did not reach its destination, a family member reported it missing. The Civil Air Patrol was contacted and asked to assist in locating the airplane. The airplane was found in an open field about 670 feet and 65 degrees from the north end of WI95's runway about 1228 on July 26, 2015. PERSONNEL INFORMATIONThe 69-year-old pilot held a FAA private pilot certificate with an airplane single-engine land rating. He also held a second-class medical certificate that was issued on August 27, 1979, with a limitation that he must wear corrective lenses. The pilot reported on the application for that medical certificate that he had accumulated 250 hours of total flight time and accumulated no flight time in six months prior to that application. According to a witness, the pilot received 10 hours of dual time in the airplane with a flight instructor to comply with an insurance requirement. The passenger did not hold a pilot certificate but had been reported to have taken flight training. AIRCRAFT INFORMATIONThe airplane, a Sanford Zenith CH 601XL, was an all-metal, two-seat side-by-side, fixed tricycle landing gear airplane. According to FAA airworthiness documents, the accident airplane was produced from a kit by a builder and it received an airworthiness certificate in the Experimental, Amateur Built category on July 2, 2008. The airplane was powered by a 120-horsepower, Jabiru 3300A engine with serial number 33A 1380, which drove a Sensenich composite, ground adjustable, two-bladed propeller. According to the kit manufacturer's website, the airplane's stall speed with no flaps extended was 51 mph (about 44.32 knots). The airplane was equipped with a Dynon FlightDEK-D180 seven-inch wide screen display unit. The unit's primary functions include attitude, airspeed, altitude, vertical speed, gyro-stabilized magnetic compass, slip/skid ball, turn rate, clock, timers, g-meter, and horizontal situation indicator. This instrument features ADAHRS (Air Data, Attitude and Heading Reference System), which integrates over a dozen solid-state sensors. The unit can continuously monitor up to 27 available sensor inputs that cover the engine, fuel and other miscellaneous systems and annunciate any abnormality immediately upon detection. The Dynon's internal memory is capable of logging data depending on the firmware version installed in the unit. The data logging must be configured by the operator to enable logging and set the data log interval. The unit can also be configured to start logging data automatically at boot-up. The data logging interval can be set to store at 1, 3, 5, 10, 30, or 60-second intervals. The internal memory can store at least 30 minutes of cumulative data at a 1-second recording interval or at least 30 hours at a 60-second data recording interval. When the recording limit in the internal memory is reached, the oldest record is dropped and a new record is added. The airplane was also equipped with a Garmin GPSMAP 396 unit. The unit is a battery-powered, portable 12-channel GPS receiver with a 3.8-inch 256-color TFT LCD display screen that can show a color moving-map and it has terrain-alerting features along with satellite datalink graphical weather. The unit includes a built-in Jeppesen database. The unit stores date, route-of-flight, and flight-time information. A flight record is triggered when groundspeed exceeds 30 knots and altitude exceeds 500 feet, and ends when groundspeed drops below 30 knots for 10 minutes or more. A detailed track log including latitude, longitude, date, time, and GPS altitude information is stored within the unit whenever the receiver has a lock on the GPS navigation signal. A witness, who shared a hangar with the accident pilot, purchased the accident airplane from an individual in Texas. At purchase, the airplane had damage to its propeller, leading edges, and horizontal stabilizer. He indicated that the airplane "got away" from the individual in Texas when he exited the airplane while running to close the hangar door. The airplane upgrade modification had been completed before being damaged and the airplane did not have an engine stoppage during the damaging event. The accident pilot and the witness did all the repairs to the airplane and had an airframe and powerplant mechanic look over the repairs as they progressed. The accident pilot registered the airplane. The mechanic did the annual inspection, and signed off the logbook. According to this witness, the airplane had known issues. In the year before the accident, on a flight from Louisville, Kentucky, to Phoenix, AZ, 10 minutes into the flight the accident pilot felt a vibration. He returned to the airport, removed the cowling, and troubleshot for the vibration issue. However, he could not find the cause. He subsequently did a run up, a few high-speed taxi tests, and determined it the airplane was okay to fly. He departed again and about an hour into this flight, he noticed the vibration return, so he landed at an airport. The pilot and witness inspected the airplane and found the engine to have a weak spark. The accident pilot bought replacement coils at a "mower shop" as he was told they were the same. They installed the newly purchased coils, the airplane subsequently ran with no issues, and the accident pilot returned without further incident. The accident pilot flew the airplane for several hours without any further coil issues. The witness indicated the condition inspection was completed on June 11, 2015. The witness stated that two problems were found that needed to be corrected. The nose wheel bushings were too short and needed to be replaced along with the propeller's locking washers. Both items were ordered and replaced. The accident airplane was flown for several hours with no issues. The accident pilot wanted the cold start coils option and he ordered them. The witness reported that the pilot was going to install the cold start coils. The witness got the news of the pilot's missing airplane on Sunday afternoon, the day after the accident. The witness went to the airport and learned the passenger helped the pilot replace the coils on Friday, the day before the accident. The witness found the cold start coil on the workbench and the coil exhibited wear on one side of the pick-up along with a purple spot. The witness indicated that the proper way to install the coils is by use of two feeler gauges. The flywheel magnets are very strong and without two gauges, it can allow one side to move while tightening the other. The witness thought that the accident pilot and passenger only had one feeler gauge. The witness reported that he had built three Zenith 601s and had completed 20 upgrade modifications for the kit manufactured. He further indicated that the accident airplane was "solid" and the engine was "strong." METEOROLOGICAL INFORMATIONAt 1135, the recorded weather at the Kenosha Regional Airport, near Kenosha, Wisconsin, was: wind 310 degrees at 9 knots; visibility 10 statute miles; sky condition scattered clouds at 2,000 feet, broken clouds at 4,000 feet; temperature 28 degrees C; dew point 23 degrees C; altimeter 29.94 inches. AIRPORT INFORMATIONThe airplane, a Sanford Zenith CH 601XL, was an all-metal, two-seat side-by-side, fixed tricycle landing gear airplane. According to FAA airworthiness documents, the accident airplane was produced from a kit by a builder and it received an airworthiness certificate in the Experimental, Amateur Built category on July 2, 2008. The airplane was powered by a 120-horsepower, Jabiru 3300A engine with serial number 33A 1380, which drove a Sensenich composite, ground adjustable, two-bladed propeller. According to the kit manufacturer's website, the airplane's stall speed with no flaps extended was 51 mph (about 44.32 knots). The airplane was equipped with a Dynon FlightDEK-D180 seven-inch wide screen display unit. The unit's primary functions include attitude, airspeed, altitude, vertical speed, gyro-stabilized magnetic compass, slip/skid ball, turn rate, clock, timers, g-meter, and horizontal situation indicator. This instrument features ADAHRS (Air Data, Attitude and Heading Reference System), which integrates over a dozen solid-state sensors. The unit can continuously monitor up to 27 available sensor inputs that cover the engine, fuel and other miscellaneous systems and annunciate any abnormality immediately upon detection. The Dynon's internal memory is capable of logging data depending on the firmware version installed in the unit. The data logging must be configured by the operator to enable logging and set the data log interval. The unit can also be configured to start logging data automatically at boot-up. The data logging interval can be set to store at 1, 3, 5, 10, 30, or 60-second intervals. The internal memory can store at least 30 minutes of cumulative data at a 1-second recording interval or at least 30 hours at a 60-second data recording interval. When the recording limit in the internal memory is reached, the oldest record is dropped and a new record is added. The airplane was also equipped with a Garmin GPSMAP 396 unit. The unit is a battery-powered, portable 12-channel GPS receiver with a 3.8-inch 256-color TFT LCD display screen that can show a color moving-map and it has terrain-alerting features along with satellite datalink graphical weather. The unit includes a built-in Jeppesen database. The unit stores date, route-of-flight, and flight-time information. A flight record is triggered when groundspeed exceeds 30 knots and altitude exceeds 500 feet, and ends when groundspeed drops below 30 knots for 10 minutes or more. A detailed track log including latitude, longitude, date, time, and GPS altitude information is stored within the unit whenever the receiver has a lock on the GPS navigation signal. A witness, who shared a hangar with the accident pilot, purchased the accident airplane from an individual in Texas. At purchase, the airplane had damage to its propeller, leading edges, and horizontal stabilizer. He indicated that the airplane "got away" from the individual in Texas when he exited the airplane while running to close the hangar door. The airplane upgrade modification had been completed before being damaged and the airplane did not have an engine stoppage during the damaging event. The accident pilot and the witness did all the repairs to the airplane and had an airframe and powerplant mechanic look over the repairs as they progressed. The accident pilot registered the airplane. The mechanic did the annual inspection, and signed off the logbook. According to this witness, the airplane had known issues. In the year before the accident, on a flight from Louisville, Kentucky, to Phoenix, AZ, 10 minutes into the flight the accident pilot felt a vibration. He returned to the airport, removed the cowling, and troubleshot for the vibration issue. However, he could not find the cause. He subsequently did a run up, a few high-speed taxi tests, and determined it the airplane was okay to fly. He departed again and about an hour into this flight, he noticed the vibration return, so he landed at an airport. The pilot and witness inspected the airplane and found the engine to have a weak spark. The accident pilot bought replacement coils at a "mower shop" as he was told they were the same. They installed the newly purchased coils, the airplane subsequently ran with no issues, and the accident pilot returned without further incident. The accident pilot flew the airplane for several hours without any further coil issues. The witness indicated the condition inspection was completed on June 11, 2015. The witness stated that two problems were found that needed to be corrected. The nose wheel bushings were too short and needed to be replaced along with the propeller's locking washers. Both items were ordered and replaced. The accident airplane was flown for several hours with no issues. The accident pilot wanted the cold start coils option and he ordered them. The witness reported that the pilot was going to install the cold start coils. The witness got the news of the pilot's missing airplane on Sunday afternoon, the day after the accident. The witness went to the airport and learned the passenger helped the pilot replace the coils on Friday, the day before the accident. The witness found the cold start coil on the workbench and the coil exhibited wear on one side of the pick-up along with a purple spot. The witness indicated that the proper way to install the coils is by use of two feeler gauges. The flywheel magnets are very strong and without two gauges, it can allow one side to move while tightening the other. The witness thought that the accident pilot and passenger only had one feeler gauge. The witness reported that he had built three Zenith 601s and had completed 20 upgrade modifications for the kit manufactured. He further indicated that the accident airplane was "solid" and the engine was "strong." WRECKAGE AND IMPACT INFORMATIONThe airplane came to rest upright about one-quarter mile and 110 degrees from the intersection of 60th Street and 172nd Avenue in Bristol. The airplane's resting heading was about 310 degrees. One propeller blade remained intact and attached to the hub and the other blade was broken into three sections. The inboard section remained attached to the hub. The outboard blade section was found embedded in terrain about eight feet north of the hub. The embedded blade section exhibited abrasions perpendicular to the blade's chord. The intact blade exhibited no abrasions. The empennage remained attached to the fuselage. The top of the rudder was displaced rearward and it exhibited a wrinkle deformation below that displacement. Both wings exhibited chrodwise wrinkle deformations inboard of their app

Probable Cause and Findings

The pilot’s failure to maintain airspeed and airplane control following a loss of engine power during cruise flight. Contributing to the accident was the installation of ignition system coils that were not engine-manufacturer replacement parts, which subsequently failed and resulted in the loss of engine power.

 

Source: NTSB Aviation Accident Database

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