Aviation Accident Summaries

Aviation Accident Summary CEN18LA064

Paulding, OH, USA

Aircraft #1

N4JW

PIPISTREL DOO AJDOVSCINA VIRUS SW

Analysis

The airline transport pilot was conducting a local flight in his motor-powered glider. The pilot had the right fuel tank selected and was flying in a counterclockwise direction around a ground reference point when the engine began to lose power. The pilot switched fuel tanks with no improvement and selected a nearby road for a forced landing. During the landing roll on the ice-covered road, the glider's left wing impacted a bush, and the glider exited the road; the nosewheel broke off when it impacted a ditch. The flight manual indicated that all basic nonaerobatic maneuvers are permitted within the operational speed range, which included steep turns with a maximum bank of 60°. The recommended fuel, per the flight manual, was an unleaded super grade. A warning directed that use of fuel with alcohol content and/or other additives is not permitted. Testing of recovered fuel revealed that it contained about 5% alcohol. However, examination of the fuel system revealed no evidence of preimpact malfunctions or failures that would have precluded normal operation, and the engine was operational during a postaccident engine run. Although the pilot reported the glider had 5 to 6 gallons of fuel in each of the two main tanks, a second engine test run was conducted where the engine was intentionally fuel starved. Data from the avionics and engine computers were then downloaded, plotted, and compared to data from the accident flight. Both the accident data and the fuel starvation test data similarly showed the engine began to run roughly as the rpm and fuel flow began to fluctuate. Additionally, avionics data showed that both the accident flight data and the fuel starvation test run data had similar indications. The glider's GPS tracked the accident flight from the point of takeoff to the point of the forced landing. This GPS data and the engine data were plotted to determine where the fluctuating engine rpm consistent with engine roughness and the loss of engine power occurred. The glider departed, climbed, and made multiple left turns with multiple altitude changes. The data showed the glider was in a left climbing turn when the engine began to lose power after fluctuations in engine rpm. Based on the available data, it is likely the fuel unported during the glider's climbing turn, which resulted in fuel starvation and the loss of engine power.

Factual Information

HISTORY OF FLIGHTOn December 28, 2017, about 1630 eastern standard time, a Pipistrel Doo Ajdovscina Virus SW motorized glider, N4JW, impacted terrain during a forced landing on a road following a loss of engine power near Paulding, Ohio. The airline transport pilot, who was the sole occupant, was uninjured. The glider sustained substantial wing damage when it exited the road and impacted vegetation and rough terrain. The glider was registered to and operated by the pilot as a Title 14 Code of Federal Regulations Part 91 personal flight. Day visual meteorological conditions prevailed in the area about the time of the accident, and the flight was not operated on a flight plan. The local flight originated from a private airport near Paulding, Ohio, about 1555. The pilot reported the glider had 5 to 6 gallons of fuel in each of the two main tanks. In the right tank was 1 to 2 gallons of 100 low lead (LL) aviation gasoline and 5 gallons of "high test" automotive fuel. In the left tank was 5 gallons of 100LL as indicated by the fuel gauge sight tubes. The pilot had the right tank selected. He was flying in a counterclockwise direction around a ground reference point when the engine began to run rough. The glider engine indications showed fuel consumption at 1.7 gph at 4,500 rpm and 17 inches of mercury and an oil temperature of 173° F The pilot increased manifold pressure, turned on the auxiliary boost pump, and switched fuel tanks. The engine roughness increased so he switched back to the right fuel tank and for a few seconds the engine operation seemed better. The pilot turned toward a private airstrip that was 3 miles east of his location. He was losing altitude and fighting a headwind. Realizing that he was not going to reach the airstrip, he selected a nearby road for a forced landing. The road was ice covered and provided very little braking. During rollout, the glider's left wing struck a bush just before a railroad crossing. The glider subsequently turned left and impacted a ditch where the glider's nose wheel broke off. The glider came to rest on the north side of the railroad tracks about 30 ft west of the road. AIRCRAFT INFORMATIONAccording to the glider's flight manual, the Virus SW was certified as a Microlight/Ultralight aircraft and is equipped with a 100 horsepower, fuel injected Rotax 912 iS engine, and MT Propeller model MTV-33 propeller. The Rotax 912 iS engine is equipped with two sets of fuel injectors, two electrical generators, two engine computers (ECU), dual ignition, and dual high-pressure electrical fuel pumps. The fuel system fuel selector is centrally located, with two feeds and two return lines, which incorporate quick disconnect fittings. The fuel selector has L[eft], R[right], and OFF positions. Electrical System The glider's electrical system is controlled by the engines fuse box and ECUs. The engine is equipped with two integrated permanent-magnet electric generators, which do not require any outside voltage to be applied for their function. Generator 1 is a 20-amp main generator, which powers all of the engine's vital systems as the ignition, fuel pumps, fuel injectors, and ECUs. Generator 2 is the on-board generator, which powers all of the avionics and glider systems to include the electrical constant speed propeller and instrument panel illumination. There are warning lights that indicate the malfunction of a certain generator; however, the fuse box is able to bridge loads from Generator 1 to Generator 2 in case of a failure automatically, to keep the engine running. The pilot cannot manually select Generator 1 or Generator 2 to be in function. In the event that Generator 1 fails, and Generator 2 is overloaded when supporting both the engine and avionics, the system will de-rate power on the avionics bus. Turning the emergency battery switch ON will bring the battery into the system to support the electrical load. During normal engine operation, with Generator 1 and Generator 2 functioning normally, the battery is charged by the system and not used to support loads. The only sources of electrical power during normal operations are the generators. The emergency battery switch when turned ON is also able to support the operation of the engine and other on-board loads for up to 30 minutes. Operating Limitations Per the flight manual, all basic non-aerobatic maneuvers are permitted within the operational speed range, which includes steep turns with a maximum bank of 60° and initial speed of 160 km/h (85 kts). The flight manual also states that, due to flight safety reasons, it is forbidden to fly when the outside air temperature reaches 40°C or higher and perform any form of aerobatic flying. There is no limitation listed for a minimum temperature. The recommended fuel is an unleaded super grade with a research octane number rating of 95 (anti-knock index 912 and up) and no alcohol content. Also approved are leaded fuels or AVGAS 100LL; however, use of these fuels reduces engine life. An engine oil change every 50 flight hours is crucial if leaded fuel is used. And the flight manual warns that use of fuel with alcohol content and/or other additives is not permitted. Emergency Procedures Rough engine operation or engine failure in flight The flight manual states in part: First ensure proper airspeed (64 kts), then start analyzing terrain underneath and choose the most appropriate runway or site for landing out. Provided the engine failed aloft, react as follows: Make sure the master switch is in the ON position, Fuel selector to fuller tank. Fuel pumps - set both ON. Attempt to restart the engine. If unsuccessful, begin with the landing out procedure immediately. Engine failures The flight manual states in part: LANE failures Failure modes of LANEs are indicated with 2 (two) LANE LED lights, designated LANE A and LANE B on the main electrical panel. The lights indicate three modes: LED OFF - proper healthy operation, no malfunction LED intermittent (blinking) - abnormal operation, pilot is advised to manually switch to the remaining healthy LANE. It is recommended to land soon and inspect engine systems to discover fault LED ON (permanent) - LANE failure, pilot MUST manually switch over to healthy LANE and end as soon as possible. Fuel Pump The glider's fuel system uses two redundant high-pressure fuel pumps. If a pump fails, the other pump takes over its role. Only one functional pump is required for the engine to function normally. In the case of a pump failure, the pilot should switch over to the other pump. Should the engine quit before the pump is activated, the pilot should restart engine normally. Should both fuel pumps fail, the engine cannot be restarted as not enough fuel pressure is produced. AIRPORT INFORMATIONAccording to the glider's flight manual, the Virus SW was certified as a Microlight/Ultralight aircraft and is equipped with a 100 horsepower, fuel injected Rotax 912 iS engine, and MT Propeller model MTV-33 propeller. The Rotax 912 iS engine is equipped with two sets of fuel injectors, two electrical generators, two engine computers (ECU), dual ignition, and dual high-pressure electrical fuel pumps. The fuel system fuel selector is centrally located, with two feeds and two return lines, which incorporate quick disconnect fittings. The fuel selector has L[eft], R[right], and OFF positions. Electrical System The glider's electrical system is controlled by the engines fuse box and ECUs. The engine is equipped with two integrated permanent-magnet electric generators, which do not require any outside voltage to be applied for their function. Generator 1 is a 20-amp main generator, which powers all of the engine's vital systems as the ignition, fuel pumps, fuel injectors, and ECUs. Generator 2 is the on-board generator, which powers all of the avionics and glider systems to include the electrical constant speed propeller and instrument panel illumination. There are warning lights that indicate the malfunction of a certain generator; however, the fuse box is able to bridge loads from Generator 1 to Generator 2 in case of a failure automatically, to keep the engine running. The pilot cannot manually select Generator 1 or Generator 2 to be in function. In the event that Generator 1 fails, and Generator 2 is overloaded when supporting both the engine and avionics, the system will de-rate power on the avionics bus. Turning the emergency battery switch ON will bring the battery into the system to support the electrical load. During normal engine operation, with Generator 1 and Generator 2 functioning normally, the battery is charged by the system and not used to support loads. The only sources of electrical power during normal operations are the generators. The emergency battery switch when turned ON is also able to support the operation of the engine and other on-board loads for up to 30 minutes. Operating Limitations Per the flight manual, all basic non-aerobatic maneuvers are permitted within the operational speed range, which includes steep turns with a maximum bank of 60° and initial speed of 160 km/h (85 kts). The flight manual also states that, due to flight safety reasons, it is forbidden to fly when the outside air temperature reaches 40°C or higher and perform any form of aerobatic flying. There is no limitation listed for a minimum temperature. The recommended fuel is an unleaded super grade with a research octane number rating of 95 (anti-knock index 912 and up) and no alcohol content. Also approved are leaded fuels or AVGAS 100LL; however, use of these fuels reduces engine life. An engine oil change every 50 flight hours is crucial if leaded fuel is used. And the flight manual warns that use of fuel with alcohol content and/or other additives is not permitted. Emergency Procedures Rough engine operation or engine failure in flight The flight manual states in part: First ensure proper airspeed (64 kts), then start analyzing terrain underneath and choose the most appropriate runway or site for landing out. Provided the engine failed aloft, react as follows: Make sure the master switch is in the ON position, Fuel selector to fuller tank. Fuel pumps - set both ON. Attempt to restart the engine. If unsuccessful, begin with the landing out procedure immediately. Engine failures The flight manual states in part: LANE failures Failure modes of LANEs are indicated with 2 (two) LANE LED lights, designated LANE A and LANE B on the main electrical panel. The lights indicate three modes: LED OFF - proper healthy operation, no malfunction LED intermittent (blinking) - abnormal operation, pilot is advised to manually switch to the remaining healthy LANE. It is recommended to land soon and inspect engine systems to discover fault LED ON (permanent) - LANE failure, pilot MUST manually switch over to healthy LANE and end as soon as possible. Fuel Pump The glider's fuel system uses two redundant high-pressure fuel pumps. If a pump fails, the other pump takes over its role. Only one functional pump is required for the engine to function normally. In the case of a pump failure, the pilot should switch over to the other pump. Should the engine quit before the pump is activated, the pilot should restart engine normally. Should both fuel pumps fail, the engine cannot be restarted as not enough fuel pressure is produced. WRECKAGE AND IMPACT INFORMATIONFederal Aviation Administration (FAA) inspectors examined and documented the wreckage at the scene. The left wing tip sustained crush damage and had embedded ground vegetation and broken branches. Snow on the ground showed linear depressions that led from the roadway and ended at the wreckage. ADDITIONAL INFORMATIONIn his written statement to the NTSB, the pilot related, in part that, "After a great deal of thought, I am very upset about the time wasted trying to read the fuel gauges (sight tubes for fuel overhead in the Virus airplane). Years of flying would say to check the fuel quantity at a loss of power with no other indication is the lack of fuel. In-flight with the engine running rough it is virtually impossible to read the site gauges late in the day with us unload in the west. Neither the left nor the right sight gauge was readable. Having flown the BD/Grumand single engine aircraft for many hours their site gage with the contrasting color little bead in the sight tube is a huge improvement compared to looking for the meniscus of the fuel. From the Dictionary is the definition of meniscus ((physics) the curved upper surface of a non-turbulent liquid in a vertical tube). The keyword here I feel is non-turbulent." FLIGHT RECORDERSThe glider was equipped with two Dynon SV-HDX1100 units. The units have a 10-inch screen with both a touchscreen and softkey interface. The Dynon units can serve as either a Primary Flight Display (PFD) or a Multifunction Display (MFD) depending on installation. The units have a solid-state Air Data and Attitude Heading Reference System (ADAHRS) that displays glider parameter data including altitude, airspeed, attitude, vertical speed, and heading. The units also have external pitot/static inputs for altitude, airspeed, and vertical speed information. The units contain an internal flash memory device that stores information sampled every 60 milliseconds for the last two hours of flight in a file called a "Black Box Log." Detailed alert logs that show both caution, warning and aural alerts generated by the display are stored in a file called "Alert Data," as well as a flight history log, which is sampled at a lower rate that can record many more hours of operation. The flight history is recorded as a file called "User Log" and is sampled about every 130 milliseconds. TESTS AND RESEARCHThe glider was recovered to the owner's hangar and later examined by quarantined there. FAA inspectors, a technical advisor from the engine manufacturer, and the National Transportation Safety Board (NTSB) investigator-in-charge (IIC). The Dynon units were removed. The ECU was downloaded and subsequently removed. The contents of both fuel tanks were checked for water with color cut paste and no water was detected. The paste was checked for its ability to detect water and it subsequently indicated the presence of water when water was applied to it. The auto fuel was checked for alcohol using a Daansen 391S sampler and it appeared that the auto fuel contained about 5% alcohol. The 2 inline fuel filters were not obstructed. The gascolator filter was not obstructed. The fuel line from the firewall mounted fine filter to the engine was opened. Both electric fuel pumps in the dual pump unit were able to pump fuel from both fuel tank lines located behind the seats to the fuel line to the engine. The vents on both fuel tanks were not obstructed. No anomalies were detected in the fuel system. The dual fuel pump unit was removed. Removed sparkplugs exhibited a coloration consistent with normal. The engine showed compression at all cylinders when the propeller was rotated by hand. The oil tank filler neck expelled a burp sound when the propeller was rotated by hand indicative that oil was present in the oil tank. The engine ECU, dual fuel pump unit, and fuse box were sent to a Rotax aircraft engine overhaul and testing facility for examination under the supervision of an NTSB air safety investigator. The engine was subsequently mounted for testing. The engine was started and ran at idle for several minutes until the operating temperatures were within normal operational range. The first engine test run was 23 minutes and 38 seconds in duration and the accident engine ECU's data was plotted. All engine parameters and fuse box indications were normal, and no anomalies were noted in the plotted data. A second engine test run was conducted with a reduced amount of fuel in fuel tank. The purpose of this second test run was to record how the accident engine would react when it was run out of fuel, and to analyze its ECU data. During this second test run, no anomalies were noted and all engine parameters were normal until the engine began to run rough as it was running out of fuel. ECU data showed that at 10 minutes and 44 seconds into the second engine tes

Probable Cause and Findings

The loss of engine power while the motor-powered glider was maneuvering due to the fuel unporting in its fuel tank, which resulted in fuel starvation and a subsequent forced landing on unsuitable terrain.

 

Source: NTSB Aviation Accident Database

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