N4106K Navion Navion A accident

NTSB WPR21LA072 · 2020-12-21 · Livermore, CA · near LVK

Docket — crew, injuries and powerplant

Summary

The airplane had an annual inspection and new wingtip fuel tanks installed about 6 months before the accident. The accident flight was the first flight since the maintenance. The pilot completed a normal runup inspection and the engine developed full power during takeoff. However, at an altitude of approximately 500 ft above ground level (agl), as the pilot turned onto the crosswind leg of the traffic pattern, the engine began to surge and lose power. As the pilot reduced the power for landing on the downwind leg, the engine lost total power. When the pilot realized the airplane would not make it to the runway, he prepared for a landing on the grass area parallel to the runway. The airplane touched down and the left wing impacted concrete blocks. A postaccident examination of the engine revealed a leaking gascolator fuel inlet line caused by a loose hose clamp connection on the fuel line from the fuel selector to the gascolator. The loose connection allowed a large amount of air to be introduced into the fuel line going to the engine and fuel pumps, which caused the engine to surge and eventually lose power. The examination also revealed several maintenance discrepancies. The leaking fuel inlet line was made of rubber instead of aluminum tubing, and the fuel selector's connection was improper. Additionally, the wingtip fuel tank installation revealed several inconsistencies with the installation, such as loose clamps and improper hardware installed. These discrepancies were an indication of improper recent maintenance.

Full narrative

On December 21, 2020, at 1525 Pacific standard time, a Navion A, N4106K, was substantially damaged when it was involved in an accident near Livermore, California. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight.

The airplane had new wingtip fuel tanks installed in July 2020, and an annual inspection was completed at the same time. The accident flight was the first flight since the fuel tank installation.   The pilot departed from runway 7R at Livermore Municipal Airport (LVK), after a normal runup inspection. The engine developed full power during takeoff; however, at an altitude of approximately 500 ft above ground level (agl), as the pilot turned onto the crosswind leg of the traffic pattern, the engine began to surge and lose power. As the pilot reduced the power for landing on the downwind leg, the engine lost total power. When the pilot realized the airplane would not make it to the runway, he prepared for a landing on the grass area parallel to the runway. The airplane touched down and the left wing impacted concrete blocks.

A postaccident examination of the engine revealed a leaking gascolator fuel inlet line and a loose hose clamp connection on the fuel line from the fuel selector to the gascolator. The line was made of rubber instead of aluminum tubing, and the fuel selector's connection was improper. Additionally, the wingtip fuel tank installation revealed several inconsistencies with the installation, such as loose clamps and improper hardware installed.

Probable cause

The improper installation of the gascolator fuel inlet line and hose clamp connection, which resulted in the total loss of engine power. The National Transportation Safety Board determined the probable cause of this accident.

Circumstances

Event type
Accident
Highest injury
None
Weather conditions
Visual Meteorological Cond
Light condition
Day
Sky condition
NONE
Ceiling (ft)
0
Visibility (sm)
10
Wind direction
0
Wind speed (kt)
3
Temperature (F)
61
Nearest airport
LIVERMORE MUNI
Distance from field
0.0
Airport elevation
399

Aircraft

RegistrationMakeModelDamageFAR part
N4106K NAVION Navion A SUBS 091

Sequence of events

#OccurrencePhase
2 Approach-VFR pattern crosswind Loss of engine power (total) defining Cruise

Findings

Finding
Personnel issues-Task performance-Maintenance-Installation-Maintenance personnel cause
Aircraft-Aircraft systems-Fuel system-Fuel distribution-Incorrect service/maintenance cause