RV-10 FATAL CRASH

INFO ABOUT THE FATAL CRASH OF DAN LLOYD'S N289DT RV-10 WITH EGGENFELLNER ENGINE

(FOR DETAILS ON MY OWN EGGENFELLNER EXPERIENCES, SEE MY ENGINE PAGE)


"Very interesting read about the events leading up to Dan's demise. Seems, if the report is right, that he was struggling with a prop controller (Jan and Gary's Aerolink product?) that didn't work and he had to nurse it along.  Eggenfellner got a bad write-up because of using his customers for development, incomplete information about failures, shipping product before it was safe or tested.  Pretty much the STi fiasco all over again.  Jan obviously did not learn."    [email to me from STi customer]



(the following post was written by someone on one of the lists I subscribe to - author's name either not provided or I neglected to record it)

Subject: RV-10 crash

A Tragic Case of Get-Done-Itis

Regarding the first RV-10 fatal accident

With the first RV-10 fatal accident now occurring, and a couple other cases of RV-10's being substantially damaged, there are many builders who have contacted me who are yet to fly their RV-10 who are very concerned about what kinds of issues there are that might cause such accidents. There are many people who have said that their wives, especially, were now very nervous about them building an airplane, worried that perhaps there was something wrong with the design. It affects people greatly when they see things like this, and some have the tendency to completely pull back from seeing what could be the joyful side of building and flying your own aircraft.

We've known since the beginning that at some point, some day, statistically there would be a fatal RV-10 incident. That's the problem with statistics...you know without a doubt that a death at some point is inevitable, but, is it REALLY? Based on piecing together a bunch of information on this first RV-10 accident, I really feel strongly that this accident in particular was not one that should have had to become a statistic. The RV-10 is a very good design, with very good handling qualities, and at the time of the first fatal had over 110 copies flying. The couple of cases of heavily damaged RV-10's were due to a couple factors, and interestingly, the couple that I know of were both owned and flown by someone other than the builder...they were build-to-order RV-10's. One was a door coming off in-flight that caused the initial damage, something that we all know is a possibility and hence is why Van's came out with their door latch warning kit that they supplied all builders with. The other was a case of pilot error on landing...something that can happen in any plane, although landing accidents, being at slower speeds, are probably less often fatal than all the other kinds. An RV-10 builder who builds their own RV-10 is usually strongly encouraged by the RV-10 community to receive transition training before their first flight. This isn't to say that it could completely prevent a pilot from landing mishaps down the road, but personally, I believe it's a very good thing for all builders. When a non-builder buys an RV-10, there perhaps isn't quite the same amount of encouragement for them to attend transition training, as they may feel that they're just simply buying and picking up an airplane just like is done by many people every day. At any rate, the point is, given some basic instruction and familiarity, and a certain level of pilot proficiency and experience, there is nothing in regards to the airframe that really should have a serious bite to it, so from the accidents so far, all seem to be preventable, from my point of view.

I would like to state a couple things up front. First, this is some fact, and some opinion. You're not reading an NTSB report, you're reading a case study of information that I've become familiar with, either directly or in some cases indirectly. Absolutely NONE of it is intended to reflect badly on Dan Lloyd as a person. He was a great friend of mine since almost the first day he posted on the now-defunct RV-10 Yahoo group. I looked forward to flying with him as we both achieved our dreams of what an RV-10 could bring for us and our families, and it crushes my heart to know that the experience for his children is now saddened. Dan was a fine man, who was friendly to all, and has done a lot to help others along the way. Unfortunately, even good people do bad things, as we all know. It's been said that in any accident, there are many links leading to the ultimate incident, and that by just breaking one of these links, the accident could be prevented. Unfortunately, in this case, there were lots of links that were being built very strongly, some of which may or may not have played a part in the accident. While there will likely be some data available from the EIS and Air-Data computer via his Chelton screens if they survived, due to the lack of direct information in the minutes before the crash, and the very heavy destruction of the aircraft, there is also the chance that no solid determination will ever be made.

From the day Dan announced himself, he made lots of friends on the various lists:

From: flynby_80918

Sent: Saturday, August 14, 2004 8:41 PM

Subject: [RV10] Hello-New Builder

"I wanted to introduce my self. My name is Dan Lloyd, I have been building a 7A, and after Oshkosh, my wife and I decided to sell the 7 kit and start a 10. I will be ordering the Emp on Wed. I look forward to meeting and working with you all over the life of this project!!

If I can ever be of some help let me know. We are in NW PA, so if you are ever in the area feel free to contact us.

Dan Lloyd"

And shortly thereafter he posted his Bio:

"Bio: 34, IT Manager for Werner Ladder, PP-SEL, Instrument Student, 150 Hours TT, Cherokee Driver, till 10 is done. Based in Hermitage, PA. It is on the Ohio Border, 1 hour North of PITT. Have 2 Kids, 11 and 6, not adding any more, (they do not make a larger kit plane!) Finishing Emp/Cone, have wings ready to start. I agree with Tim, seems like a lot of geeks are into plane building, maybe we like the many hours of alone time in the garage? "

As time progressed, he was also very happy to get from me my original RV-10 wooden model, after I finally got one painted with my own paint scheme. He loved having this thing around.

http://www.myrv10.com/N104CD/misc/RV200507010122.html

Down the road a ways, when we had the big axle extension group buy, you may remember Dan offered his help for some of the overseas people:

"Tim for everyone in Europe and further East I will help with the packaging and sending. Just send me the list of people and I will make sure it gets out to them. I think there was one from Germany, and I do not know how many others, but I can help.

Dan

N289DT "

You get the picture....Dan was a guy who was known by lots of people, very nice to most everyone, and was a good participant in the RV-10 family.

When good people do bad things...

Much of my info is from other people who Dan discussed some things with more often than myself. I have always tended to express the opinion that care and safety be used, and to "do it right" to him, to encourage him to not do things that could cause him problems. That caused him to have a tendency to avoid telling me things he thought would just bring him a lecture. That's understandable, but I think he really just didn't feel that some things were as risky as they may have been. I always pointed out to him though that even though he's heard lots of people have good luck with Subaru engines in planes, that his particular installation was a first, and he needed to be extra cautious with everything related to his engine. Luckily he did tell a few other people his stories though, and I was able to observe from a bit of a distance.

Dan's first flight occurred 7/12/2007, and per an email from him to an email list, lasted 40 minutes, and said they had "just a few small issues to fix tomorrow"

On 7/13/2007 in the early a.m. he emailed the group this:

"39 hours and 20 minutes to go, and if I follow the plan I will make it with a little to spare, but God controls the weather.....I think we will make the 40 hours and flying on Thursday evening and park at Eggenfellner's booth.

Dan

N289DT Now Flying.. "

On the 13th, he had added on another hour and a half or so from what I had heard from others. By that point they had experienced some high oil temps, and I heard talk that they were thinking of flying the aircraft down to Jan Eggenfellner's shop to work on it before AirVenture. Remember that Dan had a completely new iteration of experimental Subaru, with a completely new prop, and that caused him to have a 40 hour flyoff requirement, so it was a bit shocking to hear that he was contemplating flying to Florida right away. The fact that he spent a vast majority of his time in N289DT with another person on board wasn't surprising, as he indeed probably did need Jan Eggenfellner aboard on many of those flights to help work through the issues on the engine.

On 7/14/2007 I heard that they indeed had left for Florida, and that they planned to be back at KOSH by Thursday for the show. The Thursday date did end up slipping, due to delays in getting things working, but they did make it to Florida.

He did email the email list on 7/13, and stated "You have it right a certified combo will be 25 hours and an uncertified combo is 40 hours --Dan" That indicates that he did indeed know the rules about flyoff time as it applies to his engine and prop and airframe. On the trip to Florida, I had heard that they experienced the same high oil temps, and had pretty slow cruise speeds that were down in the sub-140kt range.

They also had experienced some strange vibrations that they were unsure of the origin of, and wanted to investigate those when they made it to Florida.

On I believe 7/14 or perhaps 7/15, (for sure by 7/15) Dan emailed or called me, I can't remember which, to ask how to disable "bitching betty". He had complained that his alarms were annoying him, and wanted to know how to silence it all. I told him that once he had finished calibrating his EFIS and alarm setpoints during his test flights, they would be in the green most of the time, that he'd not be bothered so much. Alarms only go off when you're out of the specified green range, so I told him it was up to him to set proper ranges and make sure his sensors were setup and calibrated properly so the readings were right.

But once you did all that, you should not receive many false alarms. I realized by talking to him that he had never calibrated ANY of his avionics, so headings were off (I had heard by 30 to 70 degrees), engine items were alarming all the time and he had issues with choosing to display propeller RPM or engine RPM (due to the reduction unit), he had no pitot test, and nothing had been debugged much at all. I had heard that on his flight to Florida, he had an INOP transponder part of the time, that neither of his 2 EFIS systems were working right (because they were never set up), and that they navigated to Florida above an undercast with just a handheld 396/496 type GPS, which was basically their only operational navigation instrumentation. They had decided just to plug their headsets in using some alternative method to avoid having to listen to alarms, and had to swap plugs to make radio calls. His Autopilot was also non-operational on this trip. It really started to worry me that he and Jan Eggenfellner were showing such lack of pilot judgment in participating in such a trip. If you look at all the popular engine companies like Aerosport, Barrett, and all the other good ones, how many of those companies do you know that would endorse taking off on such a trip after such a short flying experience...even though the engines they install and run they have extensive track records with?

It was apparent to me that he was trying to snow the rest of the community into believing he was indeed doing his diligent flyoff time, because he then made a post to the email list saying how he was so very tired every day because they had been flying taking turns, sun-up to sundown trying to get the 40 hours flown off. He was trying to conjure up the image to the public when in fact he had not planned to fly off the 40 hours at all before going to OSH. During the time they were in Florida, it sounded from reports I heard that they spend most of their time doing things like swapping out the gear drive unit (one or more times) and attempting cooling improvements to get the engine to OSH, and that they actually were flying very little.

Sent: Tuesday, July 17, 2007 3:56 PM

To: rv10-list@matronics.com

Subject: RE: RV10-List: Surreal experience realized today...

--> RV10-List message posted by: "Lloyd, Daniel R."

I have been asked by many people for pictures and I apologize I forgot to post them. I have been having so much fun flying, and falling into bed exhausted every night that I left the camera at the hanger. Jesse and John I promise I will post the pics tonight for all to see...as long as no one makes fun of the paint or lack there of!!!

Dan

N289DT RV10E Flying

Prior to 7/19 I heard a very disturbing comment that I can't verify that he also skipped doing a proper Weight and Balance on his plane, and that he had simply used MY weight and balance numbers and modified them to be roughly what he believed his plane would be. This I thought was so entirely ridiculous, especially after telling us how much lighter his Subaru installation and prop would be, that I had to call in on it. So, on 7/19 I made a public post, trying to urge him to tell people how his W&B had turned out with his Subaru. I had heard that on his flight to Florida, they realized in flight that his C.G. was too far aft, based on some flying qualities. He planned now to move the battery forward eventually, which was something he did within the day or two before his death. His flight that he died on may have actually happened on the first flight after moving the battery forward, because on the phone he told me he was moving the battery and planned to weigh it and fly it. This is not to indicate it as a cause in the crash, but it does both point to something he knew needed to be done, and a mechanical task performed just prior to the crash.

During the days down at Eggenfellner's in Florida, I had heard that they were also disappointed in the speed that the aircraft flew on the way down. They had expected much more with that engine and 4-bladed prop.

But, when it arrived at OSH they had removed 2 blades from the 4-bladed propeller and flew it up that way. The engine was also planned to be a turbocharged engine, but that turbo hadn't been completed yet so they flew it for all of the preliminary flights, and for many weeks after, without the turbo. Another interesting happening that was largely un-discussed is that on the trip to OSH from Florida, they had a failure of a bracket that caused them high oil temps suddenly, grounding them in Kentucky until they could get some parts to fabricate a new bracket at a local store.

At OSH he was making claims that he had something like 48 hours on the airplane, and he and Jan Eggenfellner displayed the airplane and engine and tried to attract buyers for the engine package. There was no discussion of working through issues, but only stories of smoothness and success, as it was important to keep the positive image up. They had removed the cowling during the show for the whole time because they had quickly put together many cowling mods to try to increase cooling and were left with lots of unfinished fiberglass edges, and other things that would make it look awful. I had heard, but not seen myself, that there were stringers of epoxy covered fiberglass cloth that were poking out from various places that were sharp and un-filed down, so the cowling was hid away.

After OSH, with the problems they had experienced, they wanted to work on it some more so instead of heading to Pennsylvania, they flew it back to Florida for the work. It stayed down there until sometime in about mid-October, but I don't know the exact date. Around 10/10 they posted some performance numbers, but by 10/25 the airplane was back home with Dan. A video was put out of him departing Florida. During the second time in Florida, they did cowling development work, to try to fix all the remaining cooling problems and clean up the cosmetics, and install a cowl flap. I heard that they got the temperatures much better with the redesigned cowl and cowl flap. What struck me as strange though was they hadn't yet installed the turbocharger, and I thought it was strange that they would do all that cowling development work prior to getting a turbo installed that would definitely affect the cooling requirements. Toward the very end of the stay in Florida, the turbo was finally ready, so they installed that. They took it for a speed test to 14,000' and compared numbers with the ones that had been gathered by Ray and myself on Lycoming equipped RV-10's. But, in the process of getting their numbers, they had actually destroyed the turbocharger, so they had to do another turbo swap. Incidentally, I've heard that aircraft turbos are built substantially heavier to handle the high duty cycle involved in aircraft power generation, whereas automotive turbos have a lower duty cycle....but I'm not sure what the type of turbo used on this install was. Of course, the information about the turbo being destroyed was not presented along with the numbers, because that again would result in more 2nd guessing by would-be interested parties. But, in not much time after that, however (within a week or two), Dan was down to pick up his plane, and they had a new turbo on it. It was posted on Eggenfellner's website and still is as of this writing.

http://www.eggenfellneraircraft.com/News.htm

Interestingly, when they did their speed tests, they took photos of their Cheltons as proof, and on the website you can see photos of the Cheltons that clearly show that they never did calibrate the AHRS or set up the unit. It is still set to display info from a strikefinder, which he did not have, the heading is off by 30 degrees or so (I had heard they had mis-alignment up to 70 degrees), and when you compare the skid ball with the Dynon, they do not match at all. When installing avionics of this nature, there is a lot of setup and calibration that needs to be done in the airframe before flight, and that has to be taken on by the builder. In his case, almost nothing was ever done to calibrate any of the systems. At the time, I had also questioned the accuracy of the numbers they presented, because if nothing is calibrated, how can you guarantee that your speed numbers are accurate? You will notice in the photos that the ENGINE and AUX SENSOR alarm flags are also going off. I understand that they flew the plane up the busy East coast and right over New York City like this to bring it home, stopping in Boston on the way back too. He flew it home with a friend of his, so once again he had a co-pilot onboard during his flights. This perhaps actually extended the amount of time that the RV-10 actually survived, because there were apparently some very workload-intensive things in his airplane, the least of which was inaccurate instrumentation.

At one point within 2 or 3 weeks of his crash, he had called me to tell me he was having problems with power vs. RPM control. I was surprised and wondered why, with a constant speed prop. I had never dealt with electric propellers before, so it puzzled me why he would be having problems. He said it was because they had not yet finished designing the prop control unit, so he had to manually make power adjustments, which would change the engine and prop RPM greatly, but then with the prop now changing RPM drastically (affecting pitch too) he would have to manually move a prop pitch lever to bring the RPM to it's desired setting. So every power increase or reduction required a corresponding adjustment of the propeller. With this and all the other instrument issues, it was really a busy plane to fly, and I can see why you'd want a co-pilot along on most flights. It to me seemed very strange that Jan Eggenfellner would have him fly home and consider the engine "delivered" without such equipment operational. Dan did not have that many hours of total time (under 200, and other than the transition training, all lower performance) and flying a slick, fast plane is a handful. Combine that with not having calibrated any avionics, hearing alarms going off all the time, and the prop control issues, and this plane was much more complex to deal with than most planes would be. I know it's "Experimental" aviation, so sure, we can play with new things, but Dan wasn't the engine designer...he was just the guy stuck with flying such a complex plane.

Also along the way in the past couple weeks he had emailed to indicate that he thought his Chelton wasn't displaying correctly. He said he had indicated 2300 G's (G-forces) when flying with his wife, and he emailed a photo.

"This should make you laugh, I bet your RV10 can't pull 2300G's"

Well, of course an incorrectly calibrated system won't read properly, and since I knew he still hadn't calibrated things, it didn't surprise me, but as it turned out, he was reading "2300G" which means 2300' AGL GPS Based, as 2300G's. He had never really read through any operation manuals for his avionics. He had in the past, complained that on his trip to Florida his Autopilot didn't work, and criticized one avionics dealer for not telling him that he had to hook up pitot and static lines to his Autopilot...something that is a definite normal part of the autopilot installation per the manual. It was very clear that he hadn't spent much time checking out his installation, or reading any manuals to ensure they were correct.

On 10/25, he emailed me this:

"Eww I am an idiot!! I had no clue because yesterday I was at 6000ft and it did the same thing, listing 2330 g's with the same reading, and then tumbled to the right. I am scarred of it and that is why I have not been using it.

It is difficult for me to process everything it is telling me. I can understand some of it, but then it starts putting up all this other stuff and it is just easier for me to look out the window for now. But I do need to learn it so I can feel comfortable before I ask an instructor to fly with me. I called stein and he said it is because I have not calibrated it, for that matter this is the first couple of times I have turned it on for anything. So yes I need to read the manuals and build many hours using it before I get in the clouds. I need allot of help to learn all of this stuff because I am not having a clue on how to do it. Definitely a case of money versus intelligence. But I have to learn it to use it. Does that mean I can come up and get some lessons? Or do you know anyone who will teach behind it? I have been using the Dynon and G496 because they are easy. Everything else is still uncalibrated, including the AP etc. I am definitely behind the power curve on this and need help! And they say that is the first step to recovery, realizing that there is an issue and asking for help! -Dan"

That scared the CRAP out of me. Period. I mean, it's one thing to know all of the stuff you just got done reading, but clearly, here was a guy who was not up to speed on the airplane, the avionics, and some other comments he'd been heard to make even made me wonder if he didn't just need a general pilot refresher.

Trying to keep him open to listening, I replied back and tried to come across as not lecturing too much, knowing that he'd tune me out if I did...

I wrote:

"You know, what might work better for you until you calibrate it, is to get yourself some nice sticky paper or 5x6 post-it notes and write these letters on it. "INOP". Then just paste it over your screens. ;)

But seriously, you really need to just first sit down and read the manuals.

Chelton has user manuals on your site, and I have them posted on the EFIS forum. Then, there's Keith's book that you said you bought....that will give you the more detailed stuff for later. And of course, the install guide. That one you'll need if you ever want to see things working well enough to trust for navigation. It's all in the manuals to start. If this thing were calibrated and working, you wouldn't have that feeling that looking out the window is better for you, because it would actually work well.

<Note that I'm not saying you shouldn't look out the window, but you want instruments that work properly to make it easy to fly the plane>

As far as training goes, Josh the old D2A guy does EFIS training and he'd be the absolute best option. He's a hired gun who can come out and give training that will set you on the fast track quickly. Beyond that, it's really not worth learning until the stuff is set up properly. When you come up this way, I can take you out for a flight and show you some things too, but really, once it's set up, you'll get the basics very quickly from flying and the manuals. All the things that a trainer would really be valuable for are the things like flight-planning and approaches, and things like that....but that's way beyond what you should be doing with the system until you're A) comfortable, and B) have all the stuff working right. You'll find later that it's really a very easy system to use, much more so than a 430 or 480.

Also, if you have an airline pilot friend, they'd be a good victim to bring along, because they know the symbolism on the glass pretty well, even though this system has more than theirs for features.

Don't worry, I only bill $800/hr for my EFIS instruction... and I do it in my own airplane since there's an EFIS on both sides. ;) Tim "

He followed up with another reply:

"I just got off the phone with XXX, and he said it is like trying to drink from a fire hose, and I tend to agree. I need to get my hands around flying the airplane and getting everything calibrated. Then I can sit down and read the complete manuals. I have read the first 4 chapters of the Chelton manuals but that is just basic symbology and the tapes, and those I do understand. IF you take all of my owners manuals and stack them up they are over 3 feet high!

I am lucky the Dynon and 496 are already familiar because I can use them to navigate and get myself out of trouble if absolutely necessary. Remember I have only flown a Cherokee140 for 200 hours, so I am learning how to fly high perf stuff too, I feel more comfortable, but still learning the Egg stuff/ and the variable pitch prop is also more stuff to learn. I am getting there and in a couple of hundred more hours I will maybe be ready to start IFR training again. I have passed the written, and have 10 hours towards it, but with the new plane I can already tell it will be time to start over.

Right now I am working on how to slow down and make sure I have enough pitch on the prop for a go around, once that is done, I will move up the ladder a rung and work on additional stuff. Calibration, troubleshooting other electronics etc is also going on at the same time. XXXX and you both say I have to just laugh at myself and the various issues I am having because everyone has something or another happen. But it just seems like lately I am way out of my comfort zone and clawing my way back in.

THX for the guidance and glad I could make you laugh this afternoon. "

I had one more follow-up for him:

"No prob. You're right, there's a lot of stuff there to learn even without the avionics. Now you see why I say the -10 isn't something I'd recommend to a basic beginning student pilot. It's not a hard plane to fly or land, but there's more to the -10 than a Cherokee, and it would be nice to get the time in a $50K Cherokee so if you smack it up you don't waste all your cash.

The -10 is high performance, slippery, and there's a LOT going on with the C/S prop and engine stuff. Then, throw in high tech avionics and it's just too much to use as a trainer, as you can see it's a handful with a couple hundred hours.

I would encourage you to calibrate a.s.a.p. because you really will be hindered in improving skills and having the experience go well until that's done. Things like Bitchin' Betty are there for a reason, and just flying without them will not add to the safety. It would be better to HAVE the warnings when they happen, but have them happen appropriately. None of it is that hard to set up, but it all takes time.

I flew 70-100 hours before I did anything other than normal stuff for the most part. Just take your time.

Tim "

See, I almost feel like a father when I read that....You've got this kid that you know is doing stupid things, and he's not going to listen to a lecture, but during that one chance when he finally comes and asks for help, you try not to be an ass and come down on him, but give him all the encouraging advice you can. You can tell he was in over his head in both airplane and avionics, because he hadn't taken the time to really learn either, and almost 100% of his flying time up to this point was with someone else in the plane to help keep an eye on things.

Unfortunately, it leaves me feeling guilty that I never just strangled him into getting some good sense and judgment. His statement about his comfort zone is very scary indeed.

On 11/1/2007, the day before his crash, Dan emailed me to ask what landing speeds I use at full gross, and I replied to him. Here are some excerpts along with a follow-up comment from him:

"What speeds do you carry on base and final when at max load? I am taking the family on our first trip and I am being paranoid but this is the first time I have taken more than 1 passenger. So just doing due diligence."

For what it's worth, I wrote:

"I fly pretty much every landing the same even with or without passengers.

80-85kts around base (keep it below 87kts once the flaps are out) Then once you get on final it's either 75Kts on a bumpy, windy day, or a strict 70kts and no slower if it's relatively smooth out. Just don't let it get below 70 until the runway is right under you, and you're in the flare."

And he replied again:

"Good that has been what I have been flying, but I float awhile and was thinking I was carrying to much speed because Mike had us carry 70 mph on final, and since I switched to knots I was thinking that was my issue, but until I get allot more comfortable I will bleed the speed over the runway, instead of slowing on the approach, much safer in my mind! Going to the airport to redo W&B after I moved the batteries forward, then I get to fly this afternoon and tomorrow to get ready to take the family to Boston on Saturday! THX for being there for questions, it is always good to have a friend that can double check my thoughts."

That was the last communication I had with Dan before I learned of his crash just over 12 hours later. I had heard prior to this that Dan had really had a hard time on landing the plane, having to go-around sometimes multiple times before a successful landing. Since he had 10 hours of transition training, albeit a few months earlier, I figure it HAD to be because of his extra workload with the propeller controls, and his low-time status, because it absolutely isn't a hard plane to land.

Given the fact that he probably didn't even have 5 hours in his airplane as a sole-occupant though, it is easy to see how he actually was able to put on some hours without incident before this.

All of the above comes from either conversations I've had with him, or other people had with him and passed on. Much of it is second hand, but to me, all of it indicates a pilot and engine builder who spent all their time rushing to complete an install to display at OSH, and they would be willing to break just about any rule to accomplish that. Then, throughout the process, there was a pilot who was in way over his head with a very much more complex mess of an airplane than anyone else had flown. It's extremely sad and hard for me to say, but I saw it as a completely expected conclusion that some day he would end up in a smoking hole in the ground, and in fact the night before, when we heard he was taking his family to Boston, at home we said that we needed to pray for his family if he was going to take them for a flight. Why would someone who just very recently described his flying the -10 as "scary", be now racing to share the experience with his family before he truly felt comfortable? It truly disturbs me that I could see the end coming so clearly from back as far as a week or two before OSH. As I talked to him and learned more and more of the above info, and many more things that I can't even remember at this time, it was readily apparent that no matter how nice, friendly, and capable Dan was as a member of the RV-10 building community, he had a serious lack of caution about flying his Eggenfellner Subaru, and very poor judgment about his piloting in general. He was my worst fear for our RV-10 world...someone who would not only bring insurance issues, and a negative image of homebuilt aircraft, but someone who would kill himself doing it.

From the best I can tell, Dan's experience was likely under 20 or 25 hours even IN his airplane, with the other hours (I heard he claimed an actual of about 78 hours on the airframe very near the time of the crash) being flown with a co-pilot....usually Jan Eggenfellner, who accompanied him on his first and many subsequent flights. When one other builder stated to him during the time period when he was flying down to Florida after only a couple days since his first flight, "Dan, there's no way you could have completed your flyoff yet." Dan's response was "That's not what the logbooks say". It seems he didn't understand and appreciate quite how experimental his plane really was. There were at the time of the crash over 110 other flying RV-10's with standard engines, and no fatalities. It's a fantastically smooth flying and stable airframe, that has no intrinsic negative flying qualities. The only thing it has that can get a pilot in trouble is a slick airframe, a constant speed prop for complexity, and a fast trim system at high speed.

Please read the above and understand that it is not at all my intent to disparage Dan as a person. I think we're all mature enough to understand that a person can be a good person, but still have some negative traits.

I just see this as a case of poor judgment leading to his own death.

Also, in regards to being a Subaru equipped plane, I don't feel that a Subaru necessarily has to result in a lot of added risk in flying either. Even dead engines shouldn't make dead pilots in almost all circumstances. There is no reason why a choice of a Subaru should have to mean he was more likely to actually die in his plane. I do think though, that when you consider the above information, it doesn't speak well to the engine vendor in particular, regardless of if the engine was a factor in the crash. To release to a low-time pilot, an engine which less than 3 weeks prior had just had it's first flight with a turbocharger, and have it fail at that time too, really puts that pilot at risk. Add to the fact that the prop controller wasn't completed and the complexity it causes, and it's clear that the engine developer didn't always do things in the best interest of the customer. There are things that should be debugged by the builder, and things that are best left to the engine developer. Dan was not an engine builder. He bought an engine package, and thus he should be able to expect that the package wouldn't be given to him until some of the major things had been operational and tested. I'm sure knowing Dan that he insisted that he could handle flying it before it was tried and true, but a cautious and careful engine company would insist on safety first, and wouldn't have taken part in some of the highly risky activity.

Hopefully this info can help put to rest some of the worries that many have been contacting me with. Your wives will benefit from the story too, because when you care enough to show them this info to ease their nerves, they will have a very good outside look at YOU as a builder and can help be your conscience as you move forward. Are you rushing things?

Are you willing to take all the necessary safety steps? Are you going to be responsible enough to get transition training and be current before flying your airplane alone? Even the most non-aeronautical wife will quickly know if you match some of the negative traits described here. If so, take a good introspective look at yourself before you go too far.

Remember, Dan is also the one who said that he felt he could set the gross weight anywhere he pleased, as long as he tested it. Are you really that cavalier about things?

Build safe, fly safe, and maintain to high safety standards!


 

NTSB PRELIMINARY REPORT:



NTSB Identification: NYC08LA023
14 CFR Part 91: General Aviation
Accident occurred Friday, November 02, 2007 in Greenville, PA
Aircraft: Vans Aircraft RV-10, registration: N289DT
Injuries: 1 Fatal.
This is preliminary information, subject to change, and may contain errors. Any errors in this report will be corrected when the final report has been completed.
On November 2, 2007, at 0830 eastern daylight time, an amateur built Vans RV-10, N289DT, was substantially damaged when it impacted terrain near Greenville, Pennsylvania. The certificated private pilot was fatally injured. Day visual meteorological conditions prevailed for the local flight that departed Greenville Municipal Airport (4G1), Greenville, Pennsylvania. No flight plan was filed for the personal flight conducted under 14 CFR Part 91.

According to a family member, the pilot had driven to the airport to practice "touch and go's" and to make sure everything was functioning properly, prior to a planned afternoon trip in the airplane with his family to Boston, Massachusetts.

Witness interviews were conducted by the Federal Aviation Administration (FAA) and the Safety Board, and while no one saw the airplane depart 4G1, the airplane was observed by a witness at approximately 0800 traveling in a northwesterly direction at low altitude, moving "fast," and sounding like it was "running strong like a Ford Mustang (turbocharged) Cobra that the witness once owned." At approximately 0825, the airplane was again observed but, this time by multiple witnesses. Descriptions varied between witness statements as to the altitude, direction of flight, and velocity of the airplane; however, the preponderance of witness statements were that the airplane was flying north on the east side of Pennsylvania State Route 58, and seemed to make a circle to the left at approximately 500 feet above ground level (agl). It was next observed to travel in a westerly direction, fly across Route 58 and make another turn to the left with the engine "revving up and down," and losing altitude. When it reached approximately 50-feet agl and was heading east, the airplane rolled wings level and impacted a cornfield in a 35 to 60 degree nose down attitude. A fireball erupted, and the airplane slid approximately 100-feet. It then impacted the shoulder of Route 58, nosed over, and came to rest inverted on the roadway.

The amateur built airplane, was a four place, low wing monoplane. It was equipped with a non-certificated Eggenfellner E6T/220, which was a water cooled, fuel injected, turbo-charged, six cylinder engine. The airplane's special airworthiness certificate was issued on July 10, 2007.

The pilot held a private pilot certificate, with a rating for airplane single engine land. His most recent FAA third class medical certificate was issued on March 14, 2006. According to his pilot logbook, he had accrued 221.4 total hours of flight experience.

A weather observation taken about 23 minutes after the accident at Port Meadville Airport (GKJ), Meadville, Pennsylvania, located about 14 nautical miles northeast of the accident site, recorded the winds as 090 degrees at 4 knots, visibility 10 miles, sky clear, temperature 1 degree Celsius, dew point -2 degrees Celsius, and an altimeter setting of 30.36 inches of mercury.

The wreckage was retained by the Safety Board for further examination.

 


 

NTSB FINAL REPORT:

NYC08FA023

HISTORY OF FLIGHT

On November 2, 2007, at 0832 eastern daylight time, an experimental amateur-built Vans RV-10, N289DT, was substantially damaged when it impacted terrain near Greenville, Pennsylvania. The private pilot/builder was fatally injured. Day visual meteorological conditions prevailed for the local flight that departed Greenville Municipal Airport (4G1), Greenville, Pennsylvania. No flight plan was filed for the personal flight conducted under 14 Code of Federal Regulations (CFR) Part 91.

According to a family member, the pilot had driven to the airport to practice "touch and go's" and to make sure everything was functioning properly, prior to a planned afternoon trip in the airplane with his family to Boston, Massachusetts.

Witness interviews were conducted by the Federal Aviation Administration (FAA) and the Safety Board, and while no one saw the airplane depart 4G1, the airplane was observed by a witness at approximately 0800 traveling in a northwesterly direction at low altitude, moving "fast" and sounding like it was "running strong like a Ford Mustang (turbocharged) Cobra that the witness once owned." At approximately 0825, the airplane was again observed; this time by multiple witnesses. Descriptions varied between witness statements as to the altitude, direction of flight, and velocity of the airplane; however, the preponderance of witness statements were that the airplane was flying north on the east side of Pennsylvania State Route 58, and seemed to make a circle to the left at approximately 500 feet above ground level (agl). It was next observed to travel in a westerly direction, fly across Route 58 and make another turn to the left with the engine "revving up and down" and losing altitude. When it reached approximately 50-feet agl, heading east, the airplane rolled wings level and impacted a cornfield and a fireball erupted.

PERSONNEL INFORMATION

The pilot held a private pilot certificate, with a rating for airplane single engine land. His most recent FAA third class medical certificate was issued on March 14, 2006. According to his pilot logbook, he had accrued 221.4 total hours of flight experience.

AIRCRAFT INFORMATION

The experimental amateur-built airplane, was a four place, low wing monoplane. It was equipped with a non-certificated Eggenfellner E6T/220, water cooled, fuel injected, turbo-charged, 220 horsepower, six cylinder engine. The airplane's special airworthiness certificate was issued on July 10, 2007.

METEOROLOGICAL INFORMATION

A weather observation taken about 23 minutes after the accident at Port Meadville Airport (GKJ), Meadville, Pennsylvania, located about 14 nautical miles northeast of the accident site, recorded the winds as 090 degrees at 4 knots, visibility 10 miles, sky clear, temperature 1 degree Celsius, dew point -2 degrees Celsius, and an altimeter setting of 30.36 inches of mercury.

WRECKAGE AND IMPACT INFORMATION

Examination of the accident site by an FAA inspector revealed that a post impact fire had ensued. The airplane had come to rest inverted on route 58. Further examination of the accident site revealed that the airplane had impacted in a 35 to 60 degree nose down attitude. An approximately 100-foot debris path extended from the point of impact in the cornfield to the shoulder of Route 58.

The left wing was bent aft at the root with evidence of aft bending along the length of the wing panel. The right wing exhibited compression damage in an aft direction from the wingtip inboard, for approximately one third of its length. The empennage was intact but was partially separated from the fuselage just aft of the rear window location, lying forward of the left wing tip, and was found inverted from its normal mounting position.

The engine and firewall were separated from the fuselage and the majority of the hoses and belts had been consumed or were heavily fire damaged. Three of the four composite propeller blades were found at the initial impact point and one was found under the main wreckage.

Post recovery examination of the wreckage by the National Transportation Safety Board revealed no evidence of any preimpact failures of the airframe. The doors were closed and latched during the impact sequence, the structure had experienced heavy impact damage and tumbling, and the upper and lower baggage bulkheads were missing.

Engine Examination

Examination of the engine, and propeller speed reduction unit (PSRU), revealed no evidence of any preimpact mechanical malfunctions. Both engine timing chains were intact, the crankshaft was rotated by hand, and drive train continuity was confirmed. The PSRU contained oil, and rotated freely. Compression was obtained on all cylinders. Oil was present throughout the lubrication system. The intake and exhaust systems were compromised and exhibited breaks in the tubing. The turbocharger waste gate was closed and the turbocharger could be rotated by hand. All of the sparkplugs were intact.

Propeller System Examination

The airplane was equipped with a 4-blade, in-flight adjustable, constant speed propeller. It consisted of an electric variable pitch hub manufactured by Quinti Avio, which was mated to the composite propeller blades manufactured by Sensenich.

Examination of the propeller hub and the remains of the propeller blades revealed no evidence of preimpact mechanical malfunction. Further examination of the propeller assembly revealed that the four composite propeller blades were separated at the 4-inch blade radius station, which corresponded to the positions of the hub barrel clamps.

Examinations of the blade surfaces indicated that the blades were not in rotation at time of impact. The electric pitch control motor end bell and exterior nylon slide exhibited severe melting. The blade retention nuts were also found tightened approximately 1/4 inch tighter than the index marks scribed on the hub. This however, did not appear to affect the pitch rotation friction. Disassembly of the propeller hub revealed that the pitch motor gearbox was intact and immobile, (as designed) and held the last pitch angle selected when under no electrical load. Examination of the blade shank assemblies, bearings, and pitch slide assembly revealed no anomalies, and measurements of the propeller pitch setting corresponded to a high pitch (cruise) setting.

Examination of the propeller control

Examination of the propeller controller revealed that it was not the propeller controller that was manufactured by the propeller manufacturer. Instead, a manual electric pitch change system had been installed that consisted of a double pole panel mounted switch that could change the polarity to the electric hub motor. The motor could either run clockwise or counterclockwise from fine to coarse pitch. It was incapable of monitoring propeller rpm, and could not maintain the propeller at a constant speed by automatically varying blade pitch angle.

Fuel System Examination

Examination of the fuel system revealed that all fuel filler caps were closed and latched and the fuel selector valve was in the right fuel tank position.

Instrument Panel Examination

Examination of the instrument panel revealed that the airplane was equipped with a dual screen Chelton Flight Systems Electronic Flight Information System (EFIS), A Dynon Avionics D10A backup EFIS, Dual Garmin SL-30 navigation and communication radios, a Garmin 496 Global Positioning System (GPS), and a Grand Rapids Technologies Engine Information System (EIS) monitor.

Further examination revealed that the panel switches were positioned for flight. The "X-TIE" switch was in the off position, The "FUEL" switch was in the "ON" position, the "IGNITION" switch was in the "ON" position, the "FUEL SELECTOR" (electric fuel pumps) switch was in the "MAIN" position, and the "BUSS SELECTOR" switch was in the "ON/MAIN" position.

Flight Control System Examination

Examination of the flight control system revealed no evidence of any preimpact failures. Control continuity was established from the ailerons, elevator, and rudder, to the breaks in the system, which displayed evidence of tensile overload.

Further examination of the flight control system revealed that, the outboard ends of the ailerons had been filled with foam and then fiberglass had been used to seal in the foam. A trim tab for the rudder was discovered to be attached with duct tape. The lock nuts which were used on the rod ends for the pitch control system could be spun by hand and were not tightened against the rod ends, and were found on the threaded portion of the rods approximately 1/4 inch away from what would be their normal seated positions. The right trim tab rod on the elevator was connected to its rod end by two threads and was shorter than the trim tab rod for the left trim tab. It displayed evidence that the end of the trim tab rod at one time had broken off, and then had been re-inserted into the rod end, as the rest of the threaded portion was not present.

Electrical System Examination

The remains of the batteries and contactor relays were located in the center tunnel area of the cabin.

Examination of the remains of the electrical system revealed that the batteries and contactor relays had been exposed to the post impact fire.

Multiple wires showed no evidence of having being connected prior to impact. Examination of the cableing connected to the electrical system's contactor relays, revealed that a cable was not secured to its corresponding terminal on the contactor relay.

Further examination revealed that the terminal bore no evidence of dimpling or indentation and its interior surface was sooted.

MEDICAL AND PATHOLOGICAL INFORMATION

An autopsy was performed on the pilot by the Office of the County Coroner, Mercer County, Pennsylvania. The cause of death was attributed to multiple blunt trauma.

Toxicological testing of the pilot was conducted at the FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma. The tests were positive for ibuprohen.

TESTS AND RESEARCH

Global Positioning System Data

Information downloaded from the airplane's Global Positioning System (GPS)unit revealed that a tracklog for the accident flight had been recorded. Based on GPS groundspeed and altitude, the accident airplane took off from 4G1 at approximately 0812 edt. The airplane than manuevered in the area surrounding the airport. It landed at 4G1 at 0825 edt and departed again at 0827. It than climbed to an altitude of 2,400 feet GPS altitude, and reached a groundspeed of 152 knots before descending in a left hand spiral above Pennsylvania State Route 58. The final tracklog point was located just west of the roadway. The last recorded GPS groundspeed was 71 knots, the last reported heading was 118.7 degrees, and the last recorded GPS altitude was 1,366 feet.

Engine Builder Information

According to the engine builder, unlike "older engines" which used carburetors, magnetos, and mechanical fuel pumps, the engine required a constant and stable source of electricity to operate the fuel injection, fuel pumps, and engine control computer.

The pilot had installed a fuel filter on the upper pilot side of the firewall prior to the engine being installed. During the installation, the pilot discovered that the filter would not clear one of the diagonal engine mounting tubes, providing the main support for the nose wheel, and removed it. Rather than relocate the filter to another location, the fuel feed line, from the high-pressure fuel pumps, was run through a nylon grommet in the firewall. This penetration, as well as the fuel return line, was at the front of the center tunnel.

The battery and contactor relay location was on top of the high-pressure fuel pumps and next to where the fuel feed line and fuel return line came through the firewall.

Instrument Panel Builder Information

According to the instrument panel builder, The EFIS alarm levels had not been set up by the pilot for his specific engine installation and degradation of performance in the EIS had also occurred, as the pilot had not calibrated the "PR" (Pulses per revolution) for RPM, The "K Factor" (Scaling factor) for fuel flow, and The Fuel Level Calibration. This would have resulted in erroneous readings for rpm, fuel flow, fuel quantity, and multiple nuisance alarms.

Examination of Recovered Logbooks

During examination of the wreckage, the remains of the accident pilot's logbook and the airplane's maintenance logbook were recovered.

Examination of the pilot's logbook revealed no evidence of the training required by the FAA for operation of an airplane with an engine of more than 200 horsepower.

Examination of the airplane's maintenance logbook revealed that on July 10, 2007, the FAA issued a special airworthiness certificate allowing operation of the airplane.

Seven days later, on July 17, 2007, the pilot certified in the maintenance logbook that the prescribed 40 hours of test flying required by the FAA had been completed however, no record of separate entries for each of the test flights was discovered. The pilot also certified on that date that the airplane was controllable throughout its normal range of speeds and maneuvers, and that it had no hazardous characteristics or design flaws and that it was safe for operation. The pilot additionally certified that he had demonstrated by flight test, the operating data for the airplane and the weight and balance data.

No maintenance entries regarding removal or installation of equipment, or repair or alteration of the airplane or engine subsequent to the date of the issuance of the special airworthiness certificate were discovered.

FAA Airworthiness Records

A review of FAA airworthiness records revealed that the pilot was only authorized to operate the airplane for the first 40 hours within an area around 4G1, including a corridor to Harry Clever Field Airport (PHD), New Philadelphia, Ohio. During this 40 hours, he was to remain clear of densely populated areas and congested airways, and during the flight testing phase, no person should have been carried in the airplane during flight, unless that person was essential to the purpose of the flight.

Review of the FAA airworthiness records also revealed that the weight and balance data supplied to the FAA differed from the weight and balance information in the airplane's maintenance logbook. These differences included differing centers of gravity and a difference in empty weight.

Witness Statements and Interview Summaries

During the course of the investigation the Safety Board conducted a series of interviews, and reviewed witness statements, photographs, and emails. The following is a summary of the information obtained.

According to friends and other builders, the pilot was impatient with the time it was taking to do everything, and he was pushing to get the airplane assembled and flying in time for the Experimental Aircraft Association (EAA) convention at Wittman Regional Airport, (OSH) Oshkosh, Wisconsin. This resulted in the pilot doing such things as requesting the instrument panel builder to send the panel "as quickly as possible," and traveling to the engine builder's facility to pick up the engine instead of waiting for shipment.

On July 12, 2007, the airplane's first flight occurred with Clecos (temporary fasteners) holding the upper aft portion of the cowling in place and with a passenger onboard. Total duration of the flight was 40 minutes.

On July 13, 2007 the pilot emailed an RV builders group that he was a member of stating that, he had 39 hours and 20 minutes left to fly off, and that if he "followed the plan" he would "make it with a little to spare," and thought that he would complete the 40 hours of test flying and make it to OSH for the convention.

On that day, the pilot added approximately another 1.5 hours flight time towards the 40-hours but the engine experienced some high oil temperatures so the pilot decided to fly the airplane down to the engine builder's facility at Massey Ranch Airpark (X50), New Smyrna Beach, Florida

On July 14, 2007, the pilot and the engine builder departed 4G1 for X50.

On the trip to Florida, they experienced the high oil temperatures, and experienced slower than anticipated cruise speeds of less than 140 knots. They also experienced vibrations that they were unsure of the origin of.

During the trip, the pilot contacted a friend and asked him how to disable "Bitching Betty." The pilot complained that the aural alarms were annoying him, and wanted to know how to silence all of them. The friend advised him that once the pilot finished calibrating his EFIS and alarm set points during his test flights, they would be in the green most of the time, and that he would not be bothered so much as the alarms would only go off when out of the specified green range. The friend also advised him that it was up to him to set the proper ranges, and to make sure his sensors were setup and calibrated properly, so the readings were correct. He also advised him that once he did all that, he should not receive many false alarms. It was at this point that the pilot's friend realized that the pilot had never calibrated any of his avionics, so the headings were off, the engine alarms were being triggered all of the time, that he had no pitot test, and that he was having issues with choosing to display propeller rpm or engine rpm.

A transponder was also inoperative part of the time, and since neither of the EFIS systems were working, as they had not been calibrated, they had to navigate to X50 utilizing a handheld GPS. They had decided just to plug their headsets in using some alternative method to avoid having to listen to alarms, and had to swap plugs to make radio calls as the push to talk switch had been broken off of the pilot's control stick. The autopilot was also non-operational as it had not been connected to the pitot static system, and the rpm and manifold pressure readouts were inaccurate due to installation of the wrong sensor and entry of the wrong scaling factor.

Sometime prior to July 19, 2007, one of the pilot's friends learned that the pilot had not correctly completed the weight and balance on the airplane, and that he had used his friend's weight and balance data from his RV-10 and had modified it to be roughly what he believed his plane's weight and center of gravity would be. The pilot's friend thought that this was entirely ridiculous, especially after the pilot told him how much lighter his engine installation and propeller would be. As a result, on July 19, 2007 the pilot's friend posted a message on an RV builders forum, trying to urge the pilot to tell people how his weight and balance had turned out. He later learned that on the flight to X50, the pilot became aware, that his center of gravity was too far aft, and decided to eventually move the battery forward.

The friend later learned that the pilot was also disappointed in the airplane's cruise speed on the trip and that the pilot had expected "much more" from the engine and the 4-bladed propeller.

When the pilot flew the airplane to OSH, he did so with 2 blades of the 4-bladed propeller removed. The engine was planned to be turbocharged, but the turbocharger had not been completed, so prior to the flight to the OSH and while the airplane was still in Florida, they flew the airplane for all of the preliminary flights, and for many weeks after, without the turbocharger. Then on the trip to OSH from X50, he had a failure of a bracket that suddenly caused high oil temperatures, which grounded him in Kentucky until he could get some parts to fabricate a new bracket at a local store.

At OSH the pilot claimed that he had approximately 48 hours on the airplane. They removed the cowling during the show because they had made many cowling modifications to try to increase cooling which resulted in areas of unfinished fiberglass on the edges. He and the engine builder then displayed the airplane and engine and tried to attract buyers for the engine package. When one other builder stated to the pilot that "There's no way you could have completed your fly off yet." The pilot's response was "That's not what the logbooks say."

After OSH, they wanted to do some more work on the airplane so instead of heading to Pennsylvania; the airplane was flown back to X50 for the work. The airplane stayed at X50 until sometime in mid-October, 2007. During this time, they did cowling development work and installed a cowl flap to try and fix the cooling problems, and clean up the cosmetics. The temperatures were lower with the redesigned cowl and cowl flap. Towards the very end of the work in Florida, the turbocharger was finally ready, so they installed it. They took it up to 14,000 feet above mean sea level and compared the performance of the airplane to a set of performance numbers that had been produced during a series of flights with Lycoming engine equipped RV-10s. In the process of getting their performance numbers, the turbocharger, was damaged so the failed unit was replaced.

When they did their performance tests, they took photographs of the Chelton EFIS installation as proof of the airplane's performance but, the photos also captured evidence that the Attitude and Heading Reference System (AHRS) was not calibrated, it was set up to display information from a Strike Finder digital lightning detection unit though the pilot did not have one installed, the heading was off by approximately 30 degrees, the skid indicator on the primary flight display did not agree with the skid indicator displayed on the Dynon D10A, and the ENGINE and AUX SENSOR alarm messages were being displayed.

Around October 10, 2007 some performance numbers for the airplane were posted on the Internet, and somewhere around this date a video was posted on the Internet, which showed the pilot and a friend departing X50 for 4G1.

The pilot then flew the plane up the east coast to Myrtle Beach, South Carolina. After spending the night, he and the friend flew the following day to Maryland and then to Taunton, Massachusetts where the pilot "came in long" and had to execute a go-around, during which the propeller would only develop approximately 1900 rpm. They then came back around for another landing without incident. The pilot then spent the night at his friend's "place," and the following morning flew to 4G1.

When the airplane arrived at 4G1, an airframe and powerplant mechanic observed the airplane join the downwind leg of the traffic pattern and could hear what to him sounded like the propeller was "cycling."

At one point within 2 or 3 weeks of the accident, the pilot called a friend and told him that he was having problems with power and propeller rpm control. The friend was surprised and wondered why this was happening with a constant speed propeller. The pilot advised him that it was because the engine builder had not yet finished designing the propeller control unit. He had to manually make power adjustments, which would change the engine and propeller rpm greatly. With the propeller now changing pitch, it would effect the propeller rpm drastically, and he would then have to manually move a prop pitch lever to bring the propeller rpm to its desired setting. As a result, every power increase or power reduction required a corresponding adjustment of the propeller.

Also in the last few weeks before the accident the pilot emailed him that he thought his Chelton EFIS wasn't displaying correctly. He said he had indicated 2300 Gs (G-forces) when flying with his wife, and emailed him a photograph of the display.

It was later revealed, that the pilot was reading "2300G" which meant the airplane was at 2,300 feet above ground level based on GPS altitude. His friend then realized that the pilot had never really read through any of the operations manuals for his avionics. The pilot had also previously complained that on his trip to X50 his autopilot didn't work, and criticized an avionics dealer for not telling him that he had to connect the pitot and static lines to his autopilot, though it was listed in the manual as part of the installation procedures for the autopilot.

On October 25, 2007, he emailed his friend and stated:

"Eww I am an idiot!! I had no clue because yesterday I was at 6000ft and it did the same thing, listing 2330 g's with the same reading, and then tumbled to the right. I am scared of it and that is why I have not been using it. It is difficult for me to process everything it is telling me. I can understand some of it, but then it starts putting up all this other stuff and it is just easier for me to look out the window for now. But I do need to learn it so I can feel comfortable before I ask an instructor to fly with me. I called .... and he said it is because I have not calibrated it, for that matter this is the first couple of times I have turned it on for anything. So yes I need to read the manuals and build many hours using it before I get in the clouds. I need a lot of help to learn all of this stuff because I am not having a clue on how to do it. Definitely a case of money versus intelligence. But I have to learn it to use it. Does that mean I can come up and get some lessons? Or do you know anyone who will teach behind it? I have been using the Dynon and G496 because they are easy. Everything else is still uncalibrated, including the AP etc. I am definitely behind the power curve on this and need help! And they say that is the first step to recovery, realizing that there is an issue and asking for help!"

His friend once again advised him that he really needed to "read the manuals," and offered suggestions regarding training.

The pilot followed up with another reply:

"I just got off the phone with .... and he said it is like trying to drink from a fire hose, and I tend to agree. I need to get my hands around flying the airplane and getting everything calibrated. Then I can sit down and read the complete manuals. I have read the first 4 chapters of the Chelton manuals but that is just basic symbology and the tapes, and those I do understand. If you take all of my owners manuals and stack them up they are over 3 feet high! I am lucky the dynon and 496 are already familiar because I can use them to navigate and get myself out of trouble if absolutely necessary. Remember I have only flown a Cherokee 140 for 200 hours, so I am learning how to fly high perf stuff too, I feel more comfortable, but still learning the Egg stuff/ and the variable pitch prop is also more stuff to learn. I am getting there and in a couple of hundred more hours I will maybe be ready to start IFR training again. I have passed the written, and have 10 hours towards it, but with the new plane I can already tell it will be time to start over. Right now I am working on how to slow down and make sure I have enough pitch on the prop for a go around, once that is done, I will move up the ladder a rung and work on additional stuff. Calibration, troubleshooting other electronics etc is also going on at the same time ...and you both say I have to just laugh at myself and the various issues I am having because everyone has something or another happen. But it just seems like lately I am way out of my comfort zone and clawing my way back in."

His friend replied in part that:

"No prob. You're right, there's a lot of stuff there to learn even without the avionics... The -10 is high performance, slippery, and there's a LOT going on with the C/S prop and engine stuff.

I would encourage you to calibrate a.s.a.p. because you really will be hindered in improving skills and having the experience go well until that's done. Things like Bitchin' betty are there for a reason, and just flying without them will not add to the safety. It would be better to HAVE the warnings when they happen, but have them happen appropriately. None of it is that hard to set up, but it all takes time.

I flew 70-100 hours before I did anything other than normal stuff for the most part. Just take your time."

On November 1, 2007, the day before the accident, the pilot once again emailed his friend asking:

"What speeds do you carry on base and final when at max load? I am taking the family on our first trip and I am being paranoid but this is the first time I have taken more than 1 passenger. So just doing due diligence."

His friend replied back advising what airspeeds he used, and the pilot replied back to him that:

"Good that has been what I have been flying, but I float awhile and was thinking I was carrying to much speed because .... had us carry 70 mph on final, and since I switched to knots I was thinking that was my issue, but until I get allot more comfortable I will bleed the speed over the runway, instead of slowing on the approach, much safer in my mind! Going to the airport to redo W&B after I moved the batteries forward, then I get to fly this afternoon and tomorrow to get ready to take the family to Boston on Saturday! THX for being there for questions, it is always good to have a friend that can double check my thoughts."

At approximately 2300 another friend also spoke with him. The pilot advised him that he had determined that the weight and balance was wrong and had moved the batteries forward but the battery cables were also wrong and he did not have a battery terminal crimping tool, and was using a big set of channel locks to crimp with."

ADDITIONAL INFORMATION

FAA Guidance

According to the FAA, after an FAA inspector inspects an amateur built airplane, the inspector will issue a set of operating limitations. Those limitations then become regulations for operation of the airplane and are part of the special airworthiness certificate. The airworthiness certificate that is issued at the time of the inspection contains two phases. Phase 1 is the initial flight testing phase of the aircraft, and Phase 2 lists the operating limitations that go into effect upon completion of the flight testing. Phase 2 applies for the duration of the certificate.

14 CFR Part 91.305 defines a flight test area and states that flight testing must occur over sparsely populated areas having light air traffic.

14 CFR Part 91.319 provides a listing of operating limitations. The flight test area is defined within the Phase 1 limitations along with the required number of hours that the airplane must be flown. The primary restrictions regarding flight testing are: (1) no passengers, (2) day, visual flight reference only, (3) no operation over congested areas, (4) the pilot must also advise ATC that they are experimental, and (5) the pilot must have the appropriate ratings. It also requires that in order to have the Phase 1 restrictions lifted they must prove that the aircraft has no hazardous operating characteristics and that it is controllable throughout its normal range of speeds and maneuvers.

14 CFR Part 21.93 requires that any major changes that are made to an airplane require inspection by the FAA prior to further flight.

AC 90-89A Provides guidance regarding flight testing and includes information for determining the weight and balance of the airplane.

Kit Manufacturers Guidance

As part of the kit that the pilot purchased from the airplane kit manufacturer, guidance regarding crimping of wiring was provided.

The kit manufacturer's "Finish Kit Contents" also provided guidance for determining weight and balance, as well as guidance for final inspection and flight test.

Engine Builders Guidance

Guidance was also provided by the engine builder regarding electrical connections in both the E6-Series Powerplant Installation Guide (Chapter 3: Electrical Installation) and in the Eggenfellner Subaru Electrical Systems Installation Document (Creating Good Cable Connections).


NTSB FACTUAL REPORT:
http://dms.ntsb.gov/aviation/GenPDF.aspx?id=NYC08FA023&rpt=fa

NTSB PROBABLE CAUSE REPORT:
http://dms.ntsb.gov/aviation/GenPDF.aspx?id=NYC08FA023&rpt=fi

FOR MORE DETAILS FROM THE INVESTIGATION, INCLUDING COPIES OF LOG BOOKS, PHOTOS, ETC, SEE THIS LINK:
http://dms.ntsb.gov/pubdms/search/hitlist.cfm?docketID=46287&CFID=37077&CFTOKEN=82245681

NTSB keeps changing their website around, resulting in bad links.   I've fixed these links twice in 2011.   If you encounter bad links, email me, and I will fix.

 

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