NTSB CAROL · Event
Event CEN21LA047
Aircraft involved
Probable cause & findings
The pilot’s improper decision to takeoff with 3 persons in a 2-place airplane and over maximum gross weight, and his failure to apply carburetor heat when the airplane’s engine experienced carburetor ice and a partial loss of power.
Factual narrative
On November 7, 2020, about 0830 central standard time, an ERCO Ercoupe 415-C airplane, N331BW, sustained substantial damage when it was involved in an accident near Ardmore, Oklahoma. The commercial pilot sustained serious injuries and the two passengers sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The purpose of the flight was for the pilot to take the two passengers in the two-seat airplane on a local flight to photograph a home. The pilot reported the airplane departed with a full fuel load. The pilot was in the left seat while the two passengers shared the right seat . Both seats were equipped with lap belts. After the completing two passes by the house, the pilot felt a “slight shudder” and he announced to the passengers that he thought they were flying through the airplane’s own propeller wash. Immediately after that, the engine started “vibrating so bad” that the pilot thought the engine was going to separate from the airframe. The pilot attempted to control the vibration by adjusting the throttle to no avail. He did not apply carburetor heat. The pilot then set the airplane up in a glide configuration at which time the airplane banked to the left. The pilot applied full right aileron control, but it did not stop the left turn. The pilot was attempting to land the airplane in a field when it contacted a tree and came to rest inverted. The airplane sustained substantial damage to the fuselage, both wings, and the empennage. A postaccident examination of the engine and airframe, including the flight controls, revealed no preimpact mechanical malfunctions or failures with the airframe and engine that would have precluded normal operation. A review of local area meteorological data showed that at the time of the accident, the airplane was likely operating in conditions conducive to the formation of serious icing conditions (at cruise power) per the Federal Aviation Administration (FAA) Special Airworthiness Information Bulletin CE-09-35 Carburetor Icing Prevention. A review of weight and balance data showed that the airplane was 48 pounds over the maximum weight at the time of engine start. According to ERCO Ercoupe Information Letter Number 2, the model 415-C does not employ a flight manual, and none is available. According to FAA Type Certificate Data Sheet A-718 for the airplane, it is limited to two seats, but the data sheet does not address the topic of two passengers sharing a single seat together. The FAA has issued a clarification on the interpretation of the seat belt and seating requirements for general aviation flights and states in part: This clarification states that the use of a seat belt and/or seat by more than one occupant is permitted only if the seat usage conforms to the limitations contained in the approved portion of the Airplane Flight Manual (AFM). In addition, before multiple occupants use the same seat and/or seat belt, if the pertinent information is available, the pilot in command (PIC) must also check whether: The seat belt is approved and rated for such use; and the structural strength requirements for the seat are not exceeded. This clarification also emphasizes that, because it is safer for each individual person to have his or her own seat and seat belt, whenever possible, each person onboard an aircraft should voluntarily be seated in a separate seat and be restrained by a separate seat belt. The pilot was performing a local flight with two passengers onboard the two-seat airplane. After flying two passes over a house, the pilot felt a “slight shudder” and thought the airplane had flown through its own propeller wash. The engine then started to vibrate, and the pilot was not able to control the vibration by adjusting the throttle. The pilot set the airplane up in a glide configuration at which time the airplane banked to the left. The pilot applied full right aileron control, but it did not stop the left turn. The pilot was attempting to land the airplane in a field when it contacted a tree and came to rest inverted. A postaccident examination revealed no preimpact mechanical malfunctions or failures with the airframe, including the flight controls, and engine that would have precluded normal operation. It was determined that the airplane was 48 pounds over its maximum gross weight when the pilot started the engine. A review of local area meteorological data showed that at the time of the accident, the airplane was likely operating in conditions conducive to the formation of serious icing conditions (at cruise power). The pilot reported he did not apply the carburetor heat when the engine began to lose power. It is likely the engine sustained a partial loss of engine power in flight due to the formation of carburetor icing, which resulted in the attempted forced landing. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- — Personnel issues-Task performance-Use of equip/info-Use of equip/system-Pilot
- — Aircraft-Aircraft power plant-Engine (reciprocating)-(general)-Failure
- — Environmental issues-Conditions/weather/phenomena-Temp/humidity/pressure-Conducive to carburetor icing-Effect on equipment
Verbatim from NTSB's published report. Source file
NTSB_2020_CEN21LA047.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (icing). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- NASA NTRS 2026 · Contractor Report (CR)
Icing Physics Studies Using the 3D SIDRM Test Article: 2023 Icing Tests Analysis
In-flight icing is an important safety issue and is a factor that affects aircraft design and performance. Newer regulations are driving a need for improvements in airframe and engine icing simulation…
- arXiv 2025 · arXiv preprint
Multi-Agent Deep Reinforcement Learning for UAV-Assisted 5G Network Slicing: A Comparative Study of MAPPO, MADDPG, and MADQN
The growing demand for robust, scalable wireless networks in the 5G-and-beyond era has led to the deployment of Unmanned Aerial Vehicles (UAVs) as mobile base stations to enhance coverage in dense urb…
- Embry-Riddle Scholarly Commons 2025 · Journal article (JAAER)
A Mathematical Model on the Temporal Dynamics of Aviation Competitive Pricing
This study investigates the competitive dynamics of airport pricing using U.S. airport data to validate the findings. It employs linear and nonlinear ordinary differential equation models to analyze t…
- NASA NTRS 2025 · Presentation
NASA Icing Update – March 2025
This NASA Icing Update was prepared for presentation to the SAE International AC-9C Inflight Icing Technology Committee. This update includes the following topics: planned Rotational Icing Scaling tes…
- arXiv 2024 · arXiv preprint
An energy-stable phase-field model for droplet icing simulations
A phase-field model for three-phase flows is established by combining the Navier-Stokes (NS) and the energy equations, with the Allen-Cahn (AC) and Cahn-Hilliard (CH) equations and is demonstrated ana…
- NASA NTRS 2024 · Presentation
NASA Icing Update – Oct 2024
This presentation provides a status update on select NASA icing research activities for the SAE AC-9C Icing Technical Committee Meeting on Oct 21, 2024.
Browse the full corpus — academia portal ↗