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Atlas / NTSB / CEN23FA410

NTSB CAROL · Event

Event CEN23FA410

2023-09-10 Dowagiac, Michigan, United States Airport · C91 Fatal 1 aircraft Status: Completed

Aircraft involved

Probable cause & findings

The total loss of engine power due to the failure of the ignition distributor rotor.

Factual narrative

On September 10, 2023, about 1200 eastern daylight time, an experimental Sonex airplane, N569SX, was substantially damaged when it was involved in an accident near Dowagiac, Michigan. The pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. (Note: The accident time was estimated based on the departure time and nominal fuel consumption.) The pilot departed Dowagiac Municipal Airport (C91), Dowagiac, Michigan, about 1100, for a local area flight. An alert notice (ALNOT) was issued at 2021 when the pilot had not returned. The accident site was located 4 days later in a heavily wooded area about 4 miles north-northeast of C91. An open agricultural field was about 60 yards west of where the wreckage was located. There were no known witnesses to the accident. The airplane came to rest inverted. Trees in the immediate vicinity were up to about 100 ft tall. Fresh tree breaks and a downed tree were located about 30 ft north and 25 ft northwest of the wreckage, respectively. The aft fuselage was crushed and resting on a fallen tree. Both wings exhibited leading-edge crushing damage consistent with impact to the trees and terrain. The empennage was damaged consistent with impact forces. The flight control surfaces remained attached to the airframe, and control continuity was confirmed to the cockpit controls. The engine appeared intact and undamaged with the exception of minor impact damage to the air filter/intake assembly. The propeller was secured to the engine; however, both blades were damaged consistent with impact. The fuel tank was intact and contained about 10 gallons. The remaining fluid in the tank exhibited a blue tint and appeared consistent with 100 low lead aviation fuel. The fluid was clear and free of sediment. Figure 1 – Accident Site A postrecovery examination of the automobile engine revealed the ignition distributor rotor was fractured and separated from the driveshaft, as seen in figures 1 and 2. The interior of the distributor cap exhibited rotational scoring with fine powder residue but was otherwise intact. Each ignition harness lead was secure and undamaged. The engine examination was otherwise unremarkable. A new distributor cap and rotor were installed, and an engine test run was conducted. The engine subsequently started and ran normally at idle power. Figure 2 – Distributor Housing/Cap and Rotor   Figure 3 – Distributor Rotor According to the Federal Aviation Administration, no ADS-B data associated with the airplane or the accident flight was available. At the time of the on-scene examination, the transponder was observed in the OFF position. The airplane was equipped with an emergency locator transmitter (ELT). However, the ELT unit was separated from its mounting cradle and the antenna cable was separated at the coaxial cable connector at the unit. The remaining portion of the cable and the airframe-mounted antenna appeared intact. The ELT switch was in the OFF position when initially observed by NTSB investigators at the accident site. During the postrecovery examination, the ELT was activated momentarily. The associated transmission was heard on an adjacent handheld transceiver tuned to 121.5 MHz. The Corvair engine had been installed on the airframe just over three years before the accident. The last condition inspection was completed on August 14, 2022, following a Sonex Condition Inspection checklist. While the checklist included checking the distributor cap for condition and continuity, it did not specifically list inspecting the distributor rotor. At the time of the inspection, the engine had accrued 47.5 hours of operation since installation. An autopsy of the pilot was performed by the Western Michigan University Homer Stryker M.D. School of Medicine. According to the autopsy report, the cause of death was blunt force injuries, and the manner of death was accident. Toxicology testing performed at the FAA Forensic Sciences Laboratory found no drugs of abuse. The pilot departed for a local flight and an alert notice (ALNOT) was issued when the pilot did not return. A search effort concluded four days later when the wreckage was found in a heavily wooded area about 4 miles from the departure airport. No ADS-B data associated with the airplane, or the accident flight was available. At the time of the on-scene examination, the transponder was observed in the OFF position. Impact signatures on the propeller were consistent with the propeller not rotating at impact. Examination of the engine revealed that the ignition distributor rotor was fractured and disconnected from its driveshaft. This resulted in a total loss of engine power when the ignition system became inoperative due to the rotor failure. No other preimpact mechanical malfunctions or failures were found with the airframe or engine. 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).

  • Aircraft-Aircraft power plant-Ignition system-Magneto/distributor-Failure

Verbatim from NTSB's published report. Source file NTSB_2023_CEN23FA410.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.

Related research

What the literature says.

Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.

Browse the full corpus — academia portal ↗