ERA20LA050
2019-12-08 · Willow Springs, Missouri, United States · Minor · 1 aircraft · Status: Completed
Airport 1H5
Aircraft involved
Probable cause & findings
Improper maintenance practices on the fuel system causing fuel starvation and a total loss of engine power.
Factual narrative
On December 8, 2019, about 1515 central standard time, an experimental, amateur-built Zenith Zodiac CH-650, N914AR, was substantially damaged when it was involved in an accident at Willow Springs, Missouri. The private pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, he adjusted the ground adjustable propeller and was going to test fly the airplane. During the initial climb, the engine lost total power. A few seconds later, the engine restarted on its own, but shortly lost total power again. He turned back to the runway but knew he would not make it and set up for an off-field landing. The pilot did not recall additional events leading up to the accident. Examination of the airplane by a Certified Airframe and Powerplant mechanic revealed that the fuel pump was weak on pressure and the diaphragm was leaking. The electric fuel pump was installed between the engine driven pump and the carburetor, causing low fuel pressure. The fuel flow meter was not installed correctly using the proper fittings. The fuel flow meter was installed using a pipe fitting connected to a flare fitting. All fittings were finger tight. According to the pilot of the experimental, amateur-built airplane, he was taking the airplane out for a test flight after making some adjustments to the propeller blade angles. During the initial climb, the engine lost power, restarted on its own and lost power again. The pilot turned back to the airport, but the airplane could not reach the runway and he conducted a forced landing off-field, which resulted in substantial damage to the airplane. Examination of the airplane by a certified mechanic revealed that the fuel pump was weak on pressure and the electric fuel pump was installed incorrectly between the engine driven pump and the carburetor. The fuel flow meter was installed using pipe fittings connected to flare fittings. All fittings were finger tight. These discrepancies were consistent with improper maintenance practices on the fuel system and likely resulted in a reduction in fuel flow during the initial climb after takeoff, and a loss of engine power due to fuel starvation. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Aircraft-Fluids/misc hardware-Misc hardware-Hoses and tubes-Incorrect service/maintenance
- — Personnel issues-Task performance-Maintenance-Scheduled/routine maintenance-Maintenance personnel
- — Aircraft-Aircraft systems-Fuel system-Fuel pumps-Incorrect service/maintenance
- — Personnel issues-Task performance-Maintenance-Installation-Maintenance personnel
Verbatim from NTSB's published report. Source file
NTSB_2019_ERA20LA050.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (stall, fuel starvation, maintenance). All research papers
- Embry-Riddle Scholarly Commons 2023 · Conference paper The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA) From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- NASA NTRS 2026 · Conference Paper Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- Semantic Scholar 2025 · Article (Applied Sciences) Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.