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Atlas / NTSB / ERA24LA043

NTSB CAROL · Event

Event ERA24LA043

2023-11-17 Perry, Florida, United States Minor 1 aircraft Status: Completed

Registry · N37MB

FAA Aircraft Registry record.

Make / Model

LANCAIR LANCAIR IV P

Engine

AMA/EXPR UNKNOWN ENG

Seats / Engines

4 seats · 1 engine

Last airworthiness date

19990914

ADS-B equipped

Yes — Mode-S A43287

Registrant of record

MAXESS INC

Source: FAA Aircraft Registry (releasable master file).

Aircraft involved

Probable cause & findings

A rapid throttle advancement after a period of idling, which resulted in a flooded engine and total loss of engine power.

Factual narrative

On November 17, 2023, about 1708 eastern standard time, an experimental amateur-built Lancair IV-P, N37MB, was substantially damaged when it was involved in an accident near Perry, Florida. The 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 was in cruise flight at 11,500 ft msl with about 40 minutes of daylight remaining when he noted that a ceiling had developed below him. Accordingly, he decided to descend through a hole in the cloud layer and divert to Perry-Foley Airport (FPY), Perry, Florida. When the airplane levelled off under the cloud layer at 2,000 ft msl, he pushed in the throttle but “nothing happened.” The propeller was windmilling, and he thought the fuel-injected engine was at idle power. After several seconds, he pulled the throttle fully out expecting the engine to slow, but the engine power remained unchanged at the low-power setting. Realizing he had lost engine power, the pilot switched fuel tanks and enrichened the mixture; however, he was unable to restore power to the engine. He chose to execute a forced landing and considered landing on a road but believed that he could not slow the airplane enough to make a safe landing, so he landed straight ahead into sapling pine trees. The airplane nosed over and sustained substantial damage to the wings and fuselage; the pilot exited the airplane unassisted. Postaccident examination of the airframe and engine revealed that the fuel strainer contained fuel with a color and odor consistent with 100LL Avgas. There were no signs of debris or water contamination in the retrieved fuel sample. The fuel strainer bowl was removed, and the fuel strainer screen was clear of any contamination. The throttle, mixture, and propeller controls were secured in the cockpit and at their respective control arms at the engine. The crankshaft was rotated by hand and continuity was established between the crankshaft, camshaft, connecting rods, and associated components. All six cylinders displayed good thumb compression and suction. Examination of the engine and airframe fuel system revealed no anomalies; therefore, a determination was made to ship the engine to the manufacturer for an engine test run. At the manufacturer’s facility, the engine was prepared to run in the test cell. The oil sump was impact damaged and was replaced for testing. A fracture was observed on the No. 2 turbocharger exhaust where it had been previously welded. No determination could be made as to whether this was impact-related damage. The magneto-to-engine timing was confirmed to be within specification. A replacement propeller was installed on the engine. The engine started without hesitation in the test cell and ran at idle for 5 minutes, followed by subsequent 5-minute runs at each of the following rpm settings: 1200,1600, 2100, 2450, and then again at idle. Although the engine ran normally at all rpm settings, the engine test run revealed that the fuel system was set too lean, and the manifold pressure was about 2 inches of mercury lower than that required to produce rated power. Following these static engine runs, the engine was brought to idle and then the throttle was rapidly advanced. This sequence was repeated several times, and when the throttle was advanced quickly, the engine ran very rich with black exhaust smoke, and then would falter. If the throttle was not immediately retarded, the engine lost power completely. If the engine was immediately brought back to idle after it faltered upon rapid throttle advancement, the engine regained power. The pilot reported a loss of engine power after descending from 11,500 ft mean sea level (msl) and leveling off under a cloud layer at 2,000 ft msl. The pilot switched fuel tanks and enrichened the mixture; however, he was unable to restore engine power and elected to execute a forced landing during which he impacted trees. Postaccident examination of the airframe and fuel-injected engine revealed no anomalies that would have precluded normal operation. The engine subsequently started without hesitation during a test cell run at the manufacturer’s facility. After running at idle for 5 minutes, the engine was run for 5 minutes at various rpm settings. The engine test run revealed that the fuel system was mal-adjusted and set too lean, and the manifold pressure was about 2 inches of mercury lower than that required to produce rated power. This could have been due to an observed leak of the turbocharger exhaust or the sonic venturis which were open to the atmosphere for the engine test. Following these static engine runs, the engine was brought to idle and then the throttle was rapidly advanced. When the throttle was advanced quickly, the engine ran very rich with black exhaust smoke, and then would falter. If the throttle was not immediately retarded, the engine lost power completely. If the engine was immediately brought back to idle after it faltered upon rapid throttle advancement, the engine regained power. This was consistent with the engine flooding with rapid throttle advancement after a period of idling. Given that no anomalies were noted in the examination and that the engine repeatedly stopped producing power after rapid throttle advancement after a period of idling in the test cell, it is possible that the speed with which the pilot advanced the throttle after leveling from the descent was too quick. The engine likely then would have flooded with fuel and stopped producing power, similar to the behavior observed during the postaccident test run. 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-Engine fuel and control-(general)-Not specified

Verbatim from NTSB's published report. Source file NTSB_2023_ERA24LA043.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 ↗