Primary finding
Probable cause
The loss of airplane control after an engine flameout and auto-feather system interruption during the takeoff climb, which resulted in an impact with terrain.
Investigator assessment
Analysis narrative
The two pilots departed in a turbine powered DC-3C at maximum gross weight for a repositioning flight. The airplane was part of a test program for new, higher horsepower engine installation. Soon after liftoff and about 3 seconds after decision speed (V1), the left engine lost total power. The propeller began to auto-feather but stopped feathering about 3 seconds after the power loss. The airplane yawed and banked to the left, descended, and impacted terrain. Recorded engine data indicated the power loss was due to an engine flameout; however, examination of the engine did not determine a reason for the flameout or the auto-feather system interruption. While it is plausible that an air pocket developed in the fuel system during the refueling just before the flight, this scenario was not able to be tested or confirmed. It is possible that the auto-feather system interruption would have occurred if the left power lever was manually retarded during the auto-feather sequence. The power loss and auto-feather system interruption occurred during a critical, time-sensitive phase of flight since the airplane was at low altitude and below minimum controllable airspeed (Vmc). The acutely transitional phase of flight would have challenged the pilots' ability to manually feather the propeller quickly and accurately. The time available for the crew to respond to the unexpected event was likely less than needed to recognize the problem and take this necessary action – even as an immediate action checklist/memory item.
Source record
Factual narrative
Captain The captain was a DC-3TP Part 125 check airman and was the chief pilot for AFM Hardware Inc.; he held FAA designated pilot examiner privileges for both piston and turboprop DC-3 airplanes. The accident flight was the captain's eighth flight in the accident airplane after installation of the newer model PT6A series engines. First Officer The accident flight was the first officer's fourth flight in the accident airplane after installation of the newer model PT6A series engines. The airplane was issued an experimental airworthiness certificate on July 27, 2018. Fuel System The fuel system consisted of four auxiliary tanks and two main tanks having a total capacity of 1,041 gallons. The four auxiliary tanks were mounted in the wing center section and one main tank was mounted in each engine nacelle. Each main tank had a capacity of 116 gallons, split into eight sections by integral baffles. Main tank fuel was routed through two boost pumps with check valves to the engine fuel pump, which included a low fuel pressure sensor that activated a cockpit audible warning tone below 5 psi. An electrically operated firewall fuel shutoff valve was mounted on the aft side of the engine firewall. Forward of the engine firewall was a fuel strainer with a red "popup" indicator, designed to "pop" if fuel bypass was activated. One week before the accident, all six fuel tanks were defueled for weight and balance calculations. On the morning of the accident, the airplane was towed from a heated hangar and all six tanks were filled with Jet A1 fuel, totaling 1,046 gallons. The two main fuel tanks were fueled via transfer from the forward auxiliary fuel tanks on each respective wing. Propeller Auto-Feather System The composite, five bladed propellers were constant-speed, full-feathering, single-acting, non-regulated propellers that used oil pressure from the propeller governor to decrease the pitch of the propeller blades to maintain the selected RPM. Increasing the propeller blade pitch is driven by an internal spring and counterweights to maintain the elected RPM. In the event of a loss of engine power, an auto-feather system is installed to feather the propeller when there is a loss of propeller torque. The system consists of a feather dump valve located on the propeller overspeed governor of each engine, high and low-pressure switches located on the torque pressure manifold of each engine, an auto-feather switch located on the respective engine power lever, a propeller auto-feather switch on the instrument panel, and relays with associated electrical wiring. When the auto-feather system is armed and the power lever position is above 90% Ng, the system automatically feathers the propeller when the engine torque drops below about 200 ft-pounds. Propeller feathering occurs when the auto-feather dump valve is activated, which releases the oil in the propeller, allowing the feathering spring and counterweights to drive the propeller blades to the feather position. Retarding the power lever to below 90% Ng will interrupt the auto-feather process. Ignition System The ignition system for each engine consists of one exciter box, two ignition leads, and two spark ignitors. A three-position ignition switch selects between auto, manual, and off positions. In the auto position, the system energizes whenever the starter is activated. In the manual position, the system provides continuous ignition. The airplane was not equipped with an auto-relight ignition system, which is armed at takeoff and triggered by a low torque indication, causing the ignitors to fire automatically, relighting the fuel in the engine combustor. The flight manual did not specify position of the ignition switch for normal takeoff. Following the accident, the operator updated the flight manual to require both engine ignition systems be switched to manual before takeoff to ensure continuous ignition. The Office of the Coroner, Stark County, Ohio, conducted an autopsy on both pilots. The cause of death for both was blunt force injury. Toxicology testing performed on the captain by the Federal Aviation Administration's (FAA) Forensic Sciences Laboratory on specimens collected after embalming identified methanol in urine. Methanol is a common ingredient in embalming fluid. Toxicology testing performed on the first officer by the FAA on specimens collected after embalming identified atorvastatin, naproxen, and diphenhydramine and methanol in urine. Blood testing was negative for diphenhydramine. Atorvastatin is a medication for cholesterol control and cardiovascular disease prevention and naproxen is an anti-inflammatory medication used for control of pain and fever. Neither of these medications are considered impairing. Diphenhydramine is a sedating antihistamine available over the counter in cold, allergy, and sleep aid products and can cause cognitive and psychomotor slowing and drowsiness. The airplane came to rest about 600 ft from the end of runway 19 and about 700 ft to the left of the runway centerline. The main wreckage was upright and oriented on a northwesterly heading, with the fuselage separated forward of the wings. The left wing was broken aft and the inboard leading edge of the right wing was crushed aft. The left engine was broken aft and was outboard of the wing's leading edge. The right engine was broken downward at the nacelle. The nose of the airplane was located forward and left of the main wreckage. The left main tank was found inverted and breached. The fuel line from the left main tank to the engine was crimped during impact. All fuel line fittings were secure. The fuel filter bypass indicator, located on the engine side of the firewall, was in the normal position. Fuel samples from the four auxiliary fuel tanks, two main fuel tanks, and fuel farm were tested, with no anomalies observed. The left engine power lever was about 1 inch forward of the idle stop and the right engine power lever was against the idle stop. The left propeller control lever was against the feather detent guard and the right propeller control lever was about 1 inch from the full forward position. The left fuel condition lever was against the stop in the ground idle position. The right fuel condition lever was forward in the run position. The left engine propeller was still attached to the propeller shaft, with the five blades fractured near their roots. A dent in the pitch change pin corresponded to about 10-13° in flight, which was the low pitch hydraulic stop, which was consistent with a no or low power condition of the left engine. The left engine propeller governor was fractured, and the speed adjust lever and return spring were not found. The input shaft was rotated by hand with no binding noted. The feathering valve was present and could be actuated with finger pressure. The reverse reset lever and the beta valve were actuated with no anomalies. The left engine fuel control unit (FCU) was separated from the fuel pump. The fuel pump housing was fractured; however, the input spline was undamaged, and the input shaft was rotated by hand. The left engine compressor and power section, the left engine accessories consisting of the FCU, fuel pump, propeller governor, fuel nozzles and flow divider, and the right engine FCU were sent to the P&WC facility for further testing. The autofeather system was examined, which revealed that the left engine power lever switch was operational. The autofeather switch on the instrument panel was destroyed and several system relays were damaged. The high- and low-pressure switches for the right engine were destroyed; the left engine switches tested normally. A review of cockpit videos from previous flights indicated the autofeather system operated normally during ground tests. Examination of the left engine revealed signatures consistent with the engine producing very low power at the time of impact.