22 Jun 2019: Maule M7-235B

22 Jun 2019: Maule M7-235B (N118G) — Unknown operator

1 fatality • Sunriver, OR, United States

Probable cause

A partial loss of engine power due to the separation of baffling in both mufflers. Contributing to the accident was the pilot's failure to retract the landing gear on the float-equipped airplane before performing a forced landing to the river.

— NTSB Determination

Accident narrative

HISTORY OF FLIGHTOn June 22, 2019, about 1040 Pacific daylight time, an amphibious Maule M-7-235B airplane, N118G, was substantially damaged when it was involved in an accident near Sunriver, Oregon. The pilot was fatally injured, and the pilot-rated passenger sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight.

According to the passenger, the purpose of the flight was to see how the airplane performed with two people onboard. The pilot taxied the airplane to the runway, performed an engine run-up with no anomalies noted, and began the takeoff roll. The passenger stated that the throttle was full forward and the engine did not sound abnormal. He stated that the pilot rotated the airplane about 65 knots with about 1,000 ft of the 5,461-ft-long runway remaining, and the airplane lifted off the runway into ground effect. He recalled that once the airplane climbed out of ground effect, the rate of climb was slow, and it was apparent that they would not clear the 50-ft-tall trees across the river. The pilot maneuvered the airplane to the left, and the airplane touched down on the Deschutes River, nosed over, and began to fill with water. The passenger said that he was unaware that the river was the intended forced landing site until seconds before touchdown.

Two witnesses who saw the takeoff described the airplane as low and struggling to gain altitude. One witness stated that the engine "sounded like the pilot had not throttled up enough or the engine was bogging for some reason." He stated that there was a "definite power loss" but no "engine sputter or misfire." The airplane turned slowly to the left, continued losing altitude, and cleared large trees lining the Deschutes River. The witness then heard a loud pop, saw the splash, and the tail "flip over." Another witness said that the airplane impacted the tops of the trees. AIRCRAFT INFORMATIONThe last maintenance performed was dated June 4, 2019, at a tachometer time of 967.7 hours. The exhaust system was sent for repairs during an annual inspection on June 22, 2011, at an airframe total time of 794.7 hours. AIRPORT INFORMATIONThe last maintenance performed was dated June 4, 2019, at a tachometer time of 967.7 hours. The exhaust system was sent for repairs during an annual inspection on June 22, 2011, at an airframe total time of 794.7 hours. WRECKAGE AND IMPACT INFORMATIONThe landing gear was found in the extended position. The water rudders were found in the retracted position. The pontoons (floats) were equipped with four visual landing gear position indicators. Each indicator was operational and indicated that the wheels were extended. Supplement 2 of the Maule Airplane Flight Manual stated, "Do not land on water unless the landing gear is fully retracted."

The engine was examined following recovery from the river. During the first attempt to run the engine, the engine started but would not maintain power. Examination of the mufflers revealed that the baffles had broken off at the weld point. The left muffler baffling moved freely inside of the muffler. The right muffler baffling was turned 180° and obstructed the outlet port.

Both mufflers were removed, and the engine was restarted; the throttle was advanced to about 1,500 rpm. A magneto drop was conducted. A loss of about 100 rpm was noted when the magnetos were isolated. Power was then advanced to 2,400 rpm with no anomalies noted.

Per the maintenance manual TLC-M-7-235A/B, rev. C, dated April 13, 2016, and Part 43, Appendix D, there is no requirement to check the inside of a muffler during annual or 100-hour inspections to ensure that the baffling is intact. How long the mufflers had been in this condition on the accident engine could not be determined. MEDICAL AND PATHOLOGICAL INFORMATIONAn autopsy was performed by the Deschutes County Medical Examiner's Office. According to its report, the cause of death was drowning.

A toxicology screen performed by FAA's Forensic Sciences laboratory detected no carboxyhemoglobin or ethanol in blood. Rosuvastatin was detected in blood and liver tissue; rosuvastatin is not impairing.

Contributing factors

  • cause Damaged/degraded
  • factor Pilot
  • Incorrect use/operation
  • Contributed to outcome

Conditions

Weather
VMC, wind 360/06kt, vis 10sm

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