19970620015219A

Accident · Destroyed

FAA accident report · Piper PA-31-310 · San Diego, CA · June 20, 1997

Date
June 20, 1997 · 12:31 local
Place
San Diego, CA
Airport
Brown Field Municipal
Phase of flight
To Init Climb(1st Pwr Reduct)
Operating rules
General operating rules (Part 91)
Damage
Destroyed
Aircraft
N266MM
NTSB investigation
NTSBLAX97FA217
Reported as
Piper PA31310
Reported engine
Lycoming TIO540*
People aboard
3
Fatal injuries
3
Pilot’s flight hours
10,041 total1,586 in this make and model73 in the last 90 days

From the FAA’s Accident/Incident Data System (AIDS), through its Aviation Safety Information Portal, as reported. The NTSB investigates accidents separately, and its record of an accident is the fuller one. The aircraft is matched to the registry by N-number and event date, checked against the reported make and model; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

What happened

The FAA’s narrative, in sentence case. The FAA writes it in capitals and removes private details.

Aircraft crashed shortly after takeoff. (.4)the aircraft concluded an aerial survey and landed at Brown field to clear U.S. Customs. On restart, as the left engine began running, a witness noticed two short, yellow flame bursts exit the exhaust. During taxi, the witness heard a popping sound coming from the aircraft. As power was applied to cross runway 26L, the sound went away. The aircraft stopped for a few seconds prior to pulling onto the runway; the witness did not observe or hear a run-up. Witnesses reported hearing a series of popping sounds similar to automatic gunfire and observed the aircraft between 600 and 1,000 feet above the ground with wings level and the landing gear up. The aircraft was observed to make an abrupt, 45-degree banked, left turn as the nose dipped down. Witnesses reported the nose of the aircraft then raised up toward the horizon. This was followed by the aircraft turning to the left and becoming inverted in an estimated 30-degree nose low attitude. With the nose still low, the aircraft continued around to an upright position and appeared to be in a shallow right bank. Witnesses then lost sight of the aircraf t due to buildings and terrain. A may 20, 1997, work order indicated the left manifold pressure fluctuated in flight. Both wastegates were lubricated and a test flight revealed the left engine manifold pressure lagged behind the right engine manifold pressure. On June 18, 1997, the left engine differentail pressure controller was noted to have been removed and replaced. This was the corrective action for a discrepancy write up that the left engine manifold pressure fluctuated up and down 2 inhg and the RPM varied by 100 in cruise. A test flight that afternoon by the accident pilot indicated the discrepancy still occurred at cruise power setting, but the engine operated normally at high and low power settings. Post accident functional checks were performed on various components. No discrepancies were noted for the left governor. The left engine differential pressure controller was damaged and results varied on each test. The left density controller was too damaged to test. The right engine density and differential pressure controllers tested satisfactory. The left and right fuel pumps operated with in specifications. Both fuel servos were damaged. One injection nozzle o n the left engine was partially plugged; all others flow tested within specidications.

As the FAA filed it

AIRCRAFT CRASHED SHORTLY AFTER TAKEOFF. (.4)THE AIRCRAFT CONCLUDED AN AERIAL SURVEY AND LANDED AT BROWN FIELD TO CLEAR U.S. CUSTOMS. ON RESTART, AS THE LEFT ENGINE BEGAN RUNNING, A WITNESS NOTICED TWO SHORT, YELLOW FLAME BURSTS EXIT THE EXHAUST. DURING TAXI, THE WITNESS HEARD A POPPING SOUND COMING FROM THE AIRCRAFT. AS POWER WAS APPLIED TO CROSS RUNWAY 26L, THE SOUND WENT AWAY. THE AIRCRAFT STOPPED FOR A FEW SECONDS PRIOR TO PULLING ONTO THE RUNWAY; THE WITNESS DID NOT OBSERVE OR HEAR A RUN-UP. WITNESSES REPORTED HEARING A SERIES OF POPPING SOUNDS SIMILAR TO AUTOMATIC GUNFIRE AND OBSERVED THE AIRCRAFT BETWEEN 600 AND 1,000 FEET ABOVE THE GROUND WITH WINGS LEVEL AND THE LANDING GEAR UP. THE AIRCRAFT WAS OBSERVED TO MAKE AN ABRUPT, 45-DEGREE BANKED, LEFT TURN AS THE NOSE DIPPED DOWN. WITNESSES REPORTED THE NOSE OF THE AIRCRAFT THEN RAISED UP TOWARD THE HORIZON. THIS WAS FOLLOWED BY THE AIRCRAFT TURNING TO THE LEFT AND BECOMING INVERTED IN AN ESTIMATED 30-DEGREE NOSE LOW ATTITUDE. WITH THE NOSE STILL LOW, THE AIRCRAFT CONTINUED AROUND TO AN UPRIGHT POSITION AND APPEARED TO BE IN A SHALLOW RIGHT BANK. WITNESSES THEN LOST SIGHT OF THE AIRCRAF T DUE TO BUILDINGS AND TERRAIN. A MAY 20, 1997, WORK ORDER INDICATED THE LEFT MANIFOLD PRESSURE FLUCTUATED IN FLIGHT. BOTH WASTEGATES WERE LUBRICATED AND A TEST FLIGHT REVEALED THE LEFT ENGINE MANIFOLD PRESSURE LAGGED BEHIND THE RIGHT ENGINE MANIFOLD PRESSURE. ON JUNE 18, 1997, THE LEFT ENGINE DIFFERENTAIL PRESSURE CONTROLLER WAS NOTED TO HAVE BEEN REMOVED AND REPLACED. THIS WAS THE CORRECTIVE ACTION FOR A DISCREPANCY WRITE UP THAT THE LEFT ENGINE MANIFOLD PRESSURE FLUCTUATED UP AND DOWN 2 INHG AND THE RPM VARIED BY 100 IN CRUISE. A TEST FLIGHT THAT AFTERNOON BY THE ACCIDENT PILOT INDICATED THE DISCREPANCY STILL OCCURRED AT CRUISE POWER SETTING, BUT THE ENGINE OPERATED NORMALLY AT HIGH AND LOW POWER SETTINGS. POST ACCIDENT FUNCTIONAL CHECKS WERE PERFORMED ON VARIOUS COMPONENTS. NO DISCREPANCIES WERE NOTED FOR THE LEFT GOVERNOR. THE LEFT ENGINE DIFFERENTIAL PRESSURE CONTROLLER WAS DAMAGED AND RESULTS VARIED ON EACH TEST. THE LEFT DENSITY CONTROLLER WAS TOO DAMAGED TO TEST. THE RIGHT ENGINE DENSITY AND DIFFERENTIAL PRESSURE CONTROLLERS TESTED SATISFACTORY. THE LEFT AND RIGHT FUEL PUMPS OPERATED WITH IN SPECIFICATIONS. BOTH FUEL SERVOS WERE DAMAGED. ONE INJECTION NOZZLE O N THE LEFT ENGINE WAS PARTIALLY PLUGGED; ALL OTHERS FLOW TESTED WITHIN SPECIDICATIONS.

NTSB investigation

The NTSB’s investigation of this event, with its probable cause and findings. Matched to this report by N-number and date.