ANC03LA032

NTSB accident investigation · Rockwell 500-S · Chickaloon, AK · March 19, 2003

Accident · No injuriesLimited investigationFinal report
Date
March 19, 2003, 10:15 local (14:15 UTC)
Place
Chickaloon, AK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N903AKRockwell 500-S
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 2003
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA-AL-ANC FSDO 03
FAA report
20030319003549A
Case key
56647

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

The improper installation of an engine fuel line fitting by contracted maintenance personnel resulting in an in-flight engine fire. Contributing factors in the accident were an inadequate annual inspection by company maintenance personnel, and the lack of suitable terrain for a forced landing.

Analysis

Both engines of the twin-engine airplane were removed for overhaul and reinstalled by contracted maintenance personnel. The engines were then ground-run to assess their performance, and to check for any leaks. No leaks were found. An annual inspection was subseqently completed by the operator's maintenance personnel, and the airplane was released for a maintenance test flight. The preflight, engine runup, and the takeoff engine power settings were normal. Another pilot observed the takeoff of the accident airplane, and noticed what appeared to be a slight vapor trail coming from the left engine. He did not report his observations to the pilot. The accident flight was intended to check the turbocharging system by climbing to 12,000 feet. At 8,000 feet, the electrical system experienced a spike, but then returned to normal. As the airplane approached 11,000 feet, the left engine's fuel pressure began to fluctuate. The manifold pressure and rpm began to decrease. The pilot feathered the propeller, and shut-off the engine's fuel/hydraulic valve. The passenger then noticed flames coming from the left engine. The pilot began an emergency descent, and landed on a gravel bar. During the landing roll, the airplane received extensive damage to the fuselage and landing gear. The pilot and passenger exited the airplane and extinguished the flames from the left engine with a hand-held fire extinquisher. A trail of oil was visible on the ground along the airplane's approach path to the accident scene. A postaccident examination of the airplane revealed extensive fire damage, sooting, and oil streaking coming from the left engine nacelle. Inspection of the left engine revealed that the fuel line, from the left wing tank to the engine driven fuel pump, was not connected. The interior threads of the fuel line fitting, and the exterior threads of the fuel pump nipple had extensive sooting.

Factual narrative

The factual narrative871 words

On March 19, 2003, about 1015 Alaska standard time, a Rockwell 500-S airplane, N903AK, sustained substantial damage when it encountered rough terrain during a forced landing following an in-flight engine fire, about 2 miles east-southeast of Chickaloon, Alaska. The airplane was being operated as a visual flight rules (VFR) local area maintenance test flight under Title 14, CFR Part 91, when the accident occurred. The airplane was operated by the State of Alaska Division of Forestry, Palmer, Alaska. The airline transport certificated pilot, and the sole passenger, were not injured. Visual meteorological conditions prevailed, and VFR flight following procedures were in effect. The flight originated at the Palmer Municipal Airport, Palmer, at 0953.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), on March 19, the pilot reported the airplane had undergone extensive maintenance, including overhauls of both engines, and installation of a turbocharger system. The engines were installed by maintenance personnel under contract with the Division of Forestry. Following installation, the engines were ground-run to assess their performance, and to check for any fluid leaks. No leaks were found. An annual inspection was then completed by maintenance personnel with the Division of Forestry, and the airplane was released for a maintenance test flight. The passenger on the test flight was the mechanic who installed the engines.

The pilot reported that he performed a preflight and engine runup, and no discrepancies were noted. The takeoff, with engine power settings of 30 inches of manifold pressure and 2,700 rpm, was normal. The accident flight was intended to check the turbocharging system by climbing to 12,000 feet.

One of the Division of Forestry pilots observed the takeoff from the Palmer Airport. He said he noticed what appeared to be a slight vapor trail coming from the left engine of the accident airplane. He did not report his observations to the pilot.

The pilot reported that while climbing through 8,000 feet, the electrical system experienced a spike, but then returned to normal. As the airplane approached 11,000 feet, the left engine's fuel pressure began to fluctuate. The manifold pressure and rpm began to decrease. The pilot feathered the propeller, and shut-off the left engine's fuel/hydraulic valve. He informed his Division of Forestry dispatcher that the flight was returning to Palmer. The passenger then noted that flames were visible coming from the left engine. The pilot began an emergency descent toward a forced landing area. He selected a gravel bar near the Matanuska River, and landed with the landing gear and flaps extended. During the landing roll, the airplane received extensive damage to the fuselage and landing gear. When the airplane came to a stop, the pilot and passenger exited the airplane and extinguished the flames from the left engine with a hand-held fire extinguisher. The pilot reported that the left engine, the left side of the fuselage, and the underside of the wing had oil streaking. A trail of oil was visible on the ground along the airplane's approach path to its final resting point.

After the airplane was recovered, it was examined on March 24 and 25, 2003, by the NTSB IIC, other NTSB personnel, and an FAA airworthiness inspector. The examination revealed fire damage, melting of skin material, and sooting along the upper and left side of the left engine nacelle adjacent to the aft edge of the wing. The inboard side of the left engine cowling was scorched and fire damaged. The left inboard flap had scorching and destruction of the upper surface. Oil smudging and streaking were found along the underside of the left engine cowling, the left side of the fuselage, the underside of the inboard portion of the left wing, and the underside of the left horizontal stabilizer. The underside of the wing, between the nacelle and the fuselage was fire damaged. The left engine firewall had scorching and spattering of metal and fire damage at the lower inboard edge of the firewall.

The left engine turbocharger inlet air scat tubing was destroyed by fire, along with the oil return line between the bottom of the turbocharger and the aft side of the engine case. This portion of the engine cowling had the most extensive oil deposits and streaking, indicating the breached portion of the oil return line allowed engine oil to vent to the atmosphere. The engine still contained about 6 quarts of oil. The upper oil supply line to the turbocharger was sooted, but not breached. The turbine was free without restriction upon hand rotation.

Fire damage and sooting were concentrated on the aft accessory case portion of the engine, centered near the engine driven fuel pump. Examination of the fuel pump disclosed that the fuel line, from the left wing fuel tank to the fuel pump, was not connected to the pump. The threaded fitting of the line was hanging below the pump, and had sooting on the interior of the fitting. The mating inlet nipple of the fuel pump had extensive sooting of the exposed treads. The interior portion of the "L" shaped nipple was sooted. The fuel line from the fuel pump to the engine servo was attached to the pump. It was sooted and scorched, but not breached.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - nonmechanicalCruise
1 engine
Maintenance,installation - improperOther maintenance personnelCause
Fuel system,line fitting - disconnectedCause
Maintenance,annual inspection - inadequateCompany maintenance personnelFactor
FireCruise
Engine compartment - fire
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterEmergency descent/landing
Terrain condition - none suitableFactor
Terrain condition - rough/uneven

Aircraft

Registration
N903AK
Reported as
Rockwell 500-S
Category
Airplane
Serial number
3302
Airframe hours
3,406.9
Engine
Lycoming IO-540-M1C5, 300 horsepower, reciprocating
Damage
Substantial damage
Fire
In-Flight
Flight
Public aircraft · Part 91
Operator
State Of Alaska Division Of Forestry
Registered owner
Toram Capital Ventures LLC.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 14, 2003 · 0.4 hours before
Departed
PAAQ · Palmer, AK
Flight plan
Company VFR

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
37
Injuries
None
Certificates
Commercial, Airline transport, Flight instructor
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
April 19, 2002
Seat
Left
Flight hours
9,800 total · 100 in this make and model · 9,000 as pilot in command · 7 in the last 90 days · 2 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
325° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
34 °F, dew point 18 °F
Altimeter
29.62 inHg
Observed at
PAAQ, 23 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.