ANC05LA075

NTSB accident investigation · Piper PA-31-350 · Elim, AK · May 10, 2005

Accident · No injuriesLimited investigationFinal report
Date
May 9, 2005, 16:45 local (May 10, 2005, 00:45 UTC)
Place
Elim, AK
Injuries
7 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3535FPiper PA-31-350
Weather
Visual (VMC) · Day
Status
Completed · report December 20, 2005
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA-AL FAI FSDO 01
FAA report
20050509007829A
Case key
61462

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

On this page

Probable cause

An improper installation of a fuel line fitting by company maintenance personnel, which resulted in a fuel leak and subsequent in-flight engine compartment fire during cruise flight that was discovered during the landing roll.

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.

Airframe/component/system failure/malfunctionCruise
Fuel system,line fitting - leakCause
Maintenance,installation - improperCompany maintenance personnelCause
FireCruise
Fluid,fuel - leak
Engine compartment - fire

Analysis

During the landing roll of the 14 CFR Part 135 scheduled commuter flight, the airline transport certificated pilot noticed a fire in the right engine compartment. He pulled the firewall fuel shutoff for the right engine and stopped the airplane. The passengers were evacuated and the pilot discharged the airplane's fire extinguisher inside the right engine compartment. Additional dry chemical fire extinguishers were supplied by personnel at the airport, and the fire was extinguished. A passenger on the airplane reported that she smelled gasoline and smoke as the airplane was turning onto final, and saw flames as the plane landed. The airplane received structural damage to the right wing. An FAA inspector examined the airplane and reported that the fire pattern was consistent with an in-flight fire on the inboard side of the right engine, that appeared to be concentrated around the hydraulic pump, fuel pump, and the turbocharger. The inspector examined the fuel lines and hydraulic lines to the respective pumps. His examination revealed loose "B" nuts that had no heat discoloration. The airplane's hydraulic fluid reservoir contained fluid. The airplane's right engine hydraulic pump was replaced about 31 hours before the fire. The inspector interviewed the operator's maintenance personnel, and learned that during the hydraulic pump replacement, mechanics removed the right engine's fuel pump to access to the hydraulic pump. Due to the confined area during the reinstallation of the feeder line to the fuel pump, one mechanic held the line in-place, and another turned the fitting with a wrench. A leak check revealed that the fitting was cross-threaded and leaked. The fitting was re-tightened and signed off. The inspector sent the fuel lines and hydraulic lines to the NTSB IIC for examination. Each line was subjected to an air pressure leak test, and no leaks were discovered.

Factual narrative

On May 9, 2005, about 1645 Alaska daylight time, a wheel-equipped Piper PA-31-350 airplane, N3535F, sustained substantial damage as the result of an in-flight fire in the right engine during cruise flight between Nome, Alaska, and Elim, Alaska. The fire was detected by the pilot during the landing roll at Elim. The airplane was being operated as a visual flight rules (VFR) scheduled domestic passenger flight under Title 14, CFR Part 135, when the accident occurred. The airplane was operated as Flight 310, by Cape Smythe Air Service Inc., Barrow, Alaska. The airline transport certificated pilot, and the six passengers, were not injured. Visual meteorological conditions prevailed, and a VFR flight plan was filed. The flight originated at the Nome Airport, about 1605.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), on May 10, the vice president of operations for the operator reported that when the fire was noticed by the pilot after landing at Elim, he pulled the firewall fuel shutoff for the right engine and stopped the airplane. The passengers were evacuated and the pilot discharged the airplane's fire extinguisher inside the right engine compartment. Additional dry chemical fire extinguishers were supplied by personnel at the airport, and the fire was extinguished. The airplane received structural damage to the right wing and right flap.

A passenger on the airplane, who was seated in the aft, left seat, informed a Federal Aviation Administration (FAA) airworthiness inspector from the Fairbanks Flight Standards District Office (FSDO), that she "smelled gas and smoke as the airplane was turning into land (final approach). I saw flames as the plane landed, on the right side."

The FAA inspector examined the airplane in Elim. He reported that the fire pattern was consistent with an in-flight fire on the inboard side of the right engine, that appeared to be concentrated around the hydraulic pump, fuel pump, and the turbocharger. The inspector examined the fuel lines and hydraulic lines to the respective pumps. His examination revealed loose "B" nuts that had no heat discoloration. The airplane's hydraulic fluid reservoir contained fluid.

The inspector noted that the airplane's right engine hydraulic pump was replaced during a 50 hour inspection, about 31 hours before the fire. The inspector interviewed the operator's maintenance personnel, and learned that during the hydraulic pump replacement, mechanics removed the right engine's fuel pump to facilitate access to the hydraulic pump. Due to the confined area during the reinstallation of the feeder line to the fuel pump, one mechanic held the line in-place, and another turned the fitting with a wrench. A leak check revealed that the fitting was cross-threaded and leaked. The fitting was re-tightened and signed off.

The inspector sent the fuel lines and hydraulic lines to the NTSB IIC for examination. Each line was subjected to an air pressure leak test at a local maintenance facility, and no leaks were discovered.

According to the pilot, he completed a Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1) and sent it to the operator's corporate office in Barrow, Alaska. The operator was unable to locate the report, and the operator is now under new ownership. A copy of the pilot's statement, the FAA inspector's description of his findings, and a passenger statement, are included in the public docket for this report.

Aircraft

Registration
N3535F
Reported as
Piper PA-31-350
Category
Airplane
Serial number
31-7952200
Airframe hours
23,590
Engine
Continental LTIO-540-J2B, 350 horsepower, reciprocating
Damage
Substantial damage
Fire
In-Flight
Flight
Part 135
Registered owner
Cape Smythe Air Service Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 1, 2005 · 84 hours before
Departed
PAOM · Nome, AK
Destination
ELI · Elim, AK
Flight plan
VFR
Airport
ELI · Elim, runway 01, 3,000 × 60 ft, gravel

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
48
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Left
Flight hours
8,250 total

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None

FAA reports on this event · 1

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

Other investigations on N3535F · 2

Matched to the same aircraft by N-number and date.