ATL01LA022

NTSB accident investigation · Lake LA-4-200 · Orlando, FL · January 16, 2001

Accident · Minor injuriesLimited investigationFinal report
Date
January 16, 2001, 09:15 local (14:15 UTC)
Place
Orlando, FL
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N12ELake LA-4-200
Weather
Visual (VMC) · Day
Status
Completed · report August 21, 2001
Report
Approved by Office Director
Parties
ORLANDO FSDO
FAA report
20010116004489A
Case key
53232

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 other maintenance personnel's failure to complete prescribed inspections that resulted in the failure of a fuel block drain assembly fitting , corrosion of the battery grounding strap and the subsequent flash explosion.

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/malfunctionStanding - starting engine(s)
Electrical system,battery - corrodedCause
Maintenance,inspection - not followedPilot in commandCause
Fuel system,line fitting - crackedCause
ExplosionStanding - starting engine(s)

Analysis

The pilot was attempting to start the engine when an explosion occurred. He stated that he did not detect any fumes prior to engine start. A crack was found on a fuel block drain assembly fitting and corrosion of the battery grounding strap was also discovered. Maintenance inspection procedures for the airplane requires a 30 day inspection of both the battery grounding strap for corrosion and the fuel lines for damage.

Factual narrative

On January 16, 2001, at 0915 eastern standard time, a Lake LA-4-200, N12E, experienced a flash explosion while the pilot attempted to start the engine at the Orlando Executive Airport in Orlando, Florida. The personal flight was operated by the pilot under the provisions of Title 14 CFR Part 91 with no flight plan filed. Visual weather conditions prevailed at the time of the explosion. The airplane sustained substantial structural damage. The private pilot and his passenger were not injured. The explosion occurred during the first engine start of the day at 0915.

The pilot stated he did not detect any fumes prior to engine start. He reported draining the hull as recommended to remove any accumulated water and fuel vapor after the previous flight. The engine turned over twice before the explosion occurred.

The examination of the airplane revealed the explosion occurred in the rear cabin area of the airframe. Blue fuel stains were found on fuel lines and fittings inside the enclosed fuel system compartments. A crack was found on a fuel block fitting of the fuel drain assembly. The main fuel tank and associated fuel components are in close proximity to the battery installation. During the post-accident examination of the airplane, corrosion was discovered on the battery grounding strap.

The annual inspection was completed on October 20, 2000, about three months before the accident. Section D, item 2, of the Lake-4-200 Maintenance Inspection Procedures states "Check battery , box and cable (check at least every 30 days). Section D, item 7, states, "check fuel lines, valves and gauges for damage and operation" of the airplane includes checking the battery and ground strap for corrosion and the fuel system and fittings for leaks. No record of the ground strap inspection was discovered.

Aircraft

Registration
N12E
Reported as
Lake LA-4-200
Category
Airplane
Serial number
932
Airframe hours
2,160
Engine
Lycoming IO360 A1B6, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
George Kirby
Registered owner
Lake 12e Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 20, 2000 · 30 hours before
Departed
ORL · Orlando, FL
Destination
ORL · Orlando, FL
Airport
ORL · Orlando Executive

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
61
Injuries
Minor
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
May 11, 2001
Seat
Left
Flight hours
2,478 total · 643 in this make and model · 2,284 as pilot in command · 41 in the last 90 days · 11 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 3 knots
Visibility
3 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 34 °F
Altimeter
30.15 inHg
Observed at
ORL

FAA reports on this event · 1

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