ATL94LA133

NTSB accident investigation · Pilatus PC-6/B1-H2 · Raeford, NC · July 9, 1994

Accident · Minor injuriesLimited investigationFinal report
Date
July 9, 1994, 10:15 local (14:15 UTC)
Place
Raeford, NC
Injuries
2 minor
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N111FXPilatus PC-6/B1-H2
Weather
Visual (VMC) · Day
Status
Completed · report October 13, 1995
Report
Approved by Office Director
FAA report
19940709017849A
Case key
3412

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 improper inspection of the aircraft by company maintenance personnel, which resulted in an unsafetied and disconnected fuel control arm.

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(partial) - mech failure/malfTakeoff - initial climb
Fuel injection control,linkage - not safetiedCause
Fuel injection control,linkage - disengagedCause
Maintenance,100-hour inspection - improperCompany maintenance personnelCause
Forced landingEmergency landing after takeoff
In flight collision with terrain/waterEmergency landing after takeoff

Analysis

The pilot was performing the initial takeoff, when he observed a loss of power, associated with a torque indication of zero. He force landed the aircraft in a wooded area when he could not make an open field. A post accident inspection of the engine revealed that the fuel control unit arm was loose, and the lock wire was not in place. The arm was positioned so that a maximum power demand from the throttle would correspond to an idle power demand at the fuel control. The engine underwent a 100 hour inspection, by company maintenance personnel, 8 days prior to the accident. The inspection checklist called for examining the fuel control linkage for security.

Factual narrative

On July 9, 1994, at 1015 eastern daylight time, a Pilatus PC-6/B1-H2, N111FX, was destroyed following a collision with terrain during a forced landing attempt near Raeford, North Carolina. The commercial pilot and his pilot-rated passenger received minor injuries. The aircraft was being operated under the provisions of 14 CFR Part 91 by Freefall Express, Incorporated of Deland, Florida. Visual meteorological conditions existed at the time, and no flight plan had been filed for the local, personal flight.

The pilot reported the following: He departed the Raeford Airport with the intention of staying in the local traffic pattern. The takeoff from runway 22 was normal (propeller 100 percent, torque 35 pounds, with six turns of flaps). After liftoff, he retarded the propeller to 90 percent, and the torque to 30 pounds. He raised the flaps, and initiated a left turn, while remaining in a climb. He then observed that the climb rate was slow, and initiated another left turn. The torque then went to zero. The aircraft began to lose altitude, and he referred to the emergency checklist. He set up for a forced landing, while continuing his attempts to regain torque. Unable to make it to an open field, the aircraft was landed in a wooded area. A fire began in the engine area, and the pilots exited the aircraft through the co- pilot's windshield.

A cursory inspection of the engine was performed at the Raeford Airport. The inspection revealed that the fuel control arm extension was loose, and the lock wire was not present. The engine was then shipped to the Pratt and Whitney manufacturing facilities in Longueuil, Quebec, Canada, for a detailed examination. The examination revealed that the fuel control arm extension lock wire was not in place, and the extension could be loosened by hand. The fuel control unit arm was positioned approximately 60 degrees in advance of the normal relationship with the fuel control unit spindle, such that with the input lever positioned to command maximum power, the fuel control unit spindle position corresponded to the idle power position. The lock wire fastening holes of both the fuel control unit arm and the extension appeared uniformly fire and soot discolored, with no marks suggestive of the presence of lock wire prior to the fire and soot discoloration. The fuel control unit arm adjusting spacer serrations and the mating serrations of the fuel control unit arm and spindle displayed uniform sooting and fire discoloration.

The compressor centrifugal impeller and shroud, the compressor turbine and interstage baffle, and the power turbine and power turbine guide vanes displayed light circumferential rubs. The engine manufacturer's representative reported that these rubs were consistent with axial contact under impact loads and external engine case distortion. He also reported that these rotational signatures were characteristic of an engine developing idle range power at impact.

The last inspection of the aircraft occurred on July 1, 1994 (an annual inspection). The inspection included the engine, and a 100 hour checklist was completed by the operator. Under the "Fuel System" section of the checklist was the following entry, initialed by the operator's mechanic: "(4) Fuel control for security and leakage. Check linkage and sense-lines."

Aircraft

Registration
N111FX
Reported as
Pilatus PC-6/B1-H2
Category
Airplane
Serial number
701
Airframe hours
9,963
Engine
P&W PT6A-20, 550 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Freefall Express, Inc.
Registered owner
Freefall Express, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 1994 · 4 hours before
Departed
5W4
Destination
5W4 · NC
Airport
5W4 · Raeford Municipal, runway 22, 3,400 × 60 ft, asphalt

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
41
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
3,000 total · 108 in this make and model · 2,836 as pilot in command · 185 in the last 90 days · 43 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 8 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 73 °F
Altimeter
30.00 inHg
Observed at
FAY, 16 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.