CEN11LA327

NTSB accident investigation · Piper PA 46-350P · Chico, TX · May 8, 2011

Accident · No injuriesLimited investigationFinal report
Date
May 7, 2011, 20:08 local (May 8, 2011, 01:08 UTC)
Place
Chico, TX
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N80JBPiper PA 46-350P
Defining event
Enroute-cruise: Fire/smoke (non-impact)
Weather
Visual (VMC) · Dusk
Status
Completed · report March 20, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
Lycoming Engines, Federal Aviation Administration, Piper Aircraft Company
FAA report
20110507013259A
Case key
79067

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 mechanic's improper installation of the turbocharger's exhaust balance system, which resulted in an in-flight fire.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Turbocharging (recip only)Aircraft › Aircraft power plant · Incorrect service/maintenancePiper PA 46-350P: 1 caseAll aircraft: 6 casesProbable cause
MaintenancePersonnel issues › Task performance · Maintenance personnelPiper PA 46-350P: 3 casesAll aircraft: 143 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

While en route to the destination airport, the pilot noted fluctuation in the engine speed. He diverted to a nearby airport and detected smoke, which increased in intensity. While performing an emergency landing to a highway, the airplane's nose landing gear would not extend. The pilot landed the airplane, which slid to a halt. A postaccident examination revealed thermal distortion to the airplane's nose gear door, which impeded normal operation of the nose landing gear. Clamps on the turbocharger's intermediate exhaust crossover tube were found to be unsecured, which would allow exhaust gases to damage the engine's accessories. The examination also found signatures of thermal distress to the fuel flow transducer and fuel flow transducer line. The unsecured clamps and heat signatures were consistent with exhaust gases compromising the fuel flow transducer line, which resulted in a source of ignition and fuel for the in-flight fire. No additional preimpact mechanical malfunctions or failures were found that would have precluded normal operation. A review of maintenance logbooks noted that a propeller strike had occurred about 3 months before the accident and that repairs were completed about 1 month later, when the engine, including the turbocharger, was removed, cleaned, and inspected. The airplane had flown about 4 hours since the repair.

Factual narrative

On May 7, 2011, at 2008 central daylight time, a Piper PA 46-350P airplane, N80JB, experienced an inflight fire near Chico, Texas. The airline transport pilot, the sole occupant, was not injured. The airplane sustained substantial thermal damage. The airplane was registered to and operated by Christian Air Brotherhood, Wichita Fall, Texas, under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed for the flight, which operated on a visual flight rules flight plan. The flight originated from Fort Worth about 1950. According to a statement provided by the pilot, the airplane was in cruise flight at 4,500 feet mean sea level, when he detected a change in engine noise along with fluctuations in the engine speed. The pilot started to divert to the nearest airport, when the engine began to run rough. Shortly thereafter, the pilot smelled, and saw smoke enter the airplane cabin. The smoke increased and the pilot elected to perform a forced landing on a highway. The airplane's nose landing gear did not extend and the airplane slid to a stop on the main landing gear and fuselage nose section. A postaccident examination of the airframe and engine was conducted by the members of the National Transportation Safety Board (NTSB), as well as technical representatives from the Piper Aircraft Company and Lycoming Engines. The examination revealed substantial damage was sustained to the airplane's forward fuselage and firewall. Distortion from heat was noted to the airplane's nose gear door, which impeded normal operation of the nose landing gear. Clamps on the turbocharger's intermediate exhaust crossover tube were found unsecured. The NTSB's fire investigator found signatures of thermal distress to the fuel flow transducer and fuel flow transducer line. No additional preimpact mechanical malfunctions or failures were found that would have precluded normal operation. A review of maintenance logbooks noted that a propeller strike had occurred in early February 2011. Repairs on the airplane were completed May 3, 2011, when the engine was removed, cleaned, and inspected. The pilot reported that the airplane had only flown four to five hours since the airplane had been returned to service.

Aircraft

Registration
N80JB
Reported as
Piper PA 46-350P
Category
Airplane
Serial number
4622156
Airframe hours
2,418
Engine
Lycoming TIO-540-AE2A, 310 horsepower, reciprocating
Damage
Substantial damage
Fire
Both
Flight
Personal · Part 91
Operator
Christian Air Brotherhood LLC
Registered owner
Christian Air Brotherhood LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 10, 2011 · 5 hours before
Departed
AFW · Fort Worth, TX
Destination
CWC · Wichita Falls, TX
Flight plan
IFR

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
58
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
December 23, 2010
Seat
Left
Flight hours
7,090 total · 200 in this make and model · 6,434 as pilot in command · 89 in the last 90 days · 35 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
160° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 59 °F
Altimeter
29.70 inHg
Observed at
XBP, 5 nm away

Docket · 8

The files NTSB released with the investigation on February 9, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.2 MB in all.

FAA reports on this event · 1

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