CEN12LA220

NTSB accident investigation · Cirrus Design SR22T · Addison, TX · March 23, 2012

Accident · No injuriesLimited investigationFinal report
Date
March 23, 2012, 11:00 local (16:00 UTC)
Place
Addison, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N229TXCirrus Design SR22T
Defining event
Taxi-to runway: Electrical system malf/failure
Weather
Visual (VMC) · Day
Status
Completed · report June 11, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration, Dallas FSDO, Cirrus Aircraft Corporation
FAA report
20120323009079A
Case key
83278

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

Maintenance personnel’s improper maintenance, which resulted in the incorrect wiring of the No. 1 alternator and a subsequent electrical system fire during taxi. Contributing to the accident was the airplane manufacturer's inadequate maintenance documentation that did not depict updated electrical system wiring options.

Findings · 4

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.

Electrical power system: aC generator-alternatorAircraft › Aircraft systems · Incorrect service/maintenanceCirrus Design SR22T: 1 caseAll aircraft: 14 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelCirrus Design SR22T: 3 casesAll aircraft: 371 casesProbable cause
Electrical power system: aC generator-alternatorAircraft › Aircraft systems · Related maintenance infoCirrus Design SR22T: 1 caseAll aircraft: 14 casesProbable cause
Documentation/record keeping: maintenance recordsOrganizational issues › Support/oversight/monitoring · ManufacturerCirrus Design SR22T: 1 caseAll aircraft: 16 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

The airplane experienced an electrical fire while taxiing to the departure runway. A postaccident examination revealed that a grounded shield wire was improperly attached to the alternator's auxiliary power terminal instead of the alternator's case-ground connection during recent maintenance. The mechanic who had recently removed the alternator stated that he did not identify the location of the wire harness leads during removal and that the manufacturer's documentation did not depict where the power shield wire should be attached on the alternator, so he decided to attach the shield wire to the auxiliary power terminal, which was not correct. The manufacturer's wiring manual did not depict the optional electrical system wiring configuration, which included the incorporation of the No. 1 alternator power shield wire. As a result of the accident, the airplane manufacturer updated the wiring manual to explicitly account for the shield wires and the unused auxiliary power terminal. Caution messages were added to the maintenance manuals warning mechanics that the airplane might be equipped with cable shielding and, if so, where to connect the shielding on the alternator.

Factual narrative

On March 23, 2012, at 1100 central daylight time, a Cirrus Design Corporation model SR22T airplane, N229TX, was substantially damaged during an electrical fire while taxiing for departure at Addison Airport (ADS), Addison, Texas. The commercial pilot and passenger were not injured. The airplane was registered to and operated by PlaneSmart! Aviation LLC under the provisions of 14 Code of Federal Regulations Part 91 without a flight plan. Day visual meteorological conditions prevailed for the local area flight that was originating when the accident occurred. The pilot reported that after a short taxi the primary flight display (PFD) and the multifunction display (MFD) suddenly lost all displayed information. The circuit breakers for battery No. 1 and alternator No. 2 had tripped and could not be reset. The pilot advised the tower controller that he wanted to return to the ramp. The tower controller told the pilot that the control tower was currently changing the active runways and to expect to hold his position for about 5 minutes. The pilot noted that airplane then experienced a total loss of electrical power. He decided to turn the airplane towards the control tower in order to look for light-gun signals from the control tower; however, the engine lost power as he increased power. At this time the passenger noticed smoke emanating from the lower engine compartment. The pilot and passenger exited the airplane and called the control tower via mobile phone to report the fire. The airplane had undergone recent maintenance that required the removal of the No. 1 alternator to facilitate the removal of an adjacent engine cylinder. A postaccident examination, completed by a Federal Aviation Administration (FAA) Airworthiness Inspector, revealed that the grounded shield wire for main power-out cable had been mistakenly attached to the auxiliary power terminal on the No. 1 alternator instead of the alternator's case-ground connection. There was extensive fire and heat damage to the No. 1 alternator wire harness, and to the associated ground buss and main control unit connectors. Additionally, the stainless steel heat shield and composite firewall exhibited fire and heat damage which necessitated major repair of the affected areas. According the FAA inspector, the aviation mechanic who had removed the No. 1 alternator did not mark or identify the location of the wire harness leads during removal. The mechanic referenced the Aircraft Wiring Manual (AWM) and Aircraft Maintenance Manual (AMM) before reinstalling the alternator, but was unable to determine the proper placement of the wire harness leads using the available documentation. The mechanic consulted with a co-worker on the placement of the grounded shield connector (which was partially obscured by shrink-wrap and not readily identifiable as being a shield wire). The decision was made to install the grounded shield wire to the auxiliary power terminal. (The auxiliary power terminal provides 1/3 of thetotal output capacity of the 100 ampere alternator.) According to the airplane manufacturer, a historical review of electrical schematics, airplane build records, and supporting engineering documentation established that the No. 1 alternator power shield wire was incorporated in the SR22 and SR22T airplane fleets to address reported electromagnetic interference on those airplanes equipped with a 100 ampere No. 1 alternator, storm scope, and air-conditioning. A review of the AWM confirmed that the auxiliary power terminal, and the optional power and field shield wires were not depicted in the electrical schematic and supporting documentation. As result of the accident, the airplane manufacturer updated the AWM alternator wiring depiction to explicitly account for the grounding shield wires and the unused auxiliary power terminal. Additionally, the AWM and AMM were both updated to include a caution message concerning the unused auxiliary power terminal that stated, "Do not install cable shielding wire(s) to the AUX power terminal." The updated AMM also included a caution message that stated, "Cable shielding could be installed to the power and/or field wire harness. If installed, attach cable shielding wire(s) to ground terminal on alternator."

Aircraft

Registration
N229TX
Reported as
Cirrus Design SR22T
Category
Airplane
Serial number
0076
Built
2011
Airframe hours
482
Engine
Continental Motors TSIO-550-K, 315 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Operator
PlaneSmart! Aviation, LLC
Registered owner
PlaneSmart! Aviation, LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 22, 2012
Departed
ADS · Addison, TX
Destination
ADS · Addison, TX
Airport
ADS · Addison Airport, runway 15, 7,202 × 100 ft, asphalt
Equipment
Stall warning system, Electronic primary flight display, Electronic multifunction display, Airframe parachute

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
26
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
January 27, 2011
Seat
Left
Restraint
3-point
Flight hours
753 total · 23 in this make and model · 715 as pilot in command · 106 in the last 90 days · 44 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 45 °F
Altimeter
30.05 inHg
Observed at
ADS

Docket · 4

The files NTSB released with the investigation on May 6, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.6 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.