CEN16IA091

NTSB incident investigation · Mitsubishi MU 300 · Little Rock, AR · January 12, 2016

Incident · No injuriesIncident investigationFinal report
Date
January 12, 2016, 09:30 local (15:30 UTC)
Place
Little Rock, AR
Injuries
4 uninjured
Damage
Minor damage
Phase of flight
Takeoff
Aircraft
N200LPMitsubishi MU 300
Defining event
Takeoff: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report April 20, 2020
Report
Approved by Office Director
NTSB office
Central Region
FAA report
20160112000659I
Case key
92607

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

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Probable cause

The flight crew's inadequate preflight inspection of the airplane, during which they failed to see a fueling mat that had been placed on the inboard trailing edge of the right wing, which the right engine subsequently ingested during the takeoff roll. Contributing to the incident was the airplane fueler's failure to remove the fuel mat after fueling the airplane.

Findings · 3

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.

Inspection: preflight inspectionPersonnel issues › Task performance · Flight crewMitsubishi MU-300: 1 caseAll aircraft: 551 casesProbable cause
Object/animal/substanceEnvironmental issues › Physical environment · Effect on operationMitsubishi MU-300: 1 caseAll aircraft: 224 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · Flight service personnelMitsubishi MU-300: 1 caseAll aircraft: 551 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 airline transport pilot and the copilot were conducting an on-demand, air taxi flight with two passengers on board. The pilot reported that, during the takeoff roll, he heard a "grumble" and that the airplane began shaking. The passengers reported to the flight crew that they saw flames coming out of the right engine. The flight crew then stopped the airplane on the runway and shut down the engines. Postincident examination of the right engine revealed that it had ingested a fuel mat that airplane fuelers had placed on the inboard trailing edge of the wing during preflight fueling and failed to remove after fueling. The pilots reported that they did not conduct an exterior preflight inspection of the airplane after it was fueled and that, during a subsequent visual inspection of the fuel caps, they did not see the fuel mat because of its location on the right wing. The pilots' inadequate inspection of the airplane after it was fueled led to the right engine ingesting the fuel mat during the takeoff roll.

Factual narrative

On January 12, 2016, about 0930 central standard time, a Mitsubishi MU300 airplane, N200LP, experienced an engine fire during the takeoff roll from Bill and Hillary Clinton National Airport/Adams Field (LIT), Little Rock, Arkansas. The two flight crewmembers and two passengers on-board were not injured. The airplane incurred minor damage. The airplane was registered to and operated by Central Flying Service Inc. under the provisions of Title 14 Code of Federal Regulations Part 135 as an on-demand air taxi. Visual meteorological conditions prevailed for the flight, which operated on an instrument flight rules flight plan. The flight was destined for Lake Charles Regional Airport (LCH), Lake Charles, Louisiana. The flight crew reported that the airplane was fueled, and the flight crew completed a walk around inspection of the airplane. After taxiing to runway 18, the flight crew advanced the throttles to takeoff power and began the takeoff roll. A "couple seconds later" the flight crew heard a "grumble" and the airplane began shaking. The passengers in the back of the airplane reported to the flight crew that they saw flames coming out of the of the right engine. The flight crew stopped the airplane and shut down the engines while the airplane was still on the runway. After the airplane was towed off of the runway, the crew noticed the right engine had ingested a fuel mat that was left on the inboard trailing edge of the wing by the airplane fuelers. The fuel mats were placed on the wing after the flight crew's preflight inspection was accomplished, and the flight crew had not noticed the mats during the visual inspection of the fuel caps due to their location on the trailing edge of the wing. To prevent a similar occurrence in the future, the operator implemented a change to the General Operations Manual. Guidance was added to the "Fuel" section, that included: "… After fueling the crew will do a complete inspection of the exterior of the aircraft to ensure wings are clear of foreign objects and damage has not occurred during fueling."

Aircraft

Registration
N200LP
Reported as
Mitsubishi MU 300 (NO SERIES)
Category
Unknown
Serial number
A006 S.A.
Built
1983
Airframe hours
7,736
Engines
Pratt & Whitney JT15-4D, 2,500 lbs thrust, turbo fanPratt & Whitney JT15-4D, 2,500 lbs thrust, turbo fan
Damage
Minor damage
Fire
On-Ground
Flight
Part 135
Operator
Central Flying Service Inc
Registered owner
Central Flying Service Inc
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · February 21, 2015
Departed
LIT · Little Rock, AR
Destination
LCH · Lake Charles, LA
Flight plan
IFR
Airport
LIT · Bill And Hillary Clinton Natio, runway 18, 6,224 × 150 ft, concrete
Equipment
Onboard weather, Stall warning system, Angle of attack indicator, Auto-pilot, Electronic flight bag or handheld device

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
38
Injuries
None
Certificates
Airline transport, Flight instructor, Private, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
January 13, 2016
Seat
Left
Restraint
4-point
Flight hours
5,286 total · 720 in this make and model · 4,976 as pilot in command · 46 in the last 90 days
Role
Co-pilot
Age
61
Injuries
None
Certificates
Airline transport, Private, Commercial
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
November 19, 2015
Seat
Right
Restraint
4-point
Flight hours
12,618 total · 1,097 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
37 °F, dew point 27 °F
Altimeter
30.21 inHg
Observed at
KLIT, 1 nm away

Docket · 1

The files NTSB released with the investigation on October 18, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.0 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.