CEN21LA274

NTSB accident investigation · Beech U-8F · Goodland, KS · June 17, 2021

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
June 16, 2021, 19:05 local (Jun 17, 2021, 01:05 UTC)
Place
Goodland, KS · Ramp
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N62069Beech U-8F
Defining event
Standing-engine(s) start-up: Explosion (non-impact)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Flight Standards District Office, Textron Aviation, Bemidji Aviation
FAA report
20210617013169A
Case key
103280

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 inadequate inspection of the airplane, which failed to detect and correct chafed electrical wiring and a degraded fuel bladder with holes, which resulted in ignition of fuel vapor and a right wing explosion.

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: scheduled/routine inspectionPersonnel issues › Task performance · Maintenance personnelBeech U-8F: 1 caseAll aircraft: 167 casesProbable cause
Policy/procedure: adequacy of policy/procOrganizational issues › Management · Maintenance providerBeech U-8F: 1 caseAll aircraft: 106 cases
Fuel system: fuel sys wiringAircraft › Aircraft systems · Inadequate inspectionBeech U-8F: 1 caseAll aircraft: 5 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 pilot heard a loud bang while starting the right engine and noticed flames exiting the right wing. An airport surveillance camera captured a wing explosion that lasted about 1 second, which substantially damaged the right wing. Examination revealed that the right wing outboard aft fuel bladder was brittle, with several holes due to age-related oxidation, and electrical wiring to the navigation lights was chafed in two locations, with evidence of electrical arcing. Review of maintenance records indicated that the airplane was inspected about 50 hours before the accident; the inspection included checking the fuel tanks for leakage, and electrical wiring for chafing. Based on the condition of the fuel bladder and wiring, it is likely that the most recent inspection was inadequate. About 2 years before the accident, the airplane’s left wing exploded due to ignition of fuel vapor. Following the most recent wing explosion accident, the operator instituted several maintenance protocols to aid in detection of a fuel leak, including top-off of the fuel system in conjunction with the wing inspection procedure checklist or unscheduled fuel system maintenance.

Factual narrative

On June 16, 2021, at 1905 mountain daylight time, a Beech U-8F airplane, N62069, was substantially damaged when it was involved in an accident near Goodland, Kansas. The pilot sustained minor injuries. The airplane was operated by Bemidji Aviation Services Inc. as a Title 14 Code of Federal Regulations Part 135 cargo flight. The pilot stated that, while starting the right engine, he heard a loud bang and noticed flames coming out of the right wing. An airport surveillance video captured flames from the right wing for about 1 second. The pilot shut down the right engine with the mixture control and egressed the airplane. Examination revealed that the outboard 12 ft of the right wing was heavily damaged, with the forward spar deflected significantly aft and the right-wing leading edge curled aft. The outboard aft fuel bladder for the right wing was removed and observed to be in a degraded condition, with indications of fire damage. Electrical wiring to the navigation light was chafed and conductor was exposed in two locations. The outboard aft fuel bladder and wiring bundle from the right wing were both submitted to the National Transportation Safety Board Materials Laboratory for examination. The fuel bladder was constructed of nitrile butadiene rubber and was brittle in several areas, with multiple holes. A sample from the edge of one of the holes examined using a Fourier Transform Infrared spectrometer indicated degradation due to oxidation, with the embrittlement consistent with physical aging of the bladder material. The right wing wire bundle contained several areas where the insulation for the wires was chafed. One chafed area of the wiring for the navigation lights showed evidence of electrical arcing and welding. Electrical damage to the conductor surface indicated that the wire was energized at the time the damage occurred. The operator maintained the airplane with a maintenance manual accepted by the Federal Aviation Administration. The manual contained a continuous care inspection guide that required a routine inspection of the entire airplane every 60 flight hours, as well as eight more detailed inspections of specific portions of the airplane every 480 flight hours. On May 22, 2021, about 50 flight hours before the accident, a detailed inspection occurred that required following areas be checked: 1) Fuel Tanks, Vents, and Pumps – Check cells for leaks, plugged vents, pumps for leakage. 2) Fuel Caps and O-Rings – Check fuel caps and O-rings for fit and seal. 3) Fuel Quantity Transmitters – Check for leakage or visible damage. 4) Plumbing – Check for chaffing, leakage and damage, and proper attachment. 5) Electrical Wiring and Equipment – Check for security, chaffing damage and attachment. On July 9, 2019, the airplane was involved in a similar accident that the NTSB investigation attributed to an explosion of the outboard left wing due to electrical arcing and ignition of fuel vapors. Following the most recent wing explosion accident,the operator instituted several maintenance protocols to aid in detection of a fuel leak, including top-off of the fuel system in conjunction with the wing inspection procedure checklist or unscheduled fuel system maintenance.

Aircraft

Registration
N62069
Reported as
Beech U-8F
Category
Airplane
Serial number
62-3866
Built
1962
Airframe hours
9,624
Engines
Lycoming IO-720-A1B, 400 horsepower, reciprocatingLycoming IO-720-A1B, 400 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 135
Operator
Bemidji Aviation Services Inc
Registered owner
Bemidji Aviation Services Inc
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · May 20, 2021 · 50 hours before
Departed
GLD · Goodland, KS
Destination
DEN · Denver, CO
Flight plan
IFR
Airport
GLD · Renner Fld /Goodland Muni/

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
20
Injuries
Minor
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
May 28, 2021
Seat
Left
Restraint
4-point
Flight hours
2,210 total · 477 in this make and model · 2,096 as pilot in command · 164 in the last 90 days · 59 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 52 °F
Altimeter
30.01 inHg
Observed at
KGLD
METAR
KGLD 170053Z AUTO 19006KT 10SM CLR 31/11 A3001

Docket · 9

The files NTSB released with the investigation on August 25, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 194 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.

Other investigations on N62069 · 2

Matched to the same aircraft by N-number and date.