CEN22LA228

NTSB accident investigation · Air Tractor AT-602 · Allport, AR · June 1, 2022

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
June 1, 2022, 17:00 local (22:00 UTC)
Place
Allport, AR · Field to the east of a private airstrip
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N5007RAir Tractor AT-602
Defining event
Enroute: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA Little Rock FSDO, Air Tractor, Transportation Safety Board of Canada, Hartzell Propeller, Pratt & Whitney Canada
FAA report
20220601003389A
Case key
105190

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

A partial loss of engine power due to fuel contamination from foreign object debris. Contributing to the accident was the operator’s failure to follow the manufacturer’s required airframe fuel filter inspection interval.

Findings · 8

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.

Engine (turbine/turboprop)Aircraft › Aircraft power plant · FailureAir Tractor AT-602: 3 casesAll aircraft: 67 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionAir Tractor AT-602: 8 casesAll aircraft: 1,695 casesProbable cause
Inspection: scheduled/routine inspectionPersonnel issues › Task performance · Owner/builderAir Tractor AT-602: 1 caseAll aircraft: 167 casesProbable cause
Inspection: scheduled/routine inspectionPersonnel issues › Task performance · Maintenance personnelAir Tractor AT-602: 1 caseAll aircraft: 167 casesProbable cause
Oversight: oversight of maintenanceOrganizational issues › Support/oversight/monitoring · OperatorAir Tractor AT-602: 1 caseAll aircraft: 28 casesProbable cause
Fuel system: fuel filter-strainerAircraft › Aircraft systems · Not serviced/maintainedAir Tractor AT-602: 1 caseAll aircraft: 52 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedAir Tractor AT-602: 13 casesAll aircraft: 2,247 casesProbable cause
Object/animal/substance: debris/dirt/foreign objectEnvironmental issues › Physical environment · Effect on equipmentAir Tractor AT-602: 1 caseAll aircraft: 101 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 aerial application airplane was loaded with chemical for application on a rice field. Immediately after the takeoff from the private airstrip, the pilot heard a “loud pop” noise from the turboprop engine, and he observed flames emit from the left side of the airplane. During the forced landing, the pilot reported that it felt like there was a “slight recovery” of engine power, but then the engine ceased producing power. During the forced landing, the airplane nosed over and came to rest inverted, resulting in substantial damage to the left wing, the fuselage, and the empennage. Examination of the airframe revealed foreign object debris (FOD) between the airframe fuel filter pleats and in the fuel filter bowl. Examination of the engine revealed contamination of the engine fuel filter and various fuel wetted accessories. The engine exhibited rotational contact signatures on the compressor turbine and the power turbine components consistent with the engine producing power at the time of impact; however, the engine power output at the time of impact could not be determined. Marks on the piston, cylinder, and blade damage indicated the propeller was operating at low blade angles with low or no power at impact. Chemical testing of the FOD samples from the airframe and the engine revealed a composition consistent with an unknown fertilizer-type material. A review of the airplane’s maintenance records revealed that the airplane was flown about 44 hours past the manufacturer’s required fuel filter inspection interval. It is likely that contaminated fuel obstructed the engine fuel filter and was injected into the engine, which resulted in a partial loss of engine power. The source of the FOD and how it entered the fuel tanks could not be determined based on the available information. It is possible that, had the operator completed the airframe fuel filter inspection within the required interval, the contamination of the filter may have been identified.

Factual narrative

On June 1, 2022, about 1700 central daylight time, an Air Tractor AT-602 airplane, N5007R, sustained substantial damage when it was involved in an accident near Allport, Arkansas. The pilot sustained minor injury. The airplane was operated as a Title 14 Code of Federal Regulations Part 137 aerial application flight. The pilot reported he was on the 35th flight of the day and the airplane had been performing well all day with no issues noted. The airplane was refueled two flights before the accident flight and at the time of the accident each wing fuel tank was about half full of Jet A fuel. The airplane’s 6,500 lb hopper was loaded with 3,600 lbs of urea. For the accident flight, the pilot intended to fly to a rice field to apply fertilizer. Immediately after the takeoff from the private airstrip, the pilot heard a “loud pop” noise emit from the turboprop engine and he observed flames emit from the left side of the airplane. The pilot confirmed that a loss of engine power occurred, he made sure the flaps were down, and he began to scan the area to perform a forced landing. During the forced landing, the pilot reported that it felt like there was a “slight recovery” of engine power, but then the engine ceased producing power. The pilot retarded the throttle and landed on a flat field consisting of grass, dirt, and mud. During the landing, the airplane nosed over and came to rest inverted. The pilot was able to egress from the airplane without further incident. The airplane sustained substantial damage to the left wing, the fuselage, and the empennage. Examination of the airframe established flight control continuity. Fuel was found in the fuel lines at the fuel pump, to the fuel selector, the header tank, and forward to the airframe fuel filter. The airframe fuel filter assembly on the firewall was removed and FOD of unknown origin was found between the airframe fuel filter pleats and in the fuel filter bowl. Examination of the engine revealed FOD contamination of the engine fuel filter and various fuel-wetted accessories. Bench testing of the fuel control unit, the flow divider/dump valve, and fuel nozzles indicated that they performed within expected parameters. The engine exhibited rotational contact signatures on the compressor turbine and power turbine components consistent with the engine producing power at the time of impact. The engine power output at the time of impact could not be determined. Examination of the propeller revealed no mechanical malfunctions or failures that would have prevented normal operation. Marks on the piston, cylinder, and blade damage indicated that the propeller was operating at low blade angles with low or no power at impact. Chemical testing of the FOD samples from the engine and the airframe revealed a composition consistent with an unknown, fertilizer-type material. A review of the airplane’s maintenance records revealed that the airframe fuel filter was most recently inspected and cleaned on August 12,2021, at 1,285.5 hours Hobbs time. The accident occurred at 1,429.5 hours Hobbs time. The Air Tractor AT-602 Maintenance Manual stated that the airframe fuel filter was to be inspected and cleaned every 100 hours. Engine maintenance was performed on May 23, 2022, and the engine was successfully test run, but the associated maintenance logbook entry did not show any tasks related to the fuel system. The maintenance manual discussed cleaning the airframe fuel filter and provided a caution that stated , “if any contamination is found in either fuel filter, investigate the cause and rectify the problem.” The operator was unable to provide fuel or chemical loading records. The operator additionally reported that after the accident, the other Air Tractor AT-602 airplane that they operate did not have any mechanical issues and that both airplanes received fuel from the same fuel truck. Air Tractor published Service Letter #148, Fuel Contamination, on June 24, 1996. This document discusses fuel contamination with Air Tractor airplanes and states in part: As we all know, it is of the utmost importance to maintain a clean fuel system in your aircraft. It is also just as important to acquire clean fuel and maintain clean storage facilities. The National Agricultural Aviation Association published a Fly Safe Message, “Avoid Engine Fuel System Contamination,” on May 1, 2023. This document discusses preventing engine fuel system contamination for aerial application aircraft and states in part: Ag aircraft are subject to numerous situations that could result in contamination to the engine fuel system such as unclean fuel storage facilities, aircraft washing, loading, refueling, and maintenance; and/or operating/storing the aircraft outside in condensation/rain. Contamination could be from a variety of sources such as chemicals, debris from the aircraft and maintenance work, or dirt, dust, microbial growth, rust, sand, and water. Contamination of an engine fuel system could result in either a partial or a complete loss of engine power. Turbine engine components that could be adversely affected by contamination include the fuel control unit and the fuel nozzles. According to Federal Aviation Administration Advisory Circular 20-43, turbine engine fuel controls and pumps are more sensitive than piston engine fuel systems. Their fuel feed and pumping systems must work harder, tolerances are closer and fuel pressures are higher. Fine contaminates may block fuel supply systems and erode critical parts of engine and fuel control systems. Due to the nature of aerial application work, operators should consider increasing the inspection frequency of turbine engine fuel system components. Always follow the maintenance manual when performing your work. Consult with the airframe, the engine, and the engine accessory manufacturers on any additional service documents regarding the topic of fuel contamination.

Aircraft

Registration
N5007R
Reported as
Air Tractor AT-602 (NO SERIES)
Category
Airplane
Serial number
602-0501
Built
1998
Airframe hours
1,429.5
Engine
P&W Canada PT6A-60AG, 1,020 horsepower, turbo prop
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Webb Flying Service Inc, doing business as Webb Flying Service Inc
Registered owner
Webb Flying Service Inc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · August 12, 2021 · 144 hours before
Airport
None · Private, runway 092, 2,000 × 21 ft, concrete
Equipment
Data recorder, Stall warning system

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
56
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
February 1, 2022
Seat
Single
Restraint
4-point
Flight hours
13,511 total · 7,035 in this make and model · 13,511 as pilot in command · 100 in the last 90 days · 30 in the last 30 days · 10 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 8 knots
Visibility
10 statute miles
Temperature
91 °F, dew point 72 °F
Altimeter
29.90 inHg
Observed at
KSGT, 12 nm away
METAR
KSGT 012156Z AUTO 22008KT 10SM FEW048 33/22 A2990 RMK AO2 LTG DSNT NW SLP124 T03280222

Docket · 18

The files NTSB released with the investigation on March 20, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 80.4 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.