CHI03IA096

NTSB incident investigation · Cessna 208B · Saginaw, MI · March 19, 2003

Incident · Minor injuriesIncident investigationFinal report
Date
March 18, 2003, 22:25 local (Mar 19, 2003, 03:25 UTC)
Place
Saginaw, MI
Injuries
1 minor
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N1114NCessna 208B
Weather
Visual (VMC) · Night/dark
Status
Completed · report December 30, 2003
Report
Approved by Office Director
Parties
FAA -- Grand Rapids FSDO
FAA report
20030318005769I
Case key
56769

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

Failure of the engine bleed air pressure regulator. A contributing factor was the anti-chaffing tape on the air supply line.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionCruise
Bleed air system,governor - failure,totalCause
Bleed air system,lines - overtemperatureFactor

Analysis

The pilot executed an emergency landing after reporting smoke in the cockpit. The aircraft sustained minor damage during the incident. The pilot was treated at a local hospital and released. Shortly before landing the pilot reported noticing smoke in the cockpit. He reported he opened a vent, which cleared the smoke, and subsequently landed without incident. After landing, however, the vent did not adequately clear the smoke. He taxied to the ramp and emergency personnel assisted him from the aircraft. Rescue personnel reportedly examined the aircraft for the source of the smoke. Although they noted an occasional odor, it was not strong enough to indicate a definite origin. There was no evidence of a fire. A post-incident review determined the engine bleed air pressure regulator had failed, allowing unregulated bleed air into the deice system. The temperature of the unregulated P3 air may be as high as 607 degrees Fahrenheit. The bleed air is routed through a supply line which runs through the left side door post. The line is constructed of thin-walled aluminum tubing and is wrapped in anti-chaffing tape. The source of the smoke was the tape which became overheated due to the unregulated bleed air. The pressure regulator and pneumatic supply line were replaced. The aircraft was subsequently returned to service and, after monitoring several flights, the problem did not recur.

Factual narrative

On March 18, 2003, at 2225 eastern standard time, a Cessna 208B (Caravan), operated by Mid Atlantic Freight Inc. and piloted by a commercial pilot, experienced smoke in the cockpit. The aircraft sustained minor damage during the incident. The pilot executed an emergency landing on runway 5 (8,002 feet x 150 feet, asphalt) at MBS International Airport (MBS), Saginaw, Michigan. MBS was the intended destination. The 14 CFR Part 135 cargo flight was operating on an instrument flight rules (IFR) flight plan at the time of the incident. Visual meteorological conditions prevailed. The pilot sustained minor injuries. The flight departed Cherry Capital Airport (TVC), Traverse City, Michigan, about 2145.

The pilot's written statement noted that, prior to landing at MBS, he noticed a "sweet smell in the cockpit." He stated he did not notice any smoke at that time. However, a few minutes later, he turned on a flashlight and noticed a slight haze in the cockpit. He reported he opened a vent, which cleared the smoke. He subsequently landed without incident.

After landing, however, the vent did not adequately clear the smoke, according to the pilot. He noted that he taxied to the ramp and emergency personnel assisted him from the aircraft. He reported being taken to a nearby hospital, where he was treated and released.

Airport fire and rescue personnel reported that the pilot drifted "in and out of conciousness" upon exiting the aircraft. The aircraft was reportedly examined for the source of the smoke. Although they noted an occasional odor, it was not strong enough to indicate a definite location, according to the incident report. No evidence of a fire was reported.

The pilot reported similar incidents occurred twice before, although not as severe. Each time the problem was referred to a mechanic and the pilot reported he was told the problem had been fixed.

A post-incident review by a mechanic determined the pneumatic supply line for the aircraft deice boots started to smoke after about 10 minutes with the engine running at a high power setting. Further investigation determined the engine bleed air pressure regulator had failed, allowing unregulated bleed air into the deice system. The temperature of the unregulated P3 air may be as high as 607 degrees Fahrenheit, according to the manufacturer.

The supply line is routed from the engine, through the left side door post, to the left wing. The line is constructed of thin-walled aluminum tubing and is wrapped in anti-chaffing tape, according to the aircraft manufacturer. The mechanic stated the source of the smoke was the tape.

The pressure regulator and pneumatic supply line were replaced. Additional damage to the outboard deice boot on the left wing was repaired. The aircraft was subsequently returned to service and, after monitoring several flights, the problem did not recur.

Aircraft

Registration
N1114N
Reported as
Cessna 208B
Category
Airplane
Serial number
208B0406
Airframe hours
6,220
Engine
Pratt & Whitney PT6A, 675 horsepower, turbo prop
Damage
Minor damage
Flight
Part 135
Operator
Mid Atlantic Freight, Inc.
Registered owner
Atlantic Aero Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · February 7, 2003 · 85 hours before
Departed
TVC · Traverse City, MI
Destination
MBS · Saginaw, MI
Flight plan
IFR
Airport
MBS · MBS International, runway 5, 8,002 × 150 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
24
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
February 26, 2003
Seat
Front
Flight hours
4,821 total · 3,330 in this make and model

Weather

Conditions
Visual (VMC) · Night/dark
Wind
40° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
32 °F, dew point 23 °F
Altimeter
30.07 inHg
Observed at
MBS

FAA reports on this event · 1

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