ERA09LA201

NTSB accident investigation · Piper PA-28-161 · Sanford, FL · March 17, 2009

Accident · No injuriesLimited investigationFinal report
Date
March 16, 2009, 21:30 local (Mar 17, 2009, 01:30 UTC)
Place
Sanford, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N613FTPiper PA-28-161
Defining event
Standing-engine(s) not oper: Fire/smoke (non-impact)
Weather
Visual (VMC) · Night
Status
Completed · report October 19, 2009
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20090316003979A
Case key
73501

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

An engine air induction explosion for an undetermined reason during repeated engine start attempts.

Findings · 1

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.

Not determinedNot determined › Not determined · Unknown/Not determinedPiper PA-28-161: 14 casesAll aircraft: 2,247 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 student pilot was making a stop-and-go landing and used maximum wheel and aerodynamic braking to stop the airplane. After coming to a stop, both pilots realized that the engine had stopped running. After calling tower personnel and advising them of the situation, the instructor attempted to re-start the engine. Four total re-start attempts were made. After the fourth attempt, the pilots noticed smoke and flames coming from the engine compartment. The instructor moved the mixture control to idle cut-off, and exited the airplane. A Federal Aviation Administration inspector examined the airplane and reported fire damage to the engine and airframe, including firewall deformation. The inspector stated that the fire appeared to originate in the induction system air box. In addition, damage to the air box was consistent with a fuel-air explosion. During the course of the investigation the source of the original loss of power was not identified, nor was it definitively proven how the air box was damaged; however, flooding of the engine during repeated attempts to start the engine could have played a role in the accident. The operator's maintenance personnel reported that the airplane did not have a history of engine problems.

Factual narrative

On March 16, 2009, about 2130 eastern daylight time, a Piper PA-28-161, N613FT, was substantially damaged following an engine fire on the runway at the Orlando Sanford International Airport (SFB), Sanford, Florida. The airplane was registered to FIT Aviation LLC and operated by the Florida Institute of Technology. The commercial-rated flight instructor and one student were not injured. Night, visual meteorological conditions prevailed at the time, and a visual flight rules flight plan was filed for the 14 Code of Federal Regulations Part 91 flight. The flight originated at Melbourne, Florida (MLB) about 2015. The student pilot requested a stop-and-go landing and the flight was subsequently cleared for the option on runway 27R at SFB. The student used maximum wheel and aerodynamic braking to stop the airplane. After coming to a stop on the runway, the engine quit. The pilots contacted the tower to inform them of the situation. Four restart attempts were made by the instructor, with about 20 seconds allowed between attempts. After the last attempt, thick smoke was observed coming from the engine cowling. Flames were observed coming from the engine, and the instructor cut the fuel mixture to idle, took the fire extinguisher, and both pilots exited the airplane. The instructor attempted to put out the fire; however the halon extinguisher was inoperative. The pilots reported that there was a steady stream of fuel pouring out from under the engine cowling. The instructor reported that the incident may have been prevented by not attempting a fourth start attempt and having the airplane towed off the runway. An inspector from the Federal Aviation Administration examined the airplane and reported that there was extensive fire damage near the underside of the engine in the area of the induction system and carburetor. The firewall showed indications of heat deformation. Further examination revealed that the induction system air box appeared to be "blown apart from the inside out…" The inspector stated that the fire "appeared to have started near the air box on the bottom left of the engine and ignited the fuel that had over flowed into the air box." The certificated flight instructor held a commercial pilot certificate with airplane single- and multi-engine land ratings. The student pilot held a student pilot certificate and was enrolled in the private pilot certificate program at the Florida Institute of Technology. The airplane received an annual inspection on December 18, 2008. Total airframe time 14,512 hours and total time on the engine was 6,168 hours. The operator’s maintenance personnel reported that there were no recent problems with the airframe or engine. The 2245 EDT weather observation for SFB included the following: surface winds from 310 degrees at 6 knots, 10 statute miles visibility, clear skies, temperature 72 degrees Fahrenheit, dew point 59 degrees Fahrenheit, and an altimeter setting of 30.14 inches of mercury. The PA-28-161 Pilot'sInformation Manual addresses procedures for engine fire during start. Section 3, Emergency Procedures, section 3.7, states, "Engine fires during start are usually the result of overpriming. The first effort to extinguish the fire is to attempt an engine start in order to draw the excess fuel back into the induction system. If a fire is present before the engine has started, try to draw the fire back into the engine by moving the mixture control to idle cut-off, opening the throttle, turning OFF the electric fuel pump and fuel selector, while cranking the engine."

Aircraft

Registration
N613FT
Reported as
Piper PA-28-161
Category
Airplane
Serial number
2841236
Airframe hours
14,512
Engine
Lycoming O-320-D3G, 160 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Instructional · Part 91
Operator
Florida Institute of Technology
Registered owner
F I T Aviation LLC
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
100 hour · December 18, 2008 · 80 hours before
Departed
MLB · Melbourne, FL
Destination
SFB · Sanford, FL
Flight plan
VFR
Airport
SFB · Orlando Sanford International, runway 27R, 9,600 × 150 ft, asphalt

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
Flight instructor
Age
24
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
November 19, 2008
Seat
Right
Flight hours
1,068 total · 803 in this make and model · 992 as pilot in command · 158 in the last 90 days · 75 in the last 30 days · 3 in the last 24 hours
Role
Student pilot
Age
25
Injuries
None
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Left
Flight hours
38 total · 38 in this make and model · 2 as pilot in command · 38 in the last 90 days · 24 in the last 30 days

Weather

Conditions
Visual (VMC) · Night
Wind
310° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 59 °F
Altimeter
30.13 inHg
Observed at
SFB

Docket · 6

The files NTSB released with the investigation on August 21, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.0 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.