ERA10IA147

NTSB incident investigation · Piper PA-46-310P · Nashville, TN · February 21, 2010

Incident · No injuriesIncident investigationFinal report
Date
February 20, 2010, 18:50 local (Feb 21, 2010, 00:50 UTC)
Place
Nashville, TN
Injuries
4 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N43368Piper PA-46-310P
Defining event
Enroute-cruise: Fire/smoke (non-impact)
Weather
Visual (VMC) · Night
Status
Completed · report June 17, 2010
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20100220028029I
Case key
75394

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

On this page

Probable cause

A loss of engine power due to the mechanic’s failure to properly secure the fuel control unit fuel lines after replacement of the starter adapter.

Findings · 2

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.

Maintenance: replacementPersonnel issues › Task performance · Maintenance personnelPiper PA-46-310P: 1 caseAll aircraft: 70 casesProbable cause
Fuel systemAircraft › Aircraft systems · Incorrect service/maintenancePiper PA-46-310P: 2 casesAll aircraft: 181 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 stated that while in cruise flight the alternator light illuminated and he smelled smoke. He declared an emergency, diverted to the nearest airport, and noted a complete loss of engine power during the descent. The pilot and passengers evacuated the airplane, and noted that light smoke emanated from the cowling for several minutes after landing. Examination of the airplane by an FAA inspector revealed fire damage in the engine compartment between the firewall and rear engine baffle. The fuel control unit feed and return lines were found loose at the rear engine baffle fittings immediately above the starter and starter adapter. Inspection of maintenance invoices revealed that the starter adapter was replaced approximately 9 hours before the accident.

Factual narrative

On February 20, 2010, about 1850 central standard time, a Piper PA-46-310P, N43368, experienced a total loss of engine power following an in flight fire near Nashville, Tennessee. The pilot successfully completed a forced landing at the Nashville International Airport (BNA). The certificated commercial pilot and three passengers were not injured and the airplane received minor damage. Visual meteorological conditions prevailed and an instrument flight rules flight plan was filed for the personal flight conducted under the provisions of Title 14 Code of Federal Regulations Part 91. The flight originated at Winchester Municipal Airport (BGF), Winchester, Tennessee, and was destined for Iowa City Municipal Airport (IOW), Iowa City, Iowa. The pilot stated that while in cruise flight at 12,000 feet the alternator light illuminated and he smelled smoke. He declared an emergency, diverted to the nearest airport, and noted a complete loss of engine power during the descent. The pilot then completed the forced landing at BNA, and evacuated the airplane. No visible damage or open flames were observed after landing, but light smoke emanated from the cowling for several minutes. Examination of the airplane by a Federal Aviation Administration (FAA) inspector at the scene revealed fire damage in the engine compartment between the firewall and rear engine baffle. The airplane was recovered from the site for a detailed examination at a later date. According to FAA records, the pilot held a commercial pilot certificate with single-engine, multi-engine, and instrument airplane ratings. His most recent FAA second-class medical certificate was issued in March 2009. The pilot reported 2,632 total hours of flight experience, of which 162 were in the incident airplane's make and model. He had accrued 64 hours in the airplane make and model in the 90 days prior to the incident, and 14 hours in the airplane make and model in the 30 days prior to the incident. FAA records indicated that the airplane was manufactured in 1984, and was registered to Big Sky, Inc in January 2008. It was equipped with a 300-horsepower, Teledyne-Continental TSIO-520 engine. The tricycle landing gear was retractable and hydraulically actuated. On February 23, 2010, a detailed examination of the airplane was performed by the FAA inspector. Examination revealed fire damaged seals, fuel lines, drive belts, pulleys, the top of the engine cowling, and the right nose landing gear door. The fuel control unit feed and return lines were loose at the rear engine baffle fittings. Inspection of maintenance invoices revealed that the starter adapter was replaced on February 19, 2010, approximately 9 hours before the accident. The starter and starter adapter were located below the loose fuel control unit fuel lines. At 1853, the weather reported at BNA included winds from 170 degrees at 4 knots; visibility 10 statute miles; broken clouds at 20,000 feet; temperature 11 degrees Celsius (C); dew point -5 C;and the altimeter setting was 30.09 inches of mercury.

Aircraft

Registration
N43368
Reported as
Piper PA-46-310P
Category
Airplane
Serial number
46-8408028
Airframe hours
4,529
Engine
Cont Motor TSIO-520 SER, 300 horsepower, reciprocating
Damage
Minor damage
Fire
In-Flight
Flight
Personal · Part 91
Operator
Big Sky Inc
Registered owner
Big Sky Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 1, 2010 · 25 hours before
Departed
BGF · Winchester, TN
Destination
IOW · Iowa City, IA
Flight plan
IFR
Airport
BNA · Nashville International, runway 13, 11,030 × 150 ft, concrete

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
43
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
July 23, 2009
Seat
Left
Flight hours
2,632 total · 162 in this make and model · 2,565 as pilot in command · 64 in the last 90 days · 14 in the last 30 days · 9 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
170° at 4 knots
Visibility
10 statute miles
Lowest ceiling
20,000 ft broken
Temperature
52 °F, dew point 23 °F
Altimeter
30.09 inHg
Observed at
BNA

Docket · 6

The files NTSB released with the investigation on April 6, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.0 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.

Other investigations on N43368 · 1

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