ERA15LA369

NTSB accident investigation · Piper PA 28-161 · Pittsburg, PA · September 19, 2015

Accident · No injuriesLimited investigationFinal report
Date
September 19, 2015, 10:15 local (14:15 UTC)
Place
Pittsburg, PA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N9887KPiper PA 28-161
Defining event
Standing-engine(s) start-up: Fire/smoke (non-impact)
Weather
Visual (VMC) · Day
Status
Completed · report November 30, 2015
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20150919019049A
Case key
92039

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 fire, which resulted from the overpriming of a hot engine.

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.

Action: incorrect action performancePersonnel issues › Action/decision · PilotPiper PA-28-161: 8 casesAll aircraft: 1,386 casesProbable cause
Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Capability exceededPiper PA-28-161: 4 casesAll aircraft: 195 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 reported that he landed the airplane and parked it to address an in-flight anomaly with his headset. He then performed a preflight inspection. Before starting the engine, he pumped the primer twice and then attempted to start the engine. Subsequently, he observed smoke emanating from the engine area. He continued attempting to start the engine while moving the mixture lever to the fuel "cutoff" position. He then observed flames emanating from under the engine cowling, discontinued attempting to start the engine, and exited the airplane. Postaccident examination revealed extensive fire damage to the engine and airframe that appeared to have originated in or around the carburetor. The Pilot's Operating Handbook provided no guidance on using the primer when starting a hot engine but stated that "engine fires during start are usually the result of overpriming." It is likely that the hot engine was overprimed, which resulted in excess fuel in the carburetor and the subsequent engine fire.

Factual narrative

On September 19, 2015, about 1015 eastern daylight time, a Piper PA-28-161, N9887K, was substantially damaged by fire during an attempted engine start at Pittsburgh Northeast Airport (9G1), Pittsburgh, Pennsylvania. The private pilot was not injured. Visual meteorological conditions prevailed and no flight plan was filed for the personal flight, which was destined for Richmond International Airport (RIC), Richmond, Virginia. The airplane was owned by Tanstaafl Machine Tool Service, Inc. and operated by a private individual under the provisions of Title 14 Code of Federal Regulations Part 91.According to the pilot, the flight originated from the Butler County Airport (BTP), Butler, Pennsylvania earlier that day. During the flight he heard a "fluttering or abnormal noise" and elected to divert to 9G1. After parking the airplane on the ramp, he noticed his noise-canceling headset was not turned to the "ON" position. He subsequently performed a walk-around of the airplane and another preflight inspection. A few moments later he got back into the airplane, to continue his planned flight, as his normal procedure, primed the engine with "two pumps of the primer," and began cranking the engine. Subsequently, he observed smoke emanating from the engine area and continued to crank the engine while pulling the mixture to fuel cut-off. However, he observed flames coming out from under the cowling and exited the airplane. Due to limited resources in the immediate vicinity, the airplane continued to burn until first responders arrived, about 30 minutes later. According to a Federal Aviation Administration inspector who examined the airplane after the accident, there was substantial damage as a result of fire to the wings, cockpit, and engine area. Further examination revealed extensive fire damage in the area of the carburetor. The inspector reported that the fire "appeared to have started near the carburetor." Review of airplane maintenance records revealed that an entry, dated February 12, 2014, indicated repair following an engine fire during a start attempt. The repair included replacing various parts located on the aft side of the engine, including the carburetor. The repair was completed approximately 60 flight hours prior to the accident. The pilot reported that he was also the pilot during that engine fire event. The PA-28-161 Pilot's Operating Handbook addresses procedure for engine fire during start. Section 3, Emergency Procedures, states "Engine fires during start are usually the result of overpriming. The first attempt to extinguish the fire is to try to start the engine and draw the excess fuel back into the induction system. If a fire is present before the engine has started, move the mixture control to idle cut-off, open the throttle, and crank the engine…if fire continues more than a few seconds, the fire should be extinguished by the best available external means. The fuel selector valves should be 'OFF' and the mixture at idle cut-off if anexternal fire extinguishing method is to be used." Section 4, Normal Procedures, addresses starting the engine when "cold" and "hot." Only the guidance provided for starting the engine when cold addresses the need for priming the engine, there was no guidance on using the primer when the engine was hot.

Aircraft

Registration
N9887K
Reported as
Piper PA 28-161
Category
Airplane
Serial number
28-7816206
Built
1977
Airframe hours
4,663.78
Engine
Lycoming O-320-D3G, 160 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · April 3, 2015 · 44 hours before
Departed
9G1 · Pittsburg, PA
Destination
RIC · Richmond, VA
Airport
9G1 · Pittsburgh Northeast

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
61
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
February 17, 2014
Seat
Left
Restraint
3-point
Flight hours
2,506.1 total · 1,800 in this make and model · 2,506.1 as pilot in command · 33.2 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 8 knots, gusting 14
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 61 °F
Altimeter
29.89 inHg
Observed at
KBTP, 12 nm away

Docket · 8

The files NTSB released with the investigation on October 27, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 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.