ERA24LA302

NTSB accident investigation · Piper PA-32RT-300T · Myerstown, PA · July 4, 2024

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 4, 2024, 04:00 local (08:00 UTC)
Place
Myerstown, PA · On airport
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N184VAPiper PA-32RT-300T
Defining event
Takeoff: Fire/smoke (non-impact)
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20240704010009A
Case key
194673

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

The failure of maintenance personnel to properly secure a B-nut on the No. 5 cylinder fuel injector line, resulting in a fuel leak and engine fire.

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.

Fuel system: fuel distributionAircraft › Aircraft systems · Incorrect service/maintenancePiper PA-32RT-300T: 1 caseAll aircraft: 141 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelPiper PA-32RT-300T: 2 casesAll aircraft: 320 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 preflight and ground operations were normal. During the takeoff roll, he noticed a flashing exhaust gas temperature indication and elected to abort the takeoff. He pulled off onto a turnaround to troubleshoot the problem. A red “X” then appeared over the oil pressure display and one of the passengers noticed flames emanating from the right side of the engine cowling. The pilot shut down the engine, exited the airplane with the passengers, and attempted to extinguish the flames with a fire bottle and blankets. Postaccident examination of the wreckage determined that there was substantial fire and heat damage to the engine and forward fuselage. Further examination of the engine area revealed concentrated damage near cylinder Nos. 3 and 5. The B-nut on the stainless-steel fuel injector line between the No. 5 cylinder and the right fuel injector manifold was loose, and was less than finger-tight. The turbocharger was located aft of this loose B-nut. No other fuel system fittings were found to be loose. An annual inspection was completed on the airframe and engine two days before the accident, including maintenance that required removing and reinstalling the fuel injector lines. It is likely that the No. 5 cylinder B-nut was not securely tightened when reinstalled, allowing it to loosen and spray fuel on the turbocharger and exhaust system, resulting in an engine fire.

Factual narrative

On July 4, 2024, about 0400 eastern daylight time, a Piper PA-32RT-300T airplane, N184VA, was substantially damaged when it was involved in an accident near Myerstown, Pennsylvania. The commercial pilot and two passengers were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that he was preparing to take off on runway 1 at Deck Airport (9D4), Myerstown, Pennsylvania, with a destination of Wayne County Airport (EKQ), Monticello, Kentucky, when the accident occurred. The preflight inspection and ground operations were uneventful. During the takeoff roll, at about 50-60 knots, the pilot noticed a flashing exhaust gas temperature indication and elected to abort the takeoff. He pulled off onto the turnaround area at the north end of the runway to troubleshoot the problem. A red “X” then appeared over the oil pressure display and one of the passengers noticed flames emanating from the right side of the engine cowling. The pilot shut down the engine, exited the airplane with the passengers, and attempted to extinguish the flames with a fire bottle and blankets. The local fire department was called to assist in extinguishing the fire. An inspector with the Federal Aviation Administration (FAA) responded to the accident site and examined the wreckage. He reported that there was substantial fire and heat damage to the forward fuselage and engine. A subsequent examination of the wreckage was performed by FAA inspectors. A majority of the fire and heat damage appeared to be concentrated near cylinder Nos. 3 and 5. Further examination revealed that the B-nut on the stainless steel fuel injector line between the No. 5 cylinder and the right fuel injector manifold was loose, and was less than finger-tight. The turbocharger was located aft of this loose B-nut. No other fuel system fittings were found to be loose. A review of the maintenance logbooks revealed that an annual inspection of the airframe and engine was completed on July 2, 2024, two days before the accident. The engine logbook entry stated that that a fuel system pressure check was performed during the inspection. The mechanic who performed the annual inspection reported that the owner asked to have the fuel injectors cleaned due to an intermittent rough idle. The injector lines were removed at the injector, and the injectors were removed and cleaned. The injectors were reinstalled in accordance with the manufacturer’s installation instructions. The injector lines were also inspected during the cleaning process.

Aircraft

Registration
N184VA
Reported as
Piper PA-32RT-300T
Category
Airplane
Serial number
32R-7887082
Built
1978
Airframe hours
3,866
Engine
Lycoming TIO-540-S1AD, 300 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 2, 2024 · 1 hours before
Destination
EKQ · Monticello, KY
Flight plan
VFR/IFR
Airport
9D4 · Deck Airport
Equipment
ADS-B, Electronic primary flight display, Auto-pilot, Electronic flight bag or handheld device, Electronic multifunction display

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
44
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
January 21, 2023
Seat
Left
Restraint
3-point
Flight hours
1,895 total · 442 in this make and model · 1,839 as pilot in command · 48 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 61 °F
Altimeter
30.01 inHg
Observed at
KRDG, 17 nm away
METAR
METAR KRDG 040754Z 00000KT 10SM CLR 22/16 A3001 RMK AO2 SLP163 T02220156

Docket · 5

The files NTSB released with the investigation on January 14, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.9 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.