FTW03LA006

NTSB accident investigation · SIAI-Marchetti L1019 · Midland, TX · October 6, 2002

Accident · Serious injuriesLimited investigationFinal report
Date
October 6, 2002, 16:15 local (21:15 UTC)
Place
Midland, TX
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N2069WSIAI-Marchetti L1019
Weather
Visual (VMC) · Day
Status
Completed · report September 30, 2003
Report
Approved by Office Director
Parties
FAA FSDO
FAA report
20021006026539A
Case key
55833

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 loss of engine power resulting from a loose "B" nut on the line going from the bleed air filter to the fuel control unit. Also causal was the inadequate maintenence of the fuel control unit and filters during the last conditional inspection.

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.

Loss of engine powerTakeoff - initial climb
Fuel system,line fitting - loose part/bolt/nut/clamp/etcCause
Maintenance - inadequateOther maintenance personnelCause
Emergency procedure - performedPilot in command
Forced landingDescent - emergency
In flight collision with objectEmergency descent/landing
Object - wire,transmission

Analysis

The airplane struck power lines during a forced landing following a loss of engine power during the takeoff/initial climb. The pilot reported that the engine lost power to flight idle then regained power momentarily; however, the engine would not gain enough torque to sustain flight. Examination revealed that the "B" nut was "finger" loose on the line going from the bleed air filter to the fuel control unit. According to the manufacturer's representative, the recommended torque specification was 80 inch-pounds for the "B" nut, and the engine "condition described [by the pilot] could be caused by a leak in the bleed air system." During the last conditional inspection, the fuel control unit was removed for overhaul and reinstalled, and the fuel control unit and all filters were checked. The mechanic, who performed the conditional inspection, stated that during his removal and reinstallation of the fuel control unit, he removed the fuel and bleed air lines at the fuel control unit. The airplane had flown approximately 5 hours since the conditional inspection. Numerous attempts to obtain the completed Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1/2) were unsuccessful.

Factual narrative

On October 6, 2002, approximately 1615 central daylight time, a SIAI-Marchetti, single-engine airplane, N2069W, struck power lines during a forced landing following a loss of engine power during takeoff at the Midland International Airport, near Midland, Texas. The airplane was owned by a private individual and flown by the pilot under Code of Federal Regulations Part 91. The airline transport rated pilot received serious injuries, the passenger received minor injuries, and the airplane sustained substantial damage. Visual meteorological conditions prevailed for the local air show flight, and a flight plan was not filed. The flight departed Midland approximately 5 minutes prior to the accident.

Local authorities reported that the airplane struck the power lines, hit the westbound lane of Business Highway 80, skidded across both westbound lanes, and came to rest in an eastbound lane with the turbine operating. The pilot reported that during the takeoff/initial climb, the engine "spooled down" to flight idle then regained power momentarily; however, the engine would not gain enough torque to sustain flight. During the emergency landing, the airplane came in contact with power lines and impacted the ground in a level attitude.

The FAA inspector, who responded to the accident site, found the airplane resting in the eastbound lane of the highway short of runway 34R. The main landing gear were collapsed and pushed upward through the bottom of the aircraft. The engine gearbox and the propeller assembly were found sheared from the engine. The Allison engine, model 250-B15G, serial number CAE-850098, and accessories were examined by the FAA inspector. According to the FAA inspector, on the front of the high pressure compressor at the bleed air filter (Pruroflow part/number 211-3993) the "B" nut was found "finger" loose on the line going from the bleed air filter to the fuel control unit. According to the manufacturer's representative, the recommended torque specification was 80 inch-pounds for the "B" nut, and the engine "condition described [by the pilot] could be caused by a leak in the bleed air system."

The maintenance records were reviewed by the FAA inspector. On July 19, 2003, during the last conditional inspection, the fuel control unit was removed, reinstalled and the fuel control unit and all filters were checked. The mechanic, who performed the conditional inspection, stated that during his removal and reinstallation of the fuel control unit, he removed the fuel and bleed air lines at the fuel control unit. According to the FAA inspector, the airplane had flown approximately 5 hours since the last conditional inspection.

Numerous attempts to obtain the completed Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1/2) were unsuccessful.

Aircraft

Registration
N2069W
Reported as
SIAI-Marchetti L1019
Category
Airplane
Serial number
NC 057
Airframe hours
1,680
Engine
Allison 250-B15G, 260 horsepower, turbo prop
Damage
Substantial damage
Flight
Air race/show · Part 91
Registered owner
John C. Lister
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · July 19, 2002 · 5 hours before
Departed
MAF · Midland, TX
Airport
MAF · Midland International, runway 34R, 4,339 × 100 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
55
Injuries
Serious
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
August 30, 2002
Seat
Front
Flight hours
10,000 total · 3 in this make and model · 300 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 4 knots
Visibility
8 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 63 °F
Altimeter
30.03 inHg
Observed at
MAF, 1 nm away

FAA reports on this event · 1

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