FTW95LA127

NTSB accident investigation · Israel Aircraft Industries 1124 · Denver, CO · February 21, 1995

Accident · No injuriesLimited investigationFinal report
Date
February 21, 1995, 08:45 local (15:45 UTC)
Place
Denver, CO
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N66JEIsrael Aircraft Industries 1124
Weather
Day
Status
Completed · report December 7, 1995
Report
Approved by Office Director
Safety recommendations
Yes
FAA report
19950221014449A
Case key
19361

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

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Probable cause

An oxygen leak at the oxygen system pressure reducer-regulator assembly, resulting in a crew compartment fire.

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.

FireStanding - pre-flight
Maintenance,service of aircraft/equipment - inadequateOther maintenance personnel
Oxygen system - leakCause
Oxygen system - fireCause
Oxygen system - contamination

Analysis

During preflight of the airplane, the first officer opened the main oxygen supply valve in the cockpit and heard a loud hissing sound. Almost immediately thereafter, the cockpit was engulfed in flames, but the copilot was able to escape. He exited the airplane uninjured. The fire melted the oxygen system pressure reducer-regulator assembly, burned a hole in the right forward side wall of the airplane, and caused substantial damage to the cabin interior before it was extinguished by ramp personnel. A laboratory analysis disclosed the presence of oil in a 'deposit' found on the interior of the oxygen cylinder.

Factual narrative

On February 21, 1995, at 0845 mountain standard time, an Israel Aircraft Industries 1124, N66JE, sustained substantial damage from an onboard fire while standing on the ramp at Stapleton International Airport, Denver, Colorado. The copilot, who was aboard, was not injured. Cabin preparation for a flight later in the day was being conducted at the time of the incident.

According to the first officer who was conducting cabin checks with no power on the aircraft, he turned on the oxygen valve, heard a loud hissing sound and an immediate fire occurred. The first officer evacuated the aircraft and local ramp personnel extinguished the fire before the airport fire department arrived. However, the cabin and flight deck were scorched with substantial melting, and a large hole was burned in the pressure vessel in the vicinity of the oxygen regulator.

The oxygen regulator was melted in the fire and meaningful examination for function and leaks was not possible. The oxygen bottle was removed and forwarded to Israel Aircraft Industries, Engineering Division, for detailed examination. Their report is attached and provides information that the oxygen bottle contained deposits consisting of phthalates, hydrocarbons, fatty acids and zinc bis (n,n-diethyldithiocarbamate), the latter being documented as a catalyst. Their conclusions were that there was oil present in the oxygen cylinder.

A review of maintenance activity on the oxygen cylinder was conducted and records were located which provided information that the oxygen bottle had been tested and cleaned by TEC AIR Services, Northport, New York, on November 4, 1990, and on January 11, 1994. (Copies of work orders are attached.) TEC AIR Services was a Certified Repair Station (CRS) No. MA1R315K.

The FAA provided information that TEC AIR Services, had been investigated by the FAA for failing to properly overhaul and repair oxygen cylinder assemblies before returning those items to service. The FAA investigation resulted in repair station certificate revocation.

The President of Professional Jet Management, the operator of the incident aircraft, was queried. He stated that he had a Hawker 700 jet, N700AC, which had oxygen bottle service by TEC AIR. This bottle was inspected and the inspection revealed that the bottle was unserviceable due to internal corrosion.

Further, the FAA published an Advisory Circular 43-16, dated February 1995. In that publication Mr. Fred Stein, Technical Branch Manager (AEA 230), with the Eastern Regional Office pointed out that TEC AIR, in many instances, may have failed to properly overhaul and repair oxygen cylinder assemblies before returning them to service.

Aircraft

Registration
N66JE
Reported as
Israel Aircraft Industries 1124
Category
Airplane
Serial number
326
Airframe hours
4,098
Engine
Garrett 731-3-1G, 3,700 lbs thrust, turbo fan
Damage
Substantial damage
Fire
On-Ground
Flight
Business · Part 91
Operator
Professional Jet Management
Registered owner
Nje Corporation
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · June 7, 1994 · 144 hours before
Departed
DEN
Destination
DEN
Airport
DEN · Stapleton International

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
50
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Flight hours
8,200 total · 1,400 in this make and model · 5,500 as pilot in command · 70 in the last 90 days · 25 in the last 30 days

Weather

Conditions
Day

FAA reports on this event · 1

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