LAX87IA029

NTSB incident investigation · British Aerospace BAE 146-200 · Santa Ana, CA · October 31, 1986

Incident · No injuriesIncident investigationFinal report
Date
October 31, 1986, 09:00 local (17:00 UTC)
Place
Santa Ana, CA
Injuries
42 uninjured
Damage
Minor damage
Phase of flight
Initial climb
Aircraft
N363PSBritish Aerospace BAE 146-200
Weather
Visual (VMC) · Day
Status
Completed · report March 30, 1988
Report
Approved by Office Director
Case key
25434

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

On this page

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.

FireTakeoff - initial climb
Fuel system,line fitting - separationCause
Fluid,fuel - leakFactor
Emergency procedure - performedPilot in command

Analysis

Just after takeoff the aircraft experienced a fire in the number 3 engine which was extinguished by the on board fire bottles. Investigation revealed that a secondary fuel line had pulled out of a b-nut ferrule fitting at the fuel flow divider manifold which allowed fuel to discharge into the engine cowling area. The FAA SDR data base contained a record of 5 prior occasions where either a primary or secondary fuel line had pulled out of the b-nut ferrule fitting. A factory modification to the fuel lines was in the process of implimentation on a fleet wind basis, but had not yet been accomplished on this aircraft. The flt landed at the departure arpt after the emergency without further incident.

Aircraft

Registration
N363PS
Reported as
British Aerospace BAE 146-200 (BAE 146-20)
Category
Airplane
Serial number
E2046
Airframe hours
2,741
Engine
Lycoming ALF502, 7,500 lbs thrust, turbo fan
Damage
Minor damage
Fire
In-Flight
Flight
Part 121
Operator
Pacific Southwest Airlines
Registered owner
North American Aircraft
Airworthiness certificate
Standard, Transport
Departed
SNA · Santa Ana, CA
Destination
SFO · San Francisco, CA
Flight plan
IFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
40
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
8,814 total · 317 in this make and model · 142 in the last 90 days · 28 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 5 knots
Visibility
6 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 57 °F
Altimeter
29.00 inHg
Observed at
SNA, 1 nm away