LAX91LA075

NTSB accident investigation · Piper PA-28-201T · Arcadia, CA · January 16, 1991

Accident · Minor injuriesLimited investigationFinal report
Date
January 16, 1991, 09:27 local (17:27 UTC)
Place
Arcadia, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9541CPiper PA-28-201T
Weather
Visual (VMC) · Day
Status
Completed · report December 30, 1992
Report
Approved by Office Director
Case key
27094

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

Improper installation of the recently overhauled powerplant by maintenance personnel and inadequate inspection by maintenance personnel which failed to detect that the engine fuel pressure gauge line was not properly secured to the fuel system manifold valve.

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 powerCruise
Fuel system,line - not securedFactor
Maintenance,installation - improperOther maintenance personnelCause
Maintenance,inspection - inadequateOther maintenance personnelCause
Forced landingDescent - emergency
Remedial action - not possiblePilot in command
On ground/water collision with objectLanding - roll
Object - fence

Analysis

The airplane recently had its powerplant overhauled. The accident flight was the first flight after the installation of the overhauled engine. During cruise flight the engine lost power. The airplane force landed in a parking lot. During the landing roll the airplane struck a fence and slid into a ditch. CFR personnel noticed fuel leaking from under the engine cowling. Post accident examination of the engine revealed the fuel pressure line from the fuel manifold valve to the fuel pressure gauge came loose in flight at the engine fuel manifold valve.

Aircraft

Registration
N9541C
Reported as
Piper PA-28-201T
Category
Airplane
Serial number
28R-7803265
Airframe hours
1,707
Engine
Continental TSIO-360FBIB, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Ferry · Part 91
Operator
Dan E. Wolfe
Registered owner
Dan E. Wolfe
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 14, 1991 · 1 hours before
Departed
BUR · Burbank, CA
Destination
L67 · Rialto, CA

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
25
Certificates
Flight instructor, Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Seat
Left
Flight hours
2,820 total · 10 in this make and model · 2,195 as pilot in command · 128 in the last 90 days · 43 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
50 statute miles
Lowest ceiling
None
Altimeter
30.00 inHg
Observed at
EMT, 5 nm away