NYC94LA041

NTSB accident investigation · Cessna 172N · Bar Harbor, ME · December 17, 1993

Accident · No injuriesLimited investigationFinal report
Date
December 17, 1993, 12:30 local (17:30 UTC)
Place
Bar Harbor, ME
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N5753ECessna 172N
Weather
Visual (VMC) · Day
Status
Completed · report September 30, 1994
Report
Approved by Office Director
FAA report
19931217046969A
Case key
38721

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

A disconnected fuel line with the carburetor not installed, and improper dispatch of the aircraft.

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 - starting engine(s)
Maintenance - initiatedCompany maintenance personnel
Fuel system,line - disconnectedCause
Fuel system,carburetor - not installedCause
Dispatch - improperCompany/operator managementCause

Analysis

The pilot did not know the carburetor was removed from the engine for repair, and had not been replaced. The airplane's engine was recowled, and the airplane was put back in its regular parking spot on the ramp. There was no placard installed in or on the airplane to visually alert someone to the airplane being out-of-service. When the pilot called to schedule the airplane, he was told it was available, and he was listed for its use that afternoon. During the pilot's walk around inspection, he did not see that the carburetor was off the engine. After completing the inspection, the pilot and his passenger boarded the airplane. He then placed the fuel selector in the both position and primed the engine. When the pilot turned the key to the start position, a fire erupted.

Factual narrative

On Friday, December 17, 1993, at about 1230 eastern standard time, a Cessna 172, N5753E, piloted by Mr. Edward Hatch, caught fire and burned during the engine start at the Bar Harbor Airport, Bar Harbor, Maine. The airplane was destroyed. The pilot and the one passenger were not injured. Visual meteorological conditions prevailed at the time, and a VFR flight plan had been filed. The flight was being conducted under 14 CFR 91.

The pilot did not know the carburetor was removed from the engine for maintenance and had not been replaced. After doing a pre-flight inspection, the pilot and his passenger boarded the airplane. He then placed the fuel selector in the both position, and primed the engine. When the pilot turned the key to the start position, the airplane caught on fire.

According to the FAA, the Flying Club's Vice- President was informed by the Acadia Air, maintenance personnel, that the carburetor needed to be repaired or exchanged for a rebuilt carburetor. On December 15, 1993, the carburetor was removed from the airplane's engine and was to be repaired, and a repairable tag for the removed carburetor was initiated.

FAA Inspector, Joseph Murray, wrote in his report:

...the aircraft was returned to its normal parking spot...on the South parking area with the engine recowled. The air filter and associated hardware had been removed by V. Ghergia and placed inside the aircraft behind the pilot's seat. He also placed the fuel tank selector valve to the "off" position. There was no placard installed in or on the aircraft to visually alert someone to the aircraft being out of service. The Club President, the Club Secretary- Treasurer and Acadia Air Maintenance personnel were the only people knowledgeable of the aircraft's condition...

On the morning of December 17, 1993, the pilot, Mr. Hatch called Acadia Air requesting the availability of N5753E at 1230 that afternoon. He was told by an Acadia Air employee, that the airplane was available, and he was scheduled for the airplane from 1230 through 1500.

The pilot did a walkaround inspection and did not observe the missing carburetor or the parts behind the pilot's seat. The airplane caught fire when he started the airplane's engine.

Aircraft

Registration
N5753E
Reported as
Cessna 172N
Category
Airplane
Serial number
17271933
Airframe hours
4,253
Engine
Lycoming O-320-H2AD, 160 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Frenchmen'S Bay Flying Club
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 27, 1993
Departed
BHB
Flight plan
VFR
Airport
BHB · Bar Harbor

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
59
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
220 total

Weather

Conditions
Visual (VMC) · Day

FAA reports on this event · 1

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