SEA07LA092

NTSB accident investigation · Piper PA-32R-301T · Lincoln, CA · April 6, 2007

Accident · No injuriesLimited investigationFinal report
Date
April 6, 2007, 11:45 local (18:45 UTC)
Place
Lincoln, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N4379APiper PA-32R-301T
Weather
Visual (VMC) · Day
Status
Completed · report November 29, 2007
Report
Approved by Office Director
Parties
Federal Aviation Administration, The New Piper, Textron Lycoming
FAA report
20070406005459A
Case key
65545

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

An in-flight fire occurred during the initial climb as a result of the aviation maintenance technician's failure to sufficiently tighten the b-nut that was found disconnected post-accident. A contributing factor was the engine manufacturer's failure to specify a torque value.

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
Maintenance,annual inspection - inadequateCompany maintenance personnelCause
Fuel system,line fitting - disconnectedCause
Instructions,written/verbal - inadequateManufacturerFactor
Loss of engine powerEmergency descent/landing
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - rough/uneven

Analysis

The pilot experienced an in flight fire after takeoff and force-landed the airplane short of the runway. The pilot performed a preflight and run up that were uneventful. As the airplane climbed through 1,000 feet, he saw a puff of white smoke. He elected to return to land and as he neared the airport, a fire erupted, and he landed in a field. At 5.4 hours prior to the accident, the number 5 cylinder was replaced. Post accident examination showed that the fuel injection line of the number 5 cylinder was disconnected at the fitting of the manifold assembly, located below the number 3 cylinder assembly. The b-nut was off the threads of the fitting and floating along the steel fuel line. The fuel line and b-nut were visually undamaged. The fuel line b-nut was reassembled to the manifold assembly without binding, and then it was tightened. No other anomalies were noted. The engine manufacturer representative stated that there are no manufacturer published torque values for the b-nut.

Factual narrative

On April 6, 2007, at 1145 Pacific daylight time, a Piper PA-32R-301T (Saratoga), N4379A, experienced an in flight fire shortly after takeoff from Lincoln Regional Airport/ Karl Harder Field, Lincoln, California, and the airplane was substantially damaged during a forced, off-airport landing. The pilot was operating the airplane under the provisions of 14 CFR Part 91 for the local personal flight. The private pilot and one passenger were not injured. Visual meteorological conditions prevailed and no flight plan was filed.

The pilot stated that after departing runway 15, the airplane climbed to approximately 1,000 feet above ground level. He noticed a puff of white smoke emit from the defrost vents. The pilot brought the nose of the airplane down and there was a fire on the right side of the engine. He elected to immediately return to the airport to land. As he rolled onto the base leg of the traffic pattern, he heard a "pop" noise and black smoke poured from underneath the cowling. The engine lost complete power and the pilot force-landed the airplane in a field.

The wreckage was examined on April 11, 2007, at Plain Parts, Pleasant Grove, California. The National Transportation Safety Board investigator, the Federal Aviation Administration accident coordinator, and representatives from New Piper Aircraft Company and Textron Lycoming were present.

The top and bottom cowlings were removed. The majority of the thermal damage was evident on the right side of the engine as viewed from the pilot's (left) seat. Investigators noted that the fuel injection line of the number 5 cylinder was disconnected at the fitting of the manifold assembly, located below the number 3 cylinder assembly. The b-nut was off the threads of the fitting and floating along the steel fuel line. The fuel line, b-nut, and fitting threads were visually undamaged. The fuel line b-nut was reassembled to the manifold assembly. The b-nut threaded onto the fitting without binding and was tightened as required. No other anomalies were noted.

At the time of the accident, the tachometer indicated 1,178.9 hours. Review of the maintenance records showed that the last annual inspection was performed on December 6, 2006, at tachometer time of 1,173.5 hours. During the annual inspection, the number 5 cylinder assembly was changed, corresponding to 5.4 hours prior to the accident. Since the annual inspection, no additional maintenance had been logged in the maintenance records.

According to the Textron Lycoming representative, there are no Textron Lycoming published torque values for the subject b-nut.

The National Transportation Safety Board investigator interviewed the aviation maintenance technician with inspector's authorization (AMT/IA) who inspected the last work completed on the airplane. He indicated that the aviation maintenance technician (AMT) performing the work used standard maintenance procedures as specified in the Textron Lycoming Overhaul Manual to change the number 5 cylinder. Following the work, the engine was run for 5 minutes. It was then brought through a full run up and to full power. No fuel leaks were noted. The AMT/IA stated that there was no Textron Lycoming specified torque value for the fuel lines, and they were tightened as required. After the work was completed, the AMT/IA performed the final inspection and the airplane was signed off as airworthy.

Aircraft

Registration
N4379A
Reported as
Piper PA-32R-301T
Category
Airplane
Serial number
32R-8529013
Airframe hours
1,173.9
Engine
Textron Lycoming TIO-540-S1AD, 300 horsepower, reciprocating
Damage
Substantial damage
Fire
In-Flight
Flight
Personal · Part 91
Registered owner
DF Properties Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 1, 2006 · 5.4 hours before
Departed
LHM · Lincoln, CA
Airport
LHM · Lincoln

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
55
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
July 1, 2004
Seat
Left
Flight hours
912 total · 362 in this make and model · 872 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 52 °F
Altimeter
29.92 inHg
Observed at
AUN, 13 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.

Other investigations on N4379A · 1

Matched to the same aircraft by N-number and date.