SEA96LA063

NTSB accident investigation · Cessna 172 · West Jordan, UT · February 24, 1996

Accident · Minor injuriesLimited investigationFinal report
Date
February 24, 1996, 14:20 local (21:20 UTC)
Place
West Jordan, UT
Injuries
1 minor, 2 uninjured
Damage
Destroyed
Phase of flight
Standing
Aircraft
N76027Cessna 172
Weather
Visual (VMC) · Day
Status
Completed · report July 25, 1996
Report
Approved by Office Director
FAA report
19960224002659A
Case key
42340

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 airplane's carburetor fuel lines by maintenance personnel.

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)
Fuel system,line fitting - looseCause
Maintenance,installation - improperOther maintenance personnelCause
Engine compartment - fire

Analysis

While climbing out after takeoff on an instructional flight, the engine began to 'run rough.' The CFI elected to return to the airport. While on final approach, the engine lost all power. The airplane landed uneventfully and stopped on the runway. The CFI reported that he then attempted to restart the engine so that he could clear the runway for incoming traffic. While starting the engine, the engine compartment caught fire. The airplane continued to burn until it was destroyed. An inspection of the wreckage revealed that the main fuel line to the finger strainer in the carburetor was disconnected with no mechanical damage noted. No other lines were disconnected. The fuel line had been installed by a mechanic eight days prior to the accident during a maintenance check.

Factual narrative

On February 24, 1996, at 1420 mountain standard time, N76027, a Cessna 172, operated by Great Western Aviation, Inc., Ogden, Utah, was destroyed by fire while standing at an airport in West Jordan, Utah. The certified flight instructor (CFI) and a passenger were not injured. The student pilot received minor injuries. Visual meteorological conditions prevailed and no flight plan had been filed. The instructional flight departed from West Jordan and was conducted under 14 CFR 91.

According to the CFI, the airplane departed from Salt Lake City No. 2 Airport in West Jordan on an instructional flight at 1405. While climbing through 5,800 feet above mean sea level, the engine began to "run rough." The CFI elected to return to the airport. While on final approach to runway 16, the engine lost all power. The airplane landed uneventfully and stopped on the runway. The pilot reported that he then attempted to restart the engine so that he could clear the runway for incoming traffic. During the start-up, the engine compartment caught fire. All three occupants egressed the airplane. During the egress, the student pilot received minor injuries. The airplane continued to burn until it was destroyed.

The wreckage was inspected by an FAA aviation safety inspector from Salt Lake City, Utah. According to the inspector (complete statement attached):

... it was noted that the main fuel line to the finger strainer in the carburetor was off. It was not attached to the fitting at the carburetor, and outside of being very sooty from the fire, did not appear to be damaged. The threads were [intact] on both the line and the fitting to the carburetor.... This was the only item that was observed to be disconnected that was not burned or damaged.

An examination of the engine maintenance log from the accident airplane revealed an entry dated February 16, 1996, eight days prior to the accident. This was the last entry in the log. The entry (copy of excerpt attached) read:

Removed fuel strainer bowl & inspected screen. Reinstalled. Removed [carburetor] finger screen [and] inspected [and] reinstalled.... Engine run [and] leak checks OK at oil [and] fuel screens.

According to the Director of Maintenance for Great Western Aviation, Inc., a part-time mechanic had performed the maintenance as a result of complaints by pilots regarding engine roughness. After the aforementioned maintenance was performed, the airplane had accumulated about 5 hours of flight time until the accident.

Aircraft

Registration
N76027
Reported as
Cessna 172
Category
Airplane
Serial number
17268095
Airframe hours
2,086
Engine
Lycoming O-360-H2AD, 160 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Instructional · Part 91
Registered owner
Great Western Aviation
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
100 hour · January 5, 1996 · 43 hours before
Airport
U42 · Salt Lake City Muni No. 2, runway 16, 5,800 × 100 ft, asphalt

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
27
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
789 total · 44 in this make and model · 724 as pilot in command · 120 in the last 90 days · 40 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 16 knots
Visibility
15 statute miles
Lowest ceiling
20,000 ft overcast
Temperature
55 °F, dew point 23 °F
Altimeter
29.00 inHg
Observed at
SLC

FAA reports on this event · 1

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