SEA99FA060

NTSB accident investigation · Beech 36 · Portland, OR · May 8, 1999

Accident · No injuriesField investigationFinal report
Date
May 8, 1999, 14:50 local (21:50 UTC)
Place
Portland, OR
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N6222VBeech 36
Weather
Visual (VMC) · Day
Status
Completed · report June 22, 2000
Report
Approved by Office Director
FAA report
19990508020429A
Case key
46302

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 strobe light system. Factors include a leak in the fuel bladder and electrical arcing.

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.

ExplosionTakeoff - roll/run
Electrical system,electric wiring - chafed
Maintenance,installation - improperOther maintenance personnel
Electrical system,electric wiring - arcing
Fuel system,tank - arcing

Analysis

During the takeoff roll, the pilot heard a loud explosion and the aircraft violently yawed to the left. The aircraft veered off the runway and came to rest in a grassy area between the runway and the taxiway. Examination of the aircraft's fuel system revealed evidence of a preexisting fuel leak. Blue streaking and staining, consistent in color with 100 low lead aviation fuel, was noted on the ventral surfaces of the aircraft. Examination of the aircraft's fuel bladder revealed that the plastic interconnect nipple for the vent line, and the plastic interconnect nipple for the fuel return line, located at the distal end of the aircraft's fuel bladder, were fractured. Further examination of the fuel bladder revealed approximately 20 preexisting holes in the bladder's fabric. The aircraft's maintenance logbook indicated that the aircraft was equipped with a strobe light kit. Examination of the strobe light system revealed that the installation of the strobe kit was not in accordance with the manufacture's installation instructions. Instead, the wiring harness for the strobe light was routed parallel to a stringer, between the wing ribs and the skin of the aircraft. Examination of the wiring revealed that the wire's insulation was chafed, cut and discolored. The discoloration of the wiring was indicative of arcing.

Factual narrative

History of flight

On May 8, 1999, about 1450 Pacific daylight time, a Beechcraft 36, N6222V, registered to and operated by the airline transport pilot (ATP), was substantially damaged subsequent to an explosion in the aircraft's left wing. The aircraft was on its takeoff roll at Portland International Airport, Portland, Oregon. The pilot aborted the takeoff roll without further incident. Visual meteorological conditions prevailed and no flight plan was filed for the 14CFR91 local personal/pleasure flight. The pilot and his passenger were not injured and there was no report of a fire or ELT activation.

The aircraft's strobe lights were activated by the pilot at the start of the take-off roll. The navigation lights and pitot heat were off. The pilot stated that during the takeoff roll, approximately 80 miles per hour, he heard a loud bang and the aircraft violently yawed to the left (south). The aircraft veered off the runway and came to rest in a grassy area between runway 28R and the taxiway.

Tests and research

Examination of the aircraft revealed extensive damage to the outboard section of the aircraft's left wing, from the outboard edge of the fuel bladder (mid span) to the wingtip. The fuel bladder was not breached and contained approximately 40 gallons of 100 low lead.

Examination of the aircraft's fuel system revealed evidence of a preexisting fuel leak. Blue streaking and staining, consistent in color with 100 low lead, was noted on the ventral surfaces of the aircraft. The discoloration extended from the wing root outward to approximately wing station 108, and rearward from the lower spar cap to the trailing edge of the wing (Refer to Photograph 2). The discoloration and staining were observed on both wings.

Examination of the aircraft's fuel bladder revealed that the plastic interconnect nipple for the vent line, and the plastic interconnect nipple for the fuel return line, located at the distal end of the aircraft's fuel bladder, were fractured. The fuel bladder and its associated parts were shipped to the National Transportation Safety Board Materials Laboratory, Washington D.C. for further examination. The specialist reported that the fracture surfaces on both interconnect nipples (vent and return) were characteristic of fatigue type cracking (Refer to Report 99-148). A pressure test of the fuel bladder also revealed that there were approximately 20 additional preexisting holes in the bladder.

The aircraft's maintenance logbook indicated that the aircraft was equipped with a strobe light kit (part number 35-3017-5p), installed on November 15, 1984. Examination of the strobe light system revealed that the installation of the strobe kit was not in accordance with the manufacture's installation instructions (Attachment #1). Instead, the wiring harness for the strobe light was routed parallel to a stringer between the wing ribs and the skin of the aircraft. Examination of the wiring revealed that the wire's insulation was chafed and discolored (Refer to Photograph #3). Two cuts in the wire's insulation were also observed. The wiring harness was removed and shipped to the National Transportation Safety Board's Materials Lab for further examination. The specialist reported that discoloration, indicative of arcing, was noted to the wiring (Refer to Fire/Explosive Factual Report).

Further examination of the strobe light system revealed that the aircraft was equipped with two power supply units, one mounted in each wing tip. The installation instructions from the manufacturer call for a single power supply unit mounted in the tail of the aircraft at approximately station 170. An inspection of this area revealed no evidence that a single power supply unit was ever installed.

According to the maintenance logbook, the aircraft's last annual inspection was on July 30, 1998, at 797 hours tachometer time. There was no indication that the Beechcraft Service Instruction (Number 0632-280) pertaining to possible fuel seepage from the fuel bladder was performed. The logbook also indicated that the fuel bladder in the left wing was repaired and leak checked on January 14, 1981.

Additional data

The aircraft and its affected components were released to the owner on November 16, 1999.

Aircraft

Registration
N6222V
Reported as
Beech 36
Category
Airplane
Serial number
E-3
Airframe hours
3,500
Engine
Continental IO-520-BA, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Gregory Wilson
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 28, 1998 · 50 hours before
Departed
PDX
Airport
PDX · Portland International, runway 28R, 10,000 × 150 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
42
Certificates
Flight instructor, Flight engineer, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
8,000 total · 300 in this make and model · 2,000 as pilot in command · 245 in the last 90 days · 85 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 14 knots
Visibility
10 statute miles
Lowest ceiling
5,000 ft broken
Temperature
48 °F, dew point 39 °F
Altimeter
30.00 inHg
Observed at
PDX

FAA reports on this event · 1

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