WPR15LA267

NTSB accident investigation · Cessna 177 · Thermal, CA · September 24, 2015

Accident · No injuriesLimited investigationFinal report
Date
September 24, 2015, 15:15 local (22:15 UTC)
Place
Thermal, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N3416TCessna 177
Defining event
Standing-engine(s) start-up: Fire/smoke (non-impact)
Weather
Visual (VMC) · Day
Status
Completed · report January 21, 2016
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
Case key
92055

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 fire in the engine compartment due to the pilot overpriming the hot engine.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Engine starting: crankingAircraft › Aircraft power plant · Incorrect use/operationCessna 177: 1 caseAll aircraft: 3 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · PilotCessna 177: 7 casesAll aircraft: 1,386 casesProbable cause
Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Capability exceededCessna 177: 1 caseAll aircraft: 195 casesProbable cause
Temp/humidity/pressure: high temperatureEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentCessna 177: 2 casesAll aircraft: 30 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that, after flying several legs of a cross-country flight, he landed the airplane to purchase fuel. After shutting down the engine and then topping off the wing tanks with fuel, the pilot attempted to start the engine; however, it would not turn over. He pumped the primer and then continued to crank the starter. He then observed a fire in the muffler area and continued to crank the starter in an attempt to suck the fire through the muffler. The engine never started, and the propeller did not turn. A postaccident examination revealed no catastrophic failures with the engine. However, white discoloration and excessive heat damage to the lower right firewall were found, indicating that the fire likely originated in this area. The fire was likely due to the pilot overpriming the induction system, which would have filled the carburetor air box with fuel and resulted in a fire starting in the lower firewall area.

Factual narrative

On September 24, 2015, about 1515 Pacific daylight time, a Cessna 177 Cardinal, N3416T, experienced an on-ground fire while the pilot attempted to start the engine at the Jacqueline Cochran Regional Airport, Thermal, California. The owner, who was additionally the passenger, was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The private pilot and passenger were not injured; the airplane sustained substantial damage. The cross-country personal flight was to originate from Thermal with a planned destination of Boulder Municipal Airport, Colorado. Visual meteorological conditions prevailed and no flight plan was filed.The pilot reported that the airplane was based out of Boulder, Colorado and earlier in the morning, he and his passenger completed a flight from there to Palm Springs, California. They departed from Palm Springs and landed in Thermal with the intent of purchasing fuel at the airport. He shut the engine down and then decided not to get fuel at that location on the field. He started the engine and then moved to the other side of the field. At that point, they topped off the wing tanks with 25 gallons. After fueling, the pilot attempted to start the engine however it would not turn over. With the mixture in the full rich position he then pumped the primer once and continued to crank the engine. They observed a fire start in the muffler area. He proceeded to crank the starter in an attempt to suck the fire through the muffler. The passenger egressed the airplane and discharged the entire contents of a fire extinguisher on board. The pilot exited out of the rear of the airplane. At no time did the engine actually start and the propeller was not turning. The pilot noted that the engine was running very hot that day as seen from the oil temperature gauge. He thought this was due to the outside air temperatures reaching over 100 degrees Fahrenheit and the duration of the flight. A certified airframe and powerplant mechanic (A&P) completed a post-accident teardown examination under the auspice of Federal Aviation Administration (FAA) inspectors. Fuel system continuity was established from the firewall to each of the engine's cylinders. The boost pump was activated with no anomalies noted. Removal of the spark plugs revealed that all were uniformly dark in color an indication of an oil fouled operating condition however a compression check revealed normal operations. The cylinders' combustion chambers were examined through the upper spark plug holes utilizing a lighted borescope. The combustion chambers remained mechanically undamaged, and there was no evidence of foreign object ingestion or detonation. There was no evidence of valve to piston face contact observed. The gas path and combustion signatures observed at the spark plugs, combustion chambers, and exhaust system components displayed coloration that was consistent with a rich operation. There was no oil residue observed in the exhaustsystem gas path. The fire appeared to have started on the lower right side of the engine where there was white coloration and excessive heat damage to the firewall and belly skin in that area. The mechanic opined that the source of fuel that ignited the fire was likely due to the pilot over priming the induction system which would have filled the carburetor air box with fuel located in that position. According to the airframe Pilot's Operating Handbook, "No priming is required when the weather is warm," and that "weak intermittent firing followed by puffs of black smoke from the exhaust stack indicates over-priming or flooding." It further states that "excess fuel can be cleared from the combustion chambers by the following procedure: Set the mixture control full lean and the throttle full open; then crank the engine through several revolutions with the starter," and to "repeat the starting procedure without any additional priming."

Aircraft

Registration
N3416T
Reported as
Cessna 177
Category
Airplane
Serial number
17700716
Built
1967
Engine
Lycoming O-320 SERIES, 180 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Departed
TRM · Thermal, CA
Destination
BDU · Boulder, CO
Airport
TRM · Jacqueline Cochran Rgnl

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
72
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Left
Restraint
None
Flight hours
500 total

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
108 °F, dew point 52 °F
Altimeter
29.70 inHg
Observed at
TRM

Docket · 2

The files NTSB released with the investigation on December 14, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 818 KB in all.