WPR16LA078

NTSB accident investigation · Boeing A75N1(PT17) · Palm Springs, CA · March 2, 2016

Accident · Serious injuriesLimited investigationFinal report
Date
March 2, 2016, 13:00 local (21:00 UTC)
Place
Palm Springs, CA
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N63555Boeing A75N1(PT17)
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report December 18, 2017
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA-FSDO
FAA report
20160302010849A
Case key
92799

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

Improper assembly of a fuel hose, which restricted the fuel supply to the carburetor and resulted in a loss of engine power during the initial climb after takeoff.

Findings · 1

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.

Fuel system: fuel distributionAircraft › Aircraft systems · Incorrect service/maintenanceBoeing A75N1(PT17): 1 caseAll aircraft: 141 casesProbable cause

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 airline transport pilot reported that, shortly after takeoff on the local sightseeing flight, the engine experienced a partial loss of power about 400 ft above ground level. The pilot initiated a turn back to the airport and subsequently landed hard on the runway, substantially damaging the airplane. During the postaccident engine examination, an obstruction was found in one end of the fuel hose between the gascolator to the carburetor. The firesleeve on the hose was removed, which revealed that the hose entered the fitting at a slight angle that was not visible with the firesleeve in place. To facilitate further examination, the hose was cut close to the obstruction. The inner surface of the hose appeared cut and curled into the hose near the fitting, consistent with the improper assembly of the hose and fitting. It is likely that the curled piece of hose acted as a flapper valve that either restricted or cut off fuel flow to the carburetor. The high demand for fuel during takeoff depleted the supply of fuel in the carburetor and resulted in the loss of power. Although maintenance log entries indicated that the last replacement of the fuel hoses occurred 49 years before the accident, given the condition of the hoses, it is likely that a subsequent replacement was performed but not documented.

Factual narrative

On March 2, 2016, about 1300 Pacific standard time, a Boeing A75N1 (PT17), N63555, touched down hard during a forced landing following a loss of engine power during the initial climb at Palm Springs International Airport, Palm Springs, California. The airline transport pilot sustained minor injuries and the passenger was seriously injured. The airplane was substantially damaged. Palm Springs Air Museum Inc. was operating the airplane under the provisions of 14 Code of Federal Regulations Part 91. The local sightseeing flight was originating at the time. Visual meteorological conditions prevailed, and no flight plan had been filed.The pilot reported that the engine lost power passing through 400 ft after takeoff from runway 31L. He saw houses and other obstacles straight ahead and decided to turn around to land on runway 13R. The airplane landed hard on the runway centerline but came to rest aligned about 30° left of the runway heading. During the initial examination, the forward end of the fuselage sustained crush damage around the front cockpit. The throttle lever in the cockpit would not move due to the damage; all linkages were connected from the cockpit to the carburetor. The mixture lever in the cockpit would not move due to the damage; all linkages were connected from the cockpit to the carburetor. Examination of the wreckage established flight control continuity for all flight controls. Portions of the bottom cylinders, numbers four and five, fractured and separated. A clear blue fluid, consistent with the smell of Avgas, was drained from the gascolator, and a water paste test had no reaction indicating that water contamination was not present. All fittings that could be reached were tight. A black fluid consistent with motor oil was evident on the dipstick. There was no external evidence of catastrophic mechanical malfunction. A follow-up examination revealed that the exhaust tube coloration was light brown in color. The air filter was clean. There was no discoloration in the intake tube at the filter. The crankshaft was rotated using the propeller; there were no metallic sounds or binding. All valves except for the damaged bottom two cylinders moved approximately the same amount of lift in firing order. The gears in the accessory case turned freely. Thumb compression was obtained on all cylinders in firing order except for the two damaged bottom cylinders. The carburetor was removed and disassembled. The floats were metal; the bowl contained no fluid. The accelerator pump operated without resistance. The throttle lever would not move; the housing was crushed; the butterfly valve was almost vertical (fully open). The mixture lever moved freely from stop to stop. The carburetor heat arm was crushed at the box, and the rod end at the bellcrank fractured and separated along a jagged and angular plane. The fuel line was removed from the gascolator to the carburetor and nothing drained out from the line. The line was connected back to thegascolator and the fuel selector valve was turned on; blue fluid came out of the line. The line was removed again and an obstruction was seen near one end of the line. The firesleeve was removed on the hose. The hose went into the fitting at a slight angle that was not visible with the firesleeve in place. The line was cut close to the obstruction. The inner surface of the hose appeared cut and curled into the hose at the fitting. An entry in the maintenance logbooks dated October 20, 1967, recorded that all new gas lines were made. There were no entries after that to indicate any work was performed on the gas line hoses.

Aircraft

Registration
N63555
Reported as
Boeing A75N1(PT17)
Category
Airplane
Serial number
75-8014
Built
1946
Airframe hours
9,021
Engine
Continental Motors WR-670-6N, 220 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 30, 2015
Departed
PSP · Palm Springs, CA
Destination
PSP · Palm Springs, CA
Airport
PSP · Palm Springs International, runway 31L, 10,000 × 150 ft, asphalt
Equipment
Unknown

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
62
Injuries
Minor
Certificates
Flight engineer, Commercial, Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
November 14, 2014
Seat
Rear
Restraint
4-point
Flight hours
14,388 total · 35 in this make and model · 10,000 as pilot in command · 40 in the last 90 days · 25 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
20,000 ft broken
Temperature
84 °F, dew point 30 °F
Altimeter
29.96 inHg
Observed at
PSP

Docket · 6

The files NTSB released with the investigation on November 22, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.6 MB in all.

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 N63555 · 1

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