ASN Wikibase Occurrence # 210958
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Date: | Saturday 12 May 2018 |
Time: | 20:05 |
Type: | Beechcraft 35-A33 Debonair |
Owner/operator: | Private |
Registration: | N486T |
MSN: | CD-311 |
Year of manufacture: | 1961 |
Total airframe hrs: | 5326 hours |
Engine model: | Continental IO-470-K |
Fatalities: | Fatalities: 1 / Occupants: 2 |
Aircraft damage: | Destroyed |
Category: | Accident |
Location: | Calhoun County, Jacksonville, AL -
United States of America
|
Phase: | Landing |
Nature: | Private |
Departure airport: | Hartselle, AL (5M0) |
Destination airport: | Peachtree City, GA (FFC) |
Investigating agency: | NTSB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:The airline transport pilot and his daughter were on the return leg of a cross-country flight in night, visual meteorological conditions. While in cruise flight, the pilot saw smoke in the cockpit, so he began turning off electrical components. The engine then sputtered and lost total power. He set up for a forced landing, felt heat from the engine compartment, and then saw flames coming from the same area. He discharged a portable fire extinguisher. At the first indication of heat, his daughter left the right cockpit seat and climbed into the aft cabin; the pilot did not believe she fastened her lap belt. While crossing a ridge, the airplane collided with trees and came to rest on the side of a hill in a forested area. The pilot egressed the airplane and noted that his daughter was no longer in the airplane. He subsequently found her; she had been thrown clear of the wreckage and was seriously injured. First responders arrived soon thereafter, and she later died from her injuries.
Most of the airplane's fuselage, empennage, and right wing was consumed by postcrash fire. The left wing separated during the impact sequence and was not burned. The engine, propeller, nose landing gear, and cowling separated during the impact sequence and were found outside the postcrash fire zone. Evidence of an in-flight fire was observed at the aft section of the engine, with the heaviest fire damage near fuel lines adjacent to the left muffler and heat exchanger. An examination of the muffler and heat exchanger revealed multiple preexisting cracks that could have allowed hot exhaust gasses to escape from the assembly onto the adjacent fuel lines. Damage to those fuel lines prevented determining a definitive origin for the ignition of the inflight fire, though the damage to those fuel lines was consistent with the fire being fuel-fed in nature. The largest crack of the muffler was located at the left side and extended 3.35 inches around the circumference through the muffler wall and coincided with a crack through the heat exchanger end flange that extended 4.25 inches around the circumference. Oxidation and exhaust deposits observed on the crack surfaces indicated the cracks developed and existed for some time before the accident.
The pilot, who owned the airplane, was a certificated airframe and powerplant mechanic with inspection authorization. He performed the airplane's most recent annual and 100-hour inspections about 4 months before the accident. The airplane maintenance manual recommended that, during 100-hour inspections, the exhaust system should be checked for, in part, deformation and cracks and for thin wall condition, which may occur due to normal internal erosion on stacks that have long service time. About 2 months before the accident, the pilot replaced the left exhaust stack; however, he did not replace the associated muffler and heat exchanger.
The cracking observed on the muffler and heat exchanger displayed signatures consistent with them having developed over time, so the pilot should have been able to detect them by thoroughly inspecting the exhaust system, including the left muffler and heat exchanger, during the most recent 100-hour inspection as recommended, or when he removed and replaced the exhaust stack. Due to his inadequate inspection of the exhaust system, he failed to note the cracks and corrosion and missed an opportunity to replace the muffler and heat exchanger. This allowed the cracks to develop to failure, leading to hot gasses escaping on to the adjacent fuel lines, and ultimately resulting in the subsequent in-flight fire.
Probable Cause: The pilot/mechanic's inadequate inspection of the exhaust system, including the left muffler and heat exchanger, which precluded his detection of preexisting cracks and led to a missed opportunity to replace the components. The inadequate inspection allowed the cracks to develop to failure, leading to exhaust gasses escaping onto adjacent fuel lines, resulting in the subsequent fuel-fed in-flight fire.
Accident investigation:
|
| |
Investigating agency: | NTSB |
Report number: | ERA18FA146 |
Status: | Investigation completed |
Duration: | 11 months |
Download report: | Final report |
|
Sources:
NTSB
FAA register:
http://registry.faa.gov/aircraftinquiry/NNum_Results.aspx?NNumbertxt=486T Location
Media:
Revision history:
Date/time | Contributor | Updates |
13-May-2018 04:29 |
Geno |
Added |
13-May-2018 05:36 |
Iceman 29 |
Updated [Time, Total occupants, Source, Narrative] |
13-May-2018 05:40 |
Iceman 29 |
Updated [Embed code, Damage] |
13-May-2018 15:45 |
Geno |
Updated [Aircraft type, Registration, Cn, Operator, Source, Embed code, Narrative] |
13-May-2018 16:34 |
Anon. |
Updated [Narrative] |
13-May-2018 18:01 |
harro |
Updated [Aircraft type] |
27-May-2018 07:47 |
Anon. |
Updated [Source] |
27-May-2018 07:48 |
harro |
Updated [Time, Registration, Nature, Departure airport, Destination airport, Narrative] |
15-Apr-2019 14:44 |
ASN Update Bot |
Updated [Time, Departure airport, Destination airport, Source, Narrative, Accident report, ] |
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