Accident Aero Commander 500S Shrike Commander N903AK,
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ASN Wikibase Occurrence # 296108
 
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Date:Wednesday 19 March 2003
Time:10:15 LT
Type:Silhouette image of generic AC50 model; specific model in this crash may look slightly different    
Aero Commander 500S Shrike Commander
Owner/operator:Alaska Division Of Forestry
Registration: N903AK
MSN: 3302
Year of manufacture:1977
Total airframe hrs:3406 hours
Engine model:LYCOMING IO-540-M1C5
Fatalities:Fatalities: 0 / Occupants: 2
Aircraft damage: Substantial
Category:Accident
Location:Chickaloon, AK -   United States of America
Phase: Unknown
Nature:Test
Departure airport:Palmer Municipal Airport, AK (PAQ/PAAQ)
Destination airport:
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
Both engines of the twin-engine airplane were removed for overhaul and reinstalled by contracted maintenance personnel. The engines were then ground-run to assess their performance, and to check for any leaks. No leaks were found. An annual inspection was subseqently completed by the operator's maintenance personnel, and the airplane was released for a maintenance test flight. The preflight, engine runup, and the takeoff engine power settings were normal. Another pilot observed the takeoff of the accident airplane, and noticed what appeared to be a slight vapor trail coming from the left engine. He did not report his observations to the pilot. The accident flight was intended to check the turbocharging system by climbing to 12,000 feet. At 8,000 feet, the electrical system experienced a spike, but then returned to normal. As the airplane approached 11,000 feet, the left engine's fuel pressure began to fluctuate. The manifold pressure and rpm began to decrease. The pilot feathered the propeller, and shut-off the engine's fuel/hydraulic valve. The passenger then noticed flames coming from the left engine. The pilot began an emergency descent, and landed on a gravel bar. During the landing roll, the airplane received extensive damage to the fuselage and landing gear. The pilot and passenger exited the airplane and extinguished the flames from the left engine with a hand-held fire extinquisher. A trail of oil was visible on the ground along the airplane's approach path to the accident scene. A postaccident examination of the airplane revealed extensive fire damage, sooting, and oil streaking coming from the left engine nacelle. Inspection of the left engine revealed that the fuel line, from the left wing tank to the engine driven fuel pump, was not connected. The interior threads of the fuel line fitting, and the exterior threads of the fuel pump nipple had extensive sooting.

Probable Cause: The improper installation of an engine fuel line fitting by contracted maintenance personnel resulting in an in-flight engine fire. Contributing factors in the accident were an inadequate annual inspection by company maintenance personnel, and the lack of suitable terrain for a forced landing.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: ANC03LA032
Status: Investigation completed
Duration:
Download report: Final report

Sources:

NTSB ANC03LA032

Revision history:

Date/timeContributorUpdates
13-Oct-2022 16:41 ASN Update Bot Added
12-Nov-2022 03:05 Ron Averes Updated [Operator, Location, Narrative]

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