Aircraft Accident/Incident Report

Fredericksburg, Texas 78624
Sunday, October 16, 1994 11:15 CDT

NTSB Narrative Summary Released at Completion of Accident

DURING THE EN ROUTE CLIMB, THE LEFT ENGINE MADE A LOUD NOISE AND LOST POWER. THE PILOT RETARDED THE THROTTLE AND TURNED AROUND TO RETURN TO THE AIRPORT. HE NOTICED THE ENGINE NACELLE WAS ON FIRE AND HE SHUT OFF THE FUEL SUPPLY. THE FIRE APPEARED TO EXTINGUISH. THE PILOT THEN RETARDED THE MIXTURE AND PROPELLER CONTROLS, WHICH IS NOT THE PROPER SEQUENCE OUTLINED IN THE AIRPLANE OWNER'S MANUAL. THE PROPELLER FAILED TO FEATHER. DESPITE FULL POWER ON THE RIGHT ENGINE AND MAINTAINING BEST SINGLE ENGINE RATE OF CLIMB SPEED, THE AIRPLANE DESCENDED 200 TO 250 FEET PER MINUTE. THE PILOT MADE A FORCED WHEELS DOWN LANDING IN AN OPEN FIELD. THE AIRPLANE STRUCK A TERRACE AND THE LANDING GEAR COLLAPSED. POST ACCIDENT ENGINE INSPECTION DISCLOSED A LOOSE FUEL INJECTOR SUPPLY LINE, AND HEAT DAMAGE AND A 1-1/2 INCH BROWN STAIN ON THE CLAMP THAT ATTACHES THE TAILPIPE TO THE EXHAUST SIDE OF THE TURBOCHARGER. ENGINE MAINTENANCE, REQUIRING THE REMOVAL AND REATTACHMENT OF FUEL LINES, HAD BEEN PERFORMED ON THE AIRPLANE JUST PRIOR TO THE FLIGHT.

NTSB Probable Cause Narrative

IMPROPER MAINTENANCE RESULTING IN AN ENGINE FIRE, AND THE PILOT'S IMPROPER PROPELLER FEATHERING PROCEDURE, CAUSING THE PROPELLER NOT TO FEATHER AND THE AIRPLANE'S ENGINE OUT CAPABILITY TO BE EXCEEDED. A FACTOR WAS THE UNSUITABLE TERRAIN CONDITIONS.

Event Information

Type of Event Accident
Event Date 10/16/1994
Event Day of the Week Sunday
Time of Event 1115
Event Time Zone Central Daylight Time
Event City FREDERICKSBURG
Event State TEXAS
Event Country --
Zipcode of the event site 78624
Event Date Year 1994
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Full
Investigator's weather source Pilot
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Day
Lowest Ceiling Height 1300
Lowest Non-Ceiling Height 1100
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 26
Dew Point at event time (in degress fahrenheit) -2
Wind Direction (degrees magnetic) 200
Variable Wind Indicator Unknown
Wind Speed (knots) 10
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) 3254
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 2
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 1412
NTSB Notification Source --
NTSB Notification Date Oct 16 1994 12:00AM
NTSB Notification Time 1100
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 6 2000 12:27PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N821AC
NTSB Number FTW95LA018
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire In-flight
Aircraft Explosion None
Aircraft Manufacturer's Full Name PIPER
Aircraft Model PA-23-250
Aircraft Series Identifier PA-23-250
Aircraft Serial Number 27-7554038
Certified Max Gross Weight 5200
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jan 11 1994 12:00AM
Airframe hours since last inspection 52
Airframe Hours 2880
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name CHURCH OF BIBLE UNDERSTANDING
Aircraft Owner Street Address 1300 S. 58TH ST.
Aircraft Owner City PHILADELPHIA
Aircraft Owner State PA
Aircraft Owner Country
Aircraft Owner Zipcode 19143
Operator is an individual? --
Operator Name MITCHELL, DANIEL L.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 2732 SAFFRON DR.
Operator City ORLANDO
Operator State FL
Operator Country
Operator Zip code 32837
Operator Code
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Ferry
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code T82
Departure City
Departure State TX
Departure Country
Departure Time 1055
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code PNS
Destination City PENSACOLA
Destination State FL
Destination Country
Specific Phase of Flight Climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --