Accident Piper PA-32R-301T N8194X,
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ASN Wikibase Occurrence # 35294
 
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Date:Thursday 9 April 1992
Time:17:20 LT
Type:Silhouette image of generic P32R model; specific model in this crash may look slightly different    
Piper PA-32R-301T
Owner/operator:New Mexico Transportation Dept
Registration: N8194X
MSN: 32R8029086
Total airframe hrs:2986 hours
Engine model:Lycoming TIO-540-S1AD
Fatalities:Fatalities: 1 / Occupants: 1
Aircraft damage: Substantial
Category:Accident
Location:Albuquerque, NM -   United States of America
Phase: En route
Nature:Unknown
Departure airport:(KABQ)
Destination airport:Santa Fe, NM (KSAF)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
THE AIRPLANE SUSTAINED AN IN-FLIGHT FIRE AND DURING THE FORCED LANDING IMPACTED THE TERRAIN NOSE LOW. ACCORDING TO ATC, THE PILOT DIVERTED TO AN ALTERNATE AIRPORT AFTER REPORTING SMOKE IN THE COCKPIT. ACCORDING TO WITNESSES, THE PILOT DID NOT SHUT DOWN THE ENGINE. WITNESSES REPORTED THAT THE AIRPLANE ENTERED A DOWNWIND PATTERN AND IMPACTED THE TERRAIN AFTER OVERSHOOTING THE RUNWAY DURING THE APPROACH. INVESTIGATION REVEALED THAT THE FUEL LINE TO THE NO. 5 CYLINDER HAD SEPARATED OVER TIME BY CYCLIC STRESSES THAT PROPAGATED A FATIGUE CRACK. THE MAINTENANCE INSTALLATION OF THE LINE HAD BEEN IMPROPERLY ROUTED AND THE LINE NOT CLAMPED. MANUFACTURER INFORMATION ON THE LINE ROUTING AND CLAMPS HAD NOT BEEN AVAILABLE IN THE SERVICE BULLETINS. THE EXHAUST PIPE EXHIBITED MECHANICAL ABRASION AND THERMAL OXIDATION PRIOR TO THE ACCIDENT ALTHOUGH THE EXHAUST SYSTEM HAD UNDERGONE A RECENT MAINTENANCE CHECK. A 'B' NUT MISSING ON THE TOP SPARK PLUG FOR THE NO. 5 CYLINDER HAD BEEN SITUATED AT A LOCATION OF INTENSE HEAT DURING THE IN-FLIGHT FIRE. SURFACE CRACKS PENETRATING THE INSIDE SURFACE OF THE V-BAND COUPLING SECURING THE EXHAUST PIPE EXHIBITED SURFACE OXIDATION DAMAGE DETERMINED TO BE IN EXISTENCE FOR SOME TIME PRIOR TO THE ACCIDENT.

Probable Cause: FUEL LINE FAILURE DUE TO VIBRATORY FATIGUE. FACTORS WERE IMPROPER MAINTENANCE, MANUFACTURER INFORMATION FOR FUEL LINE NOT AVAILABLE, AND THE PILOTS' FAILURE TO FOLLOW EMERGENCY PROCEDURES.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: FTW92GA111
Status: Investigation completed
Duration: 1 year and 2 months
Download report: Final report

Sources:

NTSB FTW92GA111

Revision history:

Date/timeContributorUpdates
24-Oct-2008 10:30 ASN archive Added
21-Dec-2016 19:22 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
11-Apr-2024 07:58 ASN Update Bot Updated [Time, Other fatalities, Departure airport, Destination airport, Source, Narrative, Accident report]

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