Pilot Debrief

PIPER PA-28-201T near Versailles, MO — 2017-12-19

Final reportCEN18LA065
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Date
2017-12-19
Location
Versailles, MO, USA
Airport
3VS
Aircraft
PIPER PA-28-201T
Registration
N555WM
Category
Airplane
Highest injury
None
Fatalities
0
Phase of flight
Initial climb

Probable cause

The total loss of engine power due to fuel starvation when the cap fitting came off the inlet tee fitting on the throttle body/fuel metering unit.

NTSB narrative

The private pilot was going to perform a local flight for the first time after an overhauled engine was installed on the airplane. During engine ground operations, no leaks were noted, and the engine operated normally. After takeoff, the pilot flew the airplane around the airport traffic pattern and accomplished a touch-and-go landing. During the climbout, at 400 to 500 ft above ground level, the engine lost total power. The pilot conducted a forced landing to a field. During the landing roll, the airplane's left wing struck a metal fence post, which resulted in substantial damage to the airplane. A postaccident examination revealed that the inlet tee fitting on the throttle body/fuel metering unit was missing a cap fitting, which was subsequently found between the Nos. 3 and 5 cylinders. After the cap fitting was reinstalled, the engine was restarted and ran normally. The mechanic who installed the overhauled engine stated that the cap fitting was in its proper place during the installation of the engine and that he had not disturbed the cap fitting during the maintenance that was performed before the maintenance check flight. The repair station's quality control manager reported that an inspector checked all of the engine fittings to verify that they were secure. During the engine test run, the tee fitting was not disturbed because it was not used to attach the gauge for the fuel system checks, and the engine met all performance objectives of the test run. The engine experienced a total loss of power due to fuel starvation when the cap fitting came off the inlet tee fitting on the throttle body/fuel metering unit. However, the available evidence was not sufficient to determine how the cap fitting became loose and displaced from its installed location.

Analysis

Primary failure mode
Engine power loss
First missed decision gate
Perform fuel system adjustments after engine installation as recommended.

NTSB coding

Evidence available

  • Photos
  • 7 docket documents
View NTSB final reportView NTSB docket

Docket documents7

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