Pilot Debrief

GRUMMAN TBM-3 near Millville, NJ — 2009-03-07

Final reportERA09LA191
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Date
2009-03-07
Location
Millville, NJ, USA
Airport
MIV
Aircraft
GRUMMAN TBM-3
Registration
N188TD
Category
Airplane
Highest injury
Serious
Fatalities
0
Phase of flight
Climb

Probable cause

The pilot/mechanic’s failure to properly torque the fuel pressure line B-nut to the carburetor fitting.

NTSB narrative

The owner of the airplane explained that the pilot/mechanic had just completed the installation of an overhauled carburetor, and that he and the pilot/mechanic had performed test runs of the engine and completed carburetor adjustments with no problems noted. The owner described multiple engine starts with and without auxiliary fuel pressure applied and during one engine run the hydraulic components of the airplane were "cycled" with no problems noted. After completion of the ground tests, the airplane appeared to develop full power during takeoff and climbout when "heavy smoke appeared all at once." The airplane landed and was completely engulfed in flames during rollout. Seconds after the airplane stopped, the engine fell from the burning airframe. Examination of the engine revealed that the fuel line associated with the fuel pressure transmitter was found disconnected from its mating fitting on the carburetor. The fitting on the carburetor and the mating nut on the end of the fuel line showed evidence of exposure to a fire environment on the surfaces, which would normally be protected if the two components were assembled. The fitting on the carburetor and the mating nut on the fuel line did not have damaged threads, which would be expected if the components were separated by force.

Analysis

Primary failure mode
Mechanical failure
First missed decision gate
Perform thorough checks on fuel lines before flight after carburetor installation.

NTSB coding

Evidence available

  • 5 docket documents
View NTSB final reportView NTSB docket

Docket documents5

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