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NTSB Report
January 16, 1991 · Piper PA-28-201T · N9541C
Arcadia, CA
Overview
Report Status
Probable Cause
Event Type
Accident
Date
January 16, 1991
Injury Outcomes
2 injuries (2 minor injuries)
Location
Arcadia, CA
Aircraft
Piper PA-28-201T
Tail Number
N9541C
Operator
Dan E Wolfe
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
LAX91LA075
THE AIRPLANE RECENTLY HAD ITS POWERPLANT OVERHAULED. THE ACCIDENT FLIGHT WAS THE FIRST FLIGHT AFTER THE INSTALLATION OF THE OVERHAULED ENGINE. DURING CRUISE FLIGHT THE ENGINE LOST POWER. THE AIRPLANE FORCE LANDED IN A PARKING LOT. DURING THE LANDING ROLL THE AIRPLANE STRUCK A FENCE AND SLID INTO A DITCH. CFR PERSONNEL NOTICED FUEL LEAKING FROM UNDER THE ENGINE COWLING. POST ACCIDENT EXAMINATION OF THE ENGINE REVEALED THE FUEL PRESSURE LINE FROM THE FUEL MANIFOLD VALVE TO THE FUEL PRESSURE GAUGE CAME LOOSE IN FLIGHT AT THE ENGINE FUEL MANIFOLD VALVE.
NTSB Probable Cause
IMPROPER INSTALLATION OF THE RECENTLY OVERHAULED POWERPLANT BY MAINTENANCE PERSONNEL AND INADEQUATE INSPECTION BY MAINTENANCE PERSONNEL WHICH FAILED TO DETECT THAT THE ENGINE FUEL PRESSURE GAUGE LINE WAS NOT PROPERLY SECURED TO THE FUEL SYSTEM MANIFOLD VALVE.
Full Narrative
THE AIRPLANE RECENTLY HAD ITS POWERPLANT OVERHAULED. THE ACCIDENT FLIGHT WAS THE FIRST FLIGHT AFTER THE INSTALLATION OF THE OVERHAULED ENGINE. DURING CRUISE FLIGHT THE ENGINE LOST POWER. THE AIRPLANE FORCE LANDED IN A PARKING LOT. DURING THE LANDING ROLL THE AIRPLANE STRUCK A FENCE AND SLID INTO A DITCH. CFR PERSONNEL NOTICED FUEL LEAKING FROM UNDER THE ENGINE COWLING. POST ACCIDENT EXAMINATION OF THE ENGINE REVEALED THE FUEL PRESSURE LINE FROM THE FUEL MANIFOLD VALVE TO THE FUEL PRESSURE GAUGE CAME LOOSE IN FLIGHT AT THE ENGINE FUEL MANIFOLD VALVE.
Flight
Event TypeAccident
Event Time09:27 PST
Nearest Airport0nm N
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo
Aircraft
AircraftPiper PA-28-201T
Tail NumberN9541C
Aircraft CategoryAir
DamageSubstantial
OperatorDan E Wolfe
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsContinental · TSIO-360FBIB · Reciprocating · 200
Seats4
People & Injuries
Injury Summary2 injuries (2 minor injuries)
Fatal0
Serious0
Minor2
Uninjured0
Total2
Crew 1Age 25 · First Class
Conditions
ConditionsVMC
LightDaylight
WindCalm
Visibility50 sm
CeilingNone
Temperature / Dew Point0 C / 0 C
Altimeter30.00 inHg
Observation Time17:33
Weather SourceWFAC