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NTSB Report
May 5, 1991 · Cessna T-337-D · N2688S
Fullerton, CA
Overview
Report Status
Probable Cause
Event Type
Accident
Date
May 5, 1991
Injury Outcomes
No injuries (2 uninjured)
Location
Fullerton, CA
Aircraft
Cessna T-337-D
Tail Number
N2688S
Operator
Dale W Nix
Injuries
None
Aircraft Damage
Substantial
NTSB Number
LAX91LA200
THE AIRCRAFT WAS ON A GO AROUND AT ABOUT 30 FT AGL WHEN THE FRONT ENGINE QUIT. THE PLT RETARDED BOTH THROTTLES AND LANDED; THE AIRCRAFT OVERRAN THE DEPARTURE END OF THE RUNWAY AND COLLIDED WITH A FENCE. THE FRONT ENGINE WAS OVERHAULED AND INSTALLED IN THE AIRCRAFT 2 HRS PRIOR TO THE ACCIDENT. EXAMINATION OF THE ENGINE REVEALED NUMEROUS DISCREPANCIES RELATING TO INCOMPLETE INSTALLATION OF THE ENGINE: TOOLS LEFT IN THE ENG COMPARTMENT; LOOSE AND NOT CONNECTED OIL AND FUEL LINES; IMPROPERLY CONNECTED THROTTLE AND MIXTURE CONTROLS; ETC. THE TURBO CONTROLLER WAS FOUND MISADJUSTED AND NOT PROPERLY CONTROLLING THE WASTE GATE VALVE. THE FUEL PRESSURE WAS SET EXCESSIVELY HIGH, WHICH CAUSED THE ENGINE TO QUIT WHEN RUN IN A TEST CELL. THE AIRCRAFT LOGBOOKS SHOWED THAT THE ENGINE INSTALLATION HAD BEEN SIGNED OFF BY AN AIRFRAME AND POWERPLANT MECHANIC AS COMPLETE.
NTSB Probable Cause
THE LOSS OF POWER IN THE FRONT ENGINE DUE TO THE IMPROPER AND INCOMPLETE INSTALLATION OF THE ENGINE IN THE AIRCRAFT BY A MECHANIC.
Full Narrative
THE AIRCRAFT WAS ON A GO AROUND AT ABOUT 30 FT AGL WHEN THE FRONT ENGINE QUIT. THE PLT RETARDED BOTH THROTTLES AND LANDED; THE AIRCRAFT OVERRAN THE DEPARTURE END OF THE RUNWAY AND COLLIDED WITH A FENCE. THE FRONT ENGINE WAS OVERHAULED AND INSTALLED IN THE AIRCRAFT 2 HRS PRIOR TO THE ACCIDENT. EXAMINATION OF THE ENGINE REVEALED NUMEROUS DISCREPANCIES RELATING TO INCOMPLETE INSTALLATION OF THE ENGINE: TOOLS LEFT IN THE ENG COMPARTMENT; LOOSE AND NOT CONNECTED OIL AND FUEL LINES; IMPROPERLY CONNECTED THROTTLE AND MIXTURE CONTROLS; ETC. THE TURBO CONTROLLER WAS FOUND MISADJUSTED AND NOT PROPERLY CONTROLLING THE WASTE GATE VALVE. THE FUEL PRESSURE WAS SET EXCESSIVELY HIGH, WHICH CAUSED THE ENGINE TO QUIT WHEN RUN IN A TEST CELL. THE AIRCRAFT LOGBOOKS SHOWED THAT THE ENGINE INSTALLATION HAD BEEN SIGNED OFF BY AN AIRFRAME AND POWERPLANT MECHANIC AS COMPLETE.
Flight
Event TypeAccident
Event Time12:15 PDT
Nearest AirportFullerton (0nm)
Runway24
Runway Length3100 ft
Runway Width75 ft
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo
Aircraft
AircraftCessna T-337-D
Tail NumberN2688S
Aircraft CategoryAir
DamageSubstantial
OperatorDale W Nix
Operating RulePart 91
Engines2
Engine TypeReciprocating
Engine DetailsContinental · TS10-360-A · Reciprocating · 210
Seats4
People & Injuries
Injury SummaryNo injuries (2 uninjured)
Fatal0
Serious0
Minor0
Uninjured2
Total2
Crew 1Age 42 · Third Class
Conditions
ConditionsVMC
LightDaylight
Wind220° @ 5 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point0 C / 0 C
Altimeter0
Weather SourcePILO