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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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NTSB Report

September 17, 1989 · Piper PA-28R-180 · N7503J

Gordon, AL

Overview

Report Status
Probable Cause
Event Type
Accident
Date
September 17, 1989
Injury Outcomes
4 injuries (3 fatalities, 1 minor injury)
Location
Gordon, AL
Aircraft
Piper PA-28R-180
Tail Number
N7503J
Operator
R and P Farm
Injuries
Fatal
Aircraft Damage
Substantial
NTSB Number
ATL89FA214

THE AIRPLANE COLLIDED WITH A SPEED LIMIT SIGN DURING A FORCED LDG ON A HWY. THE AIRPLANE SUBSEQUENTLY NOSED OVER AND IMPACTED THE TERRAIN INVERTED. PRIOR TO THE ACCIDENT, THE PILOT HAD ADVISED ATC HE WAS EXPERIENCING FUEL PRESSURE PROBLEMS AND HAD A ROUGH RUNNING ENGINE. POST-CRASH EXAMINATION OF THE WRECKAGE REVEALED THAT THE GASCOLATOR BOWL WAS LOOSE, EVEN THOUGH THE BAIL-WIRE RETAINING NUT WAS SAFETIED IN THE MAXIMUM-TIGHT POSITION. SUBSEQUENT INVESTIGATION REVEALED THAT THE BAIL-WIRE DID NOT CONFORM TO THE SHAPE AND DIMENSIONS SPECIFIED BY PIPER AIRCRAFT. IT WAS DETERMINED THAT THE BOWL COULD BE TIGHTENED DOWN ONLY IF THE RETAINING NUT WAS TIGHTENED WITH THE BAIL WIRE IN AN OFF-CENTER POSITION. THE AIRPLANE HAD UNDERGONE AN ANNUAL INSPECTION ABOUT 1 OPERATING HOUR BEFORE THE ACCIDENT. THE MECHANIC WHO PERFORMED THE INSPECTION REPORTED THAT THE GASCOLATOR WAS REMOVED AND CLEANED DURING THE INSPECTION.

NTSB Probable Cause

THE IMPROPER INSTALLATION OF THE FUEL GASCOLATOR BOWL BY MAINTENANCE PERSONNEL, WHICH RESULTED IN FUEL LEAKAGE AND A LOSS OF FUEL PRESSURE TO THE ENGINE.

Full Narrative

THE AIRPLANE COLLIDED WITH A SPEED LIMIT SIGN DURING A FORCED LDG ON A HWY. THE AIRPLANE SUBSEQUENTLY NOSED OVER AND IMPACTED THE TERRAIN INVERTED. PRIOR TO THE ACCIDENT, THE PILOT HAD ADVISED ATC HE WAS EXPERIENCING FUEL PRESSURE PROBLEMS AND HAD A ROUGH RUNNING ENGINE. POST-CRASH EXAMINATION OF THE WRECKAGE REVEALED THAT THE GASCOLATOR BOWL WAS LOOSE, EVEN THOUGH THE BAIL-WIRE RETAINING NUT WAS SAFETIED IN THE MAXIMUM-TIGHT POSITION. SUBSEQUENT INVESTIGATION REVEALED THAT THE BAIL-WIRE DID NOT CONFORM TO THE SHAPE AND DIMENSIONS SPECIFIED BY PIPER AIRCRAFT. IT WAS DETERMINED THAT THE BOWL COULD BE TIGHTENED DOWN ONLY IF THE RETAINING NUT WAS TIGHTENED WITH THE BAIL WIRE IN AN OFF-CENTER POSITION. THE AIRPLANE HAD UNDERGONE AN ANNUAL INSPECTION ABOUT 1 OPERATING HOUR BEFORE THE ACCIDENT. THE MECHANIC WHO PERFORMED THE INSPECTION REPORTED THAT THE GASCOLATOR WAS REMOVED AND CLEANED DURING THE INSPECTION.

Flight

Event TypeAccident
Event Time15:22 CDT
Nearest Airport0nm N
Runway0
Runway Length0
Runway Width0
Flight Plan FiledNone
Aircraft FireGrd
Aircraft ExplosionNo

Aircraft

AircraftPiper PA-28R-180
Tail NumberN7503J
Aircraft CategoryAir
DamageSubstantial
OperatorR and P Farm
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · IO-360-B1E · Reciprocating · 180
Seats4

People & Injuries

Injury Summary4 injuries (3 fatalities, 1 minor injury)
Fatal3
Serious0
Minor1
Uninjured0
Total4
Crew 1Age 47 · Second Class

Conditions

ConditionsVMC
LightDaylight
Wind360° @ 6 kt
Visibility7 sm
CeilingNone
Altimeter29.00 inHg
Observation Time20:15
Weather SourceWFAC

Appendix: Source Data