Mooney M20M N101PB
2 March 2003 · Destin, Florida, United States · Serious injuries
Summary
On 2 March 2003 at about 17:00 local time, a Mooney M20M registered N101PB, operated by James A. Massey, was involved in an accident near Destin, Florida, United States. One person was on board and one was seriously injured. The aircraft was substantially damaged. The NTSB has published a probable cause for this accident; it is quoted in full below.
The record
- Date
- at 17:00
- Classification
- Accident
- Location
- Destin, Florida, United States
- Nearest airport
- Destin-Fort Walton Beach (KDTS)
- Coordinates
- 30.4000, -86.4714
- Aircraft
- Mooney M20M
- Registration
- N101PB
- Category
- Airplane
- Engines
- 1
- Operator
- James A. Massey
- Operating rule
- Part 91: General Aviation
- Purpose of flight
- Personal
- Phase of flight
- Not recorded
- Route
- Destin → Bessemer
- Aircraft damage
- Substantial
- Weather
- VMC
- Light
- Day
- NTSB number
- MIA03LA072
People
1 person was seriously injured.
| On board | Died | Serious | Minor | Uninjured |
|---|---|---|---|---|
| 1 | 0 | 1 | 0 | 0 |
Probable cause
The inadequate annual/100-hour inspection of the engine by the mechanic for his failure to properly secure the tailpipe assembly to the turbocharger resulting in separation of the tailpipe and subsequent in-flight fire. Contributing factors in the accident were the inadequate design of the plastic brake line in the cockpit adjacent to the firewall by the airplane manufacturer, and the inadequate certification of the airplane by the FAA for failure to take into account radiant heat when designing components aft of the firewall.
Quoted verbatim from the NTSB record. This site does not paraphrase or interpret it.
Read the full NTSB narrative
The pilot stated that he performed a normal preflight of the airplane using the airplane's checklist; the only discrepancy he found was related to the cabin entry door seal. He did add 1 quart of oil to the engine. The flight departed from runway 32 and while climbing between 2,500 and 2,800 feet, the cockpit was enveloped suddenly in thick black smoke. Additionally, he observed flames underneath the instrument panel behind the rudder pedals on both sides of the cockpit. He turned off the master switch and initiated a descending left turn with the intention of ditching the airplane. He reduced the mixture control and opened the cabin entry door in anticipation of ditching but he was able to see outside and elected to return to the airport for landing. He momentarily turned on the master switch and lowered the landing gear; he landed on runway 14. After touchdown, the airplane exited the north side of the runway onto grass where he evacuated the airplane by the cabin entry door. A fire department was not located at the airport. A nearby fire department was alerted at 1101:34, arrived at 1107:09, and extinguished the fire. Examination of the airplane by an FAA Airworthiness inspector-in-charge (FAA-IIC) revealed fire consumed the upper and side fuselage skin of the cockpit and cabin area, and damaged the inboard portion of the right wing including consumption of the area of the right fuel tank. The tailpipe assembly (tailpipe) was found separated from the turbocharger exhaust turbine housing (turbocharger); the coupling used to secure the tailpipe to the turbocharger was found resting on the tailpipe but not in the normally installed position. No safety wire was observed in the coupling; the nut was not recovered. There was no mention of damage to either of the flanges of the tailpipe or of the turbocharger. Additionally, examination of other components of the exhaust system by the FAA-IIC revealed evidence of deterioration that should have been detected during the previous inspection 1.8 hours earlier. Burn damage was noted to plastic tubing in the cockpit forward of the rudder pedals; the tubing was associated with the brake system. Examination of the firewall and cockpit by the NTSB revealed no evidence of burn through or compromise of the firewall. Visual examination of the recovered coupling by the NTSB revealed no damage to the threads. The coupling was determined to be manufactured by Aeroquip as part number (55677-340M), which is specified in the Illustrated Parts Catalog. Review of the Aircraft Log revealed an entry dated November 12, 1990, which indicates replacement of the coupling in accordance with Mooney Special Letter 90-6, dated November 1, 1990. Review of the maintenance records revealed the engine was overhauled on February 22, 1996, and installed in the airplane on May 8, 1996; the entry does not indicate whether a new coupling was installed to connect the tailpipe to the turbocharger. An entry dated March 14, 2001, indicates the exhaust stack was repaired; the entry does not specify what exhaust stack was repaired. An entry dated April 25, 2001, indicates the engine was removed from the airplane for repair. The next entry dated April 20, 2001, indicates the engine was repaired and the wastegate, controllers, and turbo were repaired by Main Turbo Systems, Inc. The entry does not specify if a new coupling was installed to connect the tailpipe to the turbocharger. No other entries related to the exhaust system were noted between that entry and the last annual inspection which occurred on February 13, 2003; the inspection was accomplished using the Mooney Service Guide. The airplane had accumulated approximately 1.8 hours since the inspection at the time of the accident. The mechanic who performed the last annual/100-Hour inspection reported to the FAA-IIC that during the inspection, he removed the turbocharger wastegate for cleaning and also removed the tailpipe. He reported reinstalling the tailpipe using the same nut. Review of the Mooney Aircraft Corporation Service and Maintenance Manual pertaining to the 100-Hour or Annual inspection revealed the exhaust system components are inspected for security. When the airplane was certificated, there was no requirement to protect components aft of the firewall from radiant heat.
Quoted verbatim from the NTSB record.
Other Mooney M20M accidents
| Date | Aircraft | Location | Operator | Outcome | Died |
|---|---|---|---|---|---|
| 3 May 2004 | Mooney M20M | Cary, North Carolina, United States | Jerome Forrest Kurtz | Fatal | 2 |
| 8 Aug 2002 | Mooney M20M | Gualala, California, United States | Michel P. Lemaire | Minor injuries | - |
| 10 Apr 2005 | Mooney M20M | Lincoln, Nebraska, United States | - | No injuries | - |
| 27 Nov 2001 | Mooney M20M | Evansville, Indiana, United States | Grant Scott | Fatal | 2 |
| 11 Nov 2005 | Mooney M20M | Summerville, South Carolina, United States | - | Fatal | 1 |
| 15 Jul 2005 | Mooney M20M | White Cloud, Michigan, United States | - | No injuries | - |
Other accidents in this area
| Date | Aircraft | Location | Operator | Outcome | Died |
|---|---|---|---|---|---|
| 25 Dec 2003 | Cessna 172RG | Key West, Florida, United States | Avion Jet Center, LLC | No injuries | - |
| 16 Aug 2003 | Piper PA-25-235 | West Palm Beach, Florida, United States | Barry Aviation Florida, Inc. | Serious injuries | - |
| 18 Mar 2003 | Champion AERONCA 7BCM | Pahokee, Florida, United States | - | Fatal | 1 |
| 5 Oct 2003 | Airbus A330 | Miami, Florida, United States | Edelweiss Air AG | No injuries | - |
| 1 Jul 2003 | Samual G Dasilva VELOCITY | Sebastian, Florida, United States | - | Serious injuries | - |
| 21 Aug 2003 | Piper PA-31 | Clearwater, Florida, United States | Bruce T. Kendell | Fatal | 2 |